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关于种植体螺纹在种植体和牙冠材料选择中作用的三维有限元分析研究

3D FEA Study On Implant Threading Role on Selection of Implant and Crown Materials.

作者信息

Wazeh Ahmad Mohamad, El-Anwar Mohamed I, Atia Rami M Galal, Mahjari Rana Mohammed, Linga Sara Abdulelah, Al-Pakistani Linah Mujeeb Alhaq, Yousief Salah Abdulazim

机构信息

Alfarabi College, Jeddah, Saudi Arabia.

Department of Mechanical Engineering, National Research Centre, Giza, Egypt.

出版信息

Open Access Maced J Med Sci. 2018 Sep 11;6(9):1702-1706. doi: 10.3889/oamjms.2018.331. eCollection 2018 Sep 25.

Abstract

AIM

This study deeply investigates the effect of dental implant threading and material selection on the mandibular bone under two different crown materials (Translucent Zirconia and Porcelain fused to metal).

METHODS

Two different designs of single piece dental implants were supporting dummy crown above simplified bone geometry in two finite element models. Models components were created by general-purpose CAD/CAM engineering package and then assembled inside ANSYS before meshing and assigning materials. Compressive loading of 100 N and 45º oblique loading of 50 N were tested.

RESULTS

Twenty-four case studies were analysed, and their results were compared. Micro thread reduces implant maximum Von Mises stress by about 50 to 70% than regular thread one. Oblique loading of 50 N will produce 4 to 5 times more maximum Von Mises values on implant body than 100 N vertical loading. Zero or negligible effect on the cortical bone was recorded when exchanging the tested crown material. Although titanium implant can also reduce cortical bone, Von Mises stress by 50 to 100% in comparison to reinforced PEKK (poly ether-ketone-ketone) or PEEK (poly-ether-ether-ketone).

CONCLUSIONS

Reinforced PEKK and PEEK implants can represent a good alternative to titanium implants. Zirconia crown distributes the applied load better than Porcelain fused to a metal one. Regardless of the implant material, an implant with the micro thread has superior behaviour in comparison to a regular one. Zirconia crown above titanium implant with the micro thread may represent the best option for patient bone.

摘要

目的

本研究深入调查在两种不同牙冠材料(半透明氧化锆和金属烤瓷)下,种植牙螺纹和材料选择对下颌骨的影响。

方法

在两个有限元模型中,两种不同设计的单件式种植牙在简化的骨几何结构上方支撑虚拟牙冠。模型组件由通用CAD/CAM工程软件包创建,然后在ANSYS中组装,再进行网格划分和材料赋值。测试了100N的压缩载荷和50N的45°斜向载荷。

结果

分析了24个案例研究,并对结果进行了比较。微螺纹比普通螺纹使种植体最大等效应力降低约50%至70%。50N的斜向载荷在种植体主体上产生的最大等效应力值比100N的垂直载荷多4至5倍。更换测试牙冠材料时,对皮质骨的影响为零或可忽略不计。尽管与增强型聚醚酮酮(PEKK)或聚醚醚酮(PEEK)相比,钛种植体也可使皮质骨等效应力降低50%至100%。

结论

增强型PEKK和PEEK种植体可成为钛种植体的良好替代品。氧化锆牙冠比金属烤瓷牙冠能更好地分散施加的载荷。无论种植体材料如何,带有微螺纹的种植体相比普通种植体具有更优异的性能。带有微螺纹的钛种植体上方的氧化锆牙冠可能是患者骨骼的最佳选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f3f/6182509/20e978dbae79/OAMJMS-6-1702-g001.jpg

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