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IV类Aramany可摘局部义齿对支持组织应力分布的有限元法分析(第一部分:牙齿和牙周韧带)

Finite element method analysis of the stress distribution to supporting tissues in a Class IV Aramany removable partial denture (Part I: the teeth and periodontal ligament).

作者信息

Gharechahi Jafar, Sharifi Esmael, Aghdaee Nafiseh Asadzadeh, Nosohian Saeid

机构信息

Department of Prosthodontics, Mashhad University, Khorassa, Iran.

出版信息

J Contemp Dent Pract. 2008 Sep 1;9(6):65-72.

Abstract

AIM

Special care is required in the fabrication of a Class IV Aramany removable partial denture (RPD) in order to minimize the stress distribution to supporting tissues. Using the finite element method, the aim of this study was to analyze the distribution stress to supporting tissues when a Class IV Aramany RPD is worn.

METHODS AND MATERIALS

Three RPD designs with circumferential cast retainers were examined in this study. These varied in retainer configuration which included: buccal retention and palatal reciprocation (P1); palatal retention and buccal reciprocation (P2); and buccal and palatal retention (P3). The stress distribution in models using the Von Mises criteria was analyzed for each RPD design when placed under a 53N load from three different directions that included: vertical to the posterior teeth of the RPD (F1); at a 33 masculine angle to the posterior teeth of the RPD (F2); and vertically on the anterior teeth of the RPD (F3).

RESULTS

The maximum stress in teeth (91.3 Mpa) was generated when a 53N force was applied vertically from anterior teeth of RPD (F3) using buccal and palatal retention (P3). The maximum stress (0.494 Mpa) in the periodontal ligament (PDL) was also generated under the same conditions using the F3 load on the P3 design.

CONCLUSION

In all three directions of force application RPDs with buccal and palatal retention induced more stress in the tooth and the PDL with the maximum stress generated when the force was applied vertically to the anterior teeth. The axis of rotation can be changed by altering the RPD design as well as the direction and amount of force applied to the teeth.

摘要

目的

制作IV类阿腊马尼可摘局部义齿(RPD)时需要特别小心,以尽量减少对支持组织的应力分布。本研究旨在使用有限元方法分析佩戴IV类阿腊马尼RPD时支持组织的应力分布情况。

方法和材料

本研究检查了三种带有环形铸造固位体的RPD设计。这些设计在固位体配置上有所不同,包括:颊侧固位和腭侧对抗(P1);腭侧固位和颊侧对抗(P2);以及颊侧和腭侧固位(P3)。当在三个不同方向施加53N载荷时,使用冯·米塞斯准则分析每个RPD设计模型中的应力分布,这三个方向包括:垂直于RPD的后牙(F1);与RPD的后牙呈33°角(F2);以及垂直于RPD的前牙(F3)。

结果

当使用颊侧和腭侧固位(P3)从RPD的前牙垂直施加53N力(F3)时,牙齿产生的最大应力为91.3兆帕。在相同条件下,使用P3设计的F3载荷时,牙周膜(PDL)也产生了最大应力(0.494兆帕)。

结论

在所有三个力的施加方向上,颊侧和腭侧固位的RPD在牙齿和PDL中产生的应力更大,当力垂直施加于前牙时产生最大应力。通过改变RPD设计以及施加于牙齿的力的方向和大小,可以改变旋转轴。

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