Mechanical behavior of implant-supported full-arch prostheses in different locations in the maxilla: 3D-FEA and strain gauge analysis

• Autor(a) principal: Barra Grande, Mateus Favero
• Data de Publicação: 2023
• Outros Autores: Lopes , Guilherme da Rocha Scalzer, Teixeira, Marcelo Lucchesi, Pelegrine, André Antônio, Matos, Jefferson David Melo de, Nishioka , Renato Sussumo
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Dental Science
• Texto Completo: https://ojs.ict.unesp.br/index.php/cob/article/view/3771

The maxillary bone restriction can limit the implants position to support a full-arch prosthesis. Objective: Therefore, this study evaluated the biomechanical behavior of a full-arch prosthesis supported by six implants in different configurations: group A (implants inserted in the region of canines, first premolars and second molars), group B (implants inserted in the region of first premolar, first molar and second molar) and group C (implants in second premolar, first premolar and second molar). Material and Methods: The models were analyzed by the finite element method validated by strain gauge. Three types of loads were applied: in the central incisors, first premolars and second molars, obtaining results of von-Mises stress peaks and microstrain. All registered results reported higher stress concentration in the prosthesis of all groups, with group C presenting higher values in all structures when compared to A and B groups. The highest mean microstrain was also observed in group C (288.8 ± 225.2 microstrain), however, there was no statistically significant difference between the evaluated groups. In both groups, regardless of the magnitude and direction of the load, the maximum von-Mises stresses recorded for implants and prosthesis displacements were lower in group A. Conclusion: It was concluded that an equidistant distribution of implants favors biomechanical behavior of full-arch prostheses supported by implants; and the placement of posterior implants seems to be a viable alternative to rehabilitate totally edentulous individuals. KEYWORDS Dental implants; Biomechanical phenomena; Dental prosthesis; Finite element analysis; Maxilla.