Distribuição de tensões em implantes cone morse com coroas e intermediários confeccionados por diferentes materiais
DOI:
https://doi.org/10.33448/rsd-v10i4.13933Palavras-chave:
Poliéter-éter-cetona; Zircônia; Intermediário; Distribuição de Tensões; Método de elementos finitos.Resumo
The purpose of this study was to compare the stress distribution in two different types of crowns (zirconia and feldspatic ceramic) and three different types of abutments (poly-ether-ether-ketone, titanium and zirconia) at an upper central incisor, with the Finite Element Analysis (FEA). Five experimental groups were established: Group P-Zr/SA (PEEK/zirconia - without adhesion), Group P-Zr/CA (PEEK/zirconia - with adhesion), Ti-Zr Group (titanium/zirconia), Zr-Zr Group (zirconia/zirconia) and Zr-F Group (zirconia/feldspatic). An oblique loading was applied at the palatal surface of the crown in each model. All models were exported to a finite element analysis software, where Maximum stress (tensile), Minimum stress (compressive) and von Mises stresses values were obtained. The results showed that the P-Zr/SA and P-Zr/CA groups exhibited the highest von Mises stresses values in the implant, and these stresses were concentrated at the implant platform. In all abutments groups, the Maximum Principal stress location was at the hexagonal connection, and the P-Zr/SA and P-Zr/CA groups showed the lowest stress values. The P-Zr/CA and Zr-Zr groups exhibited better crown stress distribution (better dissipation). The von Mises stress location were similar in all groups in the screws, however the von Mises stress values were the highest in the P-Zr/SA and P-Zr/CA groups. It can be concluded in this study that the PEEK abutment does not have a better stress distribution in the crowns, implants and screws.
Referências
Abrahamsson, I, Berglund, T, Glantz, P. O. & Lindhe J. (1998). The mucosal attachment at different abutments. An experimental study in dogs. Journal of Clinical Periodontology. 25, 721–727.
Bidra, A. S.& Rungruanganunt, P. (2013). Clinical outcomes of implant abutments in the anterior region: a systematic review. J Esthet Restor Dent. 25(3):159-76.
Dos Santos, M. B. F., Meloto, G. O., Bacchi, A, & Correr-Sobrinho, L. (2017). Stress distribution in cylindrical and conical implants under rotational micromovement with different boundary conditions and bone properties: 3-D FEA. Comput Methods Biomech Biomed Engin. 20(8):893-900.
Ekfeldt, A, Fürst, B, & Carlsson, G. E. (2011). Zirconia abutments for single-tooth implant restorations: a retrospective and clinical follow-up study. Clin Oral Implants Res. 22(11):1308-14.
Geng, J. P., Tan, K. B.& Liu, G. R. (2001). Application of finite element analysis in implant dentistry: a review of the literature. J Prosthet Dent. 85(6):585-598.
Gomes, A. L. & Montero, J. (2011). Zirconia implant abutments: a review. Med Oral Patol Oral Cir Bucal. 16(1):e50-5.
Heffernan, M. J., Aquilino, S. A., Diaz-Arnold, A. M., Haselton, D. R., Stanford, C. M. & Vargas, M. Al.(2002). Relative translucency of six all ceramic systems. Part I: core materials. J Prosthet Dent.88:4e9.
Jemt, T. (1986). Modified single and short-span restoration supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent. 55: 243–247.
Jung, R. E., Zembic, A, Pjetursson, B. E., Zwahlen, M. & Thoma, D. S. (2012). Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 23(Suppl 6):2–21.
Kaleli, N, Sarac, D, Külünk, S. & Öztürk, Ö. (2018) Effect of different restorative crown and customized abutment materials on stress distribution in single implants and peripheral bone: A three-dimensional finite element analysis study. J Prosthet Dent. 119(3):437-445.
Lindhe, J. & Berglundh, T. (1998). The interface between the mucosa and the implant. Periodontol 2000.17:47-54.
Linkevicius, T. & Apse, P. (2008). Influence of abutment material on stability of peri implant tissues: A systematic review. Int J Oral Maxillofac Implants. 26(3), 449–456.
Linkevicius,T.&Vaitelis, J. (2015). The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. Clin Oral Implants Res. 26(Suppl11):139-47.
Lops, D, Bressan, E, Chiapasco, M, Rossi, A. & Romeo, E. (2013). Zirconia and titanium implant abutments for single-tooth implant prostheses after 5 years of function in posterior regions. Int J Oral Maxillofac Implants. 28(1):281-7.
Najeeb, S, Zafar, M. S., Khurshid, Z. & Siddiqui, F. (2016). Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res. 60(1):12-19.
Pjetursson, B. E., Sailer, I, Zwahlen, M. & Hämmerle, C. H. (2007). A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part I: Single crowns. Clin Oral Implants Res. 18(Suppl3):73-85.
Sailer, I, Pjetursson, B. E., Zwahlen, M. & Hämmerle, C. H. (2007). A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: Fixed dental prostheses. Clin Oral Implants Res. 18(Suppl3):86-96.
Sailer, I, Philipp, A, Zembic, A, Pjetursson, P, Hämmerle C. H. F. &Zwahlen, M. (2009). A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res. 20(Suppl4): 4–31.
Sarot, J. R., Contar, C. M., Cruz, A. C. & Magini R. S. (2010). Evaluation of the stress distribution in CFR-PEEK dental implants by the three-dimensional finite element method. J Mater Sci Mater Med. 21(7):2079-85.
Schwitalla, A. & Müller, W. D.(2013). PEEK dental implants: a review of the literature. J Oral Implantol. 39(6):743-9.
Sevimay, M, Usumez, A. & Eskitascioglu, G. (2005). 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. 73(1):140-147.
Skirbutis, G, Dzingutė, A, Masiliūnaitė, V, Šulcaitė, G. & Žilinskas, J. (2017). A review of PEEK polymer's properties and its use in prosthodontics. Stomatologija. 19(1):19-23.
Srirekha, A. & Bashetty, K. (2010). Infinite to finite: an overview of finite element analysis. Indian J Dent Res. 21(3):425-432.
Tannous, F, Steiner, M, Shahin, R. & Kern, M. (2012). Retentive forces and fatigue resistance of thermoplastic resin clasps. Dent Mater. 28:273-8.
Tekin, S, Değer, Y. & Demirci, F. (2019). Evaluation of the use of PEEK material in implant-supported fixed restorations by finite element analysis. Niger J Clin Pract. 22(9):1252-1258.
Tretto, P. H. W., Dos Santos, M. B. F., Spazzin, A. O., Pereira, G. K. R. & Bacchi, A. (2020). Assessment of stress/strain in dental implants and abutments of alternative materials compared to conventional titanium alloy-3D non-linear finite element analysis. Comput Methods Biomech Biomed Engin. 23(8):372-383.
Trivedi, S. (2014). Finite element analysis: A boon to dentistry. J Oral Biol Craniofac Res. 4(3):200-203.
Vagkopoulou, T, Koutayas, S. O., Koidis, P. & Strub, J. R. (2009). Zirconia in dentistry: Part 1. Discovering the nature of an upcoming bioceramic. Eur J Esthet Dent. 4(2):130-51.
Zarone, F, Russo, S.& Sorrentino, R. (2011). From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent Mater.27: 83–96.
Zembic, A, Bösch, A, Jung, R. E., Hämmerle, C. H. & Sailer, I. (2013). Five-year results of a randomized controlled clinical trial comparing zirconia and titanium abutments supporting single-implant crowns in canine and posterior regions. Clin Oral Implants Res. 24(4):384-90.
Zembic, A, Philipp, A. O., Hämmerle, C. H., Wohlwend, A. & Sailer, I. (2015). Eleven-Year Follow-Up of a Prospective Study of Zirconia Implant Abutments Supporting Single All-Ceramic Crowns in Anterior and Premolar Regions. Clin Implant Dent Relat Res. 17(2):e417-26.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2021 Rodrigo Rosso Fabris; Ricardo Armini Caldas; Milton Edson Miranda; Poliana Borba; Karina Andréa Novaes Olivieri; William Cunha Brandt; Rafael Pino Vitti
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.
