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根管治疗后犬牙的机械行为: 管帽、桩核材料和形状的影响。

Mechanical behavior of endodontically restored canine teeth: Effects of ferrule, post material and shape.

机构信息

School of Dentistry - University of Naples Federico II, Italy.

Department of Industrial Engineering, Fraunhofer JL IDEAS - University of Naples Federico II, Italy.

出版信息

Dent Mater. 2017 Dec;33(12):1466-1472. doi: 10.1016/j.dental.2017.10.009. Epub 2017 Nov 7.

Abstract

OBJECTIVE

To assess the effect of a ferrule design with specific post material-shape combinations on the mechanical behavior of post-restored canine teeth.

METHODS

Micro-CT scan images of an intact canine were used to create a 3-D tessellated CAD model, from which the shapes of dentin, pulp and enamel were obtained and geometric models of post-endodontically restored teeth were created. Two types of 15mm post were evaluated: a quartz fiber post with conical-tapered shape, and a carbon (C) fiber post with conical-cylindrical shape. The abutment was created around the coronal portion of the posts and 0.1mm cement was added between prepared crown and abutment. Cement was also added between the post and root canal and a 0.25mm periodontal ligament was modeled around the root. Four models were analysed by Finite Element (FE) Analysis: with/without a ferrule for both types of post material and shape. A load of 50N was applied at 45° to the longitudinal axis of the tooth, acting on the palatal surface of the crown. The maximum normal stress criterion was adopted as a measure of potential damage.

RESULTS

Models without a ferrule showed greater stresses (16.3MPa) than those for models with a ferrule (9.2MPa). With a ferrule, stress was uniformly distributed along the abutment and the root, with no critical stress concentration. In all models, the highest stresses were in the palatal wall of the root. Models with the C-fiber post had higher stress than models with the quartz fiber posts. The most uniform stress distribution was with the combination of ferrule and quartz fiber post.

SIGNIFICANCE

The FE analysis confirmed a beneficial ferrule effect with the combination of ferrule and quartz fiber post, with tapered shape, affording no critical stress concentrations within the restored system.

摘要

目的

评估具有特定桩核材料形状组合的套圈设计对根管后犬牙力学性能的影响。

方法

使用完整犬牙的微 CT 扫描图像创建 3D 镶嵌 CAD 模型,从中获得牙本质、牙髓和牙釉质的形状,并创建根管后修复牙的几何模型。评估了两种 15mm 桩:锥形渐缩形状的石英纤维桩和锥形圆柱形的碳纤维桩。将基台构建在桩的冠部周围,并在预备冠和基台之间添加 0.1mm 的粘结剂。还在桩和根管之间添加粘结剂,并在根部周围模拟 0.25mm 的牙周膜。通过有限元(FE)分析对 4 种模型进行了分析:对于两种类型的桩材料和形状,有无套圈。在牙齿的纵轴上以 45°角向牙冠的腭面施加 50N 的载荷。采用最大正应力标准作为潜在损伤的度量标准。

结果

无套圈模型的应力(16.3MPa)大于有套圈模型(9.2MPa)。有套圈时,应力沿基台和根部均匀分布,没有临界应力集中。在所有模型中,根部腭壁的应力最高。碳纤维桩模型的应力高于石英纤维桩模型。具有套圈和石英纤维桩的模型具有最均匀的应力分布。

意义

FE 分析证实了具有套圈和锥形渐缩石英纤维桩的组合具有有益的套圈效应,在修复系统内没有临界应力集中。

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