{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:51:37Z","timestamp":1787161897260,"version":"build-2736575974"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,26]]},"DOI":"10.7759\/cureus.74544","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T01:26:42Z","timestamp":1732670802000},"source":"Crossref","is-referenced-by-count":3,"title":["Effect of Different Cantilever Lengths in Polyether Ether Ketone Prosthetic Framework in All-on-Four Technique on Stress Distribution: A Three-Dimensional (3D) Finite Element Analysis"],"prefix":"10.7759","author":[{"given":"Mohammd","family":"Almjaddr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamal","family":"Saker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/ID.0000000000000668","article-title":"Quality of life of implant-supported overdenture and conventional complete denture in restoring the edentulous mandible: a systematic review","volume":"26","author":"Zhang L","year":"2017","unstructured":"Zhang L, Lyu C, Shang Z, Niu A, Liang X. Quality of life of implant-supported overdenture and conventional complete denture in restoring the edentulous mandible: a systematic review. Implant Dent. 2017, 26:945-50. 10.1097\/ID.0000000000000668","journal-title":"Implant Dent"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.6201","article-title":"Biomechanical comparison of different implant inclinations and cantilever lengths in all-on-4 treatment concept by three-dimensional finite element analysis","volume":"33","author":"Ozan O","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, 33:64-71. 10.11607\/jomi.6201","journal-title":"Int J Oral Maxillofac Implants"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2019-0003","article-title":"The role of polyether ether ketone (peek) in dentistry - a review","volume":"12","author":"Bathala L","year":"2019","unstructured":"Bathala L, Majeti V, Rachuri N, Singh N, Gedela S. The role of polyether ether ketone (peek) in dentistry - a review. J Med Life. 2019, 12:5-9. 10.25122\/jml-2019-0003","journal-title":"J Med Life"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpor.2015.10.001","article-title":"Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics","volume":"60","author":"Najeeb S","year":"2016","unstructured":"Najeeb S, Zafar MS, Khurshid Z, Siddiqui F. Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res. 2016, 60:12-9. 10.1016\/j.jpor.2015.10.001","journal-title":"J Prosthodont Res"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.46485","article-title":"Polyetheretherketone material in dentistry","volume":"15","author":"Parate KP","year":"2023","unstructured":"Parate KP, Naranje N, Vishnani R, Paul P. Polyetheretherketone material in dentistry. Cureus. 2023, 15:e46485. 10.7759\/cureus.46485","journal-title":"Cureus"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2023.1187504","article-title":"Biomechanical comparison of all-on-4 and all-on-5 implant-supported prostheses with alteration of anterior-posterior spread: a three-dimensional finite element analysis","volume":"11","author":"Sun X","year":"2023","unstructured":"Sun X, Cheng K, Liu Y, Ke S, Zhang W, Wang L, Yang F. Biomechanical comparison of all-on-4 and all-on-5 implant-supported prostheses with alteration of anterior-posterior spread: a three-dimensional finite element analysis. Front Bioeng Biotechnol. 2023, 11:1187504. 10.3389\/fbioe.2023.1187504","journal-title":"Front Bioeng Biotechnol"},{"key":"ref7","article-title":"Misch's contemporary implant dentistry","author":"Resnik R","year":"2020","unstructured":"Resnik R. Misch's contemporary implant dentistry. Mosby, 2020."},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.7255","article-title":"Effect of different framework materials in implant-supported fixed mandibular prostheses: a finite element analysis","volume":"34","author":"Sirandoni D","year":"2019","unstructured":"Sirandoni D, Leal E, Weber B, Noritomi PY, Fuentes R, Borie E. Effect of different framework materials in implant-supported fixed mandibular prostheses: a finite element analysis. Int J Oral Maxillofac Implants. 2019, 34:e107-14. 10.11607\/jomi.7255","journal-title":"Int J Oral Maxillofac Implants"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.7744","article-title":"Effects of cantilever length and implant inclination on the stress distribution of mandibular prosthetic restorations constructed from monolithic zirconia ceramic","volume":"35","author":"Durkan R","year":"2020","unstructured":"Durkan R, Oyar P, Deste G. Effects of cantilever length and implant inclination on the stress distribution of mandibular prosthetic restorations constructed from monolithic zirconia ceramic. Int J Oral Maxillofac Implants. 2020, 35:121-9. 10.11607\/jomi.7744","journal-title":"Int J Oral Maxillofac Implants"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpor.2016.08.002","article-title":"Biomechanical analysis of immediately loaded implants according to the \"All-on-Four\" concept","volume":"61","author":"Horita S","year":"2017","unstructured":"Horita S, Sugiura T, Yamamoto K, Murakami K, Imai Y, Kirita T. Biomechanical analysis of immediately loaded implants according to the \"All-on-Four\" concept. J Prosthodont Res. 2017, 61:123-32. 10.1016\/j.jpor.2016.08.002","journal-title":"J Prosthodont Res"},{"key":"ref11","article-title":"Clinical anatomy by regions","author":"Snell RS","year":"2011","unstructured":"Snell RS. Clinical anatomy by regions. Lippincott Williams & Wilkins, USA; 2011."},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3390\/ma14154308","article-title":"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","volume":"14","author":"Haroun F","year":"2021","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. Materials (Basel). 2021, 14:10.3390\/ma14154308","journal-title":"Materials (Basel)"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.dentre.2022.100042","article-title":"Occlusal considerations for full-arch implant-supported prostheses: a guideline","volume":"2","author":"Yoon D","year":"2022","unstructured":"Yoon D, Pannu D, Hunt M, Londono J. Occlusal considerations for full-arch implant-supported prostheses: a guideline. Dentistry Review. 2022, 2:100042. 10.1016\/j.dentre.2022.100042","journal-title":"Dentistry Review"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/dj11110261","article-title":"Biomechanical effects of different load cases with an implant-supported full bridge on four implants in an edentulous mandible: a three-dimensional finite element analysis (3D-FEA)","volume":"11","author":"Szab\u00f3 \u00c1L","year":"2023","unstructured":"Szab\u00f3 \u00c1L, Matusovits D, Slyteen H, Lakatos \u00c9I, Bar\u00e1th Z. Biomechanical effects of different load cases with an implant-supported full bridge on four implants in an edentulous mandible: a three-dimensional finite element analysis (3D-FEA). Dent J (Basel). 2023, 11:10.3390\/dj11110261","journal-title":"Dent J (Basel)"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1563\/0-716a.1","article-title":"Alveolar ridge augmentation: a comparative longitudinal study between calvaria and iliac crest bone grafrs","volume":"31","author":"Carinci F","year":"2005","unstructured":"Carinci F, Farina A, Zanetti U, et al.. Alveolar ridge augmentation: a comparative longitudinal study between calvaria and iliac crest bone grafrs. J Oral Implantol. 2005, 31:39-45. 10.1563\/0-716a.1","journal-title":"J Oral Implantol"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2003.tb00010.x","article-title":"\"All-on-Four\" immediate-function concept with Br\u00e5nemark System implants for completely edentulous mandibles: a retrospective clinical study","volume":"5 Suppl 1","author":"Mal\u00f3 P","year":"2003","unstructured":"Mal\u00f3 P, Rangert B, Nobre M. \"All-on-Four\" immediate-function concept with Br\u00e5nemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003, 5 Suppl 1:2-9. 10.1111\/j.1708-8208.2003.tb00010.x","journal-title":"Clin Implant Dent Relat Res"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2005.tb00080.x","article-title":"All-on-4 immediate-function concept with Br\u00e5nemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study","volume":"7 Suppl 1","author":"Mal\u00f3 P","year":"2005","unstructured":"Mal\u00f3 P, Rangert B, Nobre M. All-on-4 immediate-function concept with Br\u00e5nemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clin Implant Dent Relat Res. 2005, 7 Suppl 1:S88-94. 10.1111\/j.1708-8208.2005.tb00080.x","journal-title":"Clin Implant Dent Relat Res"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2022.02.018","article-title":"Biomechanical analysis of inclined and cantilever design with different implant framework materials in mandibular complete-arch implant restorations","volume":"127","author":"Yu W","year":"2022","unstructured":"Yu W, Li X, Ma X, Xu X. Biomechanical analysis of inclined and cantilever design with different implant framework materials in mandibular complete-arch implant restorations. J Prosthet Dent. 2022, 127:783.e1-783.e10. 10.1016\/j.prosdent.2022.02.018","journal-title":"J Prosthet Dent"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12797","article-title":"Prosthodontic complications of metal-ceramic and all-ceramic, complete-arch fixed implant prostheses with minimum 5 years mean follow-up period. A systematic review and meta-analysis","volume":"28","author":"Wong CK","year":"2019","unstructured":"Wong CK, Narvekar U, Petridis H. Prosthodontic complications of metal-ceramic and all-ceramic, complete-arch fixed implant prostheses with minimum 5 years mean follow-up period. A systematic review and meta-analysis. J Prosthodont. 2019, 28:e722-35. 10.1111\/jopr.12797","journal-title":"J Prosthodont"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.msec.2016.07.059","article-title":"Comparison between all-on-four and all-on-six treatment concepts and framework material on stress distribution in atrophic maxilla: a prototyping guided 3D-FEA study","volume":"69","author":"Bhering CL","year":"2016","unstructured":"Bhering CL, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RL, Bar\u00e3o VA. Comparison between all-on-four and all-on-six treatment concepts and framework material on stress distribution in atrophic maxilla: a prototyping guided 3D-FEA study. Mater Sci Eng C Mater Biol Appl. 2016, 69:715-25. 10.1016\/j.msec.2016.07.059","journal-title":"Mater Sci Eng C Mater Biol Appl"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.11607\/prd.2964","article-title":"Carbon-fiber framework for full-arch implant-supported fixed dental prostheses supporting resin-based composite and lithium disilicate ceramic crowns: case report and description of features","volume":"39","author":"Castorina G","year":"2019","unstructured":"Castorina G. Carbon-fiber framework for full-arch implant-supported fixed dental prostheses supporting resin-based composite and lithium disilicate ceramic crowns: case report and description of features. Int J Periodontics Restorative Dent. 2019, 39:175-184. 10.11607\/prd.2964","journal-title":"Int J Periodontics Restorative Dent"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.5369","article-title":"Comparative evaluation of a four-implant-supported polyetherketoneketone framework prosthesis: a three-dimensional finite element analysis based on cone beam computed tomography and computer-aided design","volume":"30","author":"Lee KS","year":"2017","unstructured":"Lee KS, Shin SW, Lee SP, Kim JE, Kim JH, Lee JY. Comparative evaluation of a four-implant-supported polyetherketoneketone framework prosthesis: a three-dimensional finite element analysis based on cone beam computed tomography and computer-aided design. Int J Prosthodont. 2017, 30:581-5. 10.11607\/ijp.5369","journal-title":"Int J Prosthodont"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12002","article-title":"Load transfer in tilted implants with varying cantilever lengths in an all-on-four situation","volume":"57","author":"Malhotra AO","year":"2012","unstructured":"Malhotra AO, Padmanabhan TV, Mohamed K, Natarajan S, Elavia U. Load transfer in tilted implants with varying cantilever lengths in an all-on-four situation. Aust Dent J. 2012, 57:440-5. 10.1111\/adj.12002","journal-title":"Aust Dent J"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02520-8","article-title":"Biomechanical analysis of stress around the tilted implants with different cantilever lengths in all-on-4 concept","volume":"22","author":"Wang Q","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, 22:469. 10.1186\/s12903-022-02520-8","journal-title":"BMC Oral Health"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1563\/AAID-JOI-D-15-Review.4103","article-title":"Fundamentals of Implant Dentistry: Prosthodontic Principles","author":"Rutkowski JL","year":"2015","unstructured":"Rutkowski JL. Fundamentals of Implant Dentistry: Prosthodontic Principles. Beumer J III, Faulkner RF, Shah KC, Moy PK (ed): Quintessence Publishing, 2015. 10.1563\/AAID-JOI-D-15-Review.4103"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpor.2010.04.004","article-title":"Influence of number and inclination angle of implants on stress distribution in mandibular cortical bone with All-on-4 Concept","volume":"54","author":"Takahashi T","year":"2010","unstructured":"Takahashi T, Shimamura I, Sakurai K. Influence of number and inclination angle of implants on stress distribution in mandibular cortical bone with All-on-4 Concept. J Prosthodont Res. 2010, 54:179-84. 10.1016\/j.jpor.2010.04.004","journal-title":"J Prosthodont Res"},{"key":"ref27","article-title":"Three-dimensional finite element stress analysis of a cuneiform-geometry implant","volume":"18","author":"Cruz M","year":"2003","unstructured":"Cruz M, Wassall T, Toledo EM. Three-dimensional finite element stress analysis of a cuneiform-geometry implant. Int J Oral Maxillofac Imp. 2003, 18:","journal-title":"Int J Oral Maxillofac Imp"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.4103\/jispcd.JISPCD_183_18","article-title":"Biomechanical behavior of an implant system using polyether ether ketone bar: finite element analysis","volume":"8","author":"Jaros OA","year":"2018","unstructured":"Jaros OA, De Carvalho GA, Franco AB, Kreve S, Lopes PA, Dias SC. Biomechanical behavior of an implant system using polyether ether ketone bar: finite element analysis. J Int Soc Prev Community Dent. 2018, 8:446-50. 10.4103\/jispcd.JISPCD_183_18","journal-title":"J Int Soc Prev Community Dent"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/316973-effect-of-different-cantilever-lengths-in-polyether-ether-ketone-prosthetic-framework-in-all-on-four-technique-on-stress-distribution-a-three-dimensional-3d-finite-element-analysis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T01:26:44Z","timestamp":1732670804000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/316973-effect-of-different-cantilever-lengths-in-polyether-ether-ketone-prosthetic-framework-in-all-on-four-technique-on-stress-distribution-a-three-dimensional-3d-finite-element-analysis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,26]]},"references-count":28,"URL":"https:\/\/doi.org\/10.7759\/cureus.74544","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11,26]]}}}