Journal of Prosthetic Dentistry
Volume 103, Issue 2 , Pages 91-100 , February 2010

Effect of varying the vertical dimension of connectors of cantilever cross-arch fixed dental prostheses in patients with severely reduced osseous support: A three-dimensional finite element analysis

  • Marianthi Manda, DDS, MSc

      Affiliations

    • PhD candidate, Department of Fixed Prosthesis and Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
  • ,
  • Christos Galanis, PhD

      Affiliations

    • Research Associate, Section of Mechanical Design and Control Systems, School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Vasilis Georgiopoulos, PhD

      Affiliations

    • Research Associate, Section of Mechanical Design and Control Systems, School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Christofer Provatidis, MSc, PhD

      Affiliations

    • Associate Professor, Section of Mechanical Design and Control Systems, School of Mechanical Engineering, National Technical University of Athens, Athens, Greece
  • ,
  • Petros Koidis, DDS, MSc, PhD

      Affiliations

    • Professor and Chairman, Department of Fixed Prosthesis and Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, 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. Kourkouta S , Hemmings KW , Laurell L . Restoration of periodontally compromised dentitions using cross-arch bridges. Principles of perio-prosthetic patient management . Br Dent J . 2007;203:189–195
  2. Manda M , Galanis C , Georgiopoulos V , Provatidis C , Koidis P . Effect of severely reduced bone support on the stress field developed within the connectors of three types of cross-arch fixed partial dentures . J Prosthet Dent . 2009;101:54–65
  3. Erhardson S , Carlsson J , Wictorin L . Fracture mechanics design of dental soldered joints . Swed Dent J Suppl . 1980;1–62
  4. Lundgren D . Prosthetic reconstruction of dentitions seriously compromised by periodontal disease . J Clin Periodontol . 1991;18:390–395
  5. 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 (FDPs) after an observation period of at least 5 years . Clin Oral Implants Res . 2004;15:667–676
  6. 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
  7. 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
  8. 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
  9. Owall B , Cromström R . First two-year complications of fixed partial dentures, eight units or more. Swedish Guarantee Insurance claims . Acta Odontol Scand . 2000;58:72–76
  10. 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
  11. Karlsson S . Failures and length of service in fixed prosthodontics after long-term function. A longitudinal clinical study . Swed Dent J . 1989;13:185–192
  12. Yi SW , Carlsson GE , Ericsson I , Wennström JL . Long-term follow-up of cross-arch fixed partial dentures in patients with advanced periodontal destruction: evaluation of occlusion and subjective function . J Oral Rehabil . 1996;23:186–196
  13. Yi SW , Ericsson I , Carlsson GE , Wennström JL . Long-term follow-up of cross-arch fixed partial dentures in patients with advanced periodontal destruction. Evaluation of the supporting tissues . Acta Odontol Scand . 1995;53:242–248
  14. Hanihara T , Ishida H . Metric dental variation of major human populations . Am J Phys Anthropol . 2005;128:287–298
  15. Craig RG . Advances in biomaterials from 1957 to 1997 . J Oral Rehabil . 1999;26:841–846
  16. Oh WS , Anusavice KJ . Effect of connector design on the fracture resistance of all-ceramic fixed partial dentures . J Prosthet Dent . 2002;87:536–542
  17. Oh W , Götzen N , Anusavice KJ . Influence of connector design on fracture probability of ceramic fixed-partial dentures . J Dent Res . 2002;81:623–627
  18. Rodriguez AM , Aquilino SA , Lund PS . Cantilever and implant biomechanics: a review of the literature. Part 1 . J Prosthodont . 1994;3:41–46
  19. Schweitzer JM , Schweitzer RD , Schweitzer J . Free-end pontics used on fixed partial dentures . J Prosthet Dent . 1968;20:120–138
  20. Glantz PO , Nyman S , Strandman E , Randow K . On functional strain in fixed manibular reconstructions. II. An in vivo study . Acta Odontol Scand . 1984;42:269–276
  21. 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
  22. Awadalla HA , Azarbal M , Ismail YH , el-Ibiari W . Three dimensional finite element stress analysis of a cantilevered fixed partial enture . J Prosthet Dent . 1992;68:243–248
  23. 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
  24. 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
  25. 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
  26. Wylie RS , Caputo AA . Fixed cantilever splints on teeth with normal and reduced periodontal support . J Prosthet Dent . 1991;66:737–742
  27. Eraslan O , Sevimay M , Usumez A , Eskitascioglu G . Effects of cantilever design and material on stress distribution in fixed partial dentures–a finite element analysis . J Oral Rehabil . 2005;32:273–278
  28. Augereau D , Pierrisnard L , Barquins M . Relevance of the finite element method to optimize fixed partial denture design. Part I. Influence of the size of the connector on the magnitude of strain . Clin Oral Investig . 1998;2:36–39
  29. Motta AB , Pereira LC , da Cunha AR , Duda FP . The influence of the loading mode on the stress distribution on the connector region of metal-ceramic and all-ceramic fixed partial denture . Artif Organs . 2008;23:283–291
  30. Taskonak B , Yan J , Mecholsky JJ , Sertgöz A , Koçak A . Fractographic analyses of zirconia-based fixed partial dentures . Dent Mater . 2008;24:1077–1082
  31. Kamposiora P , Papavasiliou G , Bayne SC , Felton DA . Stress concentration in all-ceramic posterior fixed partial dentures . Quintessence Int . 1996;27:701–706
  32. Marinescu R , Daegling DJ , Rapoff RJ . 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
  33. Romeed SA , Fok SL , Wilson NH . A comparison of a 2D and 3D finite element analysis of a restored tooth . J Oral Rehabil . 2006;33:209–215
  34. Al-Sukhun J , Lindqvist C , Helenius M . Development of a three-dimensional finite element model of a human mandible containing endosseous dental implants. II. Variables affecting the predictive behavior of a finite element model of a human mandible . J Biomed Mater Res A . 2007;80:247–256
  35. Budynas RG , Nisbett JK . In: Shigley's mechanical engineering design . New York: McGraw-Hill; 2006;p. 28
  36. Kythe PK , Wei D . In: An introduction to linear and nonlinear finite element analysis: a computational approach . Boston: Birkhäuser; 2004;p. 75
  37. Lindhe J , Karring T , Araújo M . Anatomy of the periodontal tissues . In:  Lindhe J ,  Lang NP ,  Karring T editor. Clinical periodontology and implant dentistry . 5th ed.. Oxford: Blackwell Munskgaard; 2008;p. 3
  38. Keough BE , Kay HB . 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
  39. Yamamoto M . In: Metal-ceramics: principles and methods of Makoto Yamamoto . Chicago: Quintessence; 1985;p. 15
  40. McLean JW . In: Science and art of dental ceramics. Volume II: Bridge design and laboratory procedures in dental ceramics . Chicago: Quintessence; 1980;p. 331
  41. 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
  42. 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
  43. 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
  44. 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
  45. Okeson JP . In: Management of temporomandibular disorders and occlusion . 6th ed.. St. Louis: Elsevier; 2007;p. 58
  46. 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
  47. 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
  48. 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
  49. 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
  50. Alkan I , Sertgöz A , Ekici B . Influence of occlusal forces on stress distribution in preloaded dental implant screws . J Prosthet Dent . 2004;91:319–325
  51. 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 study was presented at the 13th Annual Congress of the Balkan Stomatological Society, Limassol, Cyprus, May 2008.

PII: S0022-3913(10)60012-1

doi: 10.1016/S0022-3913(10)60012-1

Journal of Prosthetic Dentistry
Volume 103, Issue 2 , Pages 91-100 , February 2010