Analysis of load transfer and stress distribution by splinted and unsplinted implant-supported fixed cemented restorations.

Abstract:

:Controversy remains over the rehabilitation of implant-supported restorations regarding the need to splint adjacent implant-supported crowns. This study compared the effects of simulated occlusal loading of three implants restored with cemented crowns, splinted versus unsplinted. Three adjacent screw-shaped implants were passively inserted into three holes drilled in a photo-elastic model. Two combinations of cemented restorations were fabricated; three adjacent unsplinted and three adjacent splinted crowns. Strain gauges were connected to the implant necks and to the margins of the overlaying crowns. Fifteen axial static loads of 20-kg loadings were carried out right after each other via a custom-built loading apparatus. Strain gauges located on the implant neck supporting splinted restoration demonstrated significantly (P < 0.001) more strain (sum of strains = 3348.54 microstrain) compared with the single crowns (sum of strains = 988.57 microstrain). In contrast, significantly (P < 0.001) more strain was recorded on the strain gauges located on the restoration margins of the single crowns (sum of strains = 756.32 microstrain) when compared with splinted restorations (sum of strains = 186.12 microstrain). The concept of splinting adjacent implants to decrease loading of the supporting structures may require re-evaluation. The clinical relevance of these findings needs further investigation.

journal_name

J Oral Rehabil

authors

Nissan J,Ghelfan O,Gross M,Chaushu G

doi

10.1111/j.1365-2842.2010.02096.x

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

658-62

issue

9

eissn

0305-182X

issn

1365-2842

pii

JOR2096

journal_volume

37

pub_type

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