Huang Heng-Li, Chang Chin-Han, Hsu Jui-Ting, Fallgatter Alison M, Ko Ching-Chang
School of Dentistry, China Medical University, Taichung, Taiwan.
Int J Oral Maxillofac Implants. 2007 Jul-Aug;22(4):551-62.
Stress analysis was performed for various implant designs using 3-dimensional finite element analysis approaches.
Six implant designs were included: 3 parallel-sided implants (no thread, triangular thread, and squared thread), 2 stepped configurations (non-thread and triangular thread), and a tapered body of implant with squared thread. All threads had spiral characteristics. The mandibular model was constructed from computed tomographic (CT) images of a human mandible, and the material properties were anisotropic (different in different directions). A 100-N oblique force was applied at a 45-degree angle to the long axis of the implants at the buccal cusp as the loading condition.
Compared with cylindric implants, threaded implants (either triangular or squared) demonstrated increased peak stress at the crestal bone. The bone stress of stepped implants was decreased in the cortical region but was increased in the trabecular region. However, both threaded and stepped designs showed decreased interfacial stresses of bone near the valleys of the threaded and stepped areas. The tapered design decreased stresses by up to 32% in the cortical region and 17% in the trabecular region.
Although threaded implants could not decrease the peak stress at the crestal bone, both threaded and stepped designs show an ability to dissipate the interfacial stresses of bone. The use of tapered implants could reduce peak stress in both cortical and trabecular bone.
采用三维有限元分析方法对各种种植体设计进行应力分析。
包括六种种植体设计:3种平行面种植体(无螺纹、三角螺纹和方螺纹)、2种阶梯状结构(无螺纹和三角螺纹)以及一种带方螺纹的锥形种植体。所有螺纹均具有螺旋特征。下颌骨模型由人类下颌骨的计算机断层扫描(CT)图像构建而成,其材料特性为各向异性(不同方向不同)。在颊尖处,以与种植体长轴呈45度角的方向施加100 N的斜向力作为加载条件。
与圆柱形种植体相比,带螺纹的种植体(三角螺纹或方螺纹)在牙槽嵴顶骨处的峰值应力增加。阶梯状种植体在皮质骨区域的骨应力降低,但在小梁骨区域增加。然而,带螺纹和阶梯状设计在螺纹和阶梯区域谷底附近的骨界面应力均降低。锥形设计在皮质骨区域的应力降低高达32%,在小梁骨区域降低17%。
尽管带螺纹的种植体不能降低牙槽嵴顶骨处的峰值应力,但带螺纹和阶梯状设计均显示出能够消散骨界面应力的能力。使用锥形种植体可降低皮质骨和小梁骨中的峰值应力。