Effects of Lingualized and Linear Occlusion Schemes on the Stress Distribution of an Implant Retained Overdenture Using Finite Element Analysis Available to Purchase

This study compares the effects of lingualized and linear occlusion schemes on the stress distribution of an implant retained mandibular overdenture (IRO) using finite element analysis (FEA). A high fidelity solid model of mandibular overdenture incorporating cusps and fossae of occlusal surface with two anterior implants in the canine regions and residual ridge support in the posterior region of the alveolar bone was modeled in SolidWorks and imported to ANSYS for stress analysis. The load was applied vertically to the central grooves and buccal cusp tips of the premolars and molar teeth for the lingualized and linear occlusion respectively. The loading magnitudes were 200 N on the premolars and 200 N on the molar teeth with multiple contact locations. The results show that the linear occlusion scheme generated higher stress in the implants and the prosthetic bar than the lingualized occlusion. The locations of high stress concentrations were the neck of the implants and the implant-prosthetic bar intersection for both the occlusion schemes. However, in the cortical bone lingualized occlusion loading scheme generated higher stress (max principal stress) than the linear one suggesting possibility of greater bone loss. The results of this study could be used to comprehend the stress distribution in the denture teeth, base, bone-implant interface and surrounding bone for the two occlusion concepts and may be of help to the clinicians in choosing the right scheme for the edentulous patients.