[Management of root surface caries: restoration with crowns].
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Biomedical subjects
Publications and source records attributed to H Kusakari.
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The three-dimensional finite element analysis method was used to assess stress in bone around titanium implants using three treatment designs for a partially edentulous mandible, under axial (AX), buccolingual (BL), or mesiodistal (MD) loads. For each of these loads, highest stress was calculated in the model with a cantilever prosthesis supported by two implants (M2). Less stress was found in the model with a conventional fixed partial denture on two implants (M3), and lowest stress was calculated in the model with three connected crowns supported by three implants (M1). When BL load was applied to M3, cortical bone stress was high, comparable to that calculated for M2 under the same load. When AX or MD load was applied to M3, the cortical bone stress was low, similar to that found in M1 under each of these loads.
A 3-dimensional finite element analysis was conducted to assess stress distribution in bone, implant, and abutment when gold alloy, porcelain, or resin (acrylic or composite) was used for a 3-unit prosthesis. A unit force was applied axially and then buccolingually to the center of the pontic. For gold and porcelain, similar maximum equivalent stress was found in each part of the models. In almost all cases, stress in the model with the resin prostheses was similar to or higher than that in the models with the other 2 prosthesis materials. The highest increase in stress with the resins was found in the implant-abutment unit under axial load. The protective role of resin for the implant-bone interface could not be demonstrated under the conditions of this analysis.