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牙槽嵴倾斜度和种植体定位对下颌Kennedy I类可摘局部义齿相关性的影响

Influence of ridge inclination and implant localization on the association of mandibular Kennedy class I removable partial denture.

作者信息

Cunha Lígia Del' Arco Pignatta, Pellizzer Eduardo Piza, Verri Fellippo Ramos, Falcón-Antenucci Rosse Mary, Goiato Marcelo Coelho

机构信息

Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, São Paulo State University-UNESP, São Paulo, Brazil.

出版信息

J Craniofac Surg. 2011 May;22(3):871-5. doi: 10.1097/SCS.0b013e31820f7d6a.

Abstract

The aim of this study was to evaluate the tendency of displacement of the supporting structures of the distal extension removable partial denture (DERPD) associated to the implant with different inclinations of alveolar ridge and implant localizations through a two-dimensional finite-element method. Sixteen mandibular models were fabricated, presenting horizontal, distally descending, distally ascending, or descending-ascending ridges. All models presented the left canine and were rehabilitated with conventional DERPD or implant-retained prosthesis with the ERA system. The models were obtained by the AutoCAD software and transferred to the finite-element software ANSYS 9.0 for analysis. A force of 50 N was applied on the cusp tips of the teeth, with 5 points of loading of 10 N. The results were visualized by displacement maps. For all ridge inclinations, the assembly of the DERPD with distal plate retained by an anterior implant exhibited the lowest requisition of the supporting structures. The highest tendency of displacement occurred in the model with distally ascending ridge with incisal rest. It was concluded that the association of the implant decreased the displacement of the DERPD, and the anterior positioning of the implant associated to the DERPD with the distal plate preserved the supporting structures for all ridges.

摘要

本研究的目的是通过二维有限元方法,评估与种植体相关的远中游离可摘局部义齿(DERPD)的支持结构在牙槽嵴不同倾斜度和种植体位置情况下的位移趋势。制作了16个下颌模型,呈现水平、远中向下倾斜、远中向上倾斜或向下-向上倾斜的牙槽嵴。所有模型均有左侧尖牙,并采用传统的DERPD或带有ERA系统的种植体固位修复体进行修复。模型由AutoCAD软件获得,并转移到有限元软件ANSYS 9.0进行分析。在牙齿的牙尖施加50 N的力,分5个点加载,每个点10 N。结果通过位移图可视化。对于所有牙槽嵴倾斜度,由前位种植体固位远中板的DERPD组件对支持结构的要求最低。位移趋势最高的是带有切支托的远中向上倾斜牙槽嵴模型。得出的结论是,种植体的联合使用减少了DERPD的位移,与带有远中板的DERPD相关的种植体前部定位对所有牙槽嵴的支持结构起到了保护作用。

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