Review Article

Biomechanics in Removable Partial Dentures: A Literature Review of FEA-Based Studies

Table 3

Studies reporting the influence of different designs of the major connector on the stress and displacement of conventional RPD.

AuthorsType of prosthesisThe examined independent variableMaterials used in the dentureReported dependent variableOutcome
StressDisplacement deflection

Rodrigues et al. 2021 [74]Maxillary class ITwo 3D models of two different materialsTwo materials
(i) Co-Cr
(ii) Thermoplastic nylon (flexible denture)
(i) In both models, the maximum stress has been shown on the slopes of the maxillary arch
(ii) The maximum displacement has been shown on the crest of the residual alveolar ridge
(iii) The Co-Cr showed the least stress and displacement compared with nylon
Chen et al. 2019 [66]Mandibular class IThree models for three different materials3 materials
(i) Co-Cr
(ii) Ti alloy
(iii) PEEK
(i) The lowest stress in the PDL of the abutment and framework was reported with PEEK
(ii) PEEK has exhibited the highest displacement of the ridge and mucosa
Hallikerimath et al. 2015 [72]Maxillary class II RPDFive 3D models of different palatal vaults (average, wide, narrow, deep, and shallow)Co-Cr(i) The maximum distal displacement was reported in the wide and shallow palate, while maximum buccal displacements were higher in the deep palate
(ii) Maximum vertical displacement was higher in the average model
(iii)The deflection was lesser in the narrow palate compared to the other palatal shapes
Bhojaraju et al. 2014 [69]Different scenarios of maxillary RPDSix 3D models of 3 different maxillary MC (PS, CPP, APPS) with different scenarios of Kennedy classificationCo-Cr(i) APPS showed the lowest deflection compared with CPP and PS
(ii) For APPS, the maximum deflection was reported in the occlusal rest responding to load with anteroposterior direction and the anterior part of buccal slope regarding vertical direction
(iii) For CPP, the maximum deflection has been reported in the occlusal rest regarding anteroposterior load and the buccal slope and crest of the ridge regarding vertical force
Ramakrishnan & Singh 2010 [71]Maxillary class IVFour 3D models of U-shape PB (regular, increasing the width, adding posterior PS, and duplicating the thickness to 1 mm)Co-Cr(i) The PB with a regular width showed the maximum deflection and displacement compared with the other forms
(ii) The double-thickness U-shape MC exhibited the lowest stress followed by wide U-shape MC
(iii) The highest stress on the palate and teeth has been shown in double thickness as well
(iv) The lowest stress on the palate and mucosa has been reported in the scenario of wide MC
Takanashi et al. 2009 [73]Maxillary class IIFive 3D models of different palatal vaults (basic, wide, narrow, deep, and shallow)Three materials were used:
(i) Co-Cr
(ii) Titanium (Ti–6Al–7Nb) (iii) Gold alloy (type IV)
(i) In all tested MC models, the narrow model has reported the lowest displacement when compared with the basic, wide, and shallow palates, which exhibited the maximum displacement
(ii) In the deep palate model, the Ti MC with a width of 11 mm and gold MC with a width of 9 mm showed similar displacement to the basic model
Eto et al. 2002 [70]Maxillary class II RPDIn 13 3D models, 11 of them show PS MC with different AP widths at the midlines, 1 design for APPB, and lastly, horseshoe PS with 7 mmCo-Cr(i) The maximum displacement has been shown in all models at the posterior edge of the saddle
(ii) Vertical and buccal displacements were inversely proportional to the width of the major connector. As the major connector increased, the displacement decreased
(iii) APPB and wide PS exhibited the lowest buccal displacement compared with horseshoes, which showed the maximum displacement (least rigidity)

FES: free-end saddle; AP: anteroposterior; PS: palatal strap; APPS: anteroposterior palatal strap; APPB: anteroposterior palatal bar; CPP: complete palatal plate; MC: major connector; Ti: titanium.