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终饰线设计对双层及整体式氧化锆全冠应力分布的影响:一项三维有限元分析研究

Effect of finish line design on stress distribution in bilayer and monolithic zirconia crowns: a three-dimensional finite element analysis study.

作者信息

Miura Shoko, Kasahara Shin, Yamauchi Shinobu, Egusa Hiroshi

机构信息

Division of Molecular and Regenerative Prosthodontics, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan.

出版信息

Eur J Oral Sci. 2018 Apr;126(2):159-165. doi: 10.1111/eos.12402. Epub 2018 Jan 28.

Abstract

This study evaluated the influence of different finish line designs and abutment materials on the stress distribution of bilayer and monolithic zirconia crowns using three-dimensional finite element analysis (FEA). Three-dimensional models of two types of zirconia premolars - a yttria-stabilized zirconia framework with veneering ceramic and a monolithic zirconia ceramic - were used in the analysis. Cylindrical models with the finish line design of the crown abutments were prepared with three types of margin curvature radius (CR): CR = 0 (CR0; shoulder margin), CR = 0.5 (CR0.5; rounded shoulder margin), and CR = 1.0 (CR1.0; deep chamfer margin). Two abutment materials (dentin and brass) were analyzed. In the FEA model, 1 N was loaded perpendicular to the occlusal surface at the center of the crown, and linear static analysis was performed. For all crowns, stress was localized to the occlusal loading area as well as to the axial walls of the proximal region. The lowest maximum principal stress values were observed when the dentin abutment with CR0.5 was used under a monolithic zirconia crown. These results suggest that the rounded shoulder margin and deep chamfer margin, in combination with a monolithic zirconia crown, potentially have optimal geometry to minimize occlusal stress.

摘要

本研究采用三维有限元分析(FEA)评估了不同边缘设计和基台材料对双层和整体式氧化锆全冠应力分布的影响。分析中使用了两种类型氧化锆前磨牙的三维模型——一种是带有饰面陶瓷的氧化钇稳定氧化锆框架和一种整体式氧化锆陶瓷。制备了具有三种边缘曲率半径(CR)的冠基台边缘设计的圆柱形模型:CR = 0(CR0;肩台边缘)、CR = 0.5(CR0.5;圆钝肩台边缘)和CR = 1.0(CR1.0;深凹肩台边缘)。分析了两种基台材料(牙本质和黄铜)。在有限元分析模型中,在牙冠中心垂直于咬合面施加1 N的载荷,并进行线性静态分析。对于所有全冠,应力集中在咬合加载区域以及近中区域的轴向壁上。当在整体式氧化锆全冠下使用CR0.5的牙本质基台时,观察到最低的最大主应力值。这些结果表明,圆钝肩台边缘和深凹肩台边缘与整体式氧化锆全冠相结合,可能具有使咬合应力最小化的最佳几何形状。

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