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游离端鞍基长度对单侧复合局部义齿基牙及固位体应力水平的影响

Free-end saddle length influence on stress level in unilateral complex partial denture abutment teeth and retention elements.

作者信息

Patrnogić Vesna, Todorović Aleksandar, Sćepanović Miodrag, Radović Katarina, Vesnić Jelena, Grbović Aleksandar

机构信息

University of Belgrade, Belgrade, Serbia.

出版信息

Vojnosanit Pregl. 2013 Nov;70(11):1015-22. doi: 10.2298/vsp110603028p.

Abstract

BACKGROUND/AIM: Different types of dental restorations are used for the therapy of unilateral free-end saddle edentulism. Unilateral complex partial denture is one of the indications for the Kennedy class II partial edentulism. The abscence of major connector and denture plate is an advantage compared to the conventional restorations, because of better comfort and shorter period of adaptation. The aim of the study was to analyse the influence of free-end saddle length change on the behaviour of unilateral complex partial denture supporting structures.

METHODS

Stress levels of the canine and the first premolar as retentional teeth and the attachments were tested under the influence of physiological forces with the loading point shifting distally in relation to the saddle length change. A virtual real size 3D model of the fixed part of the restoration (the canine and the first premolar with milled crowns) was created using the CATIA computer program. It was connected to the mobile part of partial denture with the SD snap in latch attachment. Mobile part of the restoration was designed in the region of 2, 3 and 4 lateral teeth (second premolar, first, second and third molar). By using the finite element method (FEM) stress levels analysis was performed under the load of physiological forces of 150 N in the free-end saddle teeth zone.

RESULTS

The results of analysis show that physiological forces cause a different stress distribution on the abutment teeth and the attachment, depending on the saddle length.

CONCLUSION

The stress level values obtained for the abutment teeth as well as the attachment are far lower than the marginal ones. The behaviour of the system changes under this defined stress, but no plastic deformation occurs.

摘要

背景/目的:不同类型的牙齿修复体用于单侧游离端鞍状牙列缺失的治疗。单侧复合局部义齿是肯氏II类局部牙列缺失的适应症之一。与传统修复体相比,无大连接体和基托是其优势,因为舒适度更高且适应期更短。本研究的目的是分析游离端鞍长度变化对单侧复合局部义齿支持结构行为的影响。

方法

在生理力作用下,随着加载点相对于鞍长度变化向远中移动,测试作为固位牙的尖牙和第一前磨牙以及附着体的应力水平。使用CATIA计算机程序创建修复体固定部分(带有研磨冠的尖牙和第一前磨牙)的虚拟实际尺寸3D模型。它通过SD卡扣式附着体与局部义齿的活动部分相连。修复体的活动部分设计在2、3和4颗侧牙(第二前磨牙、第一、第二和第三磨牙)区域。通过有限元方法(FEM)在游离端鞍状牙区域150 N生理力载荷下进行应力水平分析。

结果

分析结果表明,生理力在基牙和附着体上引起不同的应力分布,这取决于鞍的长度。

结论

基牙和附着体获得的应力水平值远低于临界值。在这种确定的应力下系统的行为会发生变化,但不会发生塑性变形。

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