A TWO DIMENSIONAL STRESS ANALYSIS COMPARING FIXED PROSTHETIC APPROACHIES TO THE TILTED MOLAR ABUTMENT

A two dimensional finite element method was used to analyze the changes in mechanical behavior of the supporting structures when a fixed prosthesis replaced a mandibular 1st molar. In the unrestored situation as the degree of bone resorption increased, there was a corresponding increase in stress in the periodontium. Tilting of the molar abutment induced the additional stress on the mesial side of the root. The presence of a fixed prosthesis markedly reduced the magnitude and distribution of stress in the periodontium. The mechanical advantage obtained by a fixed prosthesis was greater in the situation of a tilted 2nd molar with reduced bone support than with the higher bone levels.