Investigation of the Type of Angled Abutment for Anterior Maxillary Implants: A Finite Element Analysis

桥台 材料科学 植入 冯·米塞斯屈服准则 有限元法 牙冠(牙科) 牙基 压力(语言学) 应力集中 口腔正畸科 牙科 结构工程 复合材料 医学 工程类 外科 哲学 语言学
作者
İsmail Hakkı Korkmaz,Esra Kul
出处
期刊:Journal of Prosthodontics [Wiley]
卷期号:31 (8): 689-696 被引量:13
标识
DOI:10.1111/jopr.13462
摘要

The optimal abutment material and design for an angled implant-abutment connection in the esthetic zone is unclear. The purpose of this finite element analysis (FEA) study was to compare different abutment models by evaluating the stress values in the implant components and strain values on the simulated bone around an anterior maxillary implant with different angled abutment models and loading conditions.One Ø3.5×12-mm implant was placed in 3D FEA models representing the anterior left lateral segment of the maxilla. Three different contemporary implant models were created with 17° or 25° angled abutments (Ti base abutment, zirconia abutment, and titanium abutment) and 3D-modeled. The implant abutment model was an angled Ti base abutment (TIB), an angled zirconia abutment (ZIR), or an angled titanium abutment (TIT). Vertical and oblique loads of 100 N for the central incisors were applied as boundary conditions to the cingulum area and incisal area in a nonlinear FEA.The TIB model resulted in reduced stress conditions. According to the von Mises stresses occurring on the screw, abutment, crown, and implant, especially under oblique loads, the TIB model was exposed to less stress than the ZIR or TIT models. Strain values in simulated cortical and trabecular bones were obtained lower in the TIB model.When a standard implant was placed in the esthetic zone at an increased angle, the implants, abutments, and screws had more unfavorable stress levels; therefore, using a Ti-base abutment may reduce stress. The amount of contact surface of the implant with the simulated cortical bone is also an important factor affecting stress and strain.
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