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考虑剩余牙槽嵴滑动及下颌全口义齿刚性的三维有限元分析

[3D finite element analysis in consideration of the slide on residual ridge and the rigidity of mandibular complete denture].

作者信息

Uto Taizo

机构信息

Division of Prosthetic Dentistry, Graduate School of Dental Medicine, Tsurumi University.

出版信息

Nihon Hotetsu Shika Gakkai Zasshi. 2005 Feb;49(1):36-45. doi: 10.2186/jjps.49.36.

Abstract

PURPOSE

The motions and stress distributions of mandibular complete dentures during use were compared and investigated in terms of denture rigidity using 3D finite element method (FEM) stress analysis.

METHODS

Four models for analysis of mandibular complete dentures with different elastic modulus (1. A resin base denture (C), 2. A resin base denture with reinforcement wire (R), 3. A metal base denture (M), 4. A metal plate denture consisting of a double structure (T)) and measured using 3D FEM. Modes were separated into two elastic bodies: the dentures and residual ridge. Analyses were executed under the same conditions total loads of 20 kgf and contact.

RESULTS

  1. The total equivalent-potential strain of dentures was high beneath the load point for C and R (2.38 approximately 2.86 x 10(-3)epsilon at buccal-shelf of working side and 0.55 approximately 0.68 x 10(-3)epsilon at posterior residual ridge). The entire dentures barely distorted for M and T (0.98 approximately 1.17 x 10(-3)epsilon at buccal-shelf of working side and 0.21 approximately 0.25 x 10(-3)epsilon at posterior residual ridge). 2. In the main stress distribution of mucosa beneath denture bases, high loads were located beneath the loading point of dentures, at lingual distal areas of the working side in C and R. In M and T, increasing the rigidity of dentures reduced the stress beneath the loading point of dentures. Stress was distributed widely and evenly.

CONCLUSIONS

When the rigidity of dentures is high, the strain of dentures decreases, the stress of the residual mucous membrane will evenly become distributed, and the distance of the balancing side from the denture border to the residual mucous membrane at the time of unilateral balanced position will decrease.

摘要

目的

运用三维有限元法(FEM)应力分析,比较并研究下颌全口义齿在使用过程中的运动及应力分布情况,具体涉及义齿刚性方面。

方法

构建四种具有不同弹性模量的下颌全口义齿分析模型(1. 树脂基托义齿(C);2. 带加强丝的树脂基托义齿(R);3. 金属基托义齿(M);4. 由双层结构组成的金属板义齿(T)),并采用三维有限元法进行测量。模型分为两个弹性体:义齿和剩余牙槽嵴。在相同条件下,即在总载荷为20千克力及接触情况下进行分析。

结果

  1. C和R义齿在载荷点下方的总等效应变较高(工作侧颊侧牙槽嵴处为2.38至2.86×10⁻³ε,后牙区剩余牙槽嵴处为0.55至0.68×10⁻³ε)。M和T义齿整体几乎无变形(工作侧颊侧牙槽嵴处为0.98至1.17×10⁻³ε,后牙区剩余牙槽嵴处为0.21至0.25×10⁻³ε)。2. 在义齿基托下方黏膜的主应力分布中,高载荷位于义齿加载点下方,C和R义齿在工作侧舌侧远中区域。在M和T义齿中,义齿刚性增加会降低义齿加载点下方的应力。应力分布广泛且均匀。

结论

当义齿刚性较高时,义齿应变减小,剩余黏膜的应力将均匀分布,单侧平衡位时平衡侧义齿边缘至剩余黏膜的距离会减小。

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