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[多孔钛植入物周围骨组织应力分布的三维有限元分析]

[Three-dimensional finite element analysis of the stress distribution of bone tissue around porous titanium implant].

作者信息

Liu T S, Gao R, Wei T, Sun H Q

机构信息

Department of Prosthodontics, School of Stomatology, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration, Jinan 250012, China. Gao Rong is working on the Department of Prosthodontics, The Second Division of Xinjiang Production and Construction Corps, Korla Hospital, Korla Xinjiang Uygur Autonomous Region 841000, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2019 Jan 9;54(1):35-40. doi: 10.3760/cma.j.issn.1002-0098.2019.01.007.

Abstract

To analyze the stress distribution of different types of bone tissue around porous titanium implant in different mechanical loads and to further evaluate the biomechanical properties of porous titanium implant. Finite element (FE) models of implant restorations for the maxillary first premolar was established, and the diameter of implants in the models was 4.1 mm. Five models was constructed according to diameter of implant central pillar and the thickness of outer porosity: solid group (group A), central pillar 1.5 and 3.1 mm and outer porosity 30% (group B and C), central pillar 1.5 and 3.1 mm and outer porosity 40% (group D and E). Different loads (150 N vertical force, 50 N lateral force) were applied to the occlusal surface of implant restorations in type Ⅲ bone and maximal von Mises stress was evaluated. Meanwhile, a couple of simplified maxillary part models varied in four types of bone were constructed with the implants bearing load of simulation ultimate force to evaluate the stress distribution of different types of bone. With different mechanical loading, the stress value of bone tissue around porous implant (group B-E) was greater than that in the solid structure (group A). Under the load of simulation ultimate force, the maximum stress of the bone rised with the increase of porosity and thickness of the porous implant. And the maximum stress value of the surrounding bone tissue changed with the change of bone. Under vertical loading, the maximal von Mises stress of the bone around solid implants of group A was 17.56 MPa, which was a little lower than that of group B and C. And the maximal equivalent von Mises stress of group D and E was 69.24 MPa. The results of lateral force and simulation ultimate force loading were similar. The stress of the bone tissue around implant increased with the decrease of bone quality. The maximum stress value of group D implant was 134.95 MPa. Porous structure of the implant is conducive to transmit stress to surrounding bone tissue and increases the mechanical stimulation of bone. However, if the value and direction of load are inappropriate or quality of bone is poor, pathological stress may be produced.

摘要

分析不同机械载荷下多孔钛种植体周围不同类型骨组织的应力分布,进一步评估多孔钛种植体的生物力学性能。建立上颌第一前磨牙种植修复体的有限元(FE)模型,模型中种植体直径为4.1mm。根据种植体中心柱直径和外部孔隙厚度构建五个模型:实心组(A组),中心柱1.5和3.1mm且外部孔隙率30%(B组和C组),中心柱1.5和3.1mm且外部孔隙率40%(D组和E组)。对Ⅲ类骨中的种植修复体咬合面施加不同载荷(150N垂直力、50N侧向力),评估最大von Mises应力。同时,构建四种不同类型骨的上颌部分简化模型,种植体承受模拟极限力载荷,评估不同类型骨的应力分布。在不同机械载荷下,多孔种植体周围(B - E组)骨组织的应力值大于实心结构(A组)。在模拟极限力载荷下,骨的最大应力随多孔种植体孔隙率和厚度的增加而升高。且周围骨组织的最大应力值随骨的变化而变化。垂直加载时,A组实心种植体周围骨的最大von Mises应力为17.56MPa,略低于B组和C组。D组和E组的最大等效von Mises应力为69.24MPa。侧向力和模拟极限力加载结果相似。种植体周围骨组织的应力随骨质量的降低而增加。D组种植体的最大应力值为134.95MPa。种植体的多孔结构有利于将应力传递至周围骨组织并增加对骨的机械刺激。然而,如果载荷值和方向不合适或骨质量差,可能会产生病理性应力。

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