ArticleOdontology2023
Evaluation of stress and strain on mandible caused using "All-on-Four" system from PEEK in hybrid prosthesis: finite-element analysis.
Article in Odontology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Stress distribution in titanium and zirconia implants with full-arch prostheses: a finite element analysis.BMC oral health · 2026Article
- Influence of Framework Material on Biomechanical Performance of an All-on-4 Prosthesis Supported by Bendable Monoblock Implants.Bioengineering (Basel, Switzerland) · 2026Article
- Biomechanical effect of implant thickness and screw diameter on CFR-PEEK subperiosteal implants: a three-dimensional finite element analysis.Scientific reports · 2026Article
- Polyetheretherketone (PEEK) in maxillofacial reconstruction surgery: a narrative review.Annals of medicine and surgery (2012) · 2026Review
- BioHPP in prosthetic dentistry: a narrative review of mechanical, biological, and clinical properties.Biomaterial investigations in dentistry · 2026Review
- Integration of finite element method and artificial intelligence for evaluating PEEK composites in rib cage reconstruction process under impact conditions.Journal of materials science. Materials in medicine · 2025Article
- Influence of different polymeric materials of implant and attachment on stress distribution in implant-supported overdentures: a three-dimensional finite element study.BMC oral health · 2025Article
- Revolutionizing Dental Polymers: The Versatility and Future Potential of Polyetheretherketone in Restorative Dentistry.Polymers · 2024Review
- Mandibular biomechanics rehabilitated with different prosthetic restorations under normal and impact loading scenarios.BMC oral health · 2024Article
- Trabecular Bone Component Assessment under Orthodontic Loads and Movements during Periodontal Breakdown-A Finite Elements Analysis.Dentistry journal · 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
- Effects of Increasing the Orthodontic Forces over Cortical and Trabecular Bone during Periodontal Breakdown-A Finite Elements Analysis.Medicina (Kaunas, Lithuania) · 2023Article
- Cortical and Trabecular Bone Stress Assessment during Periodontal Breakdown-A Comparative Finite Element Analysis of Multiple Failure Criteria.Medicina (Kaunas, Lithuania) · 2023Article
- State-of-the-art polyetheretherketone three-dimensional printing and multifunctional modification for dental implants.Frontiers in bioengineering and biotechnology · 2023Review
- Evaluation of buccolingual and linguobuccal implants in the atrophic posterior mandible: A finite element analysis study.Journal of oral biology and craniofacial researchArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hybrid prostheses have recently been used as suitable treatment alternatives for edentulous individuals to restore the mastication mechanism. These prostheses utilize "All on four" concept, in which four implants are inserted into the jaw bone, and supported by a bar. Titanium is usually used in the fabrication of "All on four" parts due to its good mechanical properties. However, it has many drawbacks including esthetic impairment, casting issues, hypersensitivity reactions, stress shielding, and incompatibility with imaging techniques. These drawbacks have prompted researchers to find alternative materials (e.g., polymers). Recently, the new polymeric material PEEK has a major role in dentistry, due to its biocompatibility, shock-absorbing ability, and good mechanical properties. This work used the finite-element method to conduct stress-strain analysis on mandible rehabilitated with a hybrid prosthesis, using PEEK in the fabrication of "All on four" parts instead of titanium, using different densities of spongy bone. As the density of spongy bone is expected to influence the choice of "All on four" fabrication material. A 300 N vertical force was applied unilaterally, bilaterally, and anteriorly to stimulate the different mastication mechanisms. The results illustrated that PEEK material reduced the stresses and strains on bone tissues and increased the mucosal stress, compared to titanium. Consequently, this material was recommended to be used in the fabrication of "All on four" parts, especially in the low-density model. However, further research on PEEK implants and abutments is required in near future.
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