Mechanical Integrity of All-on-Four Dental Implant Systems: Finite Element Simulation of Material Properties of Zirconia, Titanium, and PEEK

Background Dental implants are critical for restoring functionality and aesthetics in patients with missing teeth. The all-on-four treatment concept utilizes four dental implants to support a full-arch prosthesis. Material choice for these implants plays a crucial role in the long-term success of the treatment, affecting everything from biomechanical stability to osseointegration and patient comfort.Aim The purpose of this study is to analyze the biomechanical performance of three different materials used in all-on-four dental implant designs through finite element analysis (FEA). The aim is to determine which material optimally balances stress and deformation under various loading conditions.Objective The main objective of this research is to evaluate the effects of stress, strain, and deformation on all-on-four dental implants made from titanium, zirconia, and polyether ether ketone (PEEK). The study seeks to identify which material demonstrates the best mechanical properties under simulated functional loads.Methods A 3D model simulating the dental implants integrated with cancellous and cortical bone was developed. Finite element analysis was conducted to assess the biomechanical performance of the implants made from titanium, zirconia, and PEEK. A perpendicular load of 100 N was applied to the tips of the implants, followed by an oblique load of 100 N at a 30-degree angle, to simulate different chewing forces.Results The deformation analysis indicated that implants made of zirconia exhibited significantly lower maximum and average deformation compared to those made from titanium and PEEK. Although PEEK implants showed lower maximum and average stress, they did not perform well in stress dissipation compared to zirconia. Similar patterns of stress and deformation were observed under both perpendicular and oblique loading conditions.Conclusion Zirconia implants outperformed titanium and PEEK in terms of deformation and stress distribution under simulated loading conditions. This suggests that zirconia could be a superior material for all-on-four dental implants, offering better mechanical stability and potentially enhancing the longevity and success of dental restorations. Further clinical trials are recommended to validate these findings and assess the long-term outcomes of zirconia-based implants.