Evidence map›Paper›PMID 37848070›Full record

ArticleEuropean journal of dentistry2024

Stress Analysis of Endodontically Treated Tooth-Implant Different Connectors Designs in Maxillary Posterior Region: A Finite Element Analysis.

Sara Hashemi, Kimia Baghaei, Amirhossein Fathi, Navid Aghadavoudi, Seyed Saman Hashemi, Ramin Atash, Sayed Sobhan Khademi

Open access · hybridAbstract read
In one paragraph

Article in European journal of dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Sara HashemiDental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0000-0003-4703-4374
Kimia BaghaeiDental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0000-0002-3759-2113
Amirhossein FathiDepartment of Dental Prosthodontics, Dental Materials Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Navid AghadavoudiDental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Seyed Saman HashemiPrivate Practice in Isfahan, Iran.
Ramin AtashDepartment of Prosthodontics, School of Dentistry, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium.
Sayed Sobhan KhademiDepartment of Prosthodontics, School of Dentistry, Islamic Azad University (Khorasgan Branch), Isfahan, Iran.
Isfahan University of Medical Sciences · IRIslamic Azad University, Isfahan · IRUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUsing finite element analysis (FEA), this study aimed to determine the effect of nonrigid connectors (NRCs) and their position on the success of tooth and implant-supported fixed prostheses in the maxillary posterior region. MATERIALS AND

methodsThree three-dimensional FEA models were designed, presuming maxillary second premolar and first molar to be extracted. Implant (replacing first molar), abutment, bone (spongious and cortical), first premolar (containing dentin, root cement, gutta-percha, and casting post and core), periodontal ligament, and three three-unit cemented porcelain-fused-to-metal prostheses (a rigid one and two nonrigid) were modeled. The NRC was once on the tooth side and once on the implant side. The prostheses were loaded twice. The first molar (180 N) and premolars (120 N) teeth were subjected to progressive vertical and oblique (12-degree) loads, and maximum von Mises stress and strain in teeth and connectors were calculated for each model.

resultsThe findings of the current study showed evidence that tooth-implant design with an NRC has significantly increased the average stress in the tooth. The average stress in dentin was 769.02 for the mesial connector and 766.95 for the distal connector, and this was only 731.59 for rigid connector. Furthermore, it was observed that rigid connector has considerably minimized the stress within the tooth-implant-supported fixed partial denture. The average stress for the crown and metal frame is 346.22 and 526.41 in rigid connector, while it is 1,172.9 and 2,050.9 for the nonrigid mesial connector.

conclusionAlthough distal NRC was more efficient than mesial NRC, using NRC will only reduce the stress applied to cortical bone and is not recommended in the posterior region of the maxilla.

Identifiers

PMID37848070
PMCPMC11132775
OpenAlexW4387697898

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.