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‘ALL-ON-FOUR ‘ , ‘ALL-ON-FIVE’ ve ‘ALL-ON-SIX’ KONSEPTi KULLANILARAK ÜRETİLEN PROTEZLERİN STRES DAĞILIMININ SONLU ELEMANLAR ANALİZ YÖNTEMİ İLE İNCELENMESİ

Year 2021, Volume: 8 Issue: 3, 774 - 782, 31.12.2021
https://doi.org/10.15311/selcukdentj.864992

Abstract

Amaçlar: Bu çalışmanın amacı; tam dişsiz üst çenede All-on-Four, All-on-Five ve All-on-Six tekniğine göre yerleştirilmiş implantlar üzerine yapılan protezlerin 3 boyutlu modellerinin kemik, implant elemanları ve protetik elemanlar üzerinde oluşturduğu stresleri sonlu elemanlar analiz yöntemi ile değerlendirmektir.
Gereç ve Yöntem: Tamamen dişsiz atrofik maksillada, All-on-Four, All-on-Five ve All-on-Six konseptine göre üç farklı tedavi planı oluşturulmuştur. En posterior implantlar bütün gruplarda premolarlar bölgesinde, distale doğru 30 derece eğimli olarak konumlandırılmıştır. Alt yapı; krom-kobalt (Cr-Co) alaşımından kesilmiş diş formunda, üst yapı ise monolitik zirkonya olarak ayrı ayrı modellenmiş, daha sonra kontakt noktalarından temas sağlanmıştır. Protez kantilever uzunluğu 10mm olarak sabit tutulmuştur. Kuvvetler; palatobukkal yönde 45° açıyla, 3,4,5,6 no’lu dişlere sırasıyla; 100N, 150N, 150N, 200N olacak şekilde çift taraflı olarak uygulanmıştır. Von Misses, maksimum principal stres ve minimum principal stresler elde edilmiştir.
Bulgular: All-on-Six konsepti sırasıyla kortikal kemikte, implant ve protetik elemanlar üzerinde ve spongiyöz kemikte daha düşük von Mises, maksimum principal ve minimum principal stres göstermiştir. Sonlu elemanlar analizinin sonuçlarına göre bakılan tüm parametrelerde protez altyapısındaki stress ve implantlardaki stres dışında en fazla von Misses stresine sahip olan konsept All-on-Four olarak görünmektedir.
Sonuçlar: İmplant sayısı arttıkça implant elemanları ve protetik elemanlarda görülen stres azalmıştır ancak araştırılan 3 tedavi konseptinde de stres değerleri kemik direnci sınırlarını aşmadı. All-on-Six tedavi konseptinin, atrofik maksillanın rehabilitasyonunda All-on-Four ve All-on-Five konseptlerine göre daha iyi biyomekanik davranış sergilediği söylenebilir.

References

  • 1. Att W, Stappert C. Implant therapy to improve quality of life. Quintessence Int. 2003;34:573-81.
  • 2. Att W, Bernhart J, Strub JR. Fixed rehabilitation of the edentulous maxilla: possibilities and clinical outcome. J Oral Maxillofac Surg. 2009;67:60-73.
  • 3. Jivraj S, Chee W. Treatment planning of implants in posterior quadrants. Br Dent J. 2006;201:13-23.
  • 4. Carinci F, Farina A, Zanetti U, Vinci R, Negrini S, Calura G, et al. Alveolar ridge augmentation: a comparative longitudinal study between calvaria and iliac crest bone grafrs. J Oral Implantol. 2005;31:39-45.
  • 5. Patzelt SB, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014;16:836-55.
  • 6. Hinze M, Thalmair T, Bolz W, Wachtel H. Immediate loading of fixed provisional prostheses using four implants for the rehabilitation of the edentulous arch: a prospective clinical study. Int J Oral Maxillofac Implants. 2010;25:1011-8.
  • 7. Agliardi EL, Romeo D, Panigatti S, de Araujo Nobre M, Malo P. Immediate full-arch rehabilitation of the severely atrophic maxilla supported by zygomatic implants: a prospective clinical study with minimum follow-up of 6 years. Int J Oral Maxillofac Surg. 2017;46:1592-9.
  • 8. Agliardi E, Panigatti S, Clerico M, Villa C, Malo P. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a single cohort prospective study. Clin Oral Implants Res. 2010;21:459-65.
  • 9. Asawa N, Bulbule N, Kakade D, Shah R. Angulated implants: an alternative to bone augmentation and sinus lift procedure: systematic review. J Clin Diagn Res. 2015;9:ZE10-3.
  • 10. Maló P, Rangert B, Nobre M. "All-on-Four" immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003;5:2-9.
  • 11. Maló P, Rangert B, Nobre M. All-on-4 immediate-function concept with Brånemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clin Implant Dent Relat Res. 2005;7:S88-94.
  • 12. Krekmanov L, Kahn M, Rangert B, Lindström H. Tilting of posterior mandibular and maxillary implants for improved prosthesis support. Int J Oral Maxillofac Implants. 2000;15:405-14.
  • 13. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clinical implant dentistry and related research. 2001;3:39-49.
  • 14. Fortin Y, Sullivan RM, Rangert BR. The Marius implant bridge: surgical and prosthetic rehabilitation for the completely edentulous upper jaw with moderate to severe resorption: a 5-year retrospective clinical study. Clin Implant Dent Relat Res. 2002;4:69-77.
  • 15. Bevilacqua M, Tealdo T, Menini M, Pera F, Mossolov A, Drago C, et al. The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures. J Prosthet Dent. 2011;105:5-13.
  • 16. Nobel_All-on-4_Brochure_2010. GB.Maufactures Manual Goeteburg: NobelBiocare; 2010.
  • 17. Maló P RB, Nobre M. . "All-on-Four" immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003;5:2-9.
  • 18. Menini M, Signori A, Tealdo T, Bevilacqua M, Pera F, Ravera G, et al. Tilted implants in the immediate loading rehabilitation of the maxilla: a systematic review. J Dent Res. 2012;91:821-7.
  • 19. Bhering CL, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RL, Barão VA. 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 Mater Biol Appl. 2016;69:715-25.
  • 20. Maló P, de Araújo Nobre M, Rangert B. Short implants placed one-stage in maxillae and mandibles: a retrospective clinical study with 1 to 9 years of follow-up. Clin Implant Dent Relat Res. 2007;9:15-21.
  • 21. Saleh Saber F, Ghasemi S, Koodaryan R, Babaloo A, Abolfazli N. The Comparison of Stress Distribution with Different Implant Numbers and Inclination Angles In All-on-four and Conventional Methods in Maxilla: A Finite Element Analysis. J Dent Res Dent Clin Dent Prospects. 2015;9:246-53.
  • 22. Durkan R, Oyar P, Deste G. Maxillary and mandibular all-on-four implant designs: A review. Niger J Clin Pract. 2019;22:1033-40.
  • 23. 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.
  • 24. Liu T, Mu Z, Yu T, Wang C, Huang Y. Biomechanical comparison of implant inclinations and load times with the all-on-4 treatment concept: a three-dimensional finite element analysis. Comput Methods Biomech Biomed Engin. 2019;22:585-94.
  • 25. Sannino G. All-on-4 concept: a 3-dimensional finite element analysis. J Oral Implantol. 2015;41:163-71.
  • 26. Borchers L, Reichart P. Three-dimensional stress distribution around a dental implant at different stages of interface development. J Dent Res. 1983;62:155-9.
  • 27. Bozkaya D, Muftu S, Muftu A. Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. J Prosthet Dent. 2004;92:523-30.
  • 28. Van Staden RC, Guan H, Loo YC. Application of the finite element method in dental implant research. Comput Methods Biomech Biomed Engin. 2006;9:257-70.
  • 29. Demenko V, Linetsky I, Nesvit V, Linetska L, Shevchenko A. FE study of bone quality effect on load-carrying ability of dental implants. Comput Methods Biomech Biomed Engin. 2014;17:1751-61.
  • 30. Çaglar A, Bal BT, Karakoca S, Aydın C, Yılmaz H, Sarısoy S. Three-dimensional finite element analysis of titanium and yttrium-stabilized zirconium dioxide abutments and implants. Int J Oral Maxillofac Implants. 2011;26:961-9.
  • 31. de Souza Batista VE, Verri FR, Almeida DA, Santiago Junior JF, Lemos CA, Pellizzer EP. Finite element analysis of implant-supported prosthesis with pontic and cantilever in the posterior maxilla. Comput Methods Biomech Biomed Engin. 2017;20:663-70.
  • 32. Almeida EO, Rocha EP, Freitas Júnior AC, Anchieta RB, Poveda R, Gupta N, et al. Tilted and short implants supporting fixed prosthesis in an atrophic maxilla: a 3D-FEA biomechanical evaluation. Clin Implant Dent Relat Res. 2015;17:e332-42.
  • 33. Benzing UR, Gall H, Weber H. Biomechanical aspects of two different implant-prosthetic concepts for edentulous maxillae. Int J Oral Maxillofac Implants. 1995;10:188-98.
  • 34. Baggi L, Pastore S, Di Girolamo M, Vairo G. Implant-bone load transfer mechanisms in complete-arch prostheses supported by four implants: a three-dimensional finite element approach. J Prosthet Dent. 2013;109:9-21.
  • 35. Reilly DT, Burstein AH. The elastic and ultimate properties of compact bone tissue. J Biomech. 1975;8:393-405.
  • 36. Bellini CM, Romeo D, Galbusera F, Agliardi E, Pietrabissa R, Zampelis A, et al. A finite element analysis of tilted versus nontilted implant configurations in the edentulous maxilla. Int J Prosthodont. 2009;22(2):155-7.
  • 37. Silva GC, Mendonça JA, Lopes LR, Landre J, Jr. Stress patterns on implants in prostheses supported by four or six implants: a three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2010;25:239-46.
  • 38. Cağlar A, Aydin C, Ozen J, Yilmaz C, Korkmaz T. Effects of mesiodistal inclination of implants on stress distribution in implant-supported fixed prostheses. Int J Oral Maxillofac Implants. 2006;21:36-44.
  • 39. Duyck J, Van Oosterwyck H, Vander Sloten J, De Cooman M, Puers R, Naert I. Magnitude and distribution of occlusal forces on oral implants supporting fixed prostheses: an in vivo study. Clin Oral Implants Res. 2000;11:465-75.
  • 40. Pomares C. A retrospective clinical study of edentulous patients rehabilitated according to the 'all on four' or the 'all on six' immediate function concept. Eur J Oral Implantol. 2009;2:55-60.
  • 41. Pomares C. A retrospective study of edentulous patients rehabilitated according to the 'all-on-four' or the 'all-on-six' immediate function concept using flapless computer-guided implant surgery. Eur J Oral Implantol. 2010;3:155-63.
Year 2021, Volume: 8 Issue: 3, 774 - 782, 31.12.2021
https://doi.org/10.15311/selcukdentj.864992

Abstract

References

  • 1. Att W, Stappert C. Implant therapy to improve quality of life. Quintessence Int. 2003;34:573-81.
  • 2. Att W, Bernhart J, Strub JR. Fixed rehabilitation of the edentulous maxilla: possibilities and clinical outcome. J Oral Maxillofac Surg. 2009;67:60-73.
  • 3. Jivraj S, Chee W. Treatment planning of implants in posterior quadrants. Br Dent J. 2006;201:13-23.
  • 4. Carinci F, Farina A, Zanetti U, Vinci R, Negrini S, Calura G, et al. Alveolar ridge augmentation: a comparative longitudinal study between calvaria and iliac crest bone grafrs. J Oral Implantol. 2005;31:39-45.
  • 5. Patzelt SB, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014;16:836-55.
  • 6. Hinze M, Thalmair T, Bolz W, Wachtel H. Immediate loading of fixed provisional prostheses using four implants for the rehabilitation of the edentulous arch: a prospective clinical study. Int J Oral Maxillofac Implants. 2010;25:1011-8.
  • 7. Agliardi EL, Romeo D, Panigatti S, de Araujo Nobre M, Malo P. Immediate full-arch rehabilitation of the severely atrophic maxilla supported by zygomatic implants: a prospective clinical study with minimum follow-up of 6 years. Int J Oral Maxillofac Surg. 2017;46:1592-9.
  • 8. Agliardi E, Panigatti S, Clerico M, Villa C, Malo P. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a single cohort prospective study. Clin Oral Implants Res. 2010;21:459-65.
  • 9. Asawa N, Bulbule N, Kakade D, Shah R. Angulated implants: an alternative to bone augmentation and sinus lift procedure: systematic review. J Clin Diagn Res. 2015;9:ZE10-3.
  • 10. Maló P, Rangert B, Nobre M. "All-on-Four" immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003;5:2-9.
  • 11. Maló P, Rangert B, Nobre M. All-on-4 immediate-function concept with Brånemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clin Implant Dent Relat Res. 2005;7:S88-94.
  • 12. Krekmanov L, Kahn M, Rangert B, Lindström H. Tilting of posterior mandibular and maxillary implants for improved prosthesis support. Int J Oral Maxillofac Implants. 2000;15:405-14.
  • 13. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clinical implant dentistry and related research. 2001;3:39-49.
  • 14. Fortin Y, Sullivan RM, Rangert BR. The Marius implant bridge: surgical and prosthetic rehabilitation for the completely edentulous upper jaw with moderate to severe resorption: a 5-year retrospective clinical study. Clin Implant Dent Relat Res. 2002;4:69-77.
  • 15. Bevilacqua M, Tealdo T, Menini M, Pera F, Mossolov A, Drago C, et al. The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures. J Prosthet Dent. 2011;105:5-13.
  • 16. Nobel_All-on-4_Brochure_2010. GB.Maufactures Manual Goeteburg: NobelBiocare; 2010.
  • 17. Maló P RB, Nobre M. . "All-on-Four" immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003;5:2-9.
  • 18. Menini M, Signori A, Tealdo T, Bevilacqua M, Pera F, Ravera G, et al. Tilted implants in the immediate loading rehabilitation of the maxilla: a systematic review. J Dent Res. 2012;91:821-7.
  • 19. Bhering CL, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RL, Barão VA. 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 Mater Biol Appl. 2016;69:715-25.
  • 20. Maló P, de Araújo Nobre M, Rangert B. Short implants placed one-stage in maxillae and mandibles: a retrospective clinical study with 1 to 9 years of follow-up. Clin Implant Dent Relat Res. 2007;9:15-21.
  • 21. Saleh Saber F, Ghasemi S, Koodaryan R, Babaloo A, Abolfazli N. The Comparison of Stress Distribution with Different Implant Numbers and Inclination Angles In All-on-four and Conventional Methods in Maxilla: A Finite Element Analysis. J Dent Res Dent Clin Dent Prospects. 2015;9:246-53.
  • 22. Durkan R, Oyar P, Deste G. Maxillary and mandibular all-on-four implant designs: A review. Niger J Clin Pract. 2019;22:1033-40.
  • 23. 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.
  • 24. Liu T, Mu Z, Yu T, Wang C, Huang Y. Biomechanical comparison of implant inclinations and load times with the all-on-4 treatment concept: a three-dimensional finite element analysis. Comput Methods Biomech Biomed Engin. 2019;22:585-94.
  • 25. Sannino G. All-on-4 concept: a 3-dimensional finite element analysis. J Oral Implantol. 2015;41:163-71.
  • 26. Borchers L, Reichart P. Three-dimensional stress distribution around a dental implant at different stages of interface development. J Dent Res. 1983;62:155-9.
  • 27. Bozkaya D, Muftu S, Muftu A. Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. J Prosthet Dent. 2004;92:523-30.
  • 28. Van Staden RC, Guan H, Loo YC. Application of the finite element method in dental implant research. Comput Methods Biomech Biomed Engin. 2006;9:257-70.
  • 29. Demenko V, Linetsky I, Nesvit V, Linetska L, Shevchenko A. FE study of bone quality effect on load-carrying ability of dental implants. Comput Methods Biomech Biomed Engin. 2014;17:1751-61.
  • 30. Çaglar A, Bal BT, Karakoca S, Aydın C, Yılmaz H, Sarısoy S. Three-dimensional finite element analysis of titanium and yttrium-stabilized zirconium dioxide abutments and implants. Int J Oral Maxillofac Implants. 2011;26:961-9.
  • 31. de Souza Batista VE, Verri FR, Almeida DA, Santiago Junior JF, Lemos CA, Pellizzer EP. Finite element analysis of implant-supported prosthesis with pontic and cantilever in the posterior maxilla. Comput Methods Biomech Biomed Engin. 2017;20:663-70.
  • 32. Almeida EO, Rocha EP, Freitas Júnior AC, Anchieta RB, Poveda R, Gupta N, et al. Tilted and short implants supporting fixed prosthesis in an atrophic maxilla: a 3D-FEA biomechanical evaluation. Clin Implant Dent Relat Res. 2015;17:e332-42.
  • 33. Benzing UR, Gall H, Weber H. Biomechanical aspects of two different implant-prosthetic concepts for edentulous maxillae. Int J Oral Maxillofac Implants. 1995;10:188-98.
  • 34. Baggi L, Pastore S, Di Girolamo M, Vairo G. Implant-bone load transfer mechanisms in complete-arch prostheses supported by four implants: a three-dimensional finite element approach. J Prosthet Dent. 2013;109:9-21.
  • 35. Reilly DT, Burstein AH. The elastic and ultimate properties of compact bone tissue. J Biomech. 1975;8:393-405.
  • 36. Bellini CM, Romeo D, Galbusera F, Agliardi E, Pietrabissa R, Zampelis A, et al. A finite element analysis of tilted versus nontilted implant configurations in the edentulous maxilla. Int J Prosthodont. 2009;22(2):155-7.
  • 37. Silva GC, Mendonça JA, Lopes LR, Landre J, Jr. Stress patterns on implants in prostheses supported by four or six implants: a three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2010;25:239-46.
  • 38. Cağlar A, Aydin C, Ozen J, Yilmaz C, Korkmaz T. Effects of mesiodistal inclination of implants on stress distribution in implant-supported fixed prostheses. Int J Oral Maxillofac Implants. 2006;21:36-44.
  • 39. Duyck J, Van Oosterwyck H, Vander Sloten J, De Cooman M, Puers R, Naert I. Magnitude and distribution of occlusal forces on oral implants supporting fixed prostheses: an in vivo study. Clin Oral Implants Res. 2000;11:465-75.
  • 40. Pomares C. A retrospective clinical study of edentulous patients rehabilitated according to the 'all on four' or the 'all on six' immediate function concept. Eur J Oral Implantol. 2009;2:55-60.
  • 41. Pomares C. A retrospective study of edentulous patients rehabilitated according to the 'all-on-four' or the 'all-on-six' immediate function concept using flapless computer-guided implant surgery. Eur J Oral Implantol. 2010;3:155-63.
There are 41 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

İkbal Leblebicioğlu 0000-0001-9122-9852

Emir Esim 0000-0003-0801-9155

Duygu Kılıç This is me 0000-0002-9396-1569

Kerem Kılıç 0000-0003-2474-7865

Publication Date December 31, 2021
Submission Date January 20, 2021
Published in Issue Year 2021 Volume: 8 Issue: 3

Cite

Vancouver Leblebicioğlu İ, Esim E, Kılıç D, Kılıç K. ‘ALL-ON-FOUR ‘ , ‘ALL-ON-FIVE’ ve ‘ALL-ON-SIX’ KONSEPTi KULLANILARAK ÜRETİLEN PROTEZLERİN STRES DAĞILIMININ SONLU ELEMANLAR ANALİZ YÖNTEMİ İLE İNCELENMESİ. Selcuk Dent J. 2021;8(3):774-82.