Zhang Long, Lu Yi, Yang Bo-song, Guo Yan, Li Fang-ping
Department of Stomatology, First Affiliated Hospital of Xi'an Jiaotong University. Xi'an 710061; China.E-mail:
Shanghai Kou Qiang Yi Xue. 2015 Apr;24(2):170-6.
To explore the effect of different depth and width of meiso-occlusal (Class II) cavity type on the tooth tissue resistance stress after restoration with composite resin inlays.
The 3-D finite element model of mandibular first molar with meiso-occlusal (Class II) cavity restored with composite resin inlay was established by using CBCT scanning and reverse engineering software Mimics, Geomagic Studio, and finite element analysis software ANSYS. Comparative analysis of restoration with different depth and width meiso-occlusal (Class II) cavity under the same load of perpendicular and 45° deviation was explored, and finally the main stress and Von-mises stress changed as well as stress distribution were analyzed.
The main stress was located in the gingival wall opposite to the inlay, while the major stress concentration area of the tooth was distributed near the canal at the bottom of the cavity. With the increase of the depth and width, the main stress and Von-mises stress distribution areas of tooth were getting larger. The Von-mises stress of tooth was influenced by the width variation of the cavity, while that depth change of cavity was affected by Von Mises stress of the inlay.
With the increase of the depth and width of the cavity as well as lateral loading force, the peak stress of tooth with inlays increased and the distribution of stress concentration is modified after meiso-occlusal (Class II) cavity being inlayed with composite resin.
探讨近中邻(牙合)面(Ⅱ类)洞型不同深度和宽度对复合树脂嵌体修复后牙体组织抵抗应力的影响。
采用CBCT扫描及逆向工程软件Mimics、Geomagic Studio和有限元分析软件ANSYS建立下颌第一磨牙近中邻(牙合)面(Ⅱ类)洞复合树脂嵌体修复的三维有限元模型。探讨在垂直和45°偏斜相同载荷下不同深度和宽度近中邻(牙合)面(Ⅱ类)洞修复体的比较分析,最后分析主应力和Von-mises应力的变化以及应力分布。
主应力位于嵌体相对的龈壁处,而牙体的主要应力集中区域分布在洞底根管附近。随着深度和宽度的增加,牙体的主应力和Von-mises应力分布区域变大。牙体的Von-mises应力受洞宽变化的影响,而洞深变化受嵌体Von Mises应力的影响。
随着洞深度和宽度的增加以及侧向加载力的作用,复合树脂嵌体修复近中邻(牙合)面(Ⅱ类)洞后,牙体的峰值应力增加,应力集中分布发生改变。