Stress Analysis in Maxillary All-On-Four Model

The aim of this research was to evaluate the load distribution in tilted distal implants used in the all-on-four system. Two implant schemes were used. In both, two vertical anterior implants and tilted posterior implants were installed, one group with an angulation of 15 and another with an angulation of 35. The implants were installed together with a bar binding them all in a photoelastic model obtained from a replica of an edentulous maxilla. In this model, loads were produced in the sector of the bar cantilever, the abutment of the tilted implants and over the four implants using devices specially designed for this purpose. The bands were recorded with a digital camera, and the qualitative and quantitative analyses were carried out by means of student's t-test and the Mann-Whitney test in Biostat v. 5.0, considering a level of p<0.05 to establish a statistically significant relation. In the qualitative analysis, the implant with 35 presented the greatest amount of stress on the cantilever forces at cervical level. The quantitative studies showed fewer differences in all aspects assessed, although significant differences were observed between the two systems when loads were applied at cantilever level. It can be concluded that there are minimal differences in the stress distribution when comparing implants with angulations of 15 or 35. However, there is a greater concentration of stress at the cervical level in implants tilted to 35.

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Bibliographic Details
Main Authors: Cidade,Castelo Pedro, Olate,Sergio, Pozzer,Leandro, Pimentel,Marcele Jardim, Nóbilo,Mauro, Albergaria-Barbosa,Jose Ricardo
Format: Digital revista
Language:English
Published: Universidad de La Frontera. Facultad de Medicina 2015
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2015000200005
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