Muraev A A, Ivanov S Yu, Leonov S V, Mrue A H, Muhametshin R F, Gazhva Yu V
Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation; Peoples' Friendship University of Russia, Moscow, Russian Federation.
Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation; Peoples' Friendship University of Russia, Moscow, Russian Federation; I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Stomatologiia (Mosk). 2019;98(1):11-16. doi: 10.17116/stomat20199801111.
The purpose of the study was to perform a comparative static and dynamic finite element analysis of various taper and cylindrical implant-abutment connections in three-dimensional (3D) models including: abutment, fixing screw, implant, cortical bone, cancellous bone. 3D implant model was IRIS LIKO-M system (Russia) 4 mm diameter and 10 mm length. All the models (M1-M6) were built in the same way. While maintaining the external design of IRIS LIKO-M implant, they differed only by taper angle 1.25°, 5°, 9° and its height - 0.45 and 1.85 mm; the models (M7, M8) had a cylindrical connection with a joint height of 0.45 and 1.85 mm. The bone model was 6 mm width, included cortical layer was 3 mm and the inner cancellous bone. The results of static FEA of an occlusal load showed that implant with 1.85 mm abutment connection transfer strain from edge of a cortical bone to its inner layer thus preventing marginal bone resorption. The best results showed implant model with conical taper 5° and 1.85 mm height: the smallest von Mises stress in cortical layer at tightening of the fixing screw and at masticatory load, and the larger margin of safety of an implant, the abutment and the fixing screw. The results of dynamic FEA of implant with cylindrical connection demonstrate that the gap between an abutment and an implant may occur and lead to fixing screw loosening or fracture. At the same time, the implant design with knot of interface of conical type 5° remains tight at dynamic load.
本研究的目的是在包含基台、固定螺钉、种植体、皮质骨和松质骨的三维(3D)模型中,对各种锥形和圆柱形种植体-基台连接进行静态和动态有限元分析。3D种植体模型为IRIS LIKO-M系统(俄罗斯),直径4mm,长度10mm。所有模型(M1-M6)均以相同方式构建。在保持IRIS LIKO-M种植体外在设计的同时,它们仅在锥角1.25°、5°、9°及其高度 - 0.45和1.85mm方面有所不同;模型(M7、M8)具有圆柱形连接,关节高度为0.45和1.85mm。骨模型宽度为6mm,包括3mm的皮质层和内部的松质骨。咬合负载的静态有限元分析结果表明,基台连接高度为1.85mm的种植体可将应变从皮质骨边缘传递至其内层,从而防止边缘骨吸收。最佳结果显示为锥度5°、高度1.85mm的锥形种植体模型:在固定螺钉拧紧和咀嚼负载时,皮质层中的冯·米塞斯应力最小,种植体、基台和固定螺钉的安全裕度更大。圆柱形连接种植体的动态有限元分析结果表明,基台与种植体之间可能会出现间隙,导致固定螺钉松动或断裂。同时,5°锥形界面结的种植体设计在动态负载下仍保持紧密。