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牙种植体骨结合界面应力状态的三维有限元非线性分析

3D finite element non linear analysis on the stress state at bone-implant interface in dental osteointegrated implants.

作者信息

Sannino G, Marra G, Feo L, Barlattani A

机构信息

Department of Dentistry, University of Rome "Tor Vergata", Rome, Italy.

出版信息

Oral Implantol (Rome). 2010 Jul;3(3):26-37. Epub 2011 Jan 13.

Abstract

PURPOSES

The aim of the study was to assess by means a 3D finite element linear and non-linear analysis mechanical interaction between an implant-supported crown and surrounding tissues.

MATERIALS AND METHODS

A three-dimensional FEM model was developed. Four different material combinations for the abutment and the core were evaluated: Y-TZP - Y-TZP, Y-TZP - microhybrid composite, T - microhybrid composite; T and Y-TZP. 250 N and 450 N loads over a 0,5 mm(2) areas with different angles (0° and 45°) and locations were applied on the occlusal surface of the framework and the distribution of equivalent von Mises stress was investigated. Using the most critical scenario, the influence of the gradual failure of the cement layer, due to increasing load, on the bone -implant interface, were investigated.

RESULTS

The worst physiological loading condition was the one associated with a horizontal component (45°, 250 N). The 0°, 450 N load (relating to accidental or pathological condition) induced stress concentrations in the cortical bone comparable with those obtained for the tilted load, but with a greater extension to the cancellous bone. Y-TZP prosthetic elements determined minimum values of stress, due to vertical loads at the interface, while the microhybrid composite ones determined minimum stresses due to horizontal loads.

CONCLUSION

Different material combinations for the abutment and the core influenced weakly the stress state at bone-implant interface, with a dependency closely related to the loading mode. The implant - prostheses system stress distribution depended on material choice. Furthermore progressive 45° loads with the gradual failure of the cement layer did not influence Von Mises stresses at bone-implant-interface.

摘要

目的

本研究旨在通过三维有限元线性和非线性分析评估种植体支持冠与周围组织之间的力学相互作用。

材料与方法

建立三维有限元模型。评估了基台和核的四种不同材料组合:钇稳定四方多晶氧化锆(Y-TZP)-Y-TZP、Y-TZP-微混合复合材料、钛(T)-微混合复合材料、T和Y-TZP。在框架的咬合面上,在0.5平方毫米的区域上施加250牛和450牛的载荷,载荷角度(0°和45°)和位置不同,研究等效应力的分布。使用最关键的情况,研究由于载荷增加导致的粘结层逐渐失效对骨-种植体界面的影响。

结果

最不利的生理载荷条件是与水平分量相关的情况(45°,250牛)。0°,450牛的载荷(与意外或病理情况相关)在皮质骨中引起的应力集中与倾斜载荷时相当,但在松质骨中的扩展范围更大。Y-TZP修复元件由于界面处的垂直载荷而产生的应力最小值,而微混合复合材料元件由于水平载荷而产生的应力最小值。

结论

基台和核的不同材料组合对骨-种植体界面处的应力状态影响较弱,其依赖性与加载方式密切相关。种植体-修复体系统的应力分布取决于材料选择。此外,随着粘结层逐渐失效的45°渐进载荷不会影响骨-种植体界面处的等效应力。

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