Takayama Y, Yamada T, Araki O, Seki T, Kawasaki T
The Department of Removable Prosthodontics, Hokkaido University, Sapporo, Japan.
J Oral Rehabil. 2001 Nov;28(11):1064-74. doi: 10.1046/j.1365-2842.2001.00759.x.
The purpose of this study was to analyse the correlation between the location and/or direction of unilateral load and the dynamic behaviour of a mandibular complete denture using the three-dimensional finite element method (FEM). The FE model consisted of the body of mandible, alveolar mucosa, and a complete denture, and it could simulate the condition of contact between the surface of the mucosa and mucosal surface of a denture. Load vectors, which simulated premature contacts, were calculated on the supposition that a premature contact on an occlusal facet causes a vertical load on it. Load-A, a load vertical to the anterior occlusal facet, caused the least displacement of the denture and less concentrated stress distribution. Load-P, a load vertical to the posterior occlusal facet, was characterized by the stress distributed in the lingual area of the pre-molar lesion on the contra-lateral side of the load. Load-B, a load vertical to the balancing occlusal facet, caused the largest displacement of the denture. The relationship between loads and stress distribution was agreed approximately with the observations previously reported, and lead to some suggestions about occlusion for complete dentures.
本研究的目的是使用三维有限元方法(FEM)分析单侧负荷的位置和/或方向与下颌全口义齿动态行为之间的相关性。有限元模型由下颌骨体、牙槽黏膜和一副全口义齿组成,它可以模拟黏膜表面与义齿黏膜面之间的接触情况。在假定咬合面上的早接触会在其上产生垂直负荷的前提下,计算模拟早接触的负荷向量。垂直于前牙合面的负荷A导致义齿的位移最小且应力分布不太集中。垂直于后牙合面的负荷P的特征是应力分布在负荷对侧前磨牙区的舌侧区域。垂直于平衡牙合面的负荷B导致义齿的位移最大。负荷与应力分布之间的关系与先前报道的观察结果大致相符,并对全口义齿的咬合提出了一些建议。