Photoelastic analysis of the distribution of stress in different systems of overdentures on osseous-integrated implants.

Ana Carolina Masarolo Machado, Leandro Cardoso, William Cunha Brandt, Guilherme Elias Pessanha Henriques, Mauro Antonio de Arruda Nóbilo

Index: J. Craniofac. Surg. 22(6) , 2332-6, (2011)

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Abstract

The aim of this study was to evaluate the distribution of generated stress around implants and adjacent bone tissue using different implant-retained overdenture designs through photoelastic analysis.Over an edentulous human mandible, achieved from a human model, 2 or 4 microunit analog abutments were embedded (Master; Conexao Systems Prosthodontics, São Paulo, Brazil), settled in the interforaminal region. Three models of photoelastic resin (Araltec Chemicals Ltda, Hunstman, Guarulhos, São Paulo, Brazil), with 2 or 4 incorporated implants and microunit abutments, were obtained from molds using silicone for duplication. Inclusion, finishing, and polishing procedures were applied on the frameworks. This study was based on 3 different mechanisms of implant-retained mandibular overdentures: O'ring (GI), bar-clip (GII) (both with 2 implants), and their association (GIII) (with 4 implants). After the adaptation of each overdenture system on the photoelastic models, 100-N alternate occlusal loads were applied on back-side and front-side regions. The photoelastic analysis was made with the aid of a plain polariscope linked to a digital camera, Sony Cybershot α100, which allowed visualization of the fringes and registration of images on digital photographs.The results demonstrated higher tension concentrated over the GIII, with a flat distribution of stress to the posterior ridge and overload on the posterior implants. GI showed the smaller stress level, and GII, intermediate level; there was distribution of stress to the posterior ridge in these 2 groups.The use of bar attachment proved to be a better alternative, because it showed a moderate level of tension with a more uniform stress distribution and possessed higher retention than did the ball system.