Efecto del dispositivo oclusal acrílico sobre la distribución de tensiones sin implante hexagonal externo en situaciones de estanqueidad dental. Un análisis de elementos finitos en 3D
DOI:
https://doi.org/10.33448/rsd-v10i6.15601Palabras clave:
Análisis de Elementos Finitos; Implantes Dentales; Fenómenos biomecánicos.Resumen
El objetivo em el presente estudio fue analizar la tensión en el implante de hexágono externo (HE) en una situación de parafunción en prótesis implantosoportadas de tres unidades con y sin el uso del dispositivo oclusal acrílico (DOA) utilizando tres dimensiones (3D) análisis de elementos finitos. Ocho modelos 3D referidos al maxilar posterior con tres HE que soportan la restauración metalocerámica atornillada y/o ferulizada y el uso del AOD. El DOA se modeló con un espesor de 2 mm. Los HE se analizaron utilizando los criterios de von Mises en el programa ANSYS 19.2. DOA demostró ser eficaz para reducir el estrés en el HE. Sin embargo, el uso del DOA no fue lo suficientemente eficaz como para sugerir la no ferulización del implante dental HE. La asociación de ferulización y el uso de un DOA en la región posterior del maxilar puede ser una forma eficaz de disminuir la tensión en el implante HE en una situación de parafunción.
Citas
Abu‐Hammad, O., Khraisat, A., Dar‐Odeh, N., Jagger, D. C., & Hammerle, C. H. (2007). The staggered installation of dental implants and its effect on bone stresses. Clinical Implant Dentistry and Related Research, 9 (3), 121-127.
Albrektsson, T., Donos, N., & Working Group 1. (2012). Implant survival and complications. The Third EAO consensus conference 2012. Clinical Oral Implants Research, 23 (Suppl 6), 63-65.
Balik, A., Karatas, M. O., & Keskin, H. (2012). Effects of different abutment connection designs on the stress distribution around five different implants: a 3-dimensional finite element analysis. Journal of Oral Implantology, 38, 491-496.
Balshi, T. J. (1996). An analysis and management of fractured implants: a clinical report. International Journal of Oral and Maxillofacial Implants, 11 (5), 660-666.
Bergkvist, G., Simonsson, K., Rydberg, K., Johansson, F., & Dérand, T. (2008). A finite element analysis of stress distribution in bone tissue surrounding uncoupled or splinted dental implants. Clinical Implant Dentistry and Related Research, 10 (1), 40-46.
Brånemark, P. I., Hansson, B. O., Adell, R., Breine, U., Lindström, J., Hallén, O., & Ohman, A. (1977). Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scandinavian Journal of Plastic and Reconstructive Surgery. Supplementum, 16, 1-132.
Camps-Font, O., González-Barnadas, A., Mir-Mari, J., Figueiredo, R., Gay-Escoda, C., & Valmaseda-Castellón, E. (2020). Fracture resistance after implantoplasty in three implant-abutment connection designs. Medicina Oral, Patología Oral y Cirugía Bucal, 25 (5), e691.
Chu, C. M., Huang, H. L., Hsu, J. T., & Fuh, L. J. (2012). Influences of internal tapered abutment designs on bone stresses around a dental implant: Three‐dimensional finite element method with statistical evaluation. Journal of Periodontology, 83 (1), 111-118.
de Souza Batista, V. E., Verri, F. R., Almeida, D. A. D. F., Santiago Junior, J. F., Lemos, C. A. A., & Pellizzer, E. P. (2017a). Finite element analysis of implant-supported prosthesis with pontic and cantilever in the posterior maxilla. Computer Methods in Biomechanics and Biomedical Engineering, 20 (6), 663-670.
de Souza Batista, V. E., Verri, F. R., Almeida, D., Santiago Junior, J. F., Lemos, C., & Pellizzer, E. P. (2017b). Evaluation of the effect of an offset implant configuration in the posterior maxilla with external hexagon implant platform: A 3-dimensional finite element analysis. The Journal of Prosthetic Dentistry, 118 (3), 363-371.
de Souza Batista, V. E., Verri, F. R., Lemos, C. A., Cruz, R. S., Noritomi, P. Y., & Pellizzer, E. P. (2020). A 3D Finite Element Analysis of Bone Tissue in 3-Unit Implant-Supported Prostheses: Effect of Splinting Factor and Implant Length and Diameter. The European Journal of Prosthodontics and Restorative Dentistry. 10.1922/EJPRD_2098deSouzaBatista08. Online ahead of print.
de Souza Batista, V. E., Verri, F. R., Lemos, C., Cruz, R. S., Oliveira, H., Gomes, J., & Pellizzer, E. P. (2019). Should the restoration of adjacent implants be splinted or nonsplinted? A systematic review and meta-analysis. The Journal of Prosthetic Dentistry, 121 (1), 41-51.
Eckert, S. E., Meraw, S. J., Cal, E., & Ow, R. K. (2000). Analysis of incidence and associated factors with fractured implants: a retrospective study. International Journal of Oral & Maxillofacial Implants, 15 (5), 662-667.
Fabris, R. R., Caldas, R. A., Miranda, M. E., Borba, P., Oliveri, K. A. N., Brandt, W. B., Vitti, R. P. (2021). Comparative stress evaluation of different types of prosthetic abutment and crown with an internal connection implant. Research, Society and Development, 10 (4), e7010413933.
Gealh, W. C., Mazzo, V., Barbi, F., & Camarini, E. T. (2011). Osseointegrated implant fracture: causes and treatment. Journal of Oral Implantology, 37 (4), 499-503.
Geng, J. P., Tan, K. B., & Liu, G. R. (2001). Application of finite element analysis in implant dentistry: a review of the literature. The Journal of Prosthetic Dentistry, 85 (6), 585-598.
Hauchard, E., Fournier, B. P., Jacq, R., Bouton, A., Pierrisnard, L., & Naveau, A. (2011). Splinting effect on posterior implants under various loading modes: a 3D finite element analysis. The European Journal of Prosthodontics and Restorative Dentistry, 19 (3), 117-122.
İplikçioğlu, H., & Akça, K. (2002). Comparative evaluation of the effect of diameter, length and number of implants supporting three-unit fixed partial prostheses on stress distribution in the bone. Journal of Dentistry, 30 (1), 41-46.
Jung, R. E., Pjetursson, B. E., Glauser, R., Zembic, A., Zwahlen, M., & Lang, N. P. (2008). A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clinical Oral Implants Research, 19 (2), 119-130.
Kourtis, S., Damanaki, M., Kaitatzidou, S., Kaitatzidou, A., & Roussou, V. (2017). Loosening of the fixing screw in single implant crowns: predisposing factors, prevention and treatment options. Journal of Esthetic and Restorative Dentistry, 29 (4), 233-246.
Lekholm U, Zarb G. 1985. Patient selection and preparation. In: Branemark PI, Zarb G, Albrektsson T, editors. Tissue integrated prostheses: osseointegration in clinical dentistry. Chicago (IL): Quintessence Publishing 1985;199-211.
Lemos, C. A. A., Verri, F. R., Bonfante, E. A., Júnior, J. F. S., & Pellizzer, E. P. (2018a). Comparison of external and internal implant-abutment connections for implant supported prostheses. A systematic review and meta-analysis. Journal of Dentistry, 70, 14-22.
Lemos, C. A. A., Verri, F. R., Noritomi, P. Y., Kemmoku, D. T., de Souza Batista, V. E., Cruz, R. S., & Pellizzer, E. P. (2021). Effect of bone quality and bone loss level around internal and external connection implants: A finite element analysis study. The Journal of Prosthetic Dentistry, 125 (1), 137.e1-137.e10.
Lemos, C. A. A., Verri, F. R., Santiago Júnior, J. F., Almeida, D. A. D. F., Batista, V. E. D. S., & Noritomi, P. Y. (2018b). Retention system and splinting on morse taper implants in the posterior maxilla by 3D finite element analysis. Brazilian Dental Journal, 29c(1), 30-35.
Lemos, C. A. A., Verri, F. R., Santiago Junior, J. F., de Souza Batista, V. E., Kemmoku, D. T., Noritomi, P. Y., & Pellizzer, E. P. (2018c). Splinted and nonsplinted crowns with different implant lengths in the posterior maxilla by three-dimensional finite element analysis. Journal of Healthcare Engineering, 2018, 3163096.
Maeda, Y., Satoh, T., & Sogo, M. (2006). In vitro differences of stress concentrations for internal and external hex implant–abutment connections: a short communication. Journal of Oral Rehabilitation, 33 (1), 75-78.
Manfredini, D., Poggio, C. E., & Lobbezoo, F. (2014). Is bruxism a risk factor for dental implants? A systematic review of the literature. Clinical Implant Dentistry and Related Research, 16 (3), 460-469.
Marsico, V. D. S., Lehmann, R. B., de Assis Claro, C. A., Amaral, M., Vitti, R. P., Neves, A. C. C., & da Silva Concilio, L. R. (2017). Three-dimensional finite element analysis of occlusal splint and implant connection on stress distribution in implant-supported fixed dental prosthesis and peri-implantal bone. Materials Science & Engineering. C, Materials for Biological Applications, 80, 141-148.
Meena, A., Jain, V., Singh, N., Arora, N., & Jha, R. (2014). Effect of implant‐supported prosthesis on the bite force and masticatory efficiency in subjects with shortened dental arches. Journal of Oral Rehabilitation, 41 (2), 87-92.
Misch, C. E. (2002). The effect of bruxism on treatment planning for dental implants. Dentistry Today, 21 (9), 76-81.
Naert, I., Quirynen, M., van Steenberghe, D., & Darius, P. (1992). A study of 589 consecutive implants supporting complete fixed prostheses. Part II: Prosthetic aspects. The Journal of Prosthetic Dentistry, 68 (6), 949-956.
Nishigawa, K., Bando, E., & Nakano, M. (2001). Quantitative study of bite force during sleep associated bruxism. Journal of Oral Rehabilitation, 28 (5), 485-491.
Pellizzer, E. P., de Mello, C. C., Junior, J. F. S., de Souza Batista, V. E., de Faria Almeida, D. A., & Verri, F. R. (2015). Analysis of the biomechanical behavior of short implants: The photo-elasticity method. Materials Science and Engineering: C, 55, 187-192.
Pellizzer, E. P., Junior, J. F. S., Villa, L. M. R., de Souza Batista, V. E., de Mello, C. C., de Faria Almeida, D. A., & Honório, H. M. (2014). Photoelastic stress analysis of splinted and unitary implant-supported prostheses. Applied Physics B, 117 (1), 235-244.
Pesqueira, A. A., Goiato, M. C., Monteiro, D. R., Santos, D. M. D., Haddad, M. F., & Pellizzer, E. P. (2014). Use of stress analysis methods to evaluate the biomechanics of oral rehabilitation with implants. Journal of Oral Implantology, 40 (2), 217-228.
Radaelli, M. T. B., Idogava, H. T., Spazzin, A. O., Noritomi, P. Y., & Boscato, N. (2018). Parafunctional loading and occlusal device on stress distribution around implants: A 3D finite element analysis. The Journal of Prosthetic Dentistry, 120 (4), 565-572.
Ramos Verri, F., Santiago Jr, F., Faria Almeida, D. A., de Souza Batista, V. E., Araujo Lemos, C. A., Cantieri Mello, C., & Piza Pellizzer, E. (2017). Biomechanical three-dimensional finite element analysis of single implant-supported prostheses in the anterior maxilla, with different surgical techniques and implant types. International Journal of Oral & Maxillofacial Implants, 32 (4), e191-e198.
Ribeiro, C. G., Maia, M. L. C., Scherrer, S. S., Cardoso, A. C., & Wiskott, H. W. (2011). Resistance of three implant-abutment interfaces to fatigue testing. Journal of Applied Oral Science, 19 (4), 413-420.
Rubo, J. H., & Capello Souza, E. A. (2010). Finite‐element analysis of stress on dental implant prosthesis. Clinical Implant Dentistry and Related Research, 12 (2), 105-113.
Santiago Junior, J. F. S., Pellizzer, E. P., Verri, F. R., & de Carvalho, P. S. P. (2013). Stress analysis in bone tissue around single implants with different diameters and veneering materials: a 3-D finite element study. Materials Science and Engineering: C, 33 (8), 4700-4714.
Sevimay, M., Turhan, F., Kiliçarslan, M. A., & Eskitascioglu, G. (2005). Three-dimensional finite element analysis of the effect of different bone quality on stress distribution in an implant-supported crown. The Journal of Prosthetic Dentistry, 93 (3), 227-234.
Silva, L. S., Verri., F. R., Lemos C. A. A., Martins, C. M., de Souza Batista, V. E. (2021). Biomechanical effect of an occlusal device for patients with an implant-supported fixed dental prosthesis under parafunctional loading: A 3D finite element analysis. The Journal of prosthetic dentistry. Online ahead of print.
Solnit, G. S., & Schneider, R. L. (1998). An alternative to splinting multiple implants: use of the ITI system. Journal of Prosthodontics, 7 (2), 114-119.
Suganuma, T., Itoh, H., Ono, Y., & Baba, K. (2013). Effect of stabilization splint on occlusal force distribution during voluntary submaximal tooth clenching: a preliminary sleep simulation study. Cranio, 31(2), 100-108.
Torcato, L. B., Pellizzer, E. P., Verri, F. R., Falcón-Antenucci, R. M., Batista, V. E. D. S., & Lopes, L. F. D. T. P. (2014). Effect of the parafunctional occlusal loading and crown height on stress distribution. Brazilian Dental Journal, 25 (6), 554-560.
Torcato, L. B., Pellizzer, E. P., Verri, F. R., Falcón-Antenucci, R. M., Júnior, J. F. S., & de Faria Almeida, D. A. (2015). Influence of parafunctional loading and prosthetic connection on stress distribution: A 3D finite element analysis. The Journal of Prosthetic Dentistry, 114 (5), 644-651.
Vázquez Álvarez, R., Pérez Sayáns, M., Gayoso Diz, P., & García García, A. (2015). Factors affecting peri‐implant bone loss: a post‐five‐year retrospective study. Clinical Oral Implants Research, 26 (9), 1006-1014.
Verri, F. R., Cruz, R. S., de Souza Batista, V. E., Almeida, D. A. D. F., Verri, A. C. G., Lemos, C. A. D. A., & Pellizzer, E. P. (2016). Can the modeling for simplification of a dental implant surface affect the accuracy of 3D finite element analysis? Computer Methods in Biomechanics and Biomedical Engineering, 19 (15), 1665-1672.
Verri, F. R., de Souza Batista, V. E., Santiago Jr, J. F., de Faria Almeida, D. A., & Pellizzer, E. P. (2014). Effect of crown-to-implant ratio on peri-implant stress: a finite element analysis. Materials Science and Engineering: C, 45, 234-240.
Verri, F. R., Cruz, R. S., Lemos, C. A., de Souza Batista, V. E., Almeida, D. A., Verri, A. C., Pellizzer, E. P. (2017). Influence of bicortical techniques in internal connection placed in premaxillary area by 3D finite element analysis. Comput Methods Biomech Biomed Engin, 20, 193-200.
Wang, T. M., Leu, L. J., Wang, J. S., & Lin, L. D. (2002). Effects of prosthesis materials and prosthesis splinting on peri-implant bone stress around implants in poor-quality bone: a numeric analysis. International Journal of Oral & Maxillofacial Implants, 17 (2), 231-237.
Weinberg, L. A. (1993). The biomechanics of force distribution in implant-supported prostheses. International Journal of Oral & Maxillofacial Implants, 8 (1), 19-31.
Yamanishi, Y., Yamaguchi, S., Imazato, S., Nakano, T., & Yatani, H. (2012). Influences of implant neck design and implant–abutment joint type on peri-implant bone stress and abutment micromovement: Three-dimensional finite element analysis. Dental Materials, 28 (11), 1126-1133.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2021 Victor Eduardo de Souza Batista; Lorena Scaioni Silva; Anderson Catelan; Carolina Santinoni dos Santos; Aljomar José Vechiato-Filho; Ronaldo Silva Cruz; Christine Men Martins; Cleidiel Aparecido Araújo Lemos; Fellippo Ramos Verri
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Los autores que publican en esta revista concuerdan con los siguientes términos:
1) Los autores mantienen los derechos de autor y conceden a la revista el derecho de primera publicación, con el trabajo simultáneamente licenciado bajo la Licencia Creative Commons Attribution que permite el compartir el trabajo con reconocimiento de la autoría y publicación inicial en esta revista.
2) Los autores tienen autorización para asumir contratos adicionales por separado, para distribución no exclusiva de la versión del trabajo publicada en esta revista (por ejemplo, publicar en repositorio institucional o como capítulo de libro), con reconocimiento de autoría y publicación inicial en esta revista.
3) Los autores tienen permiso y son estimulados a publicar y distribuir su trabajo en línea (por ejemplo, en repositorios institucionales o en su página personal) a cualquier punto antes o durante el proceso editorial, ya que esto puede generar cambios productivos, así como aumentar el impacto y la cita del trabajo publicado.