ArticleMaterials (Basel, Switzerland)2021
Evaluation of Stresses on Implant, Bone, and Restorative Materials Caused by Different Opposing Arch Materials in Hybrid Prosthetic Restorations Using the All-on-4 Technique.
Article in Materials (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 29 citations in OpenAlex.
- Medium-term clinical outcomes of the all-on-4 system in different bone types: a retrospective analysis.BMC oral health · 2026Observational
- Biomechanical Behavior of Different Framework and Superstructure Material Combinations in Two-Implant-Supported Four-Unit Prostheses: A Dynamic Finite Element Analysis.Materials (Basel, Switzerland) · 2026Article
- Influence of Framework Material on Biomechanical Performance of an All-on-4 Prosthesis Supported by Bendable Monoblock Implants.Bioengineering (Basel, Switzerland) · 2026Article
- 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
- Biomechanical analysis of All-on-4 implant supported framework using different materials across various clinical practice.BMC oral health · 2025Article
- Effect of saliva on accuracy of digital dental implant transfer using two different materials of intraoral scan bodies with different exposed lengths.BMC oral health · 2024Article
- Article
- Personalized prosthesis design in all-on-4® treatment through deep learning-accelerated structural optimization.Journal of dental sciences · 2024Article
- Article
- Mandibular biomechanics rehabilitated with different prosthetic restorations under normal and impact loading scenarios.BMC oral health · 2024Article
- The All-on-4 Concept Using Polyetheretherketone (PEEK)-Acrylic Resin Prostheses: Follow-Up Results of the Development Group at 5 Years and the Routine Group at One Year.Biomedicines · 2023Article
- Finite Element Analysis (FEA) of a Premaxillary Device: A New Type of Subperiosteal Implant to Treat Severe Atrophy of the Maxilla.Biomimetics (Basel, Switzerland) · 2023Article
- Evaluation of stresses on mandible bone and prosthetic parts in fixed prosthesis by utilizing CFR-PEEK, PEKK and PEEK frameworks.Scientific reports · 2023Article
- Evaluation of stress and strain on mandible caused using "All-on-Four" system from PEEK in hybrid prosthesis: finite-element analysis.Odontology · 2023Article
- Three-Dimensional FEA Analysis of the Stress Distribution on Titanium and Graphene Frameworks Supported by 3 or 6-Implant Models.Biomimetics (Basel, Switzerland) · 2023Article
- Influence of Framework Material and Posterior Implant Angulation in Full-Arch All-on-4 Implant-Supported Prosthesis Stress Concentration.Dentistry journal · 2022Article
- Effect of Opposite Tooth Condition on Marginal Bone Loss around Submerged Dental Implants: A Retrospective Study with a 3-Year Follow-Up.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The long-term success of dental implants is greatly influenced by the use of appropriate materials while applying the "All-on-4" concept in the edentulous jaw. This study aims to evaluate the stress distribution in the "All-on-4" prosthesis across different material combinations using three-dimensional finite element analysis (FEA) and to evaluate which opposing arch material has destructive effects on which prosthetic material while offering certain recommendations to clinicians accordingly. Acrylic and ceramic-based hybrid prosthesis have been modelled on a rehabilitated maxilla using the "All-on-4" protocol. Using different materials and different supports in the opposing arch (natural tooth, and implant/ceramic, and acrylic), a multi-vectorial load has been applied. To measure stresses in bone, maximum and minimum principal stress values were calculated, while Von Mises stress values were obtained for prosthetic materials. Within a single group, the use of an acrylic implant-supported prosthesis as an antagonist to a full arch implant-supported prosthesis yielded lower maximum (Pmax) and minimum (Pmin) principal stresses in cortical bone. Between different groups, maxillary prosthesis with polyetheretherketone as framework material showed the lowest stress values among other maxillary prostheses. The use of rigid materials with higher moduli of elasticity may transfer higher stresses to the peri implant bone. Thus, the use of more flexible materials such as acrylic and polyetheretherketone could result in lower stresses, especially upon atrophic bones.
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