Article 2022 · 15 citations

Investigation of the Type of Angled Abutment for Anterior Maxillary Implants: A Finite Element Analysis

Abstract

Purpose The optimal abutment material and design for an angled implant-abutment connection in the esthetic zone is unclear. The purpose of this finite element analysis (FEA) study was to compare different abutment models by evaluating the stress values in the implant components and strain values on the simulated bone around an anterior maxillary implant with different angled abutment models and loading conditions. Materials and Methods One o3.5x12-mm implant was placed in 3D FEA models representing the anterior left lateral segment of the maxilla. Three different contemporary implant models were created with 17 degrees or 25 degrees angled abutments (Ti base abutment, zirconia abutment, and titanium abutment) and 3D-modeled. The implant abutment model was an angled Ti base abutment (TIB), an angled zirconia abutment (ZIR), or an angled titanium abutment (TIT). Vertical and oblique loads of 100 N for the central incisors were applied as boundary conditions to the cingulum area and incisal area in a nonlinear FEA. Results The TIB model resulted in reduced stress conditions. According to the von Mises stresses occurring on the screw, abutment, crown, and implant, especially under oblique loads, the TIB model was exposed to less stress than the ZIR or TIT models. Strain values in simulated cortical and trabecular bones were obtained lower in the TIB model. Conclusions When a standard implant was placed in the esthetic zone at an increased angle, the implants, abutments, and screws had more unfavorable stress levels; therefore, using a Ti-base abutment may reduce stress. The amount of contact surface of the implant with the simulated cortical bone is also an important factor affecting stress and strain.

Keywords

Dental implants Ti-base abutment angled zirconia abutment finite element analysis anterior maxillary implant STRESS-DISTRIBUTION BIOMECHANICAL BEHAVIOR FRACTURE-RESISTANCE ZIRCONIA ABUTMENTS DENTAL IMPLANTS BONE TITANIUM ANGULATION STRENGTH FAILURE

WoS Categories

Dentistry, Oral Surgery & Medicine

Sustainable Development Goals

Good Health and Well-being

Citation

Journal: JOURNAL OF PROSTHODONTICS-IMPLANT ESTHETIC AND RECONSTRUCTIVE DENTISTRY
Year: 2022
Volume: 31
Issue: 8
Pages: 689-696
ISSN: 1059-941X
eISSN: 1532-849X
DOI: 10.1111/jopr.13462
WoS UID: WOS:000731109300001

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