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牙根桩在牙齿不同层次变化的影响:线性与非线性有限元应力分析

Effect of variation of root post in different layers of tooth: linear vs nonlinear finite element stress analysis.

作者信息

Uddanwadiker Rashmi V, Padole Pramod M, Arya Harshwardhan

机构信息

Mechanical Engineering Department, Visvesvaraya National Institute of Technology, Nagpur 440010, India.

出版信息

J Biosci Bioeng. 2007 Nov;104(5):363-70. doi: 10.1263/jbb.104.363.

Abstract

The objective of this study was to obtain an accurate stress distribution pattern on different domains of a post- and core-treated tooth, taking into account the nonlinear properties of the periodontal ligament (PDL). Linear stress and deformation analysis was carried out using four posts, different in constitution and shape. Accurate three-dimensional models of a restored tooth with different layers were prepared using CAD modeling software. The study was carried out using a cast metal post and core assembly, a glass fiber, a carbon fiber, and a titanium post with a composite resin core. For each restoration, parallel, tapered and threaded posts were modeled. However, PDL exhibits nonlinear properties ensuring a uniform stress distribution in the tooth structure. Hence, accurate results could be expected by simulating the model for the nonlinear properties of PDL. Owing to computational difficulties, a simplified model was prepared in the ANSYS environment and nonlinear stress analysis was carried out. The results indicate that for optimum strength, rigidity and flexibility, tapered fiber posts with a composite resin core cemented to the root are desirable. Under similar loading conditions, in the case of nonlinear analysis, the stresses decreased by approximately 25% and the deformation increased by approximately 50% as compared with those in case of linear static analysis for an endodontically treated maxillary central incisor. Thus, stress distribution within the restored tooth and surrounding tissues can be better anticipated by a dentist. From the results of this study, the dimensions of a post could be modified, to further reduce stress in the oral cavity and thereby reduce the risk of root and post fractures.

摘要

本研究的目的是考虑牙周韧带(PDL)的非线性特性,获得桩核修复牙不同区域的精确应力分布模式。使用四种材质和形状不同的桩进行线性应力和变形分析。利用CAD建模软件制备了具有不同层次的修复牙精确三维模型。该研究使用了铸造金属桩核组件、玻璃纤维桩、碳纤维桩以及带有复合树脂核的钛桩。对于每种修复体,模拟了平行桩、锥形桩和螺纹桩。然而,PDL具有非线性特性,可确保牙齿结构内应力分布均匀。因此,通过模拟PDL的非线性特性模型,有望得到准确结果。由于计算困难,在ANSYS环境中制备了简化模型并进行了非线性应力分析。结果表明,为获得最佳强度、刚度和柔韧性,将带有复合树脂核的锥形纤维桩粘结到牙根上是理想的。在相似加载条件下,对于根管治疗后的上颌中切牙,与线性静态分析相比,非线性分析时应力降低了约25%,变形增加了约50%。因此,牙医可以更好地预测修复牙及其周围组织内的应力分布。根据本研究结果,可以修改桩的尺寸,以进一步降低口腔内的应力,从而降低牙根和桩折断的风险。

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