In vitro strain gauge analysis of axial and off-axial loading on implant supported fixed partial dentures.

The purpose of this study was to compare the in vitro strains on dental implants supporting cement-retained fixed partial dentures under axial and off-axial loading conditions. Ten implants incorporating strain gauges were placed in a certain configuration to simulate different clinical situations and were embedded in an experimental model. Two implant supported three-unit fixed partial dentures were fabricated on four groups of implants, and each group consisted of seven restorations. The prostheses were cemented with a temporary cement. Fifty N vertical load was applied on predetermined axial and off-axial loading locations on the prostheses. Strain indicator readings were recorded at a standardized time following each loading sequence. The point of load transfer affected strains on implants. For all prosthetic designs, off-axial loading generated more strain than axial loading on implants (P < 0.05). In comparison with axial loading, off-axial loading causes bending of the implants that may affect bone loss around the implant collar. Axial loading of implants should be provided by using wide diameter implants, narrow occlusal tables, and proper occlusal contacts on implant restorations.