Sarfaraz Hasan, Paulose Anoopa, Shenoy K Kamalakanth, Hussain Akhter
Department of Prosthodontics, Yenepoya Dental College, Derlakatte, Mangalore, Karnataka, India.
Department of Orthodontics, Yenepoya Dental College, Derlakatte, Mangalore, Karnataka, India.
J Indian Prosthodont Soc. 2015 Jul-Sep;15(3):229-36. doi: 10.4103/0972-4052.161559.
The aim of the study was to evaluate the stress distribution pattern in the implant and the surrounding bone for a passive and a friction fit implant abutment interface and to analyze the influence of occlusal table dimension on the stress generated.
CAD models of two different types of implant abutment connections, the passive fit or the slip-fit represented by the Nobel Replace Tri-lobe connection and the friction fit or active fit represented by the Nobel active conical connection were made. The stress distribution pattern was studied at different occlusal dimension. Six models were constructed in PRO-ENGINEER 05 of the two implant abutment connection for three different occlusal dimensions each. The implant and abutment complex was placed in cortical and cancellous bone modeled using a computed tomography scan. This complex was subjected to a force of 100 N in the axial and oblique direction. The amount of stress and the pattern of stress generated were recorded on a color scale using ANSYS 13 software.
The results showed that overall maximum Von Misses stress on the bone is significantly less for friction fit than the passive fit in any loading conditions stresses on the implant were significantly higher for the friction fit than the passive fit. The narrow occlusal table models generated the least amount of stress on the implant abutment interface.
It can thus be concluded that the conical connection distributes more stress to the implant body and dissipates less stress to the surrounding bone. A narrow occlusal table considerably reduces the occlusal overload.
本研究旨在评估被动式和摩擦配合式种植体基台界面中种植体及其周围骨组织的应力分布模式,并分析咬合面尺寸对所产生应力的影响。
制作了两种不同类型种植体基台连接的CAD模型,一种是由Nobel Replace三叶草连接代表的被动配合或滑动配合,另一种是由Nobel主动锥形连接代表的摩擦配合或主动配合。研究了不同咬合尺寸下的应力分布模式。使用PRO-ENGINEER 05软件为两种种植体基台连接构建了六个模型,每种连接对应三种不同的咬合尺寸。将种植体和基台复合体置于通过计算机断层扫描建模的皮质骨和松质骨中。对该复合体施加轴向和斜向100 N的力。使用ANSYS 13软件以彩色标度记录产生的应力大小和应力模式。
结果表明,在任何加载条件下,摩擦配合时骨上的总体最大冯·米塞斯应力均显著低于被动配合;摩擦配合时种植体上的应力显著高于被动配合。窄咬合面模型在种植体基台界面上产生的应力最小。
因此可以得出结论,锥形连接将更多应力分布到种植体主体,而向周围骨组织消散的应力较少。窄咬合面可显著降低咬合过载。