Analysis by the finite element method of the stress distribution in prosthetic components placed in implants with morse cone connection in the anterior maxilla / Análise pelo método dos elementos finitos da distribuição de tensões em componentes protéticos posicionados em implantes com conexão cone morse na região anterior da maxila

Camilo Andrés Villabona López

The aim of this study was to evaluate through the three-dimensional method of the finite elements the stress distribution in the bone / implant interface and implant / abutment on implants with morse cone connection, placed in the anterior maxilla. From a virtual reconstruction of bone from a CT scan, cantilever prosthesis (11-21) was simulated using prosthetic component with neck height of 2.5 mm placed in the implant with 3.75 and 4.0 mm diameter and 8.5 and 10 mm length; and conventional fixed partial denture (12-22) with prosthetic component with neck height of 1.5 mm placed in implants with 3.75 and 3.3mm of diameter and 8.5 mm and 10 mm length. The test performed with application of load of 178 N and inclination of 45 ° to the long axis of the implant in the palatal surface of the prosthesis. The peak stress concentration Equivalent Von Mises for both clinical cases were found in areas of the neck of the prosthetic components, platform and neck implants and peri-implant bone area. In the central incisors region, the highest value stressVon mises corresponded to 8.5 x 3.75 mm implant (370.413 MPa), and the lowest value to 4.0 x 8.5 mm implant (367 , 475 MPa). At the peri-implant bone the stress ranged from 53.846 MPa for 8.5 mm x 3.75 mm implant to 47,284 MPa for 4.0 mm x 10 mm implant. For implants placed in the lateral incisors region, the highest value corresponded to 3.3 x 8.5 mm implant (832 , 911 MPa ), and the lowest value to 3.75 mm x 8.5 mm implant (433, 666 MPa ). At the peri-implant bone the highest value stressVon mises ranged from 64.433 MPa for 3.3 mm x 8.5 mm implant, to 50,277 MPa for 3.75 x 10 mm implant. It follows that the values and peak areas of stress on the prosthetic components placed on implants with different lengths ( 8.5 to 10 mm) and diameter (3.75 and 4.0 mm), in the central incisors area, were similar. Implants with the same diameter, placed in the lateral incisors area showed values and areas of tension similar on the abutment and peri-implant bone area, regardless of the length. Implants with 3.3 mm diameter were twice the values that 3.75 mm implants.

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