Department of Mining Materials Engineering, McGill University, Montreal, QC, Canada.
Faculty of Dentistry, McGill University, Montreal, QC, Canada; College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Dent Mater. 2018 Oct;34(10):1474-1482. doi: 10.1016/j.dental.2018.06.011. Epub 2018 Jun 21.
Clasps of removable partial dentures (RPDs) often suffer from plastic deformation and failure by fatigue; a common complication of RPDs. A new technology for processing metal frameworks for dental prostheses based on laser-sintering, which allows for precise fabrication of clasp geometry, has been recently developed. This study sought to propose a novel method for designing circumferential clasps for laser-sintered RPDs to avoid plastic deformation or fatigue failure.
An analytical model for designing clasps with semicircular cross-sections was derived based on mechanics. The Euler-Bernoulli elastic curved beam theory and Castigliano's energy method were used to relate the stress and undercut with the clasp length, cross-sectional radius, alloy properties, tooth type, and retention force. Finite element analysis (FEA) was conducted on a case study and the resultant tensile stress and undercut were compared with the analytical model predictions. Pull-out experiments were conducted on laser-sintered cobalt-chromium (Co-Cr) dental prostheses to validate the analytical model results.
The proposed circumferential clasp design model yields results in good agreement with FEA and experiments. The results indicate that Co-Cr circumferential clasps in molars that are 13mm long engaging undercuts of 0.25mm should have a cross-section radius of 1.2mm to provide a retention of 10N and to avoid plastic deformation or fatigue failure. However, shorter circumferential clasps such as those in premolars present high stresses and cannot avoid plastic deformation or fatigue failure.
Laser-sintered Co-Cr circumferential clasps in molars are safe, whereas they are susceptible to failure in premolars.
可摘局部义齿(RPD)的卡环经常因疲劳而发生塑性变形和失效;这是 RPD 的常见并发症。最近开发了一种基于激光烧结的牙修复体金属支架加工新技术,可精确制作卡环几何形状。本研究旨在提出一种设计激光烧结 RPD 环形卡环的新方法,以避免塑性变形或疲劳失效。
基于力学原理,推导了设计半圆形截面卡环的解析模型。采用欧拉-伯努利弹性曲梁理论和卡氏能量法,将应力和底切与卡环长度、截面半径、合金性能、牙齿类型和固位力联系起来。对一个案例研究进行了有限元分析(FEA),并将得到的拉伸应力和底切与解析模型预测值进行了比较。对激光烧结钴铬(Co-Cr)牙科修复体进行了拔出实验,以验证解析模型的结果。
提出的环形卡环设计模型的结果与 FEA 和实验吻合良好。结果表明,长度为 13mm、底切为 0.25mm 的磨牙 Co-Cr 环形卡环,其截面半径应为 1.2mm,以提供 10N 的固位力,并避免塑性变形或疲劳失效。然而,较短的环形卡环,如前磨牙的卡环,会产生高应力,无法避免塑性变形或疲劳失效。
激光烧结 Co-Cr 磨牙环形卡环是安全的,而前磨牙环形卡环容易失效。