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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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3D Finite Element Study on: Bar Splinted Implants Supporting Partial Denture in the Reconstructed Mandible
Mohamed El-Anwar1, Rami Ghali2, Mona Aboelnagga2
1National Research Centre, Mechanical Engineering, Giza, Egypt.
Open Access Macedonian Journal of Medical Sciences
|June 9, 2016
Summary
Finite element analysis shows that clip material has minimal impact on stress distribution in bar-splinted implants supporting a removable prosthesis. Stress patterns in the mandible and fibula bone remained within physiological limits.
Area of Science:
- Biomaterials Science
- Biomechanics
- Dental Implantology
Background:
- Reconstructed mandibles with removable prostheses often utilize bar-splinted implants for support and retention.
- Understanding stress distribution is crucial for prosthesis longevity and patient comfort.
Purpose of the Study:
- To estimate stress patterns in bar-splinted implants and surrounding bone under masticatory loads.
- To evaluate the influence of different clip materials on stress distribution in a reconstructed mandible.
Main Methods:
- Two 3D finite element models were created using CAD/CAM software.
- Masticatory forces (100N) were applied unilaterally and bilaterally to simulate chewing.
- Analysis assumed full osseointegration and fixed temporomandibular joint (TMJ) surfaces.
Main Results:
- The metallic bar's stress was independent of clip material.
- Implants supporting the bar exhibited maximum stress at the neck region.
- Fibula and jaw bone experienced physiological stress levels; clip material effect was minimal.
Conclusions:
- Clip material has a negligible effect on the overall stress distribution.
- Changing load direction from tension to compression reversed stress signs but not distribution patterns.
Keywords:
Bar splinted implantsFinite element methodPartial DentureReconstructed MandibleStress Distribution
