Finite element analysis of fixed partial denture replacement.

The purpose of this study was to investigate, by means of the finite element method the mechanical behaviour of three designs of fixed partial denture (FPD) for the replacement of the maxillary first premolar in shortened dental arch therapy. Two-dimensional, linear, static finite element analyses were carried out to investigate the biomechanics of the FPDs and their supporting structures under different scenarios of occlusal loading. Displacement and stress distribution for each design of FPD were examined, with particular attention being paid to the stress variations along the retainer-abutment--and the periodontal ligament-bone interfaces. The results indicated that displacement and maximum principal stresses in the fixed-fixed, three-unit FPD were substantially less than those in the two-unit cantilever FPDs. Of the two cantilever FPDs investigated, the distal cantilever design was found to suffer less displacement and stresses than the mesial cantilever design under similar conditions of loading. The highest values for maximum principal stress in the cantilever FPDs were found within the connector between the pontic and the retainer, and within the periodontal ligament and adjacent bone on the aspect of the retainer away from the pontic.

[1]  D. Arola,et al.  A comparison of the mechanical behavior of posterior teeth with amalgam and composite MOD restorations. , 2001, Journal of dentistry.

[2]  E. Budtz-Jörgensen Restoration of the partially edentulous mouth--a comparison of overdentures, removable partial dentures, fixed partial dentures and implant treatment. , 1996, Journal of dentistry.

[3]  R. Thresher,et al.  The stress analysis of human teeth. , 1973, Journal of biomechanics.

[4]  D. Lundgren,et al.  Occlusal force pattern during chewing and biting in dentitions restored with fixed bridges of cross-arch extension. I. Bilateral end abutments. , 1986, Journal of oral rehabilitation.

[5]  E. Budtz-Jørgensen,et al.  Periodontal conditions following treatment with distally extending cantilever bridges or removable partial dentures in elderly patients. A 5-year study. , 1990, Journal of periodontology.

[6]  L A Lang,et al.  Finite element stress analysis on the effect of splinting in fixed partial dentures. , 1999, The Journal of prosthetic dentistry.

[7]  A. Käyser Shortened dental arches and oral function. , 1981, Journal of oral rehabilitation.

[8]  Käyser Af Shortened dental arch: a therapeutic concept in reduced dentitions and certain high-risk groups. , 1989 .

[9]  G. V. van Rossum,et al.  A 6-year follow-up study of oral function in shortened dental arches. Part II: Craniomandibular dysfunction and oral comfort. , 1994, Journal of oral rehabilitation.

[10]  P. Glantz,et al.  Quality of fixed prosthodontics after twenty-two years , 2002 .

[11]  A J Crothers,et al.  The use of cantilever bridges. , 1995, Dental update.

[12]  J W McLean,et al.  The science and art of dental ceramics. , 1991, Operative dentistry.

[13]  C H Wang,et al.  Methods to improve a periodontally involved terminal abutment of a cantilever fixed partial denture--a finite element stress analysis. , 1998, Journal of oral rehabilitation.

[14]  N. Jepson,et al.  Conservative dentistry: Short and sticky options in the treatment of the partially dentate patient , 1999, British Dental Journal.

[15]  R G Craig,et al.  Finite element analysis of three- and four-unit bridges. , 1989, Journal of oral rehabilitation.

[16]  B. Öwall,et al.  Prosthodontics : principles and management strategies , 1996 .

[17]  W. Kalk,et al.  Needs for tooth replacement. , 1993, International dental journal.

[18]  M J Tyas,et al.  Strain patterns in cervical enamel of teeth subjected to occlusal loading. , 2000, Dental materials : official publication of the Academy of Dental Materials.

[19]  H S Yang,et al.  Stress analysis of a cantilevered fixed partial denture with normal and reduced bone support. , 1996, The Journal of prosthetic dentistry.

[20]  E. Budtz-Jørgensen,et al.  Cantilever bridges or removable partial dentures in geriatric patients: a two-year study. , 1987, Journal of oral rehabilitation.