Mandibular flexure and stress build-up in mandibular full-arch fixed prostheses supported by osseointegrated implants

Clin Oral Implants Res. 2003 Feb;14(1):103-14. doi: 10.1034/j.1600-0501.2003.140114.x.

Abstract

The biomechanical effect of mandibular functional flexure on stress build-up in implant-supported fixed restorations is discussed. The relative deformations and stress distributions in six different designs of implant-supported prosthetic systems (six or four implants, with or without distal cantilevers, cross-arch or midline-divided bar into two free-standing bridges) were analysed by a three-dimensional finite element (FE) model of a human edentulous mandible. A significant amount of stress in the more distal implants and the superstructure at the symphysis arises as a consequence of mandible functional flexure. The analysis of the stress distributions generated by the different restorative patterns suggests that a division of the superstructure at the level of the symphysis significantly restores the natural functional flexure of the mandible.

MeSH terms

  • Ceramics / chemistry
  • Computer Simulation
  • Dental Implants*
  • Dental Prosthesis, Implant-Supported*
  • Denture Design*
  • Finite Element Analysis
  • Gold Alloys / chemistry
  • Humans
  • Jaw, Edentulous / physiopathology
  • Mandible / physiology*
  • Metal Ceramic Alloys / chemistry
  • Models, Biological
  • Osseointegration
  • Pliability
  • Stress, Mechanical
  • Surface Properties
  • Weight-Bearing / physiology

Substances

  • Dental Implants
  • Gold Alloys
  • Metal Ceramic Alloys