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DOI :10.26650/eor.20241272144   IUP :10.26650/eor.20241272144    Tam Metin (PDF)

Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi

Işıl TurpVolkan Turpİlkin TuncelAslıhan Üşümez

Amaç: Bu çalışmanın amacı mandibular implant üstü tam protezleri desteklemek için açılı implantlar ve mini implantlar kullanıldığındandaki gerilim dağılımını değerlendirmektir.

Gereç ve Yöntem: Dört adet, düz, standart büyüklükte implanta sahip (SA model); dört adet, mezialdekiler düz ve distaldekiler açılı, standart büyüklükte implanta sahip (ST model) ve dört adet, düz mini implanta sahip (MA model) Locator tutuculu implant üstü mandibular tam protezlerin üç boyutlu (3D) sonlu eleman modelleri oluşturuldu. Her modelde implant üstü tam proteze bilateral dik, unilateral dik, unilateral oblik ve kesicilerden dik olacak şekilde dört farklı yönde 100 N kuvvet uygulandı. Peri-implant kemikte, implantta, protetik komponentlerde ve protezde dağılan gerilimler değerlendirilmiştir.

Bulgular: Dik olmayan posterior yükleme, dik yüklemeye göre implantta ve protetik komponenette daha yüksek stress değerlerine sebep olmuştur. İmplant ve protetik komponentte ST modelde SA modele göre daha düşük gerilim değerleri gözlenmiştir. Posterior yüklemelerde implant üstü tam protezde gerilim dağılımı implantların etrafında daha yoğun gözlenmiştir. Sonuç: ST modeldeki tedavi seçeneğinin kullanıldığı durumlarda daha az protetik komplikasyon beklenebilir. İmplant üstü tam protezlerde implantların etrafında yorgunluğa bağlı kırılmalar meydana gelebilir

DOI :10.26650/eor.20241272144   IUP :10.26650/eor.20241272144    Tam Metin (PDF)

Stress distribution of four implant supported overdentures with tilted standard-sized implants and mini implants

Işıl TurpVolkan Turpİlkin TuncelAslıhan Üşümez

Purpose: The goal of the current study is to evaluate the stress distribution when tilted implants and mini-implants are used to support a mandibular overdenture.

Materials and Methods: Three-dimensional (3D) finite element models of mandibular overdentures were established using four, axial, standard-sized implants (SA model), four standard-sized implants with the mesial ones axial and the distal ones tilted (ST model) and four mini-implants (MA model) with Locator attachments. On each model, a 100 N load was applied to the overdenture in four different directions; bilateral vertical, unilateral vertical and oblique load on the posterior region, and a vertical load on the incisors. The stresses distributed at the peri-implant bone, implants, the prosthetic components, and the overdentures were evaluated.

Results: Non-axial posterior loading caused higher stress values in the implant and the prosthetic component than axial posterior loading. Lower stress values of the implant and the prosthetic component were observed in the ST model than SA model. The stress distribution in the overdenture at posterior loads were mostly observed around the implants.

Conclusion: Less prosthetic complications may be expected when the treatment option in the ST model is used. Fatigue fractures may occur around the implants in the overdentures, precautions are advised.


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Referanslar

  • Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Heydecke G, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais JA, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology 2002;19:3-4. google scholar
  • Ben-Ur Z, Gorfil C, Shifman A. Anterior implant-supported overdentures. Quintessence Int 1996;27:603-6. google scholar
  • Mericske-Stern RD, Taylor TD, Belser U. Management of the edentulous patient. Clin Oral Implants Res 2000;11:108-25. google scholar
  • Maló P, de Araújo Nobre M, Lopes A, Francischone C, Rigolizzo M. "All-on-4" immediate-function concept for completely edentulous maxillae: a clinical report on the medium (3 years) and long-term (5 years) outcomes. Clin Implant Dent Relat Res 2012;14:e139-50. google scholar
  • Hong HR, Pae A, Kim Y, Paek J, Kim HS, Kwon KR. Effect of implant position, angulation, and attachment height on peri-implant bone stress associated with mandibular two-implant overdentures: a finite element analysis. Int J Oral Maxillofac Implants 2012;27:e69-76. google scholar
  • https://pdf.medicalexpo.com/pdf/bredent-medical/sky-locator/71642-131436.html. Accessed: 13 March 2023. google scholar
  • Flanagan D, Mascolo A. The mini dental implant in fixed and removable prosthetics: a review. J Oral Implantol 2011;37:123-32. google scholar
  • Fatalla AA, Song K, Du T, Cao Y. A three-dimensional finite element analysis for overdenture attachments supported by teeth and/or mini dental implants. J Prosthodont 2012;21:604-13. google scholar
  • Fedorov A., Beichel R., Kalpathy-Cramer J., Finet J., Fillion-Robin J-C., Pujol S., Bauer C., Jennings D., Fennessy F.M., Sonka M., Buatti J., Aylward S.R., Miller J.V., Pieper S., Kikinis R. 3D Slicer as an Image Computing Platform for the Quantitative Imaging Network. Magnetic Resonance Imaging 2012;30:1323-41. google scholar
  • https://www.slicer.org. Accessed: 25 July 2023. google scholar
  • P. Cignoni, M. Callieri, M. Corsini, M. Dellepiane, F. Ganovelli, G. Ranzuglia. MeshLab: an Open-Source Mesh Processing Tool. Sixth Eurographics Italian Chapter Conference, page 129-136, 2008. google scholar
  • Sertgöz A, Güvener S. Finite element analysis of the effect of cantilever and implant length on stress distribution in an implant-supported fixed prosthesis. J Prosthet Dent 1996;76:165-9. google scholar
  • Barbier L, Vander Sloten J, Krzesinski G, Schepers E, Van der Perre G. Finite element analysis of non-axial versus axial loading of oral implants in the mandible of the dog. J Oral Rehabil 1998;25:847-58. google scholar
  • Brunski JB, Puleo DA, Nanci A. Biomaterials and biomechanics of oral and maxillofacial implants: current status and future developments. Int J Oral Maxillofac Implants 2000;15:15-46. google scholar
  • Menicucci G, Lorenzetti M, Pera P, Preti G. Mandibular implant-retained overdenture: finite element analysis of two anchorage systems. Int J Oral Maxillofac Implants 1998;13:369-76. google scholar
  • Liu J, Pan S, Dong J, Mo Z, Fan Y, Feng H. Influence of implant number on the biomechanical behaviour of mandibular implant-retained/supported overdentures: a three-dimensional finite element analysis. J Dent 2013;41:241-9. google scholar
  • Barão VA, Delben JA, Lima J, Cabral T, Assunção WG. Comparison of different designs of implant-retained overdentures and fixed full-arch implant-supported prosthesis on stress distribution in edentulous mandible--a computed tomography-based three-dimensional finite element analysis. J Biomech 2013;46:1312-20. google scholar
  • Zhou T, Mirchandani B, Li XX, Mekcha P, Buranawat B. Quantitative parameters of digital occlusal analysis in dental implant supported restorative reconstruction recent 5 years: a systematic review. Acta Odontol Scand 2023;81:1-17. google scholar
  • Akça K, Akkocaoglu M, Cömert A, Tekdemir I, Cehreli MC. Bone strains around immediately loaded implants supporting mandibular overdentures in human cadavers. Int J Oral Maxillofac Implants 2007;22:101-9. google scholar
  • Cehreli MC, Akkocaoglu M, Comert A, Tekdemir I, Akca K. Human ex vivo bone tissue strains around natural teeth vs. immediate oral implants. Clin Oral Implants Res 2005;16:540-8. google scholar
  • Teixeira MF, Ramalho SA, de Mattias Sartori IA, Lehmann RB. Finite element analysis of 2 immediate loading systems in edentulous mandible: rigid and semirigid splinting of implants. Implant Dent 2010;19:39-49. google scholar
  • Isidor, F. Influence of forces on peri-implant bone. Clinical Oral Implants Research 2006;17:8-18. google scholar
  • Naert IE, Duyck JA, Hosny MM, Quirynen M, van Steenberghe D. Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation. Clin Oral Implants Res 2001;12:245-51. google scholar
  • Cordaro L, di Torresanto VM, Petricevic N, Jornet PR, Torsello F. Single unit attachments improve peri-implant soft tissue conditions in mandibular overdentures supported by four implants. Clin Oral Implants Res 2013;24:536-42. google scholar
  • Takahashi T, Shimamura I, Sakurai K. Influence of number and inclination angle of implants on stress distribution in mandibular cortical bone with All-on-4 Concept. J Prosthodont Res 2010;54:179-84. google scholar
  • Kitamura E, Stegaroiu R, Nomura S, Miyakawa O. Biomechanical aspects of marginal bone resorption around osseointegrated implants: considerations based on a three-dimensional finite element analysis. Clin Oral Implants Res 2004;15:401-12. google scholar
  • Papavasiliou G, Kamposiora P, Bayne SC, Felton DA. Three-dimensional finite element analysis of stress-distribution around single tooth implants as a function of bony support, prosthesis type, and loading during function. J Prosthet Dent 1996;76:633-40. google scholar
  • Nikolopoulou F, Ktena-Agapitou P. Rationale for choices of occlusal schemes for complete dentures supported by implants. J Oral Implantol 2006;32:200-3. google scholar
  • Geng JP, Tan KB, Liu GR. Application of finite element analysis in implant dentistry: a review of the literature. J Prosthet Dent 2001;85:585-98. google scholar
  • Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res 2005;16:26-35. google scholar
  • Denissen HW, Kalk W, van Waas MA, van Os JH. Occlusion for maxillary dentures opposing osseointegrated mandibular prostheses. Int J Prosthodont 1993;6:446-50. google scholar
  • Deniz DA, Kulak Ozkan Y. The influence of occlusion on masticatory performance and satisfaction in complete denture wearers. J Oral Rehabil 2013;40:91-8. google scholar
  • Alsiyabi AS, Felton DA, Cooper LF. The role of abutment-attachment selection in resolving inadequate interarch distance: a clinical report. J Prosthodont 2005;14:184-90. Erratum in: J Prosthodont 2006;15:151. google scholar
  • Zampelis A, Rangert B, Heijl L. Tilting of splinted implants for improved prosthodontic support: a two-dimensional finite element analysis. J Prosthet Dent 2007;97:S35-43. Erratum in: J Prosthet Dent 2008; 99: 167. google scholar
  • Schrotenboer J, Tsao YP, Kinariwala V, Wang HL. Effect of microthreads and platform switching on crestal bone stress levels: a finite element analysis. J Periodontol 2008;79:2166-72. google scholar
  • Ebadian B, Mosharraf R, Khodaeian N. Finite Element Analysis of the Influence of Implant Inclination on Stress Distribution in Mandibular Overdentures. J Oral Implantol 2015;41:252-7. google scholar

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DIŞA AKTAR



APA

Turp, I., Turp, V., Tuncel, İ., & Üşümez, A. (2023). Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi. European Oral Research, 58(2), 95-101. https://doi.org/10.26650/eor.20241272144


AMA

Turp I, Turp V, Tuncel İ, Üşümez A. Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi. European Oral Research. 2023;58(2):95-101. https://doi.org/10.26650/eor.20241272144


ABNT

Turp, I.; Turp, V.; Tuncel, İ.; Üşümez, A. Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi. European Oral Research, [Publisher Location], v. 58, n. 2, p. 95-101, 2023.


Chicago: Author-Date Style

Turp, Işıl, and Volkan Turp and İlkin Tuncel and Aslıhan Üşümez. 2023. “Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi.” European Oral Research 58, no. 2: 95-101. https://doi.org/10.26650/eor.20241272144


Chicago: Humanities Style

Turp, Işıl, and Volkan Turp and İlkin Tuncel and Aslıhan Üşümez. Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi.” European Oral Research 58, no. 2 (Nov. 2024): 95-101. https://doi.org/10.26650/eor.20241272144


Harvard: Australian Style

Turp, I & Turp, V & Tuncel, İ & Üşümez, A 2023, 'Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi', European Oral Research, vol. 58, no. 2, pp. 95-101, viewed 22 Nov. 2024, https://doi.org/10.26650/eor.20241272144


Harvard: Author-Date Style

Turp, I. and Turp, V. and Tuncel, İ. and Üşümez, A. (2023) ‘Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi’, European Oral Research, 58(2), pp. 95-101. https://doi.org/10.26650/eor.20241272144 (22 Nov. 2024).


MLA

Turp, Işıl, and Volkan Turp and İlkin Tuncel and Aslıhan Üşümez. Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi.” European Oral Research, vol. 58, no. 2, 2023, pp. 95-101. [Database Container], https://doi.org/10.26650/eor.20241272144


Vancouver

Turp I, Turp V, Tuncel İ, Üşümez A. Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi. European Oral Research [Internet]. 22 Nov. 2024 [cited 22 Nov. 2024];58(2):95-101. Available from: https://doi.org/10.26650/eor.20241272144 doi: 10.26650/eor.20241272144


ISNAD

Turp, Işıl - Turp, Volkan - Tuncel, İlkin - Üşümez, Aslıhan. Açılı standard implant ve mini implant destekli tam protezlerde gerilimin değerlendirilmesi”. European Oral Research 58/2 (Nov. 2024): 95-101. https://doi.org/10.26650/eor.20241272144



ZAMAN ÇİZELGESİ


Gönderim30.03.2023
Kabul13.07.2023
Çevrimiçi Yayınlanma11.10.2023

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