Evidence map›Paper›PMID 38622680›Full record

ArticleBMC oral health2024

Biomechanical behavior of implant retained prostheses in the posterior maxilla using different materials: a finite element study.

Ahmad Aboelfadl, Ludger Keilig, Kamal Ebeid, Mohamed Abdel Moniem Ahmed, Ingy Nouh, Ashraf Refaie, Christoph Bourauel

Abstract read
In one paragraph

Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Load-To-Failure of Cantilevered Provisional Implant-Supported Prostheses: Conventional Versus 3D-Printed Resins.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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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.

Ahmad AboelfadlDepartment of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt. a.aboelfadl@gmail.com.
Ludger KeiligOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Kamal EbeidDepartment of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Mohamed Abdel Moniem AhmedDepartment of Fixed Prosthodontics, Faculty of Dentistry, Suez University, Suez, Egypt.
Ingy NouhDepartment of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Ashraf RefaieOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Christoph BourauelOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to evaluate the biomechanical behavior of the mesial and distal off-axial extensions of implant-retained prostheses in the posterior maxilla with different prosthetic materials using finite element analysis (FEA).

methodsThree dimensional (3D) finite element models with three implant configurations and prosthetic designs (fixed-fixed, mesial cantilever, and distal cantilever) were designed and modelled depending upon cone beam computed tomography (CBCT) images of an intact maxilla of an anonymous patient. Implant prostheses with two materials; Monolithic zirconia (Zr) and polyetherketoneketone (PEKK) were also modeled .The 3D modeling software Mimics Innovation Suite (Mimics 14.0 / 3-matic 7.01; Materialise, Leuven, Belgium) was used. All the models were imported into the FE package Marc/Mentat (ver. 2015; MSC Software, Los Angeles, Calif). Then, individual models were subjected to separate axial loads of 300 N. Von mises stress values were computed for the prostheses, implants, and bone under axial loading.

resultsThe highest von Mises stresses in implant (111.6 MPa) and bone (100.0 MPa) were recorded in distal cantilever model with PEKK material, while the lowest values in implant (48.9 MPa) and bone (19.6 MPa) were displayed in fixed fixed model with zirconia material. The distal cantilever model with zirconia material yielded the most elevated levels of von Mises stresses within the prosthesis (105 MPa), while the least stresses in prosthesis (35.4 MPa) were recorded in fixed fixed models with PEKK material.

conclusionsIn the light of this study, the combination of fixed fixed implant prosthesis without cantilever using a rigid zirconia material exhibits better biomechanical behavior and stress distribution around bone and implants. As a prosthetic material, low elastic modulus PEKK transmitted more stress to implants and surrounding bone especially with distal cantilever.

Indexed as

Dental ImplantsZirconiumDental Prosthesis, Implant-SupportedDental Stress AnalysisFinite Element AnalysisHumansMaxillaStress, MechanicalDental ImplantsZirconiumzirconium oxideBiomechanicsImplantPEKKVon mises stressZirconia

Identifiers

PMID38622680
PMCPMC11020654

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LicenceCC BY
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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.