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牙合面形态对全瓷冠折裂的影响;尖角度和裂沟半径的作用。

Influence of occlusal geometry on ceramic crown fracture; role of cusp angle and fissure radius.

机构信息

Faculty of Dentistry, University of Sydney, Sydney, Australia.

出版信息

J Mech Behav Biomed Mater. 2011 Oct;4(7):1057-66. doi: 10.1016/j.jmbbm.2011.03.014. Epub 2011 Mar 21.

Abstract

OBJECTIVES

To develop an approximate analytical model that identifies the influence of both cusp angle and notch radius on the failure load of all-ceramic premolar crowns.

METHODS

The scatter of failure loads in a crown fracture resistance test was analyzed based on the stress intensity and stress concentration factors from mechanics models developed for simple compact tension to more sophisticated blunt V-notch specimens. Based on the same loading conditions and dimensions, the predicted loads were systematically compared with fracture loads of laboratory-tested crowns to identify the most relevant model. Finally, based upon these models a safe range of cusp angles and notch radii were identified for posterior all-ceramic crowns with various veneering materials' fracture toughness values as the selection criteria.

RESULTS

The failure loads of the crowns were distributed in the range between the classical compact tension (lower bound) and blunt V-notch model (upper bound). Additionally, when considering the effect of different materials, the predicted trend of failure loads moves to higher loads well above typical occlusal forces when the fracture toughness of veneering porcelain is increased. The effects of notch radius on the failure load are still inconclusive due to the relatively complex shape of occlusal surfaces. Further studies on crowns with a range of material properties are required to substantiate the model.

SIGNIFICANCE

Cusp angle is a key factor that controls the stress generated at the crown fissure. This study provides the rationale for evaluating such effects and clinical guidelines for occlusal design are proposed.

摘要

目的

开发一种近似分析模型,确定牙尖角度和缺口半径对全瓷前磨牙冠失效负荷的影响。

方法

根据力学模型中针对简单紧凑拉伸到更复杂钝 V 型缺口试样的应力强度和应力集中系数,分析了冠断裂阻力试验中失效负荷的离散性。基于相同的加载条件和尺寸,系统比较预测负荷与实验室测试的冠的断裂负荷,以确定最相关的模型。最后,根据这些模型,确定了具有不同饰面材料断裂韧性值的后牙全瓷冠的牙尖角度和缺口半径的安全范围,作为选择标准。

结果

冠的失效负荷分布在经典紧凑拉伸(下限)和钝 V 型缺口模型(上限)之间。此外,当考虑不同材料的影响时,当增加饰面瓷的断裂韧性时,失效负荷的预测趋势会朝着高于典型咬合力的更高负荷移动。由于咬合面的相对复杂形状,缺口半径对失效负荷的影响仍不确定。需要进一步研究具有一系列材料性能的牙冠,以证实该模型。

意义

牙尖角度是控制牙冠裂缝处产生的应力的关键因素。本研究为评估这种影响提供了依据,并提出了用于咬合设计的临床指南。

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