RESUMEN
OBJECTIVES: This study evaluated by three-dimensional finite element analysis the tensions generated by different disocclusion patterns (canine guide and bilateral balanced occlusion) in an implant-supported mandibular complete denture. MATERIAL AND METHODS: A three-dimensional model of implant-supported mandibular complete denture was fabricated according to the Brånemark protocol. A 5-element 3.75 x 13-mm screw-shape dental implant system was modeled for this study. The implants were located in the inter-mental foramen region with 3-mm-high prosthetic components joined by a nickel-chromium framework with 12-mm bilateral cantilever covered by acrylic resin and 12 acrylic denture teeth. SolidWorks® software was used before and after processing the simulations. The mechanical properties of the components were inserted in the model and a 15 N load was established in fixed points, in each one of the simulations. Data were collected in the entire nickel-chromium framework. The results were displayed three-dimensionally as color graphic scales. RESULTS: The canine guide generated greater tensions in the region of the first implant, while the bilateral balanced occlusion generated great tensions in the entire metallic framework. The maximum tension found in the simulation of the bilateral balanced occlusion was 3.22 fold higher than the one found in the simulation of the disocclusion in canine guide. CONCLUSION: The pattern of disocclusion in canine guide is the ideal for implant-supported mandibular complete denture.
Asunto(s)
Humanos , Oclusión Dental , Oclusión Dental Balanceada , Prótesis Dental de Soporte Implantado , Dentadura Completa Inferior , Resinas Acrílicas/química , Proceso Alveolar/fisiología , Fenómenos Biomecánicos , Gráficos por Computador , Simulación por Computador , Aleaciones de Cromo/química , Implantes Dentales , Bases para Dentadura , Diseño de Dentadura , Materiales Dentales/química , Módulo de Elasticidad , Análisis de Elementos Finitos , Imagenología Tridimensional , Modelos Biológicos , Mandíbula/fisiología , Estrés Mecánico , Diente Artificial , Titanio/químicaRESUMEN
A comparative and qualitative analysis of the tensions generated in the cantilever region of an implant-supported mandibular complete denture was conducted using the three-dimensional finite element method. The mechanical properties of the components were input in the model and a load of 15 N was applied in pre-determined points. In the first simulation, the load was applied on the occlusal surface of the first premolar. In the second simulation, it was applied on the first and second premolars. In the third simulation, it was applied on the first and second premolars and on the first molar. The different occlusion patterns produced similar tension distributions in the cantilever region, which followed a similar pattern in the three simulations. In all of the cases, the highest levels of tension were located in the region of the first implant. However, as the loads were dislocated distally, the tensions increased considerably. The more extensive the cantilever, the more compromised will be the infrastructure, the prosthetic components and the implants. Regardless of the length of the cantilever, the highest tensions will always be located in the region of the implant next to the load application point.