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间接贴面的厚度和切端延伸对上颌尖牙生物力学行为的影响。

Influence of thickness and incisal extension of indirect veneers on the biomechanical behavior of maxillary canine teeth.

作者信息

Costa Victória Luswarghi Souza, Tribst João Paulo Mendes, Uemura Eduardo Shigueyuki, de Morais Dayana Campanelli, Borges Alexandre Luiz Souto

机构信息

Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos, SP, Brazil.

出版信息

Restor Dent Endod. 2018 Nov 12;43(4):e48. doi: 10.5395/rde.2018.43.e48. eCollection 2018 Nov.

Abstract

OBJECTIVES

To analyze the influence of thickness and incisal extension of indirect veneers on the stress and strain generated in maxillary canine teeth.

MATERIALS AND METHODS

A 3-dimensional maxillary canine model was validated with an strain gauge and exported to computer-assisted engineering software. Materials were considered homogeneous, isotropic, and elastic. Each canine tooth was then subjected to a 0.3 and 0.8 mm reduction on the facial surface, in preparations with and without incisal covering, and restored with a lithium disilicate veneer. A 50 N load was applied at 45° to the long axis of the tooth, on the incisal third of the palatal surface of the crown.

RESULTS

The results showed a mean of 218.16 µstrain of stress in the experiment, and 210.63 µstrain in finite element analysis (FEA). The stress concentration on prepared teeth was higher at the palatal root surface, with a mean value of 11.02 MPa and varying less than 3% between the preparation designs. The veneers concentrated higher stresses at the incisal third of the facial surface, with a mean of 3.88 MPa and a 40% increase in less-thick veneers. The incisal cover generated a new stress concentration area, with values over 48.18 MPa.

CONCLUSIONS

The mathematical model for a maxillary canine tooth was validated using FEA. The thickness (0.3 or 0.8 mm) and the incisal covering showed no difference for the tooth structure. However, the incisal covering was harmful for the veneer, of which the greatest thickness was beneficial.

摘要

目的

分析间接贴面的厚度和切端延伸对上颌尖牙产生的应力和应变的影响。

材料与方法

使用应变片对上颌尖牙的三维模型进行验证,然后将其导出到计算机辅助工程软件中。材料被视为均质、各向同性和弹性的。然后,对每颗尖牙的唇面进行0.3毫米和0.8毫米的磨除,分别制备有和没有切端覆盖的预备体,并用二硅酸锂贴面进行修复。在牙冠腭面切端三分之一处,以与牙长轴成45°角的方向施加50牛的载荷。

结果

实验中应力的平均应变为218.16微应变,有限元分析(FEA)中的应变为210.63微应变。预备牙上的应力集中在腭根表面较高,平均值为11.02兆帕,不同预备设计之间的差异小于3%。贴面在唇面切端三分之一处集中了更高的应力,平均值为3.88兆帕,较薄贴面的应力增加了40%。切端覆盖产生了一个新的应力集中区域,其值超过48.18兆帕。

结论

使用有限元分析验证了上颌尖牙的数学模型。厚度(0.3毫米或0.8毫米)和切端覆盖对牙齿结构没有差异。然而,切端覆盖对贴面有害,其中最大厚度是有益的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dfe/6237725/aad1a47b3306/rde-43-e48-g001.jpg

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