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Fig 1.

Process flowchart.

Diagrammatic representation of the steps and the correlated software applied in the pre-processing and processing phases.

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Fig 1 Expand

Fig 2.

3D model and geometries.

Edentulous maxilla (A); Type IIb maxillary defect (B); Implants distribution on maxillary crestal bone (C); Cancellous bone (D); Cortical bone (E); Soft tissue (F); Five external hexagon implants (G); Bar and bar-clip attachments (H); Five prosthetic screws (I); Full-arch total prosthesis (J).

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Fig 2 Expand

Fig 3.

3D model.

Milled implant-retained bar with 3 clip-bar attachments in different materials. PEEK (A); Titanium alloy (B); Cobalt-Chromium alloy (C).

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Fig 3 Expand

Fig 4.

Boundary conditions and loadings configuration in FEA models.

Mesh (A); Boundary conditions (B); Anterior load was applied at cingulum area of the central incisor (C); Posterior load was applied at occlusal surface of the first molar (D).

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Fig 4 Expand

Table 1.

Mechanical properties of the materials/solid geometry used in the current study.

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Table 1 Expand

Fig 5.

Microstrain distribution in the maxillary cancellous bone.

Upper line: anterior loading; Bottom line: posterior loading. Framework’s material: PEEK (A and D); Titanium alloy (B and E); Cobalt-Chromium alloy (C and F).

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Fig 5 Expand

Fig 6.

Microstrain distribution on the maxillary cortical bone.

Upper line: anterior loading; Bottom line: posterior loading. Framework’s material: PEEK (A and D); Titanium alloy (B and E); Cobalt-Chromium alloy (C and F).

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Fig 6 Expand

Table 2.

Results in terms of bone microstrain (με) and stress peak values (MPa) according to the framework’s material and load incidence.

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Table 2 Expand

Fig 7.

The stress distribution in the framework.

Upper line: anterior loading; Bottom line: posterior loading. Framework’s material: PEEK (A and D); Titanium alloy (B and E); Cobalt-Chromium alloy (C and F).

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Fig 7 Expand

Fig 8.

Maps of von Mises stress distribution results for implants according to framework’s material, under anterior loading.

PEEK (A); Titanium (B); Cobalt-Chromium alloy (C). On the bottom line, an enlarged view of the implants that presented the highest stress concentration.

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Fig 8 Expand

Fig 9.

Maps of von Mises stress distribution results for implants according to framework’s material, under posterior loading.

PEEK (A); Titanium (B); Cobalt-Chromium alloy (C). On the bottom line, an enlarged view of the implants that presented the highest stress concentration.

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Fig 9 Expand

Fig 10.

Maps of von Mises stress distribution results for prosthetic screw according to framework’s material, under anterior loading.

PEEK (A); Titanium alloy (B); Cobalt-Chromium alloy (C). On the bottom line, an enlarged view of the prosthetic screws that presented the highest stress concentration.

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Fig 10 Expand

Fig 11.

Maps of von Mises stress distribution results for prosthetic screw according to framework’s material, under posterior loading.

PEEK (A); Titanium alloy (B); Cobalt-Chromium alloy (C). On the bottom line, an enlarged view of the prosthetic screws that presented the highest stress concentration.

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Fig 11 Expand