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. 2022 Aug 27:2022:4451810.
doi: 10.1155/2022/4451810. eCollection 2022.

The Effect of Abutment Angulation and Crown Material Compositions on Stress Distribution in 3-Unit Fixed Implant-Supported Prostheses: A Finite Element Analysis

Ramin Mosharraf  1 , Mahsa Abbasi  2 , Pirooz Givehchian  3
Affiliations

The Effect of Abutment Angulation and Crown Material Compositions on Stress Distribution in 3-Unit Fixed Implant-Supported Prostheses: A Finite Element Analysis

Ramin Mosharraf et al. Int J Dent. .

Abstract

Objective: The aim of this study was to evaluate influence of abutment angulation and restoration material compositions on the stress pattern in dental implants and their surrounding bone.

Materials and methods: In this finite element study, the six different solid 3D models of "mandibular 3-unit fixed implant-supported prostheses" were analyzed. In all of these models, a straight abutment was used for anterior implants at the second premolar site, and in order to posterior implant at the second molar site, abutments with three different angles (straight, 15, and 20°) were used. Also, two different restoration material compositions (porcelain fused to base metal (PFBM) and porcelain fused to noble metal (PFNM)) were considered for fixed implant supported restorations. A 450 N static force was exerted in a straight manner along the longitudinal axis of the anterior implant in a tripod, and the stress distribution was measured based on the restoration materials and abutment angulations of the models in the 3 sites of cortical, cancellous bone, and fixtures. The simulation was performed with ABAQUS 6.13 Software.

Results: In all models, stress values in surrounding cortical bone were more than in spongy bone. Maximum stress levels in an anterior abutment-implant complex were seen in models with angled implants. In models with parallel implants, the stress level of a molar straight abutment-implant complex was less than that of premolar straight ones. In an angled posterior abutment-implant complex, less stress level was detected compared to straight ones. In all PFNB models, stress values were slightly more and distributed in a wider area of premolar straight abutments.

Conclusion: Increasing an abutment angle, increases stress in surrounding bone and straight implant-abutment combination. It seems that the crown material composition affects stress distribution of the implant-abutment combination but does not affect stress distribution of surrounding bone.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
3D model of implant angulation and three-unit FPD.
Figure 2
Figure 2
Tripod loading.
Figure 3
Figure 3
Stress distribution in bone in model 1. (a) PFBM. (b) PFNM.
Figure 4
Figure 4
Stress distribution in abutments in model 1. (a), (c) PFBM; (b), (d) PFNM.
Figure 5
Figure 5
Stress distribution in bone in model 2. (a) PFBM. (b) PFNM.
Figure 6
Figure 6
Stress distribution in abutments in model 2. (a), (c) PFBM; (b), (d) PFNM.
Figure 7
Figure 7
Stress distribution in bone in model 3. (a) PFBM. (b) PFNM.
Figure 8
Figure 8
Stress distribution in abutments in model 3. (a), (c) PFBM; (b), (d) PFNM.
See this image and copyright information in PMC

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