Journal of Prosthetic Dentistry
Volume 101, Issue 1 , Pages 54-65 , January 2009

Effect of severely reduced bone support on the stress field developed within the connectors of three types of cross-arch fixed partial dentures

  • Marianthi Manda, DDS, MSc

      Affiliations

    • PhD student, Department of Fixed Prosthesis and Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki. School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Christos Galanis, PhD

      Affiliations

    • Research Associate, Mechanical Designs and Control Systems Division, School of Mechanical Engineering, National Technical University of Athens. School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Vasilis Georgiopoulos, PhD

      Affiliations

    • Research Associate, Mechanical Designs and Control Systems Division, School of Mechanical Engineering, National Technical University of Athens. School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Christofer Provatidis, MSc, PhD

      Affiliations

    • Associate Professor, Mechanical Designs and Control Systems Division, School of Mechanical Engineering, National Technical University of Athens. School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Petros Koidis, DDS, MSc, PhD

      Affiliations

    • Professor, Department of Fixed Prosthesis and Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki. School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
    • Corresponding Author InformationCorresponding author: Dr Petros Koidis, Department of Fixed Prosthesis and Implant, Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, University Campus, Dentistry Building, GR 54124, Thessaloniki, GREECE, Fax: +30 2310 999676

References 

  1. Kay HB , Keough BE , Rosenberg MM , Holt RL . Presurgical prosthetic diagnosis and management . In:  Rosenberg MM editors. Periodontal and prosthetic management for advanced cases . Chicago: Quintessence; 1988;p. 61
  2. Kanno T , Carlsson GE . A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group . J Oral Rehabil . 2006;33:850–862
  3. Hämmerle CH , Ungerer MC , Fantoni PC , Brägger U , Bürgin W , Lang NP . Long-term analysis of biologic and technical aspects of fixed partial dentures with cantilevers . Int J Prosthodont . 2000;13:409–415
  4. Isidor F , Budtz-Jørgensen E . Periodontal conditions following treatment with distally extending cantilever bridges or removable partial dentures in elderly patients. A 5-year study . J Periodontol . 1990;61:21–26
  5. Budtz-Jørgensen E , Isidor F . A 5-year longitudinal study of cantilevered fixed partial dentures compared with removable partial dentures in a geriatric population . J Prosthet Dent . 1990;64:42–47
  6. Misch CE , Steingnga C , Barboza E , Misch-Dietsh F , Cianciola LJ , Kazor C . Short dental implants in posterior partial edentulism: a multicenter retrospective 6-year case series study . J Periodontol . 2006;77:1340–1347
  7. Tan K , Pjetursson BE , Lang NP , Chan ES . A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years . Clin Oral Implants Res . 2004;15:654–666
  8. Pjetursson BE , Tan K , Lang NP , Brägger U , Egger M , Zwahlen M . A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years . Clin Oral Implants Res . 2004;15:667–676
  9. Laurell L , Lundgren D , Falk H , Hugoson A . Long-term prognosis of extensive polyunit cantilevered fixed partial dentures . J Prosthet Dent . 1991;66:545–552
  10. Lundgren D . Prosthetic reconstruction of dentitions seriously compromised by periodontal disease . J Clin Periodontol . 1991;18:390–395
  11. Randow K , Glantz PO , Zöger B . Technical failures and some related clinical complications in extensive fixed prosthodontics. An epidemiological study of long-term clinical quality . Acta Odontol Scand . 1986;44:241–255
  12. Karlsson S . Failures and length of service in fixed prosthodontics after long-term function. A longitudinal study . Swed Dent J . 1989;13:185–192
  13. Rodriguez AM , Aquilino SA , Lund PS . Cantilever and implant biomechanics: a review of the literature. Part 1 . J Prosthodont . 1994;3:41–46
  14. Schweitzer JM , Schweitzer RD , Schweitzer J . Free-end pontics used on fixed partial dentures . J Prosthet Dent . 1968;20:120–138
  15. Glantz PO , Nyman S , Strandman E , Randow K . On functional strain in fixed mandibular reconstructions. II. An in vivo study . Acta Odontol Scand . 1984;42:276–299
  16. Lundgren D , Laurell L . Occlusal force pattern during chewing and biting in dentitions restored with fixed bridges of cross-arch extension. II. Unilateral posterior two-unit cantilevers . J Oral Rehabil . 1986;13:191–203
  17. Awadalla HA , Azarbal M , Ismail YH , el-Ibiari W . Three dimensional finite element stress analysis of a cantilevered fixed partial denture . J Prosthet Dent . 1992;68:243–248
  18. Yang HS , Chung HJ , Park YJ . Stress analysis of a cantilevered fixed partial denture with normal and reduced bone support . J Prosthet Dent . 1996;76:424–430
  19. Wang CH , Lee HE , Wang CC , Chang HP . Methods to improve a periodontally involved terminal abutment of a cantilevered fixed partial denture-a finite element stress analysis . J Oral Rehabil . 1998;25:253–257
  20. Yang HS , Lang LA , Felton DA . Finite element stress analysis on the effect of splinting in fixed partial dentures . J Prosthet Dent . 1999;81:721–728
  21. Romeed SA , Fok SL , Wilson NH . A comparison of 2D and 3D finite element analysis of a restored tooth . J Oral Rehabil . 2006;33:209–215
  22. Marinescu R , Daegling DJ , Rapoff AJ . Finite element modeling of the anthropoid mandible: the effects of altered boundary conditions . Anat Rec A Discov Mol Cell Evol Biol . 2005;283:300–309
  23. Nyman S , Lindhe J . A longitudinal study of combined periodontal and prosthetic treatment of patients with advanced periodontal disease . J Periodontol . 1979;50:163–169
  24. Checchi L , Montevecchi M , Gatto MR , Trombelli L . Retrospective study of tooth loss in 92 treated periodontal patients . J Clin Periodontol . 2002;29:651–656
  25. Nieri M , Muzzi L , Cattabriga M , Rotundo R , Cairo F , Pini Prato GP . The prognostic value of several periodontal factors measured as radiographic bone level variation: a 10-year retrospective multilevel analysis of treated and maintained periodontal patients . J Periodontol . 2002;73:1485–1493
  26. Lindhe J , Karring T , Araujo M . Anatomy of the periodontium . In:  Lindhe J ,  Lang NP ,  Karring T editor. Clinical periodontology and implant dentistry . Oxford: Blackwell Munskgaard; 2008;p. 3
  27. Keough BE , Kay BH . Postsurgical prosthetic management . In:  Rosenberg MM ,  Kay HB ,  Keough BE ,  Holt RL editor. Periodontal and prosthetic management for advanced cases . Chicago: Quintessence; 1988;p. 323
  28. Yamamoto M . In: Metal-ceramics: principles and methods of Makoto Yamamoto . Chicago: Quintessence; 1985;p. 15
  29. In:  McLean JW ,  Hubbard JR ,  Kedge MI editor. The science and art of dental ceramics. Volume II: bridge design and laboratory procedures in dental ceramics . Chicago: Quintessence; 1980;p. 331
  30. Akça KA , Iplikçioglu H . Finite element stress analysis of the influence of staggered versus straight placement of dental implants . Int J Oral Maxillofac Implants . 2001;16:722–730
  31. Vollmer D , Meyer U , Joos U , Vègh A , Piffko J . Experimental and finite element study of a human mandible . J Craniomaxillofac Surg . 2000;28:91–96
  32. Nagasao T , Kobayashi M , Tsuchiya Y , Kaneko T , Nakajima T . Finite element analysis of the stresses around fixtures in various reconstructed mandibular models-part II (effect of horizontal load) . J Craniomaxillofac Surg . 2003;31:168–175
  33. Shinogaya T , Tanaka Y , Toda S , Hayakawa I . A new approach to evaluating occlusal support by analyzing the center of the bite force . Clin Oral Investig . 2002;6:249–256
  34. Okeson JP . In: Management of temporomandibular disorders and occlusion . St. Louis: Elsevier; 2008;p. 58
  35. Laurell L , Lundgren D . Distribution of occlusal forces along unilateral posterior two-unit cantilever segments in cross-arch fixed partial dentures . J Prosthet Dent . 1988;60:106–112
  36. Tanne K , Hiraga J , Sakuda M . Effects of directions of maxillary protraction forces on biomechanical changes in craniofacial complex . Eur J Orthod . 1989;11:382–391
  37. Middleton J , Jones M , Wilson A . The role of the periodontal ligament in bone modeling: the initial development of a time-dependent finite element model . Am J Orthod Dentofacial Orthop . 1996;109:155–162
  38. Menicucci G , Mossolov A , Mozzati M , Lorenzetti M , Preti G . Tooth-implant connection: some biomechanical aspects based on finite element analyses . Clin Oral Implants Res . 2002;13:334–341
  39. Aykul H , Toparli M , Dalkiz M . A calculation of stress distribution in metal-porcelain crowns by using three-dimensional finite element method . J Oral Rehabil . 2002;29:381–386

 The present study was presented at the 31st Annual Conference of the European Prosthodontic Association, Athens, Greece, October 2007. This article is in partial fulfillment of a Masters degree from the University of Thessaloniki.

PII: S0022-3913(08)60292-9

doi: 10.1016/S0022-3913(08)60292-9

Journal of Prosthetic Dentistry
Volume 101, Issue 1 , Pages 54-65 , January 2009