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J Dent Res Dent Clin Dent Prospects. 2015;9(4): 246-253. doi: 10.15171/joddd.2015.044
PMID: 26889362        PMCID: PMC4753034

Original Research

The Comparison of Stress Distribution with Different Implant Numbers and Inclination Angles In All-on-four and Conventional Methods in Maxilla: A Finite Element Analysis

Fariba Saleh Saber 1, Shima Ghasemi 2 * , Rodabeh Koodaryan 2, Amirreza Babaloo 3, Nader Abolfazli 4

Cited by CrossRef: 22


1- Zincir Ö, Parlar A. Comparison of stresses in monoblock tilted implants and conventional angled multiunit abutment-implant connection systems in the all-on-four procedure. BMC Oral Health. 2021;21(1) [Crossref]
2- Kilic E, Doganay O. Evaluation of Stress in Tilted Implant Concept With Variable Diameters in the Atrophic Mandible: Three-Dimensional Finite Element Analysis. 2020;46(1):19 [Crossref]
3- Makled S, Abd Elfatah F, El-Guindy M. Comparative study between different designs of maxillary implant assisted overdenture (in vitro study). 2021;18(2):38 [Crossref]
4- ÖZDAL ZİNCİR Ö. Sosyal medya kullanıcılarına sağlanan All-on-4 dental implant sistemi hakkındaki bilgilerin yararlılığı. 2021;38(2):35 [Crossref]
5- Masoomi F, Mahboub F. Stress distribution pattern in all-on-four maxillary restorations supported by porous tantalum and solid titanium implants using three-dimensional finite element analysis. Eur J Transl Myol. 2024; [Crossref]
6- Murugaian J, Ganesan L, Shankar M, Annapoorni H. A comparative evaluation of stress distribution between an All-on-Four implant-supported prosthesis and the Trefoil implant-supported prosthesis: A three-dimensional finite element analysis study. J Indian Prosthodont Soc. 2022;22(1):56 [Crossref]
7- Darwich Z, Darwich A, Al-Raeei M, Azmeh C. Creating smiles: a case study on the transformational power of dental CAD/CAM technology. 2024;:459 [Crossref]
8- Tribst J, Campanelli de Morais D, Melo de Matos J, Lopes G, Dal Piva A, Souto Borges A, Bottino M, Lanzotti A, Martorelli M, Ausiello P. Influence of Framework Material and Posterior Implant Angulation in Full-Arch All-on-4 Implant-Supported Prosthesis Stress Concentration. Dentistry Journal. 2022;10(1):12 [Crossref]
9- Gümrükçü Z, Korkmaz Y. Influence of implant number, length, and tilting degree on stress distribution in atrophic maxilla: a finite element study. Med Biol Eng Comput. 2018;56(6):979 [Crossref]
10- Chowdhary R, Kumararama S. “Simpli5y” a noval concept for fixed rehabilitation of completely edentulous maxillary and mandibular edentulous arches: A 3‐year randomized clinical trial, supported by a numerical analysis. Clin Implant Dent Rel Res. 2018;20(5):749 [Crossref]
11- Oh J, Kim Y, Lim J, Choi B. Stress Distribution on the Prosthetic Screws in the All-on-4 Concept: A Three-Dimensional Finite Element Analysis. 2020;46(1):3 [Crossref]
12- Liu X, Pang F, Li Y, Jia H, Cui X, Yue Y, Yang X, Yang Q. Effects of Different Positions and Angles of Implants in Maxillary Edentulous Jaw on Surrounding Bone Stress under Dynamic Loading: A Three-Dimensional Finite Element Analysis. Computational and Mathematical Methods in Medicine. 2019;2019:1 [Crossref]
13- Zhang H, Li Q, Wang Y, Wang Z, Lin Z, Sha L, Zhang D, Liu J, Wang J, Li J, Fan S. Combination of biomechanical evaluation and accurate placement of dental implants: a new concept of virtual surgery in maxillary and mandibular functional reconstruction. British Journal of Oral and Maxillofacial Surgery. 2020;58(1):62 [Crossref]
14- Sun X, Cheng K, Liu Y, Ke S, Zhang W, Wang L, Yang F. Biomechanical comparison of all-on-4 and all-on-5 implant-supported prostheses with alteration of anterior-posterior spread: a three-dimensional finite element analysis. Front Bioeng Biotechnol. 2023;11 [Crossref]
15- Wang Q, Zhang Z, Bai S, Zhang S. Biomechanical analysis of stress around the tilted implants with different cantilever lengths in all-on-4 concept. BMC Oral Health. 2022;22(1) [Crossref]
16- Liu T, Mu Z, Yu T, Wang C, Huang Y. Biomechanical comparison of implant inclinations and load times with the all-on-4 treatment concept: a three-dimensional finite element analysis. Computer Methods in Biomechanics and Biomedical Engineering. 2019;22(6):585 [Crossref]
17- Puisys A, Auzbikaviciute V, Vindasiute‐Narbute E, Zukauskas S, Vaicekauskas K, Razukevicus D. Crestal bone stability after flapless placement of sloped implants with immediate temporization in edentulous mandible. A prospective comparative clinical trial. Clinical & Exp Dental Res. 2021;7(2):131 [Crossref]
18- Darwich A, Alammar A, Heshmeh O, Szabolcs S, Nazha H. Fatigue Loading Effect in Custom-Made All-on-4 Implants System: A 3D Finite Elements Analysis. IRBM. 2022;43(5):372 [Crossref]
19- Kelkar K, Bhat V, Hegde C. Finite element analysis of the effect of framework materials at the bone–implant interface in the all-on-four implant system. 2021;18(1):1 [Crossref]
20- Oyar P, Durkan R, Deste G. The effect of the design of a mandibular implant-supported zirconia prosthesis on stress distribution. The Journal of Prosthetic Dentistry. 2021;125(3):502.e1 [Crossref]
21- Chang C, Karmakar R, Mukundan A, Lu S, Choomjinda U, Chen M, Chen Y, Wang H. Mechanical Integrity of All-on-Four Dental Implant Systems: Finite Element Simulation of Material Properties of Zirconia, Titanium, and PEEK. TODENTJ. 2024;18(1) [Crossref]
22- Manacorda M, Poletti de Chaurand B, Merlone A, Tetè G, Mottola F, Vinci R. Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study. Dentistry Journal. 2020;8(1):14 [Crossref]
23- LEBLEBİCİOĞLU İ, ESİM E, KILIÇ D, KILIÇ K. ‘ALL-ON-FOUR ‘ , ‘ALL-ON-FIVE’ ve ‘ALL-ON-SIX’ KONSEPTi KULLANILARAK ÜRETİLEN PROTEZLERİN STRES DAĞILIMININ SONLU ELEMANLAR ANALİZ YÖNTEMİ İLE İNCELENMESİ. 2021;8(3):774 [Crossref]
24- Wang P, Tsai M, Wu Y, Chen H, Lei Y, Wu A. Biomechanical Analysis of Titanium Dental Implants in the All-on-4 Treatment with Different Implant–Abutment Connections: A Three-Dimensional Finite Element Study. JFB. 2023;14(10):515 [Crossref]
25- Tezerişener H, Özalp Ö, Altay M, Sindel A. Comparison of stress distribution around all-on-four implants of different angulations and zygoma implants: a 7-model finite element analysis. BMC Oral Health. 2024;24(1) [Crossref]
26- Casar-Espinosa J, Castillo-Oyagüe R, Serrera-Figallo M, Garrido-Serrano R, Lynch C, Menéndez-Collar M, Torres-Lagares D, Gutiérrez-Pérez J. Combination of straight and tilted implants for supporting screw-retained dental prostheses in atrophic posterior maxillae: A 2-year prospective study. Journal of Dentistry. 2017;63:85 [Crossref]