Document Type
Article
Publication Date
Summer 9-10-2025
Abstract
Objective:Toassessthebiomechanicalbehaviourofimplant-tooth-supported(hybrid)pros-theses,comparedwithanimplant-implant-supportedprosthesis,utilisingtwodifferentprostheticmaterials,employingfiniteelementanalysis(FEA).Method:Threedigitalmodels,derivedfromaCBCT-scannededentulousmandible,weredesigned:twohybridconfigurations(M1:distalimplant-firstpremolar;M2:mesialimplant-firstmolar)andanimplant-implant-supportedprosthesis(M3).Abiomechanicalmodellingworkflowwascarriedout(Mimicsforsegmentation,3-Maticforbone/mucosallayerrefinement,ExocadDentalCADandSolidWorksforimplants,abutmentandprosthe-sisintegration,andANSYSformeshingandFEA).Assumingisotropic/elasticmaterialproperties,zirconiaandpolyetherketoneketone(PEKK)wereselectedasprostheticmateri-als.Modelsweresubjectedtoastaticverticalload(100N).vonMisesstressandtotaldefor-mationwereanalysedtoevaluatestructuralresponses.Results:M3demonstratedthemostfavourablebiomechanicalprofile,exhibitingthelowestvonMisesstressmagnitudesalongsidethehighestoveralldeformation.Inhybridmodels(M1,M2),stressmaximawerelocalisedatthepontic−toothconnectorregionsand,inM1-PEKK,reached261MPainthescrew.Corticalboneandpreparedteethexhibitedhigherstressindis-tallyanchoredhybridsystems(M1)comparedtomesiallysupporteddesigns(M2),regardlessoftheprostheticmaterial.Comparativeanalysisrevealedthatzirconia-basedprosthesesgen-eratedhigherstressconcentrationsinbone(≤35MPa)comparedtoPEKK,whereasthePEKKprosthesisitselfexhibitedgreaterstructuraldeformation(70mminM1-PEKK).Conclusion:Hybridimplant-tooth-supportedprosthesescanactasareliablealternativetoimplant-implantonesandeliminatecantileverextensions;however,theiruseshouldbereservedforcarefullyselectedcasestoavoidbiomechanicalincompatibilities.
Recommended Citation
Fayad, Basma Refaat; Heiba, Islam Dr; and Diab, Al Hassan, "BiomechanicalPerformanceofImplant-Tooth-SupportedProstheses:ANumerical3DFiniteElementAnalysis" (2025). Dentistry. 547.
https://buescholar.bue.edu.eg/dentistry/547