Institute of Stomatology, Nanjing Medical University, NanJing 210029, China.
Dent Mater. 2013 Nov;29(11):e291-8. doi: 10.1016/j.dental.2013.09.001. Epub 2013 Oct 4.
To investigate the effect of differential coping designs on the stress distributions of an all-ceramic crown on, the upper central incisor under varying loads.
3D finite element models with three differential coping designs of an all-ceramic crown on, the upper central incisor were constructed using CAD (computer aided design) software. The coping, designs included: CC (conventional coping), MCL (modified coping without veneer coverage in lingual, surface) and MCM (modified coping without veneer coverage in lingual margin). Loading that, simulated the maximum bite force (200 N) was applied to the crown at differential locations (incisal, edge, lingual fossa and lingual margin). The first principal stress values for the full crown were, calculated and expressed as stress intensity in MPa.
The simulations showed the stress distribution tendencies of the all-ceramic crown with, differential coping materials were similar. The stress concentration was found in the cervical region, coping/veneer layer interface and the loading area for both the coping layer and the veneer layer. Maximal stress value was observed in the loading area. Stress values varied for the three types of, coping designs; however, compared with CC and MCM, MCL exhibited the lowest stress values.
Modified coping without veneer coverage in the lingual side (MCL) proved promising in, preventing all-ceramic crown failures that originate from veneering porcelain, especially under, abnormal occlusal force.
研究不同 coping 设计对不同载荷作用于上颌中切牙全瓷冠的应力分布的影响。
使用 CAD(计算机辅助设计)软件构建了上颌中切牙全瓷冠的三种不同 coping 设计的三维有限元模型。coping 设计包括:CC(常规 coping)、MCL(无舌侧覆盖瓷层的改良 coping)和 MCM(无舌侧边缘覆盖瓷层的改良 coping)。模拟最大咬合力(200N)的载荷施加于牙冠的不同位置(切缘、边缘、舌窝和舌侧边缘)。计算全冠的第一主应力值,并以 MPa 表示应力强度。
模拟结果表明,具有不同 coping 材料的全瓷冠的应力分布趋势相似。在颈缘区、coping/veneer 层界面以及 coping 层和 veneer 层的加载区域均发现了应力集中。最大应力值出现在加载区域。三种 coping 设计的应力值有所不同;然而,与 CC 和 MCM 相比,MCL 表现出的应力值最低。
无舌侧覆盖瓷层的改良 coping(MCL)在预防源于饰面瓷的全瓷冠失败方面表现出了潜力,特别是在异常咬合力的情况下。