Calha Nuno, Messias Ana, Guerra Fernando, Martinho Beatriz, Neto Maria Augusta, Nicolau Pedro
Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal.
Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal; Centre for Mechanical Engineering, University of Coimbra, Portugal.
J Prosthodont Res. 2017 Apr;61(2):139-148. doi: 10.1016/j.jpor.2016.08.004. Epub 2016 Sep 22.
To evaluate the effect of geometry on the displacement and the strain distribution of anterior implant-supported zirconia frameworks under static load using the 3D digital image correlation method.
Two groups (n=5) of 4-unit zirconia frameworks were produced by CAD/CAM for the implant-abutment assembly. Group 1 comprised five straight configuration frameworks and group 2 consisted of five curved configuration frameworks. Specimens were cemented and submitted to static load up to 200N. Displacements were captured with two high-speed photographic cameras and analyzed with video correlation system in three spacial axes U, V, W. Statistical analysis was made using the nonparametric Mann-Whitney test.
Up to 150N loads, the vertical displacements (V axis) were statistically higher for curved frameworks (-267.83±23.76μm), when compared to the straight frameworks (-120.73±36.17μm) (p=0.008), as well as anterior displacements in the W transformed axis (589.55±64.51μm vs 224.29±50.38μm for the curved and straight frameworks), respectively (p=0.008). The mean von Mises strains over the surface frameworks were statistically higher for the curved frameworks under any load.
Within the limitations of this in vitro study, it is possible to conclude that the geometric configuration influences the deformation of 4-unit anterior frameworks under static load. The higher strain distribution and micro-movements of the curved frameworks reflect less rigidity and increased risk of fractures associated to FPDs.
使用三维数字图像相关方法评估几何形状对静态载荷下前牙种植体支持的氧化锆框架的位移和应变分布的影响。
通过计算机辅助设计/计算机辅助制造(CAD/CAM)制作两组(每组n = 5)4单位氧化锆框架用于种植体-基台组件。第1组包括五个直线构型框架,第2组由五个曲线构型框架组成。将标本粘结并施加高达200N的静态载荷。用两台高速摄像机采集位移,并通过视频相关系统在三个空间轴U、V、W上进行分析。使用非参数曼-惠特尼检验进行统计分析。
在高达150N的载荷下,与直线框架(-120.73±36.17μm)相比,曲线框架(-267.83±23.76μm)的垂直位移(V轴)在统计学上更高(p = 0.008),以及在W变换轴上的前向位移分别为(曲线框架和直线框架分别为589.55±64.51μm和224.29±50.38μm)(p = 0.008)。在任何载荷下,曲线框架在表面框架上的平均冯·米塞斯应变在统计学上更高。
在本体外研究的局限性内,可以得出结论,几何构型会影响静态载荷下4单位前牙框架的变形。曲线框架较高的应变分布和微运动反映出其刚性较低,与固定局部义齿相关的骨折风险增加。