Evidence map›Paper›PMID 39934010›Full record

ArticleInternational dental journal2025

Biomechanical Evaluation of Cantilevered 2-Unit Implant-Supported Prostheses: A 3D Finite Element Study.

Hatem S Sadek, Noha M Anany, Al-Hassan Diab, Mohamed I El-Anwar, Abdulaziz Alhotan, Mostafa Aldesoki, Christoph Bourauel, Tarek M Elshazly

Abstract read
In one paragraph

Article in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

8 authors.

Hatem S SadekOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Noha M AnanyDepartment of Operative Dentistry, Faculty of Dentistry, Ain shams University, Cairo, Egypt.
Al-Hassan DiabDepartment of Oral Medicine, Periodontology and Diagnosis, Faculty of Dentistry, British University in Egypt, Cairo, Egypt.
Mohamed I El-AnwarDepartment of Mechanical Engineering, National Research Centre, Giza, Egypt.
Abdulaziz AlhotanDepartment of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Mostafa AldesokiOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Christoph BourauelOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Tarek M ElshazlyOral Technology, Dental School, University Hospital Bonn, Bonn, Germany. Electronic address: tarek.m.elshazly@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the biomechanical performance of cantilevered 2-unit implant-supported prostheses with zirconia and polyetherketoneketone (PEKK) under 3 loading conditions.

methodA cone beam computer tomography (CBCT) scan of an edentulous mandible was segmented using Mimics software and refined in 3-Matic software to create trabecular and cortical bone structures. Implant CAD files were integrated using SolidWorks software, generating 4 models with varying implant positions: M1 (first premolar implant supporting a second premolar), M2 (second premolar implant supporting a first premolar), M3 (second premolar implant supporting a first molar), and M4 (first molar implant supporting a second premolar). Prostheses were constructed from zirconia or PEKK. Finite element analysis (FEA) in ANSYS software simulated static loading: vertical (100 N) and oblique (30° and 45°, 50 N). von Mises stress and total deformation were analyzed.

resultsVertical loading showed the highest von Mises stress at cantilever connectors, with M3 displaying the highest cortical bone stress (117 MPa). Zirconia models had slightly higher prosthetic stress, while PEKK models exhibited greater implant and cortical bone stress. Oblique loading caused higher stress in implants and prostheses but remained below yield limits. Maximum deformation was under 25 micrometers for the implant and bone, and 65 micrometers for the prosthesis.

conclusionSingle implants can support 2-unit cantilevered prostheses when additional implants are unfeasible. The location of the cantilever has minimal impact compared to its size, as a larger cantilevered part increases stress. Zirconia better resists bending forces and reduces implant stress compared to PEKK. CLINICAL SIGNIFICANCE: This study guides prosthodontists in designing 2-unit implant-supported prostheses, emphasizing that multiple implants optimize stress distribution, and that zirconia is preferable for cantilevered designs.

Indexed as

Dental Prosthesis, Implant-SupportedBenzophenonesBiomechanical PhenomenaCone-Beam Computed TomographyDental ImplantsDental Prosthesis DesignDental Stress AnalysisFinite Element AnalysisHumansImaging, Three-DimensionalJaw, EdentulousKetonesMandiblePolymersZirconiumBenzophenonesDental ImplantsKetonespolyetheretherketonePolymersZirconiumzirconium oxideCAD/CAMFEMPEKKProsthodonticStress analysisZirconia

Identifiers

PMID39934010
PMCPMC12142789

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LicenceCC BY
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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.