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树脂粘结修复体后牙固位体设计的结构稳定性:一项三维有限元研究。

Structural stability of posterior retainer design for resin-bonded prostheses: a 3D finite element study.

作者信息

Lin Jie, Zheng Zhiqiang, Shinya Akikazu, Matinlinna Jukka Pekka, Botelho Michael George, Shinya Akiyoshi

机构信息

Department of VIP Dental Service, School and Hospital of Stomatology, Fujian Medical University, 246 Yangqiao Zhong Road, Fuzhou, Fujian, 350002, People's Republic of China.

Department of Crown and Bridge, The Nippon Dental University School of Life Dentistry at Tokyo, 1-9-20 Fujimi, Chiyoda-Ku, Tokyo, 102-8159, Japan.

出版信息

Odontology. 2015 Sep;103(3):333-8. doi: 10.1007/s10266-014-0173-2. Epub 2014 Sep 9.

Abstract

The purpose of this in vitro study was to compare the stress distribution and natural frequency of different shape and thickness retainer designs for maxillary posterior resin-bonded prostheses using finite element (FE) method. A 3D FE model of a three unit posterior resin-bonded prosthesis analysis model was generated. Three different shaped retainer designs, viz. C-shaped (three axial surface wraparounds), D-shaped (three axial surface wraparounds with central groove) and O-shaped (360° wraparounds), and three different thicknesses, viz., 0.4, 0.8, and 1.2 mm, resin-bonded prostheses were used in this study. The resin-bonded prosthesis analysis model was imported into an FE analysis software (ANSYS 10.0, ANSYS, USA) and attribution of material properties. The nodes at the bottom surface of the roots were assigned fixed zero displacement in the three spatial dimensions. A simulated angle of 45° loading of a 100 N force was applied to the node of the pontic lingual cusp surface. The stress distributions and corresponding natural frequencies were analyzed and resolved. The C-shaped retainer for 0.4 mm thickness recorded the greatest von Mises stresses of 71.4 MPa for all three groups. C-shaped, D-shaped and O-shaped retainer presented natural frequencies 3,988, 7,754, and 10,494 Hz, respectively. D-shaped retainer and O-shaped retainer increased natural frequencies and structural rigidity over the traditional C-shaped retainer. The maximum von Mises stresses values of the remaining tooth and prosthesis decreased with greater retainer thickness. D-shaped retainer and O-shaped retainer increased natural frequencies and structural rigidity over the traditional C-shaped retainer.

摘要

本体外研究的目的是使用有限元(FE)方法比较上颌后牙树脂粘结修复体不同形状和厚度的固位体设计的应力分布和固有频率。生成了一个三单位后牙树脂粘结修复体分析模型的三维有限元模型。本研究使用了三种不同形状的固位体设计,即C形(三个轴面环绕)、D形(三个轴面环绕并带有中央凹槽)和O形(360°环绕),以及三种不同厚度,即0.4、0.8和1.2mm的树脂粘结修复体。将树脂粘结修复体分析模型导入有限元分析软件(ANSYS 10.0,美国ANSYS公司)并赋予材料属性。牙根底面的节点在三个空间维度上被指定为固定的零位移。在桥体舌尖表面的节点上施加一个100N力的45°模拟加载。分析并求解应力分布和相应的固有频率。在所有三组中,厚度为0.4mm的C形固位体记录的最大冯·米塞斯应力为71.4MPa。C形、D形和O形固位体的固有频率分别为3988、7754和10494Hz。与传统的C形固位体相比,D形固位体和O形固位体提高了固有频率和结构刚度。随着固位体厚度增加,剩余牙齿和修复体的最大冯·米塞斯应力值降低。与传统的C形固位体相比,D形固位体和O形固位体提高了固有频率和结构刚度。

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