Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations

The configuration of implant-supported prostheses is considered to influence the magnitude of stress concentrations, affecting their survival rate. The purpose of this study is to determine, through strain gauge measurements during load application, the dispersion and magnitude of strain concentrati...

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Main Authors: Oded Gelfan, Joseph Nissan, Asaf Shely, Gil Ben-Izhack, Liat Chaushu, Esi Sharon, Ari Glikman, Eran Zenziper, Ofir Rosner
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Journal of Functional Biomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4983/15/2/47
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author Oded Gelfan
Joseph Nissan
Asaf Shely
Gil Ben-Izhack
Liat Chaushu
Esi Sharon
Ari Glikman
Eran Zenziper
Ofir Rosner
author_facet Oded Gelfan
Joseph Nissan
Asaf Shely
Gil Ben-Izhack
Liat Chaushu
Esi Sharon
Ari Glikman
Eran Zenziper
Ofir Rosner
author_sort Oded Gelfan
collection DOAJ
description The configuration of implant-supported prostheses is considered to influence the magnitude of stress concentrations, affecting their survival rate. The purpose of this study is to determine, through strain gauge measurements during load application, the dispersion and magnitude of strain concentrations in different implant-supported prosthesis designs. All designs matched those commonly used in posterior partially edentulous states. Three implants were inserted into an epoxy resin model (PLM-4B Vishay Measurements Group Inc., Raleigh, NC, USA), allowing for the delivery of three- and four-unit crowns in different cemented configurations. Loads were applied at vertical and oblique directions over the cast crowns in six different configurations representing various posterior partially edentulous restorations. The readings from the strain gauges adhered to the implant necks’ presented data on implant strain. Prostheses including cantilevers showed the highest strain among the three-unit prostheses within the prosthetic complex, and three single units showed the least (8133 µs vs. 201 µs, respectively). Angulated load application also had a role in amplifying the strains recorded, resulting in total strains of between 3.5 and 20 times higher than during vertical loading in all configurations. It can be concluded that the configuration of implant-fixed partial prosthesis changes the loads engaging the restoration, the implant, and, probably, the supporting bone.
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spelling doaj.art-e1f4ffae52824f2eadd55bbe165b07932024-02-23T15:22:43ZengMDPI AGJournal of Functional Biomaterials2079-49832024-02-011524710.3390/jfb15020047Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six ConfigurationsOded Gelfan0Joseph Nissan1Asaf Shely2Gil Ben-Izhack3Liat Chaushu4Esi Sharon5Ari Glikman6Eran Zenziper7Ofir Rosner8Department of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Peridontology, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Prosthodontics, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem 91120, IsraelDepartment of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelDepartment of Prosthetic Dentistry, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 69978, IsraelThe configuration of implant-supported prostheses is considered to influence the magnitude of stress concentrations, affecting their survival rate. The purpose of this study is to determine, through strain gauge measurements during load application, the dispersion and magnitude of strain concentrations in different implant-supported prosthesis designs. All designs matched those commonly used in posterior partially edentulous states. Three implants were inserted into an epoxy resin model (PLM-4B Vishay Measurements Group Inc., Raleigh, NC, USA), allowing for the delivery of three- and four-unit crowns in different cemented configurations. Loads were applied at vertical and oblique directions over the cast crowns in six different configurations representing various posterior partially edentulous restorations. The readings from the strain gauges adhered to the implant necks’ presented data on implant strain. Prostheses including cantilevers showed the highest strain among the three-unit prostheses within the prosthetic complex, and three single units showed the least (8133 µs vs. 201 µs, respectively). Angulated load application also had a role in amplifying the strains recorded, resulting in total strains of between 3.5 and 20 times higher than during vertical loading in all configurations. It can be concluded that the configuration of implant-fixed partial prosthesis changes the loads engaging the restoration, the implant, and, probably, the supporting bone.https://www.mdpi.com/2079-4983/15/2/47implantsfixed restorationstrain gaugestress concentration
spellingShingle Oded Gelfan
Joseph Nissan
Asaf Shely
Gil Ben-Izhack
Liat Chaushu
Esi Sharon
Ari Glikman
Eran Zenziper
Ofir Rosner
Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations
Journal of Functional Biomaterials
implants
fixed restoration
strain gauge
stress concentration
title Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations
title_full Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations
title_fullStr Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations
title_full_unstemmed Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations
title_short Analysis of Strain Distribution in Common Clinical Designs of Posterior Implant-Supported Fixed Partial Restorations: Comparison between Six Configurations
title_sort analysis of strain distribution in common clinical designs of posterior implant supported fixed partial restorations comparison between six configurations
topic implants
fixed restoration
strain gauge
stress concentration
url https://www.mdpi.com/2079-4983/15/2/47
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