Narrow-diameter implants as terminal support for occlusal three-unit FPDs: A biomechanical analysis


Cehreli M., AKÇA K.

INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY, cilt.24, sa.6, ss.513-520, 2004 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 6
  • Basım Tarihi: 2004
  • Dergi Adı: INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.513-520
  • Gazi Üniversitesi Adresli: Hayır

Özet

The purpose of this study was to examine force transmissions of narrow-diameter ITI implants when used as a terminal support for freestanding three-unit fixed partial dentures (FPD). Photoelastic and strain-gauged models of two 4.1-mm-diameter solid-screw implants; a 3.3-mm reduced-diameter implant and a 4.1-mm-diameter solid-screw implant; and a 3.3-mm-diameter narrow-neck implant and a 4.1 mm-diameter solid-screw implant supporting fixed prostheses were fabricated. A static force of 100 N was applied on both implants and on the pontic of the prostheses in separate load cases, and the generation of isochromatic fringes was observed and photographed in the field of a circular polariscope. The strain-gauge signals were digitized by a data-acquisition system and displayed in a computer by corresponding software at a sample rate of 10,000 Hz, and the principal strains were calculated. The use of narrow-neck and reduced-diameter implants resulted in an overall increase in stress and strain magnitudes around supporting implants in comparison with support from two standard solid-screw implants. Narrow-diameter ITI implants may be used to support FPDs for patients with low bite forces. In other clinical situations involving narrow-diameter implants, increasing the implant support is crucial to improve the biomechanical outcome of the treatment.