Design of prosthetic cantilever bridgework supported by osseointegrated implants using the finite element method

The aim of the present work was to establish a design procedure for fixed metal prostheses supported by osseointegrated implants in order to prevent permanent deformation and hence failure following loading. Previously, the cantilever cross-sectional shape in the buccal lingual plane has been based on clinical experience and subjectivity.

This work has relied on the use of linear elastic finite element analysis in order to generate a maximum effective stress at which permanent deformation commences on loading. A number of different cross-sectional shapes were investigated, both of conventional design as well as new innovative possibilities. Both straight and curved cantilever beams 26 mm long were examined.

The design failure chosen was based on a von Mises plastic collapse principle by comparing the calculated effective stresses with the yield stress of the metal in simple tension. It was found that the "L" shaped design was more rigid than other designs for a given mass, while a framework based on an open "I" section offers good possibilities particularly when used as curved shapes.

Assuming a failure criterion based on the von Mises principle, then "L" shaped Co/Cr or stainless steel frameworks, typically 26 mm of cantilever span, undergo permanent deformation at end loadings between 130 and 140 N depending on section curvature. Since it is known biting loads can exceed these values, good design is critical if such failures are to be avoided.