JDSE

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

EndNote Style
Index
Original Article
Finite element analysis of stress distribution in implant, abutment, screw and bone using different superstructure materials in implant-retained fixed partial dentures
Aims: Aim of this study is to evaluate the stresses of the implant and implant surrounding tissues by using different superstructure materials by using the finite element method.
Methods: In our study, titanium implants with a diameter of 3.3 mm and 4.8 mm were placed in the 2nd premolar and 2nd molar region of manadibula, respectively. Bone modeling was performed in order to analyse stress distribution by finite element method. 4 different 3-member bridge prostheses were designed by using porcelain fused metal, monolithic zirconia, porcelain fused zirconia and PEEK substructures on the titanium abutments. Analyzes were performed by vertical and oblique forces applied to the occlusal surface.
Results: Oblique forces were found more destructive than vertical forces in all study groups. Stresses depending on the effect of the forces in the bone were affected by compression forces in 4 groups. Stresses in implant, abutment and screw were found around neck area. Stresses in crown were found around connector and margin areas.
Conclusion: It is concluded that the stresses that occur as a result of the applied forces occur at least in zirconia generally.


1. Magitot E. The history of the mutilation of teeth. Dent Items Int. 1892;15: 356.
2. Lobezzo F, Van der Zaag J, Van Selms MKA. Principle for the management of bruxism. J Oral Rehabil. 2008;35(7):509-523. doi:10. 1111/j.1365-2842.2008.01853
3. Çiftçi Y, Canay S. Stress distribution on the metal framework of the implant-supported fixed prosthesis using different veneering materials. Int J Prosthodont. 2001;14(5):406-411.
4. Faisal S, Khan A, Ahmad R, et al. Stress distribution in implant-supported prostheses with different superstructure materials: a 3D finite element analysis. J Prosthodont Res. 2023;67(2):235-247.
5. Han J, Lee H, Park S, et al. Biomechanical evaluation of PEEK and monolithic zirconia implant-supported prostheses under oblique and vertical loading: a finite element study. Clin Oral Implants Res. 2024; 35(4):502-515.
6. Almeida F, Santos L, Oliveira R, et al. Influence of superstructure material on stress distribution in posterior implant-supported bridges: 3D finite element analysis. J Dent. 2022;118:103887.
7. Bankoğlu Güngör M. Maksiller Anterior Bölgeye Uygulanan Değişik Zirkonyum İmplant Destekli Protezlerde Abutment, İmplant ve İmplant Çevre Dokuda Oluşan Stres Dağılımlarının Üç Boyutlu Sonlu Elemanlar Stres Analizi ile Değerlendirilmesi [PhD thesis]. Ankara: Gazi Üniversitesi; 2014.
8. Şahin S, Çehreli MC, Yalçın E. The influence of functional forces on the biomechanics of implant-supported prostheses-a review. J Dent. 2002; 30(7-8):271-282. doi:10.1016/s0300-5712(02)00065-9
9. Geng JP, Tan KB, Liu GR. Application of finite element analysis in implant dentistry: a review of the literature. J Prosthet Dent. 2001;85(6): 585-598. doi: 10.1067/mpr.2001.115251
10. Weinstein AM, Klawitter JJ, Anand SC, Schuessler R. Stress analysis of porous rooted dental implants. J Dent Res. 1976;55(5):772-777. doi: 10. 1177/00220345760550051001
11. Göre E. Bruksizmi olan hastalarda implant üstü sabit protezlerde farklı oklüzyon tiplerinin implant başarısına etkisinin sonlu elemanlar analizi yöntemiyle değerlendirilmesi [PhD thesis]. İstanbul: İstanbul Üniversitesi; 2010.
12. Al-Sukhun J, Kelleway J. Biomechanics of the mandible: part II. Int J Oral Maxillofac Implants. 2007;22(3):455-466.
13. Bozkaya D, Müftü S, Müftü 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(6):523-530. doi:10.1016/j.prosdent.2004.07.024
14. Balatlıoğlu A. Akrilik Kaideli ve Yumuşak Astarlı Tam Protezlerde ve Destek Dokularında Gerilme Dağılımlarının Üç Boyutlu Sonlu Eleman Gerilme Analizi ile İncelenmesi [PhD thesis]. İstanbul: İstanbul Üniversitesi; 2000.
15. Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hämmerle CH, Fischer J. Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater. 2010;26:553-559. doi:10. 1016/j.dental.2010.02.003
16. Cowin SC. Bone mechanics. Florida: CRC Press; 1991.
17. Quirynen M, Naert I, Van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Brånemark system. Clin Oral Implants Res. 1992;3(3):104-111. doi:10.1034/j.1600- 0501.1992.030302
18. Holmes DC, Loftus JT. Influence of bone quality on stress distribution for endosseous implants. J Oral Implantol. 1997;23(3):104-111.
19. Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Maxillofac Surg. 1981;10(6):387-416. doi:10.1016/s0300-9785(81) 80077-4
20. Stegaroiu R, Sato T, Kusakari H, Miyakawa O. Influence of restoration type on stress distribution in bone around implants: a three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 1998;13(1):82-90.
21. Schwitalla, A., Klotz, U., Müller, W. Polyetheretherketone (PEEK) in implant dentistry: mechanical behavior and stress transmission in finite element studies. Materials (Basel). 2021;14(18):5250.
22. Güneş N. Değişik çap, boy, açıda yerleştirilmiş endosteal implantların, farklı kuvvet yönleri altında, maksilla ve mandibulada oluşturduğu değişikliklerin üç boyutlu modelleme ve sonlu elemanlar stres analizi ile değerlendirilmesi [PhD thesis]. Diyarbakır: XXX Üniversitesi; 2013.
23. Ishigaki S, Nakano T, Yamada S, Nakamura T, Takashima F. Biomechanical stress in bone surrounding an implant under simulated chewing. Clin Oral Implants Res. 2003;14(1):97-102. doi:10.1034/j.1600- 0501.2003.140113
24. Akpınar I, Anıl N, Parnas L. A natural tooth’s stress distribution in occlusion with a dental implant. J Oral Rehabil. 2000;27(6):538-545. doi: 10.1046/j.1365-2842.2000.00511
25. Tada S, Stegaroiu R, Kitamura E, Miyakawa O, Kusakari H. Influence of implant design and bone quality on stress/strain distribution in bone around implants: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2003;18:357-368.
26. Hansson S, Werke M. The implant thread as a retention element in cortical bone: the effect of thread size and thread profile-a finite element study. J Biomech. 2003;36(9):1247-1258. doi:10.1016/s0021-9290 (03)00164-7
27. Bilgin MS. Post kor sistemlerinin fraktür analizi ve sonlu elemanlar stres analizi yöntemi ile değerlendirilmesi [PhD thesis]. Konya: Selçuk Üniversitesi; 2008.
28. Çalıkoğlu S. Bölümlü Protezler. 2nd ed. İstanbul: İstanbul Üniversitesi Basımevi; 1992.
29. Hedia HS. Effect of coating thickness and its material on the stress distribution for dental implants. J Med Eng Technol. 2007;31(4):280-287. doi:10.1080/03091900600861616
30. İplikçioğlu H, Akça K. Comparative evaluation of the effect of diameter, length and number of implants supporting three-unit fixed partial prostheses on stress distribution in the bone. J Dent. 2002;30:41-46. doi: 10.1016/s0300-5712(01)00057-4
31. Çankaya Ö. Alt çene total dişsizlik vakalarında implant destekli protez uygulamalarında, implantların farklı lokalizasyonlarda yerleştirilmesinin ve farklı üst yapılarının kullanılmasının kemikteki kuvvet dağılımına etkisinin sonlu elemanlar stres analizi yöntemi ile incelenmesi [PhD thesis]. İstanbul: İstanbul Üniversitesi; 2005.
32. Sağat G. Üst çene total dişsizlik vakaları için implant destekli sabit protez uygulamalarında farklı alveol ark formları ve implant pozisyonlarının implantlar çevresindeki stres dağılımına olan etkisinin FEM analizi yöntemiyle araştırılması [PhD thesis]. İstanbul: İstanbul Üniversitesi; 2002.
33. Hancı M, Bozdağ E, Arpacı A. Biyomekanik. İstanbul: Logos Yayıncılık; 2000.
34. DeVree JH, Peters MC, Plasschaert AJ. A comparison of photoelastic and finite element stress analysis in restored tooth structure. J Oral Rehabil. 1983;10(6):505-517. doi:10.1111/j.1365-2842.1983.tb01474
35. Koca ÖL, Eskitaşçıoğlu G, Üşümez A. Three-dimensional finite element analysis of functional stresses in different bone locations produced by implants placed in the maxillary posterior region of the sinus floor. J Prosthet Dent. 2005;93:38-44. doi:10.1016/j.prosdent.2004.10.001
36. Williams KR, Watson CJ, Murphy WM, Scott J, Gregory M, Sinobad D. Finite element analysis of fixed prostheses attached to osseointegrated implants. Quintessence Int. 1990;21:563-570.
37. Tepper G, Haas R, Zechner W, Krach W, Watzek G. Three-dimensional finite element analysis of implant stability in the atrophic posterior maxilla: a mathematical study of the sinus floor augmentation. Clin Oral Implants Res. 2002;13(6):657-665. doi:10.1034/j.1600-0501.2002.130613
38. Clelland NL, Lee JK, Bimbenet OC, Brantley WA. A three-dimensional finite element stress analysis of angled abutments for an implant placed in the anterior maxilla. J Prosthodont. 1995;4(2):95-100. doi:10.1111/j. 1532-849x.1995.tb00323
39. DeTolla DH, Andreana S, Patra A, Buhite R, Comella B. The role of the finite element model in dental implants. J Oral Implantol. 2000;26(2):77-81. doi:10.1563/1548-1336(2000)026<0077:TROTFE>2.3.CO;2
40. Ismail YH, Pahountis LN, Fleming JF. Comparison of two-dimensional and three-dimensional finite element analysis of a blade implant. Int J Oral Implantol. 1987;4(2):25-31.
41. Cook SD, Klawitter JJ, Weinstein AM. The influence of implant geometry on the stress distribution around dental implants. J Biomed Mater Res. 1982;16(4):369-379. doi:10.1002/jbm.820160406
42. Meijer HJ, Starmans FJ, Steen WH, Bosman F. A three-dimensional finite element analysis of bone around dental implants in an edentulous human mandible. Arch Oral Biol. 1993;38(6):491-496. doi:10.1016/0003-9969(93)90185
43. Meijer HJ, Starmans FJ, Bosman F, Steen WH. A comparison of three finite element models of an edentulous mandible provided with implants. J Oral Rehabil. 1993;20(2):147-157. doi:10.1111/j.1365-2842.1993.tb01598
44. Yüzbaşıoğlu HE. İmplantüstü sabit bölümlü protezlerde kullanılan seramik implant dayanaklarının sonlu elemanlar yöntemi ile incelenmesi [PhD thesis]. Samsun: Ondokuz Mayıs Üniversitesi; 2006.
45. Sato Y, Teixeira ER, Tsuga K, Shindoi N. The effectiveness of a new algorithm on a three-dimensional finite element model construction of bone trabeculae in implant biomechanics. J Oral Rehabil. 1999;26:640-643. doi:10.1046/j.1365-2842.1999.00442
46. Teixeira ER, Sato Y, Akagawa Y, Shindoi N. A comparative evaluation of mandibular finite element models with different lengths and elements for implant biomechanics. J Oral Rehabil. 1998;25(4):299-303. doi:10.1111/j.1365-2842.1998.00244
47. Keyak JH, Meagher JM, Skinner HB, Mote CD. Automated three-dimensional finite element modeling of bone: a new method. J Biomech Eng. 1990;112(5):389-397. doi:10.1016/0141-5425(90)90022
48. Coward TJ, Scott BJ, Watson RM, Richards R. A comparison between computerized tomography, magnetic resonance imaging, and laser scanning for capturing 3-dimensional data from an object of standard form. Int J Prosthodont. 2005;18(5):405-413.
49. Asmussen E, Peutzfeldt A, Sahafi A. Finite element analysis of stresses in endodontically treated, dowel-restored teeth. J Prosthet Dent. 2005; 94(4):321-329. doi:10.1016/j.prosdent.2005.07.003
50. Xiao JR, Li YF, Guan SM, Song L, Xu LX, Kong L. The biomechanical analysis of simulating implants in function under osteoporotic jawbone by comparing cylindrical, apical tapered, neck tapered, and expandable type implants: a 3-dimensional finite element analysis. J Oral Maxillofac Surg. 2011;69(7):273-281. doi:10.1016/j.joms.2010.12.006
51. Gökçe HS, Beydemir B. Yüksek dirençli seramik sistemlerin dayanıklılığı. Gülhane Tıp Derg. 2002;44(4):457-463.
52. 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(2):166-75. doi:10.1097/01.id. 0000165030.59555.2c
53. Karataşlı B. Farklı alt yapı materyalleri kullanımının stres dağılımına etkisinin sonlu elemanlar stres analizi yöntemi ve mekanik testler ile karşılaştırmalı olarak incelenmesi [PhD thesis]. İstanbul: İstanbul Üniversitesi; 2010.
54. Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: single crowns (SCs). Dent Mater. 2015;31(6):603-623. doi:10.1016/j.dental.2015.02.011
55. Nothdurft FP, Nonhoff J, Pospiech PR. Pre-fabricated zirconium dioxide implant abutments for single-tooth replacement in the posterior region: success and failure after 3 years of function. Acta Odontol Scand. 2014; 72(5):392-400. doi:10.3109/00016357.2013.863970
56. Altamimi AM, Tripodakis APD, Eliades G, Hirayama H. Comparison of fracture resistance and fracture characterization of bilayered zirconia/fluorapatite and monolithic lithium disilicate all-ceramic crowns. Int J Esthet Dent. 2014;9(1):98-110.
57. Green S, Schlegel J. A polyaryletherketone biomaterial for use in medical implant applications. Polym Med Ind Proc. 2001:14-15.
58. Siewert B, Parra M. A new group of material in dentistry: PEEK as a framework material for 12-piece implant-supported bridges. Zahnarztl Implantol. 2013;29:148-159. doi:10.3238/ZZI.2013.0148−0159
59. Al-Rabab’ah M, Hamadneh W, Alsalem I, Khraisat A, Abu Karaky A. Use of high performance polymers as dental implant abutments and frameworks: a case series report. J Prosthodont. 2017. doi:10.1111/jopr. 12639
60. Beuer F, Steff B, Naumann M, Sorensen JA. Load-bearing capacity of all-ceramic three-unit fixed partial dentures with different computer-aided design (CAD)/computer-aided manufacturing (CAM) fabricated framework materials. Eur J Oral Sci. 2008;116(4):381-386. doi:10.1111/j. 1600-0722.2008.00551
61. Kolbeck C, Behr M, Rosentritt M, Handel G. Fracture force of tooth-tooth and implant-tooth supported all-ceramic fixed partial dentures using titanium vs. customised zirconia implant abutments. Clin Oral Implants Res. 2008;19(10):1049-1053. doi:10.1111/j.1600-0501.2008.01551
Volume 3, Issue 3, 2025
Page : 67-73
_Footer