Mandibular Flexure and Peri-Implant Bone Stress Distribution on an Implant-Supported Fixed Full-Arch Mandibular Prosthesis: 3D Finite Element Analysis

• Published in: BioMed research international Vol. 2018; no. 2018; pp. 1 - 9
• Main Authors: Brizuela-Velasco, Aritza, Mauvezin-Quevedo, Mario Andres, deLlanos-Lanchares, Hector, Gonzalez-Gonzalez, Ignacio, Martin-Fernandez, Elena, Alvarez-Arenal, Angel
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 01.01.2018; Hindawi; John Wiley & Sons, Inc
• Subjects: Analysis; Arches; Biomechanical Phenomena - physiology; Biomechanics; Bone implants; Computer Simulation; Dentistry; Design; Finite Element Analysis; Finite element method; Flexing; Humans; Implants, Artificial; Jaw; Jawbone; Mandible; Mandible - physiology; Mandible - surgery; Mandibular Prosthesis; Mastication; Mathematical analysis; Mathematical models; Models, Biological; Muscle contraction; Muscles; Osseointegration; Physiology; Prostheses; Prosthesis; Prosthesis Design; Stress analysis; Stress concentration; Stress distribution; Stress, Mechanical; Superstructures; Surgical implants; Teeth; Three dimensional models; Titanium alloys; Transplants & implants; Switzerland
• ISSN: 2314-6133; 2314-6141; 2314-6141
• DOI: 10.1155/2018/8241313

Purpose. The purpose of this study was to evaluate and compare the effect of three mandibular full-arch superstructures on the peri-implant bone stress distribution during mandibular flexure caused by mid-opening (27 mm) and protrusion mandibular movements. Materials and Methods. Three-dimensional finite element models were created simulating six osseointegrated implants in the jawbone. One model simulated a 1-piece framework and the other simulated 2-piece and 3-piece frameworks. Muscle forces with definite direction and magnitude were exerted over areas of attachment to simulate multiple force vectors of masticatory muscles during mandibular protrusion and opening. Results. During the movement of 27.5 mm jaw opening, the 1-piece and 3-piece superstructures showed the lowest values of bone stress around the mesial implants, gradually increasing towards the distal position. During the protrusion movement, bone stress increased compared to opening for any implant situation and for a divided or undivided framework. The 3-piece framework showed the highest values of peri-implant bone stress, regardless of the implant situation. Conclusions. The undivided framework provides the best biomechanical environment during mandibular protrusion and opening. Protrusion movement increases the peri-implant bone stress. The most mesial implants have the lowest biomechanical risk.