Background <p>This finite element analysis compared stress distribution and displacement in the implant–crown complex and peri-implant bone between angulated bendable one-piece and two-piece implants supporting posterior maxillary single crowns under standardized modeling conditions.</p> Methods <p>A three-dimensional finite element model of a maxillary first molar single crown in Misch bone density category 3 was generated. Two base models representing a bendable one-piece implant and a two-piece angulated implant system (15°, 4.1 × 11.5&#xa0;mm) were each evaluated with 2 crown materials (monolithic zirconia and lithium disilicate) and a 0.05-mm cement layer. The bendable one-piece implant was analyzed in its final post-adjustment geometry. All component interfaces were defined as idealized bonded contacts, and a 100-N oblique load at 30° was applied to the occlusal surface in a linear static analysis.</p> Results <p>Implant von Mises stresses were markedly higher in the bendable one-piece models (518–529 MPa) than in the two-piece angulated models (109–112 MPa), representing an approximately 4.7-times-higher stress level. Cement-layer stresses ranged from 22 to 29 MPa and were higher in the two-piece configurations. Crown displacement was approximately two times higher in the two-piece configurations (0.036–0.037 mm) than in the one-piece configurations (0.018 mm). Peri-implant bone principal stresses were also higher in the one-piece models, whereas differences between zirconia and lithium disilicate crowns were modest.</p> Conclusions <p>Within the limitations of this finite element analysis, the two-piece angulated configuration was associated with lower implant and peri-implant bone stresses than the bendable one-piece configuration, although it showed higher cement-layer stress and crown displacement. These results represent comparative behavior within an idealized model.</p>

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Stress distribution in angulated bendable one-piece and two-piece implant-supported single crowns in the posterior maxilla: a finite element analysis

  • Qassam Jaghoub,
  • Çağla Yeşil,
  • Zeynep Yeşil

摘要

Background

This finite element analysis compared stress distribution and displacement in the implant–crown complex and peri-implant bone between angulated bendable one-piece and two-piece implants supporting posterior maxillary single crowns under standardized modeling conditions.

Methods

A three-dimensional finite element model of a maxillary first molar single crown in Misch bone density category 3 was generated. Two base models representing a bendable one-piece implant and a two-piece angulated implant system (15°, 4.1 × 11.5 mm) were each evaluated with 2 crown materials (monolithic zirconia and lithium disilicate) and a 0.05-mm cement layer. The bendable one-piece implant was analyzed in its final post-adjustment geometry. All component interfaces were defined as idealized bonded contacts, and a 100-N oblique load at 30° was applied to the occlusal surface in a linear static analysis.

Results

Implant von Mises stresses were markedly higher in the bendable one-piece models (518–529 MPa) than in the two-piece angulated models (109–112 MPa), representing an approximately 4.7-times-higher stress level. Cement-layer stresses ranged from 22 to 29 MPa and were higher in the two-piece configurations. Crown displacement was approximately two times higher in the two-piece configurations (0.036–0.037 mm) than in the one-piece configurations (0.018 mm). Peri-implant bone principal stresses were also higher in the one-piece models, whereas differences between zirconia and lithium disilicate crowns were modest.

Conclusions

Within the limitations of this finite element analysis, the two-piece angulated configuration was associated with lower implant and peri-implant bone stresses than the bendable one-piece configuration, although it showed higher cement-layer stress and crown displacement. These results represent comparative behavior within an idealized model.