Sun Ying-ying, Kong Liang, Liu Bao-lin, Hu Kai-jin, Li De-hua, Song Li
Dept. of Oral and Maxillofacial Surgery, College of Stomatology, The Fourth Military Medical University, Xi'an 710032, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2007 Aug;25(4):358-61.
To determine the jaw bone stress variation affected by cylinder implant diameter and length simultaneously in Ansys DesignXplorer module.
Finite element model of segment mandible with a cylinder implant was created. The range of the implant diameter (D) and length (L) were set from 2.5 mm to 5.0 mm and from 6.0 mm to 16.0 mm respectively. The maximum Von Mises stresses in jaw bone and sensitivity to D and L were evaluated.
Under axial (buccolingual) load, when one variable equaled to median, the amplification of maximum Von Mises stresses in cortical bone and cancellous bone were 44.66% (71.32%) and 51.45% (58.50%) respectively with the D increasing. The amplification of maximum Von Mises stresses in cortical bone and cancellous bone were 45.97% (21.66%) and 52.15% (37.75%) respectively with the L increasing. When D exceeded 3.7 mm and L exceeded 10.0 mm, the response curve curvatures of maximum Von Mises stresses to L and D in jaw bone ranged from -1 to 0. And the variation of the maximum Von Mises stresses in jaw bone was more sensitive to D than to L.
Stresses in jaw bone under buccolingual and axial load are apt to be affected by implant diameter and length respectively. And to a cylinder implant, the diameter exceeds 3.7 mm and length exceeds 10.0 mm are optimal selections. Diameter should pay more attention to than to length for cylinder implant. Expanding the width of the jaw bone is more important than expanding the height of the jaw bone in clinical experience.
在Ansys DesignXplorer模块中同时确定圆柱状种植体直径和长度对颌骨应力变化的影响。
建立带有圆柱状种植体的下颌骨节段有限元模型。种植体直径(D)范围设定为2.5 mm至5.0 mm,长度(L)范围设定为6.0 mm至16.0 mm。评估颌骨中的最大冯·米塞斯应力以及对D和L的敏感性。
在轴向(颊舌向)载荷下,当一个变量等于中位数时,随着D增加,皮质骨和松质骨中最大冯·米塞斯应力的增幅分别为44.66%(71.32%)和51.45%(58.50%)。随着L增加,皮质骨和松质骨中最大冯·米塞斯应力的增幅分别为45.97%(21.66%)和52.15%(37.75%)。当D超过3.7 mm且L超过10.0 mm时,颌骨中最大冯·米塞斯应力对L和D的响应曲线曲率范围为-1至0。颌骨中最大冯·米塞斯应力的变化对D比对L更敏感。
颊舌向和轴向载荷下的颌骨应力分别容易受到种植体直径和长度的影响。对于圆柱状种植体,直径超过3.7 mm且长度超过10.0 mm是最佳选择。对于圆柱状种植体,应更关注直径而非长度。临床经验表明,扩大颌骨宽度比扩大颌骨高度更重要。