Effect of Framework in an Implant-Supported Full-Arch Fixed Prosthesis:: 3D Finite Element Analysis

• Autores: María Menini, Paolo Pesce, Marco Bevilacqua, Francesco Pera, Tiziano Tealdo, Fabrizio Barberis, Paolo Pera
• Localización: The International Journal of Prosthodontics, ISSN-e 1942-4426, Vol. 28, Nº. 6, 2015, págs. 627-630
• Idioma: inglés
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• Resumen

  • Purpose: The aim of this study was to analyze through a three-dimensional finite element analysis (3D-FEA) stress distribution on four implants supporting a fullarch implant-supported fixed prosthesis (FFP) using different prosthesis designs. Materials and Methods: A 3D edentulous maxillary model was created and four implants were virtually placed into the maxilla and splinted, simulating an FFP without framework, with a cast metal framework, and with a carbon fiber framework. An occlusal load of 150 N was applied, stresses were transmitted into peri-implant bone, and prosthodontic components were recorded. Results: 3D-FEA revealed higher stresses on the implants (up to +55.16%), on peri-implant bone (up to +56.93%), and in the prosthesis (up to +70.71%) when the full-acrylic prosthesis was simulated. The prosthesis with a carbon fiber framework showed an intermediate behavior between that of the other two configurations. Conclusion: This study suggests that the presence of a rigid framework in full-arch fixed prostheses provides a better load distribution that decreases the maximum values of stress at the levels of implants, prosthesis, and maxillary bone.