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Published in: BMC Oral Health 1/2022

Open Access 01-12-2022 | Research article

Stresses induced by one piece and two piece dental implants in All-on-4® implant supported prosthesis under simulated lateral occlusal loading: non linear finite element analysis study

Authors: Ahmed Mostafa Abdelfattah Mohamed, Mohamed Gamal Askar, Mahmoud El-Moutassim Bellah El Homossany

Published in: BMC Oral Health | Issue 1/2022

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Abstract

Background

Correct choice of the implant design and the occlusal scheme is important for the success of implant supported restorations. So, the aim of the current study was to find out the difference in the stresses induced by the one piece dental implants designed to be used in the All-on-4® concept and the conventional two piece ones under simulated lateral occlusal schemes using nonlinear finite element analysis.

Methods

Two finite element models of the maxilla, implants, and prostheses were designed according to the All-on-4® concept. In the model TP, two piece dental implants were placed while in the model OP one piece dental implants were used. Two loading scenarios were applied to each model; the first one simulated a group function occlusal scheme while the second scenario simulated a canine guided one.

Results

The highest stress value was recorded in the model TP with the group function occlusion and the lowest stress value was in the model OP with the canine guidance occlusion.

Conclusion

The one-piece dental implants can be concluded to induce less stress compared to the two piece dental implants when used in the All-on-4® implant supported prosthesis in the different lateral occlusal schemes. Canine guided occlusion can be concluded to cause lower stress values in comparison to the group function occlusal scheme.
Literature
1.
go back to reference Coopman R, Fennis J, Ghaeminia H, Van de Vyvere G, Politis C, Hoppenreijs TJM. Volumetric osseous changes in the completely edentulous maxilla after sinus grafting and lateral bone augmentation: a systematic review. Int J Oral Maxillofac Surg. 2020;49:1470–80.PubMedCrossRef Coopman R, Fennis J, Ghaeminia H, Van de Vyvere G, Politis C, Hoppenreijs TJM. Volumetric osseous changes in the completely edentulous maxilla after sinus grafting and lateral bone augmentation: a systematic review. Int J Oral Maxillofac Surg. 2020;49:1470–80.PubMedCrossRef
2.
go back to reference Bhering CLB, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RLX, Barão VAR. Comparison between All-on-four and All-on-six treatment concepts and framework material on stress distribution in atrophic maxilla: a prototyping guided 3D-FEA study. Mater Sci Eng C. 2016;69:715–25.CrossRef Bhering CLB, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RLX, Barão VAR. Comparison between All-on-four and All-on-six treatment concepts and framework material on stress distribution in atrophic maxilla: a prototyping guided 3D-FEA study. Mater Sci Eng C. 2016;69:715–25.CrossRef
3.
go back to reference Silva GC, Mendonça JA, Lopes LR, Landre J. Stress patterns on implants in prostheses supported by four or six implants: a three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2013;25:239–46. Silva GC, Mendonça JA, Lopes LR, Landre J. Stress patterns on implants in prostheses supported by four or six implants: a three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2013;25:239–46.
4.
go back to reference Ayali A, Altagar M, Ozan O, Kurtulmus-Yilmaz S. Biomechanical comparison of the All-on-4, M-4, and V-4 techniques in an atrophic maxilla: a 3D finite element analysis. Comput Biol Med. 2020;123:103880.PubMedCrossRef Ayali A, Altagar M, Ozan O, Kurtulmus-Yilmaz S. Biomechanical comparison of the All-on-4, M-4, and V-4 techniques in an atrophic maxilla: a 3D finite element analysis. Comput Biol Med. 2020;123:103880.PubMedCrossRef
5.
go back to reference Moreira de Melo EJ, Francischone CE. Three-dimensional finite element analysis of two angled narrow-diameter implant designs for an All-on-4 prosthesis. J Prosthet Dent. 2020;124:477–84.PubMedCrossRef Moreira de Melo EJ, Francischone CE. Three-dimensional finite element analysis of two angled narrow-diameter implant designs for an All-on-4 prosthesis. J Prosthet Dent. 2020;124:477–84.PubMedCrossRef
6.
go back to reference Ozan O, Kurtulmus-Yilmaz S. Biomechanical comparison of different implant inclinations and cantilever lengths in All-on-4 treatment concept by three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2018;33:64–71.PubMedCrossRef Ozan O, Kurtulmus-Yilmaz S. Biomechanical comparison of different implant inclinations and cantilever lengths in All-on-4 treatment concept by three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2018;33:64–71.PubMedCrossRef
7.
go back to reference Hopp M, de Araújo Nobre M, Maló P. Comparison of marginal bone loss and implant success between axial and tilted implants in maxillary All-on-4 treatment concept rehabilitations after 5 years of follow-up. Clin Implant Dent Relat Res. 2017;19:849–59.PubMedCrossRef Hopp M, de Araújo Nobre M, Maló P. Comparison of marginal bone loss and implant success between axial and tilted implants in maxillary All-on-4 treatment concept rehabilitations after 5 years of follow-up. Clin Implant Dent Relat Res. 2017;19:849–59.PubMedCrossRef
8.
go back to reference Maló P, de Araújo Nobre M, Lopes A, Ferro A, Botto J. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res. 2019;21:565–77.PubMed Maló P, de Araújo Nobre M, Lopes A, Ferro A, Botto J. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res. 2019;21:565–77.PubMed
9.
go back to reference Hamed MT, Abdullah Mously H, Khalid Alamoudi S, Hossam Hashem AB, Hussein Naguib G. A systematic review of screw versus cement-retained fixed implant supported reconstructions. Clin Cosmet Investig Dent. 2020;14:9–16.CrossRef Hamed MT, Abdullah Mously H, Khalid Alamoudi S, Hossam Hashem AB, Hussein Naguib G. A systematic review of screw versus cement-retained fixed implant supported reconstructions. Clin Cosmet Investig Dent. 2020;14:9–16.CrossRef
10.
go back to reference Millen C, Brägger U, Wittneben JG. Influence of prosthesis type and retention mechanism on complications with fixed implant-supported prostheses: a systematic review applying multivariate analyses. Int J Oral Maxillofac Implants. 2015;30:110–24.PubMedCrossRef Millen C, Brägger U, Wittneben JG. Influence of prosthesis type and retention mechanism on complications with fixed implant-supported prostheses: a systematic review applying multivariate analyses. Int J Oral Maxillofac Implants. 2015;30:110–24.PubMedCrossRef
11.
go back to reference Bozyel D, Faruk ST. Biomechanical behavior of All-on-4 and M-4 configurations in an atrophic maxilla: A 3D finite element method. Med Sci Monit. 2021;28(27):e929908. Bozyel D, Faruk ST. Biomechanical behavior of All-on-4 and M-4 configurations in an atrophic maxilla: A 3D finite element method. Med Sci Monit. 2021;28(27):e929908.
12.
go back to reference Yao KT, Kao HC, Cheng CK, Fang HW, Huang CH, Hsu ML. Mechanical performance of conical implant-abutment connections under different cyclic loading conditions. J Mech Behav Biomed Mater. 2019;90:426–32.PubMedCrossRef Yao KT, Kao HC, Cheng CK, Fang HW, Huang CH, Hsu ML. Mechanical performance of conical implant-abutment connections under different cyclic loading conditions. J Mech Behav Biomed Mater. 2019;90:426–32.PubMedCrossRef
13.
go back to reference Kadkhodazadeh M, Safi Y, Moeintaghavi A, Amid R, Baghani MT, Shidfar S. Marginal bone loss around one-piece implants: a 10-year radiological and clinical follow-up evaluation. Implant Dent. 2019;28:237–43.PubMedCrossRef Kadkhodazadeh M, Safi Y, Moeintaghavi A, Amid R, Baghani MT, Shidfar S. Marginal bone loss around one-piece implants: a 10-year radiological and clinical follow-up evaluation. Implant Dent. 2019;28:237–43.PubMedCrossRef
14.
go back to reference Wu AYJ, Hsu JT, Chee W, Te LY, Fuh LJ, Huang HL. Biomechanical evaluation of one-piece and two-piece small-diameter dental implants: in-vitro experimental and three- dimensional finite element analyses. J Formos Med Assoc. 2016;115:794–800.PubMedCrossRef Wu AYJ, Hsu JT, Chee W, Te LY, Fuh LJ, Huang HL. Biomechanical evaluation of one-piece and two-piece small-diameter dental implants: in-vitro experimental and three- dimensional finite element analyses. J Formos Med Assoc. 2016;115:794–800.PubMedCrossRef
15.
go back to reference Hajimiragha H, Abolbashari M, Nokar S, Abolbashari AH, Abolbashari M. Bone response from a dynamic stimulus on a one-piece and multi-piece implant abutment and crown by finite element analysis. J Oral Implantol. 2014;40:525–32.PubMedCrossRef Hajimiragha H, Abolbashari M, Nokar S, Abolbashari AH, Abolbashari M. Bone response from a dynamic stimulus on a one-piece and multi-piece implant abutment and crown by finite element analysis. J Oral Implantol. 2014;40:525–32.PubMedCrossRef
16.
go back to reference Vouros ID, Kalpidis CD, Horvath A, Petrie A, Donos N. Systematic assessment of clinical outcomes in bone-level and tissue-level endosseous dental implants. Int J Oral Maxillofac Implants. 2012;27:1359–74.PubMed Vouros ID, Kalpidis CD, Horvath A, Petrie A, Donos N. Systematic assessment of clinical outcomes in bone-level and tissue-level endosseous dental implants. Int J Oral Maxillofac Implants. 2012;27:1359–74.PubMed
17.
go back to reference Liu M, He L, Wang H. Clinical and radiographic performance of one-piece and two-piece implant: a systematic review and meta-analysis. J Prosthodont Res. 2021;65:56–66.PubMedCrossRef Liu M, He L, Wang H. Clinical and radiographic performance of one-piece and two-piece implant: a systematic review and meta-analysis. J Prosthodont Res. 2021;65:56–66.PubMedCrossRef
18.
go back to reference Sherif S, Susarla HK, Kapos T, Munoz D, Chang BM, Wright RF. A systematic review of screw- versus cement-retained implant-supported fixed restorations. J Prosthodont. 2014;23:1–9.PubMedCrossRef Sherif S, Susarla HK, Kapos T, Munoz D, Chang BM, Wright RF. A systematic review of screw- versus cement-retained implant-supported fixed restorations. J Prosthodont. 2014;23:1–9.PubMedCrossRef
19.
go back to reference Kourtis S, Damanaki M, Kaitatzidou S, Kaitatzidou A, Roussou V. Loosening of the fixing screw in single implant crowns: predisposing factors, prevention and treatment options. J Esthet Restor Dent. 2017;29:233–46.PubMedCrossRef Kourtis S, Damanaki M, Kaitatzidou S, Kaitatzidou A, Roussou V. Loosening of the fixing screw in single implant crowns: predisposing factors, prevention and treatment options. J Esthet Restor Dent. 2017;29:233–46.PubMedCrossRef
20.
go back to reference Ragauskaitė A, Žekonis G, Žilinskas J, et al. The comparison of cement-and screw-retained crowns from technical and biological points of view. Stomatologija. 2017;19:44–50.PubMed Ragauskaitė A, Žekonis G, Žilinskas J, et al. The comparison of cement-and screw-retained crowns from technical and biological points of view. Stomatologija. 2017;19:44–50.PubMed
21.
go back to reference Lauritano D, Grassi R, Di Stasio D, Lucchese A, Petruzzi M. Successful mandible rehabilitation of lower incisors with one-piece implants. J Med Case Rep. 2014;8:406.PubMedPubMedCentralCrossRef Lauritano D, Grassi R, Di Stasio D, Lucchese A, Petruzzi M. Successful mandible rehabilitation of lower incisors with one-piece implants. J Med Case Rep. 2014;8:406.PubMedPubMedCentralCrossRef
22.
go back to reference Jackson BJ. Small diameter implants: specific indications and considerations for the posterior mandible: a case report. J Oral Implantol. 2011;37:156–64.PubMedCrossRef Jackson BJ. Small diameter implants: specific indications and considerations for the posterior mandible: a case report. J Oral Implantol. 2011;37:156–64.PubMedCrossRef
23.
go back to reference Prithviraj DR, Gupta V, Muley N, Sandhu P. One-piece implants: placement timing, surgical technique, loading protocol, and marginal bone loss. J Prosthodont. 2013;22:237–44.PubMedCrossRef Prithviraj DR, Gupta V, Muley N, Sandhu P. One-piece implants: placement timing, surgical technique, loading protocol, and marginal bone loss. J Prosthodont. 2013;22:237–44.PubMedCrossRef
24.
go back to reference Gamper FB, Benic GI, Sanz-Martin I, Asgeirsson AG, Hämmerle CHF, Thoma DS. Randomized controlled clinical trial comparing one-piece and two-piece dental implants supporting fixed and removable dental prostheses: 4- to 6-year observations. Clin Oral Implants Res. 2017;28:1553–9.PubMedCrossRef Gamper FB, Benic GI, Sanz-Martin I, Asgeirsson AG, Hämmerle CHF, Thoma DS. Randomized controlled clinical trial comparing one-piece and two-piece dental implants supporting fixed and removable dental prostheses: 4- to 6-year observations. Clin Oral Implants Res. 2017;28:1553–9.PubMedCrossRef
25.
go back to reference Levine RA, Clem DS, Wilson TG, Higginbottom F, Solnit G. Multicenter retrospective analysis of the iti implant system used for single-tooth replacements: results of loading for 2 or more years. Int J Oral Maxillofac Implants. 1999;14:516–20.PubMed Levine RA, Clem DS, Wilson TG, Higginbottom F, Solnit G. Multicenter retrospective analysis of the iti implant system used for single-tooth replacements: results of loading for 2 or more years. Int J Oral Maxillofac Implants. 1999;14:516–20.PubMed
26.
go back to reference Stoichkov B, Kirov D. Analysis of the causes of dental implant fracture: A retrospective clinical study. Quintessence Int. 2018;49:279–86.PubMed Stoichkov B, Kirov D. Analysis of the causes of dental implant fracture: A retrospective clinical study. Quintessence Int. 2018;49:279–86.PubMed
28.
go back to reference Koller CD, Pereira-Cenci T, Boscato N. Parameters associated with marginal bone loss around implant after prosthetic loading. Braz Dent J. 2016;27:292–7.PubMedCrossRef Koller CD, Pereira-Cenci T, Boscato N. Parameters associated with marginal bone loss around implant after prosthetic loading. Braz Dent J. 2016;27:292–7.PubMedCrossRef
29.
go back to reference Miralles R. Canine-guide occlusion and group function occlusion are equally acceptable when restoring the dentition. J Evid Based Dent Pract. 2016;16:41–3.PubMedCrossRef Miralles R. Canine-guide occlusion and group function occlusion are equally acceptable when restoring the dentition. J Evid Based Dent Pract. 2016;16:41–3.PubMedCrossRef
30.
go back to reference Abduo J, Tennant M. Impact of lateral occlusion schemes: a systematic review. J Prosthet Dent. 2015;114:193–204.PubMedCrossRef Abduo J, Tennant M. Impact of lateral occlusion schemes: a systematic review. J Prosthet Dent. 2015;114:193–204.PubMedCrossRef
31.
go back to reference Sannino G. All-on-4 concept: a 3-dimensional finite element analysis. J Oral Implantol. 2015;41:163–71.PubMedCrossRef Sannino G. All-on-4 concept: a 3-dimensional finite element analysis. J Oral Implantol. 2015;41:163–71.PubMedCrossRef
32.
go back to reference Bacchi A, Consani RL, Mesquita MF, Dos Santos MB. Effect of framework material and vertical misfit on stress distribution in implant-supported partial prosthesis under load application: 3-D finite element analysis. Acta Odontol Scand. 2013;71:1243–9.PubMedCrossRef Bacchi A, Consani RL, Mesquita MF, Dos Santos MB. Effect of framework material and vertical misfit on stress distribution in implant-supported partial prosthesis under load application: 3-D finite element analysis. Acta Odontol Scand. 2013;71:1243–9.PubMedCrossRef
33.
go back to reference Bassit R, Lindström H, Rangert B. In vivo registration of force development with ceramic and acrylic resin occlusal materials on implant-supported prostheses. Int J Oral Maxillofac Implants. 2002;17:17–23.PubMed Bassit R, Lindström H, Rangert B. In vivo registration of force development with ceramic and acrylic resin occlusal materials on implant-supported prostheses. Int J Oral Maxillofac Implants. 2002;17:17–23.PubMed
34.
go back to reference Meriç G, Erkmen E, Kurt A, Tunç Y, Eser A. Influence of prosthesis type and material on the stress distribution in bone around implants: A 3-dimensional finite element analysis. J Dent Sci. 2011;6:25–32.CrossRef Meriç G, Erkmen E, Kurt A, Tunç Y, Eser A. Influence of prosthesis type and material on the stress distribution in bone around implants: A 3-dimensional finite element analysis. J Dent Sci. 2011;6:25–32.CrossRef
35.
go back to reference Azigi C, Kern M, Chaar MS, Libecki W, Elsayed A. The influence of the restorative material on the mechanical behavior of screw-retained hybrid-abutment-crowns. J Mech Behav Biomed Mater. 2020;111:103988.CrossRef Azigi C, Kern M, Chaar MS, Libecki W, Elsayed A. The influence of the restorative material on the mechanical behavior of screw-retained hybrid-abutment-crowns. J Mech Behav Biomed Mater. 2020;111:103988.CrossRef
36.
go back to reference Lofaj F, Kučera J, Németh D, Minčík J. Optimization of tilted implant geometry for stress reduction in All-on-4 treatment concept: finite element analysis study. Int J Oral Maxillofac Implants. 2018;33:1287–95.PubMedCrossRef Lofaj F, Kučera J, Németh D, Minčík J. Optimization of tilted implant geometry for stress reduction in All-on-4 treatment concept: finite element analysis study. Int J Oral Maxillofac Implants. 2018;33:1287–95.PubMedCrossRef
37.
go back to reference Shigemitsu R, Yoda N, Ogawa T, Kawata T, Gunji Y, Yamakawa Y, Ikeda K, Sasaki K. Biological-data-based finite-element stress analysis of mandibular bone with implant-supported overdenture. Comput Biol Med. 2014;54:44–52.PubMedCrossRef Shigemitsu R, Yoda N, Ogawa T, Kawata T, Gunji Y, Yamakawa Y, Ikeda K, Sasaki K. Biological-data-based finite-element stress analysis of mandibular bone with implant-supported overdenture. Comput Biol Med. 2014;54:44–52.PubMedCrossRef
38.
go back to reference Göre E, Evlioǧlu G. Assessment of the effect of two occlusal concepts for implant-supported fixed prostheses by finite element analysis in patients with bruxism. J Oral Implantol. 2014;40:69–75.CrossRef Göre E, Evlioǧlu G. Assessment of the effect of two occlusal concepts for implant-supported fixed prostheses by finite element analysis in patients with bruxism. J Oral Implantol. 2014;40:69–75.CrossRef
39.
go back to reference Kucukkurt S, Tukel HC. Comparison of four implant-supported fixed rehabilitation options of the edentulous mandible: a 3D finite element analysis. J Adv Oral Res. 2020;11:57–64.CrossRef Kucukkurt S, Tukel HC. Comparison of four implant-supported fixed rehabilitation options of the edentulous mandible: a 3D finite element analysis. J Adv Oral Res. 2020;11:57–64.CrossRef
40.
go back to reference Horita S, Sugiura T, Yamamoto K, Murakami K, Imai Y, Kirita T. Biomechanical analysis of immediately loaded implants according to the “All-on-Four” concept. J Prosthodont Res. 2017;61:123–32.PubMedCrossRef Horita S, Sugiura T, Yamamoto K, Murakami K, Imai Y, Kirita T. Biomechanical analysis of immediately loaded implants according to the “All-on-Four” concept. J Prosthodont Res. 2017;61:123–32.PubMedCrossRef
41.
go back to reference Liu X, Pang F, Li Y, Jia H, Cui X, Yue Y, Yang X, Yang Q. Effects of different positions and angles of implants in maxillary edentulous jaw on surrounding bone stress under dynamic loading: a three-dimensional finite element analysis. Comput Math Methods Med. 2019;2019:8074096.PubMedPubMedCentral Liu X, Pang F, Li Y, Jia H, Cui X, Yue Y, Yang X, Yang Q. Effects of different positions and angles of implants in maxillary edentulous jaw on surrounding bone stress under dynamic loading: a three-dimensional finite element analysis. Comput Math Methods Med. 2019;2019:8074096.PubMedPubMedCentral
42.
go back to reference Türker N, Büyükkaplan US, Sadowsky SJ, Özarslan MM. Finite element stress analysis of applied forces to implants and supporting tissues using the “All-on-four” concept with different occlusal schemes. J Prosthodont. 2019;28:185–94.PubMed Türker N, Büyükkaplan US, Sadowsky SJ, Özarslan MM. Finite element stress analysis of applied forces to implants and supporting tissues using the “All-on-four” concept with different occlusal schemes. J Prosthodont. 2019;28:185–94.PubMed
43.
go back to reference Oh JH, Kim YS, Lim JY, Choi BH. Stress distribution on the prosthetic screws in the All-on-4 concept: a three-dimensional finite element analysis. J Oral Implantol. 2020;46:3–12.PubMedCrossRef Oh JH, Kim YS, Lim JY, Choi BH. Stress distribution on the prosthetic screws in the All-on-4 concept: a three-dimensional finite element analysis. J Oral Implantol. 2020;46:3–12.PubMedCrossRef
44.
go back to reference Türker N, Alkisx HT, Sadowsky SJ, Büyükkaplan US. Effects of occlusal scheme on All-on-four abutments, screws, and prostheses: a three-dimensional finite element study. J Oral Implantol. 2021;47:18–24.PubMedCrossRef Türker N, Alkisx HT, Sadowsky SJ, Büyükkaplan US. Effects of occlusal scheme on All-on-four abutments, screws, and prostheses: a three-dimensional finite element study. J Oral Implantol. 2021;47:18–24.PubMedCrossRef
Metadata
Title
Stresses induced by one piece and two piece dental implants in All-on-4® implant supported prosthesis under simulated lateral occlusal loading: non linear finite element analysis study
Authors
Ahmed Mostafa Abdelfattah Mohamed
Mohamed Gamal Askar
Mahmoud El-Moutassim Bellah El Homossany
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2022
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-022-02228-9

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