Download PDF
CC BY 4.0 · Eur J Dent 2023; 17(01): 001-006
DOI: 10.1055/s-0042-1747955
Review Article

Influence of Different Restoring Materials on Stress Distribution in Prosthesis on Implants: A Review of Finite Element Studies

Fabiano Resmer Vieira
1   Department of Dental Materials and Prosthodontics, School of Dentistry, Aracatuba, São Paulo State University, Aracatuba, Brazil
,
Sandro Basso Bitencourt
2   Department of Dentistry, University Center of Espírito Santo-UNESC, Colatina, Brazil
,
Cleber Davi Del Rei Daltro Rosa
3   Department of Dental Materials and Prosthodontics, School of Dentistry, Aracatuba, São Paulo State University, Aracatuba, Brazil
,
André Bueno Vieira
4   Undergraduate Student , Department of Dentistry at the State University of Maringá, Brazil
,
Daniela Micheline dos Santos
5   Department of Dental Materials and Prosthodontics, School of Dentistry, Aracatuba, São Paulo State University, Aracatuba, Brazil
,
Marcelo Coelho Goiato
5   Department of Dental Materials and Prosthodontics, School of Dentistry, Aracatuba, São Paulo State University, Aracatuba, Brazil
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

The selection of material used on the occlusal surface of implant-supported prostheses is important, as these materials can transmit destructive forces to the interface between the alveolar bone and the implant. Different prosthetic materials are suggested for implant-supported prostheses. The choice of prosthetic material is a controversial issue, and there is a consensus that implant survival is not affected by the prosthetic material. Three-dimensional finite element studies are often used in dentistry to estimate the stress distribution that occurs in the implant system, peri-implant bone, and prosthetic components. To analyze the influence of the prosthetic restorative material on the stresses in bone tissue and peri-implant through a literature review of three-dimensional finite element studies. The search for articles was performed in the PubMed/Medline database up to November 2021. The selected articles were independently evaluated by two different reviewers. The information collected was author and year of publication, dimensions of implants used, the material used in the prosthetic crown, simulated force and direction, and conclusion and effect. After searching, 14 studies were selected for full reading, and based on the inclusion and exclusion criteria, all could be included in this review. The articles were based on evidence-based laboratory medicine. After analyzing these articles, it was concluded that the prosthetic materials used on the occlusal surface do not interfere with the destruction of stresses to the bone and peri-implant tissue, both in single prostheses and protocol-type prostheses, when three-dimensional finite element method is used.

Keywords

dental implant - finite element analysis - ceramics - occlusal surface


Publication History

Article published online:
21 June 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Santiago Junior JF, Verri FR, Almeida DA, de Souza Batista VE, Lemos CAA, Pellizzer EP. Finite element analysis on influence of implant surface treatments, connection and bone types. Mater Sci Eng C 2016; 63: 292-300
    CrossrefPubMedGoogle Scholar
  • 2 Sevimay M, Usumez A, Eskitascioglu G. The influence of various occlusal materials on stresses transferred to implant-supported prostheses and supporting bone: a three-dimensional finite-element study. J Biomed Mater Res B Appl Biomater 2005; 73 (01) 140-147
    CrossrefPubMedGoogle Scholar
  • 3 Gomes ÉA, Barão VA, Rocha EP, de Almeida ÉO, Assunção WG. Effect of metal-ceramic or all-ceramic superstructure materials on stress distribution in a single implant-supported prosthesis: three-dimensional finite element analysis. Int J Oral Maxillofac Implants 2011; 26 (06) 1202-1209
    Google Scholar
  • 4 Bankoğlu Güngör M, Yılmaz H. Evaluation of stress distributions occurring on zirconia and titanium implant-supported prostheses: a three-dimensional finite element analysis. J Prosthet Dent 2016; 116 (03) 346-355
    CrossrefPubMedGoogle Scholar
  • 5 Skalak R. Biomechanical considerations in osseointegrated prostheses. J Prosthet Dent 1983; 49 (06) 843-848
    CrossrefPubMedGoogle Scholar
  • 6 Ercal P, Taysi AE, Ayvalioglu DC, Eren MM, Sismanoglu S. Impact of peri-implant bone resorption, prosthetic materials, and crown to implant ratio on the stress distribution of short implants: a finite element analysis. Med Biol Eng Comput 2021; 59 (04) 813-824
    CrossrefPubMedGoogle Scholar
  • 7 de Souza Batista VE, Verri FR, Almeida DAF, Santiago Junior JF, Lemos CAA, Pellizzer EP. Evaluation of the effect of an offset implant configuration in the posterior maxilla with external hexagon implant platform: a 3-dimensional finite element analysis. J Prosthet Dent 2017; 118 (03) 363-371
    CrossrefPubMedGoogle Scholar
  • 8 Christenson RH, Snyder SR, Shaw CS. et al. Laboratory medicine best practices: systematic evidence review and evaluation methods for quality improvement. Clin Chem 2011; 57 (06) 816-825
    CrossrefPubMedGoogle Scholar
  • 9 Papavasiliou G, Kamposiora P, Bayne SC, Felton DA. Three-dimensional finite element analysis of stress-distribution around single tooth implants as a function of bony support, prosthesis type, and loading during function. J Prosthet Dent 1996; 76 (06) 633-640
    CrossrefPubMedGoogle Scholar
  • 10 Sertgöz A. Finite element analysis study of the effect of superstructure material on stress distribution in an implant-supported fixed prosthesis. Int J Prosthodont 1997; 10 (01) 19-27
    PubMedGoogle Scholar
  • 11 Juodzbalys G, Kubilius R, Eidukynas V, Raustia AM. Stress distribution in bone: single-unit implant prostheses veneered with porcelain or a new composite material. Implant Dent 2005; 14 (02) 166-175
    CrossrefPubMedGoogle Scholar
  • 12 Sotto-Maior BS, Senna PM, da Silva WJ, Rocha EP, Del Bel Cury AA. Influence of crown-to-implant ratio, retention system, restorative material, and occlusal loading on stress concentrations in single short implants. Int J Oral Maxillofac Implants 2012; 27 (03) e13-e18
    Google Scholar
  • 13 Tribst JPM, Dal Piva AMO, Borges ALS, Bottino MA. Different combinations of CAD/CAM materials on the biomechanical behavior of a two-piece prosthetic solution. Int J Comput Dent 2019; 22 (02) 171-176
    PubMedGoogle Scholar
  • 14 Yeğin, Elif, Mustafa Hayati Atala. Comparison of CAD/CAM manufactured implant-supported crowns with different analyses. Int J Implant Dentistry 2020; 6 (01) 1-11
    Google Scholar
  • 15 Ferreira MB, Barão VA, Faverani LP, Hipólito AC, Assunção WG. The role of superstructure material on the stress distribution in mandibular full-arch implant-supported fixed dentures. A CT-based 3D-FEA. Mater Sci Eng C 2014; 35: 92-99
    CrossrefPubMedGoogle Scholar
  • 16 Lemos CAA, Verri FR, Noritomi PY, Souza Batista VE, Cruz RS, de Luna Gomes JM, Pellizzer EP. Biomechanical evaluation of different implant–abutment connections, retention systems, and restorative materials in the implant-supported single crowns using 3D finite element. J Oral Implantol 2021; DOI: 10.1563/aaid-joi-D-20-00328.
    CrossrefPubMedGoogle Scholar
  • 17 Sannino G, Marra G, Feo L, G Vairo Barlattani A. 3D finite element non linear analysis on the stress state at bone-implant interface in dental osteointegrated implants. Oral Implantol (Rome) 2010; 3 (03) 26-37
    PubMedGoogle Scholar
  • 18 Mourya A, Nahar R, Mishra SK, Chowdhary R. Stress distribution around different abutments on titanium and CFR-PEEK implant with different prosthetic crowns under parafunctional loading: a 3D FEA study. J Oral Biol Craniofac Res 2021; 11 (02) 313-320
    CrossrefPubMedGoogle Scholar
  • 19 Möllers K, Pätzold W, Parkot D. et al. Influence of connector design and material composition and veneering on the stress distribution of all-ceramic fixed dental prostheses: a finite element study. Dent Mater 2011; 27 (08) e171-e175
    CrossrefPubMedGoogle Scholar
  • 20 Santiago Junior JF, Pellizzer EP, Verri FR, de Carvalho PS. Stress analysis in bone tissue around single implants with different diameters and veneering materials: a 3-D finite element study. Mater Sci Eng C 2013; 33 (08) 4700-4714
    CrossrefPubMedGoogle Scholar