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Fig. 8. Distribution of occlusal force in models. ...

Fig. 8. Distribution of occlusal force in models. a Im67, b Im6, c Im4567, d Im456, e MT67, and f MT7. R right TMJ, L left TMJ, 4 first premolar, 5 second premolar, 6 first molar, and 7 second molar. Numbers within circles indicate implant superstructure Fig. 8. Distribution of occlusal force in models. a Im67, b Im6, c Im4567, d Im456, e MT67, and f MT7. R right TMJ, L left TMJ, 4 first prem...

Fig. 7. Initializing models altering the load disp...

Fig. 7. Initializing models altering the load displacement curves of springs Fig. 7. Initializing models altering the load displacement curves of springs

Fig. 6. Springs for opposing teeth and TMJs and lo...

Fig. 6. Springs for opposing teeth and TMJs and load directions. Arrows indicate loads, arrowheads indicate restricted nods, and spiral lines indicate springs Fig. 6. Springs for opposing teeth and TMJs and load directions. Arrows indicate loads, arrowheads indicate restricted nods, and spiral lines indicate springs

Fig. 5. Distribution of occlusal force in the natu...

Fig. 5. Distribution of occlusal force in the natural teeth model displayed in Fig.4 Fig. 5. Distribution of occlusal force in the natural teeth model displayed in Fig.4

Fig. 4. Three-dimensional finite element model wit...

Fig. 4. Three-dimensional finite element model with natural teeth and no defect Fig. 4. Three-dimensional finite element model with natural teeth and no defect

Fig. 3. Load displacement curves of natural teeth ...

Fig. 3. Load displacement curves of natural teeth in FE model Fig. 3. Load displacement curves of natural teeth in FE model

Fig. 2. Load displacement curves of springs : Sign...

Fig. 2. Load displacement curves of springs Fig. 2. Load displacement curves of springs

Fig. 1. Three-dimensional finite element model. Th...

Fig. 1. Three-dimensional finite element model. The tooth roots and implant bodies are displayed with permeability. a Im67, b Im6, c Im4567, d Im456, e MT67, and f MT7 Fig. 1. Three-dimensional finite element model. The tooth roots and implant bodies are displayed with permeability. a Im67, b Im6, c Im4567, d Im456, e MT67, and f MT7

Table 1 Material properties : Significance of mand...

Material Modulus of elasticity (MPa) Poisson ratio References Cortical bone 140,000 ...

About this article : Significance of mandibular mo...

Yoshitani, M., Takayama, Y. & Yokoyama, A. Significance of mandibular molar replacement with a dental implant: a theoretical study with nonlinear finite element analysis. Int J Implant Dent 4, 4 (2018). https://doi.org/10.1186/s40729-018-0117-7 Download citation Received: 13 March 2017 Accepted: 08 January 2018 Published: 27 February 2018 DOI: https://doi.org/10.1186/s407...

Rights and permissions : Significance of mandibula...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Ethics declarations : Significance of mandibular m...

Author Masazumi Yoshitani, Yoshiyuki Takayama, and Atsuro Yokoyama state that there are no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Author information : Significance of mandibular mo...

Division of Oral Functional Science, Department of Oral Functional Prosthodontics, Graduate School of Dental Medicine, Hokkaido University, Kita-13, Nishi-7, Kita-ku, Sapporo, 060-8648, Japan Masazumi Yoshitani & Atsuro Yokoyama Removable Prosthodontics, Hokkaido University Hospital, Hokkaido University, Kita-14, Nishi-5, Kita-Ku, Sapporo, 060-8648, Japan Yoshiyuki Takayama You can also sear...

References : Significance of mandibular molar repl...

Minagi S, Ohmori T, Sato T, Matsunaga T, Akamatsu Y. Effect of eccentric clenching on mandibular deviation in the vicinity of mandibular rest position. J Oral Rehabil. 2000;27:175–9. Yamazaki M, Yugami K, Baba K, Ohyama T. Effect of clenching level on mandibular displacement in Kennedy Class II partially edentulous patients. Int J Prosthodont. 2003;16:183–8. Gibbs CH, Mahan PE, Lundeen HC, B...

References : Significance of mandibular molar repl...

Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res. 2005;16:26–35. Korioth TW, Hannam AG. Deformation of the human mandible during simulated tooth clenching. J Dent Res. 1994;73:56–66. van Zyl PP, Grundling NL, Jooste CH, Terblanche E. Three-dimensional finite element model of a human mandible ...

References : Significance of mandibular molar repl...

Baba K, Igarashi Y, Nishiyama A, John MT, Akagawa Y, Ikebe K, Ishigami T, Kobayashi H, Yamashita S. Patterns of missing occlusal units and oral health-related quality of life in SDA patients. J Oral Rehabil. 2008;35:621–8. Kasai K, Takayama Y, Yokoyama A. Distribution of occlusal forces during occlusal adjustment of dental implant prostheses: a nonlinear finite element analysis considering the ...

References : Significance of mandibular molar repl...

Chappuis V, Buser R, Bragger U, Bornstein MM, Salvi GE, Buser D. Long-term outcomes of dental implants with a titanium plasma-sprayed surface: a 20-year prospective case series study in partially edentulous patients. Clin Implant Dent Relat Res. 2013;15:780–90. Bural C, Bilhan H, Cilingir A, Geckili O. Assessment of demographic and clinical data related to dental implants in a group of Turkish ...

Conclusions : Significance of mandibular molar rep...

Within the limitations of this theoretical study, we demonstrated that restoration with the same number of implants as missing teeth shows almost symmetric occlusal force distribution, and it produced less biomechanically stress for a unilateral defect of the mandible. However, if restoration of a missing second molar with an implant is impossible or difficult, then an SDA with implants may also b...

Discussion : Significance of mandibular molar repl...

It should be noted that our results were obtained under conditions of vertical loading by bilaterally balanced muscle activity with tight intercuspation in the correct mandibular position because the horizontal displacement of the premolars and molars was restrained. The actual distribution of occlusal forces may differ due to individual differences in the material properties of the soft tissue. A...

Discussion : Significance of mandibular molar repl...

Occlusal adjustment is usually performed to obtain symmetrical occlusal force distribution in natural dentition. However, occlusal force distribution among natural teeth and implants depends on occlusal force because of the difference of displaceability between a natural tooth and an implant [14, 15]. Therefore, we evaluated the result of the analysis from viewpoints of symmetry of occlusal force ...

Discussion : Significance of mandibular molar repl...

FEA is useful for mechanical simulations of a living body and has been used in implant dentistry research under careful consideration of the analysis conditions [32, 33]. Although some reports have demonstrated that bone density varies according to bone type and location, the material properties of the mandible were homogenous and isotropic in this study. However, the effect of this difference was...

Results : Significance of mandibular molar replace...

In model Im456 (Fig. 8d), under loads 100 and 200 N, the occlusal force at the premolars on the defect side was larger than that in model Im4567 (shown in Fig. 8c). The occlusal force was also larger than that in model MT7 (shown in Fig. 6f). However, the occlusal force at the second premolar under load 200 N was 34.5 N, which was slightly smaller than the occlusal force at the second molar ...

Results : Significance of mandibular molar replace...

In model Im6 (Fig. 8b), the occlusal force at the second premolar under loads 100, 200, 400, and 800 N were 18.3, 37.0, 38.8, and 70.2 N, respectively. The occlusal force was larger than that in model Im67 (shown in Fig. 8a), while it was approximately equivalent to that in model MT7 (shown in Fig. 8f). Under loads 100 and 200 N, the occlusal force at the second premolar on the defect side w...

Results : Significance of mandibular molar replace...

The distributions of occlusal force are shown in Fig. 8. In model MT67 (Fig. 8e), the occlusal force at the first premolar on the defect side was 10.0–86.5 N, which was 1.2–15.0-fold larger than that on the natural dentition side. The occlusal force at the second premolar on the defect side was 24.6–190.1 N, which was 2.6–8.3-fold larger than on the natural dentition side. The occlusal...

Methods : Significance of mandibular molar replace...

Analysis was performed according to the report by Kayumi et al. [15]. In linear finite element analysis (FEA), all teeth maintain perfect contact with antagonists with no stress on occlusal surfaces before loading. However, there must be some occlusal force on the occlusal surface when a mandible is in the intercuspal position. Since the displaceabilities of osseointegrated implants, natural teeth...

Methods : Significance of mandibular molar replace...

Nonlinear characteristics according to the load displacement curve of teeth [21,22,23,24] and cartilage [30] were given to the springs for the opposing teeth and TMJs, respectively (Fig. 2). The nonlinear elasticity of the springs on the teeth and implants simulated displaceability of opposing natural teeth at compression and separation of the occlusal surface from opposing teeth at tension. The...

Methods : Significance of mandibular molar replace...

The 3D FEMs were constructed based on those reported by Kasai et al. [14], Kayumi et al. [15] and consisted of a mandible, natural teeth with the periodontal ligament (PDL), and titanium implant(s) with superstructures in the left premolar and molar regions. The surface of the mandible was generated using measurements of a commercially available model (QS7, SOMSO) of the dentate mandible with a 3...

Background : Significance of mandibular molar repl...

From the viewpoint of occlusal force distribution, when a second molar defect remains without prosthesis, the force might concentrate in the implant, residual teeth, or temporomandibular joints (TMJs). Therefore, the aim of this study was to investigate occlusal force distribution in SDA in the mandible with/without an implant using a three-dimensional (3D) finite element model (FEM).

Background : Significance of mandibular molar repl...

Dental implant treatment has been frequently applied in dental practice as the most important prosthodontic procedure with long-term predictability to restore oral function, maintain occlusion, and improve the quality of life (QoL) of a patient [1]. Clinically, dental implants are mainly applied to correct mandibular distally extended edentulism [2]. However, implant placement in the molar region ...

Abstract : Significance of mandibular molar replac...

Dental implants are frequently applied to unilateral defects in the mandible. However, implant placement in the molar region of the mandible can be difficult due to anatomical structure. The aim of this study was to evaluate the distribution of occlusal force in a mandibular shortened dental arch (SDA) with implants. Three-dimensional finite element (FE) models of the mandible with varying number...