Abstract:

Objective: The most important factor affecting the long-term success of implant supported systems is biomechanics after prosthesis delivery. The aim of this study was to investigate the prosthetic restorations designed by using different substructure materials on the implants placed according to All-On-4 technique in atrophic mandible with different stress analysis methods and compare the methods each other. Methods: For this purpose, a photo-elastic resin model, according to All-On-4 concept was prepared. After taking impression, fiber-reinforced resin, PEEK, zirconia and metal substructures were manufactured with Cad/Cam. Photo elastic stress analysis was performed.   On the other hand 3D virtual models of the same substructures were formed with the .stl data of the CAD. Then finite element stres analysis was applied at the same circumstances. Results: In the photoelastic and finite element stres analysis, rigid substructures such as metal and zirconia showed lower stres values than elastic materials such as PEEK and fiber. As a facility of the finite element analysis internal stresses of the substructures were evaluated. Lower stresses were observed in fiber and PEEK infrastructures with low elastic modulus. Conclusion: İncreased modulus of elasticity of the infrastructure, reduced.stresses transmitted to the implants When the internal stresses of the materials were evaluated, lower stresses were seen in infrastructures such as fiber and PEEK with low elastic modulus .Photoelastic and finite element stress analyzes gave similar stress results to the implant and surrounding tissues. Therefore, the results supported each other.

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