Treatment planning of implants when 3 mandibular posterior teeth are missing: a 3-dimensional finite element analysis.

ABSTRACT

PURPOSE: To analyze the biomechanics of 3 designs of implant treatment for 3 teeth missing in posterior low arch quadrants. MATERIAL AND METHODS: A posterior portion of the human mandible missing 44, 45, 46 and three 4.1 × 10 mm threaded ITI implants with crowns were used to construct the finite element model. According to 3 implants being single, splinted or 2 implants support fixed partial denture (FPD) fixed in bone segments. Three implant support conditions were prepared with ANSYS 10.0. A load of 100 N was applied at the central fossa of the occlusal surfaces of the crowns at 45 degrees buccolingually along the triangular ridge of the buccal cusp. The von Mises stress and strain distributions in periimplant bone were observed. RESULTS: The results demonstrated that the von Mises stress in the supporting bone of the 2-implant supported FPD significantly increased compared with that in the 3-implant replacement. Meanwhile, when 3 implants were splinted, only the median implant had a decreased and more homogenous stress distribution, and the other implants did not exhibit significant differences when splinted. CONCLUSION: This study suggests that when space and cost permit, a 2-implant supported FPD should not be used, and 1 implant for each missing tooth being single is recommended.