Stress Distribution Pattern in Mandibular Overdenture Designs Supported by Three Dental Implants: A 3D Finite Element Analysis

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical and Experimental Dental Research Pub Date : 2025-03-02 DOI:10.1002/cre2.70060

Negin Aminianpour, Marzieh Alikhasi, Mostafa Shabanpour Kasari, Hashem Yousefi, Hakimeh Siadat

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Abstract

Objectives

The purpose of this study was to assess the implant-supported overdenture stress distribution pattern in cancellous and cortical bone, dental implants, and prosthetic components, and its displacement by using finite element analysis (FEA).

Materials and Methods

An edentulous model of the mandible was designed with three dental implants placed at the sites of canine teeth and the midline. Six groups were designed with isolated (ball and locator) and splinted (conventional bar and a CAD/CAM milled bar with cast and screw ball) attachments with and without a cantilever using SolidWorks 2022 software. The stress distribution pattern in the surrounding bone, implants, and prosthetic components (attachments, caps, housings, and screws) was evaluated following the application of 150 N force vertically and 105 N load with a 30° angle relative to the first molar site using Abaqus/CAE 2021 software. The implant-supported overdenture displacement was also evaluated.

Results

The ball attachment caused the highest stress in the attachments (363 and 896 MPa) and housings (375 and 1187 MPa) under vertical and oblique loadings, and cancellous bone (6 MPa under vertical loading). The pattern of stress distribution was variable following vertical and oblique loading in the cortical bone and dental implants in different groups. The locator attachment resulted in lower stress distribution in bone, implants, and prosthetic components. In splinted groups, the cantilever designs caused lower stress in bone, implants, and prosthetic components in comparison with designs without a cantilever. The conventional and milled bar did not show any mechanical difference.

Conclusion

Considering the stress distribution patterns, the locator attachment is preferred to the ball isolated attachment, and the cantilever design is preferred among the splinted types. Isolated attachments were more effective in controlling the displacement. Also, conventional and milled bars did not show any superiority over each other.

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.