A Three Dimensional Finite Element Analysis of Reaction Force, Maximum Principal Stress and Stress Distribution of Three Removable Partial Denture Clasp Materials
Main Article Content
Abstract
Background: Acetal resin and polyetheretherketone (PEEK) became candidate for removable partial denture clasps. The clasps were subjected to daily movement during insertion and removal of the prostheses by the patient. Therefore, it was necessary to consider their reaction force, maximum principal stress and stress distribution prior material selection.
Objective: To analyze reaction force, maximum principal stress and stress distributions Cobalt-Chromium alloy (Co-Cr), acetal resin and PEEK clasps with different taper ratios and displacements using 3-D FEA.
Methods: Three taper ratio (0.6, 0.8 and 1.0) 3D clasp models were created. These models were loaded. The loading point was set at 3 mm from the tip with three displacements (0.5, 1.0 and 2.0 mm.). All models were analyzed using finite element analysis to determine reaction forces and maximum principal stress and stress distribution.
Results: The positive correlations were found between reaction force and taper ratio, and between reaction force and displacement for all models. The reaction force was maximum in Co-Cr, followed by PEEK and then acetal resin. Moreover, the positive correlations were found between maximum principal stress and taper ratio, and between maximum principal stress and displacement for all models. The maximum principal stress was maximum in Co-Cr, followed by PEEK and then acetal resin. The maximum principal stress of all Co-Cr models exceeded its yield stress.
Conclusions: PEEK and acetal resin can be materials of choice for RPD clasps. To achieve a sufficient retentive force for clinical use, they should be increased in dimension and require more undercut on the abutment tooth.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Faurschou A, Menné T, Johansen JD, Thyssen JP. Metal allergen of the 21st century--a review on exposure, epidemiology and clinical manifestations of palladium allergy. Contact Dermatitis 2011;64(4):185-95. doi: 10.1111/j.1600-0536.2011.01878.x.
Chen J, Cai H, Suo L, Xue Y, Wang J, Wan Q. A systematic review of the survival and complication rates of inlay-retained fixed dental prostheses. J Dent 2017;59:2-10. doi: 10.1016/j.jdent.2017.02.006.
Jamari J, Ammarullah MI, Santoso G, Sugiharto S, Supriyono T, van der Heide E. In Silico Contact Pressure of Metal-on-Metal Total Hip Implant with Different Materials Subjected to Gait Loading. Metals 2022;12(8):1241. https://doi.org/10.3390/met12081241
Pious CV, Thomas S. 2 - Polymeric Materials—Structure, Properties, and Applications. In: Izdebska J, Thomas S, editors. Printing on Polymers Fundamentals and Applications. Amsterdam : Elsevier Inc ; 2016 : 21-39.
Corrente G, Vergnano L, Pascetta R, Ramadori G. A new custom-made abutment for dental implants: a technical note. Int J Oral Maxillofac Implants 1995;10(5):604-8. PMID: 7591006
Singh K, Aeran H, Kumar N, Gupta N. Flexible thermoplastic denture base materials for aesthetical removable partial denture framework. J Clin Diagn Res 2013;7(10):2372-3. doi: 10.7860/JCDR/2013/5020.3527.
Turner JW, Radford DR, Sherriff M. Flexural properties and surface finishing of acetal resin denture clasps. J Prosthodont 1999;8(3):188-95. doi: 10.1111/j.1532-849x.1999.tb00034.x.
Osada H, Shimpo H, Hayakawa T, Ohkubo C. Influence of thickness and undercut of thermoplastic resin clasps on retentive force. Dent Mater J 2013;32(3):381-9. doi: 10.4012/dmj.2012-284.PMID: 23718997
Aly Sadek S, Dehis WM, Hassan H. Comparative Study Clarifying the Most Suitable Material to Be Used as Partial Denture Clasps. Open Access Maced J Med Sci 2018;6(6):1111-9. doi: 10.3889/oamjms.2018.226.
A.Helal M, Abd-Elrahman IA, Saqar HM, Salah A, Abas M. Evaluation of Acetal Resin and Cobalt–Chromium Clasp Deformation and Fatigue Resistance in Removable Partial Denture Clasps - An In Vitro Study. Clinical Research in Dentistry 2018;1(1):1-5. DOI:10.33309/2639-8281.010102
Najeeb S, Zafar MS, Khurshid Z, Siddiqui F.Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res 2016;60(1):12-9. doi:10.1016/j.jpor.2015.10.001.
Rahmitasari F, Ishida Y, Kurahashi K, Matsuda T, Watanabe M, Ichikawa T.PEEK with Reinforced Materials and Modifications for Dental Implant Applications. Dent J (Basel) 2017;5(4):35. doi: 10.3390/dj5040035.
Ichikawa T, Kurahashi K, Liu L, Matsuda T, Ishida Y. Use of a Polyetheretherketone Clasp Retainer for Removable Partial Denture: A Case Report. Dent J (Basel) 2019;7(1):4. doi: 10.3390/dj7010004.
Peng TY, Ogawa Y, Akebono H, Iwaguro S, Sugeta A, Shimoe S. Finite-element analysis and optimization of the mechanical properties of polyetheretherketone (PEEK) clasps for removable partial dentures. J Prosthodont Res 2020;64(3):250-6. doi: 10.1016/j.jpor.2019.07.012.
Frank RP, Nicholls JI. A study of the flexibility of wrought wire clasps. J Prosthet Dent 1981;45(3):259-67. doi: 10.1016/0022-3913(81)90386-3.
Soo S, Leung T. Hidden clasps versus C clasps and I bars: a comparison of retention. J Prosthet Dent 1996;75(6):622-5. doi: 10.1016/s0022-3913(96)90247-4.
Helal MA, Baraka OA, Sanad ME, Ludwig K, Kern M. Effects of long-term simulated RPD clasp attachment/detachment on retention loss and wear for two clasp types and three abutment material surfaces. J Prosthodont
;21(5):370-7. doi: 10.1111/j.1532-849X.2012.00844.x.
Ravindra KA, Dayalan M. A Comparative Evaluation of Stress Distribution, Deformation and Retentive Force of Three Different Partial Denture Framework in Two Removable Partial Denture Designs: A Finite Element Analytical Study. Int j innov 2023;8(2):1357-65. doi: https://doi.org/10.5281/zenodo.7691914
Fitton JS, Davies EH, Howlett JA, Pearson GJ. The physical properties of a polyacetal denture resin. Clin Mater 1994;17(3):125-9. doi: 10.1016/0267-6605(94)90135-x.
Tannous F, Steiner M, Shahin R, Kern M. Retentive forces and fatigue resistance of thermoplastic resin clasps. Dent Mater 2012;28(3):273-8. doi: 10.1016/j.dental.2011.10.016.
Urano S, Hotta Y, Miyazaki T, Baba K. Bending properties of Ce-TZP/A nanocomposite clasps for removable partial dentures. Int J Prosthodont 2015;28(2):191-7. doi: 10.11607/ijp.4113.
Vaddamanu SK, Alhamoudi FH, Chaturvedi S, Alqahtani NM, Addas MK, Alfarsi MA, et al. Retentive Forces and Deformation of Fitting Surface in RPD Clasp Made of Polyether-Ether-Ketone (PEEK). Polymers (Basel) 2023;15(4):956. doi: 10.3390/polym15040956.
Bates JF. The mechanical properties of the cobalt-chromium alloys and their relation to partial denture design. Br Dent J 1965;119(9):389-96. PMID: 5215087
Ghani F, Mahood M. A laboratory examination of the behaviour of cast cobalt-chromium clasps. J Oral Rehabil 1990;17(3):229-37. doi: 10.1111/j.1365-2842.1990.tb00003.x.
Kotake M, Wakabayashi N, Ai M, Yoneyama T, Hamanaka H. Fatigue resistance of titanium-nickel alloy cast clasps. Int J Prosthodont 1997;10(6):547-52. PMID: 9495176