Finite element analysis of the effect of framework material and thickness on the biomechanical performance of ‘All‑on‑Four’ full-arch prosthesis

Abstract

The aim of this research was to evaluate the stress distribution in the ‘All-on-Four’ prosthesis and the surrounding bone, with different framework materials and thicknesses. Five frameworks (alumina, zirconia, titanium, fiberglass reinforced resin (FRR), and polyether ether ketone (PEEK)) with two thicknesses (3.5 &5.5 mm) were stimulated in this research. A vertical force of 200 N was applied on a 1 mm circular area, at the cantilever, and at the region of the incisors, simulating different mastication mechanisms. The results illustrated that the 5.5 mm framework reduced the stresses on most parts, mucosa, and bone tissues, compared to 3.5 mm.

Keywords:

• Fixed prosthesis
• All-on-Four
• framework
• FRR
• PEEK

Disclosure statement

All authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.