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不同修复材料对牙种植体应力分布的影响。

Influence of different restorative materials on the stress distribution in dental implants.

作者信息

Datte Carlos-Eduardo, Tribst João-Paulo-Mendes, Dal Piva Amanda-Maria-de Oliveira, Nishioka Renato-Sussumu, Bottino Marco-Antonio, Evangelhista Alexandre-Duarte M, Monteiro Fabrício M de M, Borges Alexandre-Luiz-Souto

机构信息

DDs, MSc, PhD student at Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, SP, Brazil. Avenida Engenheiro Francisco José Longo, Jardim São Dimas, São José dos Campos, SP, Brazil.

DDS, MS, PhD, Professor at Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, SP, Brazil. Avenida Engenheiro Francisco José Longo, Jardim São Dimas, São José dos Campos, SP, Brazil.

出版信息

J Clin Exp Dent. 2018 May 1;10(5):e439-e444. doi: 10.4317/jced.54554. eCollection 2018 May.

Abstract

BACKGROUND

To assist clinicians in deciding the most suitable restorative materials to be used in the crowns and abutment in implant rehabilitation.

MATERIAL AND METHODS

For finite element analysis (FEA), a regular morse taper implant was created using a computer aided design software. The implant was inserted at the bone model with 3 mm of exposed threads. An anatomic prosthesis representing a first maxillary molar was modeled and cemented on the solid abutment. Considering the crown material (zirconia, chromium-cobalt, lithium disilicate and hybrid ceramic) and abutment (Titanium and zirconia), the geometries were multiplied, totaling eight groups. In order to perform the static analysis, the contacts were considered bonded and each material was assigned as isotropic. An axial load (200 N) was applied on the crown and fixation occurred on the base of the bone. Results using Von-Mises criteria and micro strain values were obtained. A sample identical to the CAD model was made for the Strain Gauge (SG) analysis; four SGs were bonded around the implant to obtain micro strain results in bone tissue.

RESULTS

FEA results were 3.83% lower than SG. According to the crown material, it is possible to note that the increase of elastic modulus reduces the stress concentration in all system without difference for bone.

CONCLUSIONS

Crown materials with high elastic modulus are able to decrease the stress values in the abutments while concentrates the stress in its structure. Zirconia abutments tend to concentrate more stress throughout the prosthetic system and may be more susceptible to mechanical problems than titanium. Finite element analysis, dental implants, ceramic.

摘要

背景

协助临床医生确定种植修复中牙冠和基台最合适使用的修复材料。

材料与方法

为进行有限元分析(FEA),使用计算机辅助设计软件创建了一个常规莫氏锥度种植体。将种植体植入骨模型,使其有3毫米的暴露螺纹。制作了一个代表上颌第一磨牙的解剖式修复体,并粘结在实体基台上。考虑到牙冠材料(氧化锆、铬钴合金、二硅酸锂和混合陶瓷)和基台(钛和氧化锆),对几何形状进行了多种组合,共形成八组。为进行静态分析,将接触视为粘结状态,并将每种材料指定为各向同性。在牙冠上施加轴向载荷(200牛),并在骨基部进行固定。获得了使用冯·米塞斯准则和微应变值的结果。制作了一个与CAD模型相同的样本用于应变片(SG)分析;在种植体周围粘结四个应变片以获取骨组织中的微应变结果。

结果

有限元分析结果比应变片分析结果低3.83%。根据牙冠材料,可以注意到弹性模量的增加会降低整个系统中的应力集中,对骨组织无差异。

结论

具有高弹性模量的牙冠材料能够降低基台中的应力值,同时在其结构中集中应力。氧化锆基台在整个修复系统中往往会集中更多应力,并且可能比钛更容易出现机械问题。有限元分析、牙种植体、陶瓷。

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