EVALUATION OF BIOMECHANICAL EFFECTS OF PROSTHETIC COMPONENTS WITH DIFFERENT MATERIALS ON THE ABUTMENT SCREW

Abstract

Objectives: The purpose of this study was to evaluate the effects of different resin-based and ceramic superstructure materials and two different abutment types on the stress distribution of the abutment screw using the three-dimensional finite element stress analysis method. Materials and Methods: A three dimensional implant, abutment (zirconia and titanium), abutment screw, crown (zirconia reinforced lithium silicate, lithium disilicate, polymer-infiltrated resin ceramic, and PEEK), and alveolar bone were designed using Rhinoceros 3D modeling software and VRMesh Studio software and combined to form 8 simulations. On the models prepared, loading was made on the lingual tubercule of the maxillary right first premolar crown at an angle of 30° with 150 N force obliquely in the buccolingual direction. The von Mises values obtained from the abutment screw were compared according to the types of abutment and crown materials. Results: The von Mises stress values in the abutment screw were higher in the models using a titanium abutment abutment (on average 1336.24 MPa), and the lower stress values were obtained in the models using a zirconia abutment (on average 964.26 MPa). When the prosthetic material used was changed, no apparent difference was observed in the stress values on the abutment screw. Conclusions: Considering that the abutment screw is the weakest link of the implant system, zirconia abutments can be used reliably in the maxillary first premolar region where aesthetic expectations are high.

Keywords

• dental stress analysis
• dental abutments
• glass ceramics