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  • Article
    Citation - WoS: 22
    Citation - Scopus: 27
    Influence of prosthesis type and material on the stress distribution in bone around implants: A 3-dimensional finite element analysis
    (Elsevier Taiwan, 2011) Meric, Gokce; Erkmen, Erkan; Kurt, Ahmet; Tunc, Yahya; Eser, Atilim
    Background/purpose: The design and materials of a prosthesis affect the loading of dental implants and deformation of the bone. The aim of the study was to evaluate the effects of prosthesis design and materials on the stress distribution of implant-supported prostheses. Materials and methods: A 3-dimensional finite element analysis method was selected to evaluate the stress distribution in the bone. Three different models were designed as follows: a 3-unit implant-supported fixed partial denture (FPD) composed of a metal framework and porcelain veneer with (M2) or without a cantilevered extension (M1) and an FPD composed of a fiber-reinforced composite (FRC) framework and a particulate composite veneer without a cantilevered extension (M3). In separate load cases, 300-N vertical, 150-N oblique, and 60-N horizontal forces were applied to the prostheses in the models. von Mises stress values in the cortical and cancellous bone were calculated. Results: In cortical bone, the highest von Mises stresses were noted in the M2 Model with a vertical load; whereas, higher stresses were observed in the M1 Model with horizontal and oblique loads. The lowest stress values were determined in the M3 Model for all loading conditions. In cancellous bone, decreased stress values were found with all 3 models under the applied loads. Conclusions: Prosthesis design and materials affect the load-transmission mechanism. Although additional experimental and clinical studies are needed, FRC FPDs can be considered a suitable alternative treatment choice for implant-supported prostheses. Within the limitations of the study, the 3-unit FPD supported by 2 implants with a cantilevered extension revealed acceptable stress distributions. Copyright (C) 2011, Association for Dental Sciences of the Republic of China. Published by Elsevier Taiwan LLC. All rights reserved.
  • Article
    Citation - WoS: 7
    Citation - Scopus: 9
    Biomechanical Evaluation of a Fiber-Reinforced Composite Prosthesis Supported by Implants With and Without a Microthread Collar Design
    (Elsevier Taiwan, 2010) Meric, Gokce; Erkmen, Erkan; Kurt, Ahmet; Eser, Atilim; Celik, Gokhan
    Background/purpose: A fiber-reinforced composite (FRC) resin system was introduced as an alternative for implant-retained fixed dental prostheses (FDPs); however, the stress distribution in the bone around the implants which support the FRC-FDP has so far not been reported. The aim of this study was to investigate the biomechanical behavior of FRC-FDPs supported by implants with different collar geometries. Materials and methods: A 3-dimensional finite element analysis method was selected to evaluate the stress distribution. FRC-FDPs were supported by 2 different dental implant systems with 2 distinct collar geometries: a microthread collar structure (MCS) and a non-MCS (NMCS). In separate load cases, 300-N vertical, 150-N oblique, and 60-N horizontal forces were simulated. Tensile and compressive stress values in the cortical and cancellous bone and von Mises stresses in the fixture-abutment complex, the framework, and veneer material were calculated. Results: The MCS model revealed higher compression stresses at the cortical bone than did the NMCS model under all 3 load conditions. Moreover, higher tensile stresses under the oblique loads at the cortical bone were shown with the MCS model. In each model, stresses were much higher in the implant abutment complex than in the cortical bone, and they were very low in the cancellous bone. Conclusion: Although additional experimental and clinical studies are needed, FRC-FDPs can be considered a suitable and alternative treatment choice for an implant-supported prosthesis. The implant design and geometry affect the load-transmission mechanisms. Implants with an MCS that supports FRC-FDPs were shown to be superior in terms of the stress distribution in the bone around the implant compared to implants with an NMCS. Copyright (C) 2010, Association for Dental Sciences of the Republic of China. Published by Elsevier Taiwan LLC. All rights reserved.