{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:21:51Z","timestamp":1791645711178,"version":"4.3.4"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC2410103"],"award-info":[{"award-number":["2022YFC2410103"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Oral Health"],"DOI":"10.1186\/s12903-025-05928-0","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T03:36:26Z","timestamp":1744428986000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Biomechanical analysis of All-on-4 implant supported framework using different materials across various clinical practice"],"prefix":"10.1186","volume":"25","author":[{"given":"Xiaoxuan","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengyi","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuo","family":"Gai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xibo","family":"Pei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruyi","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianbing","family":"Wan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,12]]},"reference":[{"issue":"2","key":"5928_CR1","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1111\/j.1600-0528.2004.00219.x","volume":"33","author":"PE Petersen","year":"2005","unstructured":"Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2005;33(2):81\u201392.","journal-title":"Community Dent Oral Epidemiol"},{"issue":"3","key":"5928_CR2","doi-asserted-by":"publisher","first-page":"310","DOI":"10.14219\/jada.archive.2011.0170","volume":"142","author":"P Malo","year":"2011","unstructured":"Malo P, de Ara\u00fajo Nobre M, Lopes A, Moss SM, Molina GJ. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Association. 2011;142(3):310\u201320.","journal-title":"J Am Dent Association"},{"key":"5928_CR3","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1111\/j.1708-8208.2003.tb00010.x","volume":"5","author":"P Mal\u00f3","year":"2003","unstructured":"Mal\u00f3 P, Rangert B, Nobre M. All-on\u2010Four immediate\u2010function concept with Br\u00e5nemark System\u00ae implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003;5:2\u20139.","journal-title":"Clin Implant Dent Relat Res"},{"issue":"2","key":"5928_CR4","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1111\/clr.12102","volume":"25","author":"P Kim","year":"2014","unstructured":"Kim P, Ivanovski S, Latcham N, Mattheos N. The impact of cantilevers on biological and technical success outcomes of implant-supported fixed partial dentures. A retrospective cohort study. Clin Oral Implants Res. 2014;25(2):175\u201384.","journal-title":"Clin Oral Implants Res"},{"issue":"6","key":"5928_CR5","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1111\/jopr.12426","volume":"26","author":"C Drago","year":"2017","unstructured":"Drago C. Cantilever lengths and anterior-posterior spreads of interim, acrylic resin, full-arch screw-retained prostheses and their relationship to prosthetic complications. J Prosthodont. 2017;26(6):502\u20137.","journal-title":"J Prosthodont"},{"issue":"2","key":"5928_CR6","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1111\/jopr.13388","volume":"31","author":"F Tirone","year":"2022","unstructured":"Tirone F, Salzano S, Rolando E, Pozzatti L, Rodi D. Framework fracture of zirconia supported full arch implant rehabilitation: a retrospective evaluation of cantilever length and distal cross-sectional connection area in 140 patients over an up-to-7 year follow-up period. J Prosthodont. 2022;31(2):121\u20139.","journal-title":"J Prosthodont"},{"key":"5928_CR7","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1111\/j.1600-0501.2009.01773.x","volume":"20","author":"J Zurdo","year":"2009","unstructured":"Zurdo J, Romao C, Wennstr\u00f6m JL. Survival and complication rates of implant-supported fixed partial dentures with cantilevers: a systematic review. Clin Oral Implants Res. 2009;20:59\u201366.","journal-title":"Clin Oral Implants Res"},{"key":"5928_CR8","unstructured":"Krennmair G, Seemann R, Weinl\u00e4nder M, Wegscheider W, Piehslinger E. Implant-prosthodontic rehabilitation of anterior partial edentulism: a clinical review. Int J Oral Maxillofacial Implants. 2011;26(5)."},{"issue":"1","key":"5928_CR9","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1111\/j.1741-2358.2009.00334.x","volume":"28","author":"H Bilhan","year":"2011","unstructured":"Bilhan H, Mumcu E, Arat S. The comparison of marginal bone loss around mandibular overdenture-supporting implants with two different attachment types in a loading period of 36 months. Gerodontology. 2011;28(1):49\u201357.","journal-title":"Gerodontology"},{"issue":"1","key":"5928_CR10","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1186\/s12903-022-02520-8","volume":"22","author":"Q Wang","year":"2022","unstructured":"Wang Q, Zhang ZZ, Bai SZ, Zhang SF. Biomechanical analysis of stress around the tilted implants with different cantilever lengths in all-on-4 concept. BMC Oral Health. 2022;22(1):469.","journal-title":"BMC Oral Health"},{"issue":"5","key":"5928_CR11","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1111\/jopr.12519","volume":"27","author":"C Drago","year":"2018","unstructured":"Drago C. Ratios of cantilever lengths and anterior-posterior spreads of definitive hybrid full-arch, screw-retained prostheses: results of a clinical study. J Prosthodont. 2018;27(5):402\u20138.","journal-title":"J Prosthodont"},{"issue":"3","key":"5928_CR12","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1093\/rb\/rbw016","volume":"3","author":"M Niinomi","year":"2016","unstructured":"Niinomi M, Liu Y, Nakai M, Liu H, Li H. Biomedical titanium alloys with Young\u2019s moduli close to that of cortical bone. Regenerative Biomaterials. 2016;3(3):173\u201385.","journal-title":"Regenerative Biomaterials"},{"issue":"1","key":"5928_CR13","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.jpor.2015.10.001","volume":"60","author":"S Najeeb","year":"2016","unstructured":"Najeeb S, Zafar MS, Khurshid Z, Siddiqui F. Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res. 2016;60(1):12\u20139.","journal-title":"J Prosthodont Res"},{"key":"5928_CR14","doi-asserted-by":"crossref","unstructured":"de Ara\u00fajo Nobre M, Moura Guedes C, Almeida R, Silva A, Sereno N. The All-on-4 concept using polyetheretherketone (PEEK)-acrylic resin prostheses: follow-up results of the development group at 5 years and the routine group at one year. Biomedicines. 2023;11(11).","DOI":"10.3390\/biomedicines11113013"},{"issue":"4","key":"5928_CR15","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1016\/j.prosdent.2017.04.020","volume":"119","author":"P Zoidis","year":"2018","unstructured":"Zoidis P. The all-on-4 modified polyetheretherketone treatment approach: a clinical report. J Prosthet Dent. 2018;119(4):516\u201321.","journal-title":"J Prosthet Dent"},{"key":"5928_CR16","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jmbbm.2018.11.027","volume":"91","author":"A Wachtel","year":"2019","unstructured":"Wachtel A, Zimmermann T, S\u00fctel M, Adali U, Abou-Emara M, M\u00fcller WD, M\u00fchlemann S, Schwitalla AD. Bacterial leakage and bending moments of screw-retained, composite-veneered PEEK implant crowns. J Mech Behav Biomed Mater. 2019;91:32\u20137.","journal-title":"J Mech Behav Biomed Mater"},{"issue":"1","key":"5928_CR17","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1186\/s12903-020-01202-7","volume":"20","author":"I Papathanasiou","year":"2020","unstructured":"Papathanasiou I, Kamposiora P, Papavasiliou G, Ferrari M. The use of PEEK in digital prosthodontics: a narrative review. BMC Oral Health. 2020;20(1):217.","journal-title":"BMC Oral Health"},{"issue":"1","key":"5928_CR18","doi-asserted-by":"publisher","first-page":"64","DOI":"10.11607\/jomi.6201","volume":"33","author":"O Ozan","year":"2018","unstructured":"Ozan O, Kurtulmus-Yilmaz S. Biomechanical comparison of different implant inclinations and cantilever lengths in All-on-4 treatment concept by three-dimensional finite element analysis. Int J Oral Maxillofac Implants. 2018;33(1):64\u201371.","journal-title":"Int J Oral Maxillofac Implants"},{"issue":"10","key":"5928_CR19","first-page":"ZE16","volume":"8","author":"M Taruna","year":"2014","unstructured":"Taruna M, Chittaranjan B, Sudheer N, Tella S, Abusaad M. Prosthodontic perspective to all-on-4\u00ae concept for dental implants. J Clin Diagn Research: JCDR. 2014;8(10):ZE16.","journal-title":"J Clin Diagn Research: JCDR"},{"issue":"1","key":"5928_CR20","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1186\/s12903-022-02465-y","volume":"22","author":"WT Zhang","year":"2022","unstructured":"Zhang WT, Cheng KJ, Liu YF, Wang R, Chen YF, Ding YD, Yang F, Wang LH. Effect of the prosthetic index on stress distribution in Morse taper connection implant system and peri-implant bone: a 3D finite element analysis. BMC Oral Health. 2022;22(1):431.","journal-title":"BMC Oral Health"},{"issue":"3","key":"5928_CR21","doi-asserted-by":"publisher","first-page":"e447441","DOI":"10.1016\/j.prosdent.2023.01.005","volume":"129","author":"R Li","year":"2023","unstructured":"Li R, Wu Z, Chen S, Li X, Wan Q, Xie G, Pei X. Biomechanical behavior analysis of four types of short implants with different placement depths using the finite element method. J Prosthet Dent. 2023;129(3):e447441\u2013447410.","journal-title":"J Prosthet Dent"},{"issue":"2","key":"5928_CR22","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1111\/j.1708-8208.2008.00142.x","volume":"12","author":"JH Rubo","year":"2010","unstructured":"Rubo JH, Capello Souza EA. Finite-element analysis of stress on dental implant prosthesis. Clin Implant Dent Relat Res. 2010;12(2):105\u201313.","journal-title":"Clin Implant Dent Relat Res"},{"issue":"1","key":"5928_CR23","first-page":"89","volume":"30","author":"E Anitua","year":"2010","unstructured":"Anitua E, Tapia R, Luzuriaga F, Orive G. Influence of implant length, diameter, and geometry on stress distribution: a finite element analysis. Int J Periodontics Restor Dent. 2010;30(1):89\u201395.","journal-title":"Int J Periodontics Restor Dent"},{"issue":"2","key":"5928_CR24","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1563\/AAID-JOI-D-12-00312","volume":"41","author":"G Sannino","year":"2015","unstructured":"Sannino G. All-on-4 concept: a 3-dimensional finite element analysis. J Oral Implantol. 2015;41(2):163\u201371.","journal-title":"J Oral Implantol"},{"issue":"1","key":"5928_CR25","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1186\/s12903-024-04142-8","volume":"24","author":"A Aboelfadl","year":"2024","unstructured":"Aboelfadl A, Keilig L, Ebeid K, Ahmed MAM, Nouh I, Refaie A, Bourauel C. Biomechanical behavior of implant retained prostheses in the posterior maxilla using different materials: a finite element study. BMC Oral Health. 2024;24(1):455.","journal-title":"BMC Oral Health"},{"key":"5928_CR26","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.compstruct.2014.12.061","volume":"124","author":"D Garcia-Gonzalez","year":"2015","unstructured":"Garcia-Gonzalez D, Rusinek A, Jankowiak T, Arias A. Mechanical impact behavior of polyether\u2013ether\u2013ketone (PEEK). Compos Struct. 2015;124:88\u201399.","journal-title":"Compos Struct"},{"issue":"21","key":"5928_CR27","doi-asserted-by":"publisher","first-page":"4600","DOI":"10.3390\/polym14214600","volume":"14","author":"SA Naghavi","year":"2022","unstructured":"Naghavi SA, Lin C, Sun C, Tamaddon M, Basiouny M, Garcia-Souto P, Taylor S, Hua J, Li D, Wang L. Stress shielding and bone resorption of press-fit polyether\u2013ether\u2013ketone (PEEK) hip prosthesis: a sawbone model study. Polymers. 2022;14(21):4600.","journal-title":"Polymers"},{"issue":"4","key":"5928_CR28","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1038\/s41432-023-00935-y","volume":"24","author":"V Verma","year":"2023","unstructured":"Verma V, Hazari P, Verma P. Do implants made of polyetheretherketone and its composites have reduced stress shielding effects compared to other dental implant materials? A systematic review. Evid Based Dent. 2023;24(4):193\u20134.","journal-title":"Evid Based Dent"},{"issue":"10","key":"5928_CR29","first-page":"771","volume":"28","author":"DA Curtis","year":"2000","unstructured":"Curtis DA, Sharma A, Finzen FC, Kao RT. Occlusal considerations for implant restorations in the partially edentulous patient. J Calif Dent Assoc. 2000;28(10):771\u20139.","journal-title":"J Calif Dent Assoc"},{"issue":"Suppl 2","key":"5928_CR30","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1111\/j.1600-0501.2006.01360.x","volume":"17","author":"F Isidor","year":"2006","unstructured":"Isidor F. Influence of forces on peri-implant bone. Clin Oral Implants Res. 2006;17(Suppl 2):8\u201318.","journal-title":"Clin Oral Implants Res"},{"key":"5928_CR31","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/j.jmst.2020.04.082","volume":"66","author":"S-W Choi","year":"2021","unstructured":"Choi S-W, Jeong JS, Won JW, Hong JK, Choi YS. Grade-4 commercially pure titanium with ultrahigh strength achieved by twinning-induced grain refinement through cryogenic deformation. J Mater Sci Technol. 2021;66:193\u2013201.","journal-title":"J Mater Sci Technol"},{"issue":"2","key":"5928_CR32","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1016\/j.polymer.2006.11.032","volume":"48","author":"P Rae","year":"2007","unstructured":"Rae P, Brown E, Orler E. The mechanical properties of poly (ether-ether-ketone)(PEEK) with emphasis on the large compressive strain response. Polymer. 2007;48(2):598\u2013615.","journal-title":"Polymer"},{"issue":"5","key":"5928_CR33","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1016\/j.irbm.2021.06.008","volume":"43","author":"A Darwich","year":"2022","unstructured":"Darwich A, Alammar A, Heshmeh O, Szabolcs S, Nazha H. Fatigue loading effect in custom-made all-on-4 implants system: a 3D finite elements analysis. IRBM. 2022;43(5):372\u20139.","journal-title":"IRBM"},{"key":"5928_CR34","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.msec.2013.10.022","volume":"35","author":"MB Ferreira","year":"2014","unstructured":"Ferreira MB, Bar\u00e3o VA, Faverani LP, Hip\u00f3lito AC, Assun\u00e7\u00e3o WG. The role of superstructure material on the stress distribution in mandibular full-arch implant-supported fixed dentures. A CT-based 3D-FEA. Mater Sci Eng C Mater Biol Appl. 2014;35:92\u20139.","journal-title":"Mater Sci Eng C Mater Biol Appl"},{"key":"5928_CR35","doi-asserted-by":"crossref","unstructured":"Haroun F, Ozan O. Evaluation of stresses on implant, bone, and restorative materials caused by different opposing arch materials in hybrid prosthetic restorations using the All-on-4 technique. Mater (Basel). 2021;14(15).","DOI":"10.3390\/ma14154308"},{"issue":"1","key":"5928_CR36","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/S0021-9290(03)00257-4","volume":"37","author":"HH Bayraktar","year":"2004","unstructured":"Bayraktar HH, Morgan EF, Niebur GL, Morris GE, Wong EK, Keaveny TM. Comparison of the elastic and yield properties of human femoral trabecular and cortical bone tissue. J Biomech. 2004;37(1):27\u201335.","journal-title":"J Biomech"}],"container-title":["BMC Oral Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-025-05928-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12903-025-05928-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-025-05928-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T03:36:30Z","timestamp":1744428990000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcoralhealth.biomedcentral.com\/articles\/10.1186\/s12903-025-05928-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,12]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["5928"],"URL":"https:\/\/doi.org\/10.1186\/s12903-025-05928-0","relation":{},"ISSN":["1472-6831"],"issn-type":[{"value":"1472-6831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,12]]},"assertion":[{"value":"15 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"552"}}