Biomechanical study on unilateral maxilla restoration using different retention methods

Objective: To study the biomechanical effects of 3 different retention methods (clasp, attachment or zygomatic implants) on repairing unilateral maxillary defects by using 3D finite element analysis method.

Methods: The maxillary unilateral defect model was reconstructed by the medical image processing software Mimics. The prosthesis was generated by mirroring technology. After processing, the finite element model of maxillary model by the three different retention methods was established to simulate stress distributions of maxilla during occlusion.

Results: Compared with the other methods, by using zygomatic implant retention method, stresses on affected and unaffected palate were the largest as 7.399 and 4.864 MPa, respectively, while those on affected and unaffected maxilla were the smallest as 10.46 and 10.86 MPa, respectively. Stress on zygomatic implant itself was 15.25 MPa, which was also the smallest.

Conclusions: Different retention methods had an obvious impact on unilateral maxillary defect restoration. The clasp and attachment retention methods could share the stress on palate by carrying bracket. The zygomatic implant retention method could also share the stress on maxilla by passing the stress to the zygoma.