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一项三维有限元分析,用于评估非刚性连接器设计和位置变化时牙种植体支持修复体中牙齿的应力分布。

A three-dimensional finite element analysis to evaluate stress distribution tooth in tooth implant-supported prosthesis with variations in non-rigid connector design and location.

作者信息

Nitin K Sumathi, Padmanabhan T V, Kumar V Anand, Parthasarathi N, Uma Maheswari M, Kumar S Madhan

机构信息

Department of Prosthodontics and Crown and Bridge, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India.

Former Professor and HOD, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, Tamil Nadu, India.

出版信息

Indian J Dent Res. 2018 Sep-Oct;29(5):634-640. doi: 10.4103/ijdr.IJDR_538_16.

Abstract

BACKGROUND

The physiologically mobile natural tooth and rigidly fixed dental implant causes different distribution of stress when connected in prosthesis and nonrigid connector compensates this. Understanding of biomechanical behavior is necessary for an adequate choice and construction of this type of rehabilitation. However, there has been insufficient research focusing on different location and type of the nonrigid connector related with the prognosis of both implant and the tooth.

AIM OF THE STUDY

The purpose of this finite element (FE) analysis was to evaluate the stress distribution around bone, implant, and tooth in tooth implant fixed prosthesis under static load with variations in design and location of nonrigid connectors under simulated functional loads.

MATERIALS AND METHOD

Three, 3-dimensional FE models connecting tooth and implant were constructed with different location and type of nonrigid connector. Simulated occlusal load was applied on the restorations and stresses developed in the supporting structures were monitored.

RESULTS

The highest stresses were found around the implant in model with nonrigid connector placed between the tooth and implant and model with modified nonrigid connector. On the other hand, less stress was noted around the implant where nonrigid connector was placed between the implant and pontic.

CONCLUSION

It is advisable to place the nonrigid connector between the implant and the pontic to protect the implant from torque effects in a tooth implant fixed prosthesis.

摘要

背景

生理上可移动的天然牙和刚性固定的牙种植体在连接到修复体时会导致不同的应力分布,而非刚性连接体可对此进行补偿。了解生物力学行为对于充分选择和构建此类修复体是必要的。然而,针对与种植体和牙齿预后相关的非刚性连接体的不同位置和类型的研究尚不充分。

研究目的

本有限元(FE)分析的目的是在模拟功能载荷下,评估非刚性连接体的设计和位置变化时,牙种植体固定修复体在静态载荷下骨、种植体和牙齿周围的应力分布。

材料与方法

构建了三个连接牙齿和种植体的三维FE模型,其非刚性连接体的位置和类型各不相同。在修复体上施加模拟咬合载荷,并监测支持结构中产生的应力。

结果

在牙齿与种植体之间放置非刚性连接体的模型和采用改良非刚性连接体的模型中,种植体周围的应力最高。另一方面,在种植体与桥体之间放置非刚性连接体时,种植体周围的应力较小。

结论

在牙种植体固定修复体中,将非刚性连接体放置在种植体与桥体之间以保护种植体免受扭矩影响是明智的。

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