Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis

Detalhes bibliográficos
Autor(a) principal: Miyasawa, Erton Massamitsu
Data de Publicação: 2022
Outros Autores: Macêdo, Felipe Carvalho de, Valenga Filho, Jorge, Trojan, Larissa Carvalho, Klüppel, Leandro Eduardo, Padovan, Luis Eduardo Marques
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/32509
Resumo: The aim of this study is to evaluate by finite element analysis different techniques of totally edentulous maxilla rehabilitation, considering implants, bone tissue, metallic infra-structure, and prosthetic abutments characteristics, by means of a three-dimensional model. Stress distribution on bone tissue, implants, and abutments was analyzed with four configurations (six implants axially installed, all-on-four technique, M-4 technique, and four conventional implants with two zygomatic implants). Greater tension on bone tissue were found around distal implants, in all treatment groups, but not exceeding resistance limits of cortical bone. Von Mises stress was higher on the distal region of distal implants of all-on-four and M-4 techniques. Higher stress concentration was seen on angled abutments of zygomatic implants. The highest values of minimal compression stresses were concentrated on peri implant-bone tissue, especially in the model of All-on-4.  Therefore, the present finite element analysis revealed that the four configurations of treatment (six implants axially installed, all-on-four technique, M-4 technique, and four conventional implants with two zygomatic implants) for the totally edentulous maxilla are feasible and safe, from a biomechanical point of view.
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spelling Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysisComparación biomecánica de cuatro modelos de tratamiento para el maxilar superior atrófico totalmente desdentado: análisis de elementos finitosComparação biomecânica de quatro modelos de tratamento para a maxila atrófica totalmente edêntula: análise de elementos finitosFinite element analysisDental implantsEdentulous jawBiomechanical phenomena.Análisis de elementos finitosImplantes dentalesMaxilar edéntuloFenómenos biomecánicos.Análise de elementos finitosImplantes dentáriosMaxila edêntulaFenômenos biomecânicos.The aim of this study is to evaluate by finite element analysis different techniques of totally edentulous maxilla rehabilitation, considering implants, bone tissue, metallic infra-structure, and prosthetic abutments characteristics, by means of a three-dimensional model. Stress distribution on bone tissue, implants, and abutments was analyzed with four configurations (six implants axially installed, all-on-four technique, M-4 technique, and four conventional implants with two zygomatic implants). Greater tension on bone tissue were found around distal implants, in all treatment groups, but not exceeding resistance limits of cortical bone. Von Mises stress was higher on the distal region of distal implants of all-on-four and M-4 techniques. Higher stress concentration was seen on angled abutments of zygomatic implants. The highest values of minimal compression stresses were concentrated on peri implant-bone tissue, especially in the model of All-on-4.  Therefore, the present finite element analysis revealed that the four configurations of treatment (six implants axially installed, all-on-four technique, M-4 technique, and four conventional implants with two zygomatic implants) for the totally edentulous maxilla are feasible and safe, from a biomechanical point of view.El objetivo de este estudio es evaluar, por medio del análisis de elementos finitos, diferentes técnicas de rehabilitación para maxilares superiores totalmente edéntulos, considerando implantes, tejido óseo, infraestructura metálica y características de los componentes protésicos, a partir de un modelo tridimensional. La distribución del estrés en el tejido óseo, implantes y componentes protésicos fue analizada con cuatro configuraciones (seis implantes instalados axialmente, técnica all-on-four, técnica M-4 y cuatro implantes convencionales con dos implantes cigomáticos). Se encontró una mayor tensión en el tejido óseo alrededor de los implantes distales, en todos los grupos de tratamiento, sin exceder los límites de resistencia del hueso cortical. El estrés de Von Mises fue mayor en la región distal de los implantes distales en las técnicas all-on-four y M-4. Se observó una mayor concentración de tensión en los componentes angulados de los implantes cigomáticos. Los mayores valores de tensión mínima de compresión fueron concentrados en el tejido óseo peri implantar, especialmente en el modelo All on Four. Por lo tanto, el presente análisis de elementos finitos reveló que las cuatro configuraciones de tratamiento (seis implantes instalados axialmente, técnica all-on-four, técnica M-4 y cuatro implantes convencionales con dos implantes cigomáticos) para el maxilar superior totalmente edéntulo son factibles y seguras, desde el punto de vista biomecánico.O objetivo deste estudo é avaliar por meio da análise de elementos finitos diferentes técnicas de reabilitação de maxila totalmente edêntula, considerando implantes, tecido ósseo, infraestrutura metálica e características de componentes protéticos, a partir de um modelo tridimensional. A distribuição do estresse no tecido ósseo, implantes e componentes foi analisada com quatro configurações (seis implantes instalados axialmente, técnica all-on-four, técnica M-4 e quatro implantes convencionais com dois implantes zigomáticos). Maior tensão no tecido ósseo foi encontrada em torno de implantes distais, em todos os grupos de tratamento, sem exceder os limites de resistência do osso cortical. O estresse de Von Mises foi maior na região distal de implantes distais das técnicas all-on-four e M-4. Maior concentração de estresse foi observada em componentes angulares de implantes zigomáticos. Os maiores valores de estresse mínimo de compressão foram concentrados no tecido ósseo peri implantar, especialmente no modelo de All-on-4. Portanto, a presente análise de elementos finitos revelou que as quatro configurações de tratamento (seis implantes instalados axialmente, técnica all-on-four, técnica M-4 e quatro implantes convencionais com dois implantes zigomáticos) para a maxila totalmente edêntula são viáveis e seguras, do ponto de vista biomecânico.Research, Society and Development2022-07-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3250910.33448/rsd-v11i10.32509Research, Society and Development; Vol. 11 No. 10; e135111032509Research, Society and Development; Vol. 11 Núm. 10; e135111032509Research, Society and Development; v. 11 n. 10; e1351110325092525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/32509/27622Copyright (c) 2022 Erton Massamitsu Miyasawa; Felipe Carvalho de Macêdo; Jorge Valenga Filho; Larissa Carvalho Trojan; Leandro Eduardo Klüppel; Luis Eduardo Marques Padovanhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMiyasawa, Erton MassamitsuMacêdo, Felipe Carvalho deValenga Filho, JorgeTrojan, Larissa CarvalhoKlüppel, Leandro EduardoPadovan, Luis Eduardo Marques2022-08-12T22:23:03Zoai:ojs.pkp.sfu.ca:article/32509Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:48:29.647144Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
Comparación biomecánica de cuatro modelos de tratamiento para el maxilar superior atrófico totalmente desdentado: análisis de elementos finitos
Comparação biomecânica de quatro modelos de tratamento para a maxila atrófica totalmente edêntula: análise de elementos finitos
title Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
spellingShingle Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
Miyasawa, Erton Massamitsu
Finite element analysis
Dental implants
Edentulous jaw
Biomechanical phenomena.
Análisis de elementos finitos
Implantes dentales
Maxilar edéntulo
Fenómenos biomecánicos.
Análise de elementos finitos
Implantes dentários
Maxila edêntula
Fenômenos biomecânicos.
title_short Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
title_full Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
title_fullStr Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
title_full_unstemmed Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
title_sort Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis
author Miyasawa, Erton Massamitsu
author_facet Miyasawa, Erton Massamitsu
Macêdo, Felipe Carvalho de
Valenga Filho, Jorge
Trojan, Larissa Carvalho
Klüppel, Leandro Eduardo
Padovan, Luis Eduardo Marques
author_role author
author2 Macêdo, Felipe Carvalho de
Valenga Filho, Jorge
Trojan, Larissa Carvalho
Klüppel, Leandro Eduardo
Padovan, Luis Eduardo Marques
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Miyasawa, Erton Massamitsu
Macêdo, Felipe Carvalho de
Valenga Filho, Jorge
Trojan, Larissa Carvalho
Klüppel, Leandro Eduardo
Padovan, Luis Eduardo Marques
dc.subject.por.fl_str_mv Finite element analysis
Dental implants
Edentulous jaw
Biomechanical phenomena.
Análisis de elementos finitos
Implantes dentales
Maxilar edéntulo
Fenómenos biomecánicos.
Análise de elementos finitos
Implantes dentários
Maxila edêntula
Fenômenos biomecânicos.
topic Finite element analysis
Dental implants
Edentulous jaw
Biomechanical phenomena.
Análisis de elementos finitos
Implantes dentales
Maxilar edéntulo
Fenómenos biomecánicos.
Análise de elementos finitos
Implantes dentários
Maxila edêntula
Fenômenos biomecânicos.
description The aim of this study is to evaluate by finite element analysis different techniques of totally edentulous maxilla rehabilitation, considering implants, bone tissue, metallic infra-structure, and prosthetic abutments characteristics, by means of a three-dimensional model. Stress distribution on bone tissue, implants, and abutments was analyzed with four configurations (six implants axially installed, all-on-four technique, M-4 technique, and four conventional implants with two zygomatic implants). Greater tension on bone tissue were found around distal implants, in all treatment groups, but not exceeding resistance limits of cortical bone. Von Mises stress was higher on the distal region of distal implants of all-on-four and M-4 techniques. Higher stress concentration was seen on angled abutments of zygomatic implants. The highest values of minimal compression stresses were concentrated on peri implant-bone tissue, especially in the model of All-on-4.  Therefore, the present finite element analysis revealed that the four configurations of treatment (six implants axially installed, all-on-four technique, M-4 technique, and four conventional implants with two zygomatic implants) for the totally edentulous maxilla are feasible and safe, from a biomechanical point of view.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/32509
10.33448/rsd-v11i10.32509
url https://rsdjournal.org/index.php/rsd/article/view/32509
identifier_str_mv 10.33448/rsd-v11i10.32509
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/32509/27622
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 10; e135111032509
Research, Society and Development; Vol. 11 Núm. 10; e135111032509
Research, Society and Development; v. 11 n. 10; e135111032509
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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