ArticleJournal of Indian Prosthodontic Society
A finite element analysis to study the stress distribution on distal implants in an all-on-four situation in atrophic maxilla as affected by the tilt of the implants and varying cantilever lengths.
Article in Journal of Indian Prosthodontic Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Clinical success between tilted and axial implants in edentulous maxilla: A systematic review and meta-analysis.Journal of Indian Prosthodontic SocietyPooled it
- Influence of Framework Material on Stress, Fatigue, and Stability of "All-on-Four" System Components-Biomechanical Evaluation with Finite Element Analysis.Journal of functional biomaterials · 2026Article
- Finite Element Analysis of Peri-Implant Stress in Maxillary All-on-Four Rehabilitation: Effects of Posterior Implant Angulation and Loading Protocol.Materials (Basel, Switzerland) · 2026Article
- Three-dimensional finite element analysis of full-arch implant-supported dental restorations: complete vs. segmented frameworks.Frontiers in bioengineering and biotechnology · 2026Article
- Influence of all-on-4 implant angles on stability and crestal bone - A finite element optimization analysis.Journal of dental sciences · 2026Article
- Evaluation of Polymethyl Methacrylate as a Provisional Material in a Fully Digital Workflow for Immediate-Load Complete-Arch Implant-Supported Prostheses over Three Months.Materials (Basel, Switzerland) · 2025Article
- Predictive mathematical modeling of biomechanical behavior in all-on-4 implants design: effects of distal implant and occlusal load angulation using RSM based on FEA.Frontiers in bioengineering and biotechnology · 2025Article
- Stress distribution pattern in all-on-four maxillary restorations supported by porous tantalum and solid titanium implants using three-dimensional finite element analysis.European journal of translational myology · 2024Article
- Difference in marginal bone loss around implants between short implant-supported partial fixed prostheses with and without cantilever: a retrospective clinical study.International journal of implant dentistry · 2023Article
- Influence of implant protrusion length and initial bone height on intrasinus bone gain in transalveolar sinus floor elevation without bone graft: a 2-year retrospective study.Annals of medicine and surgery (2012) · 2023Article
- Biomechanical Comparison of Asymmetric Implant Configurations for All-on-Four Treatment Using Three-Dimensional Finite Element Analysis.Life (Basel, Switzerland) · 2022Article
- Biomechanical analysis of stress around the tilted implants with different cantilever lengths in all-on-4 concept.BMC oral health · 2022Article
- Tilted implantation technique for edentulous patients.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2021Review
- A comparative evaluation of stress distribution between an All-on-Four implant-supported prosthesis and the Trefoil implant-supported prosthesis: A three-dimensional finite element analysis study.Journal of Indian Prosthodontic SocietyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this work was to evaluate stress distribution on implants in All-on-Four situation with varying distal implant angulations (30°,40°,45°) and varying cantilever lengths (4 mm, 8 mm, 12 mm, 16 mm) in atrophic maxilla using finite element analysis. SETTING AND
designA MATERIALS AND METHODOLOGY: Three-dimensional finite element model of an edentulous maxilla restored with a prosthesis supported by four implants was reconstructed to carry out the analysis. Three different configurations, corresponding to 3 tilt degrees of the distal implants (30°, 40°, and 45°) were subjected to 4 loading simulations. STATISTICAL ANALYSIS USED: The results of the simulations obtained were evaluated in terms of Von Mises equivalent stress levels at the bone-implant interface.
resultFrom a stress-level viewpoint, the 45° model was revealed to be the most critical for peri-implant bone. In all the loading simulations, the maximum stress values were always found at the neck of the distal implants. With increasing distal implant tilt, cantilever length reduces depending on the quality of bone. At 30° angulation of distal implant a maximum cantilever length of 16 mm may be given if the quality of bone is D3 but only 8 mm cantilever may be recommended if bone quality is D4. At 40° angulation, 16 mm in D3 bone and 0 mm in D4 bone whereas at 45° angulation, it reduces to 12 mm in D3 bone and no cantilever is recommended with D4 bone.
conclusionThe 45° tilt induced higher stress values at the bone-implant interface, especially in the distal aspect, than the other 2 tilts analyzed. Stress values increased with increased cantilever length which was further influenced by the distal implant tilt and the quality of the bone.
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