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通过有限元分析评估聚醚醚酮(PEEK)材料在种植体支持的固定修复中的应用

Evaluation of the use of PEEK material in implant-supported fixed restorations by finite element analysis.

作者信息

Tekin S, Değer Y, Demirci F

机构信息

Department of Prosthodontics, Faculty of Dentistry, Firat University, Elazig, Turkey.

Department of Prosthodontics, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey.

出版信息

Niger J Clin Pract. 2019 Sep;22(9):1252-1258. doi: 10.4103/njcp.njcp_144_19.

Abstract

AIMS

The purpose of this study is to compare the stresses occurring in the peri-implant bones, implants, crowns, abutments, and screws after loading through finite element analysis by using the poly-ether-ether-ketone (PEEK) materials, which are alternative to titanium abutment and metal supported restorations and to try to reduce the level of neck resorption.

MATERIALS AND METHODS

In our study, three-dimensional modeling of 2 PEEK and titanium abutments, metal-ceramic, and monolithic PEEK upper central dental restorations were made on four titanium implants (Biohorizons Implant Systems Ins., Birmingham, AL, USA) with diameters of 3.8 mm and 10.5 mm and four groups were obtained. Then, a stress analysis of the finite element was performed by applying a 178 N oblique force of 45° to the long axis of the tooth 2 mm below the incisal edge of the model's palatal surface.

RESULTS

It has been observed that the PEEK material reduces the stresses caused by the force applied on itself during all tests. In all groups, PEEK abutments and PEEK crowns have reduced stress on the abutment. The most significant difference is observed in the stresses on the crowns and screws. When the stresses on the crown are examined, the use of PEEK crown reduces the stresses on itself and the use of PEEK abutment increases the stresses on the crown.

CONCLUSIONS

The stress on the implant system can be changed through the usage of different prosthetic materials.

摘要

目的

本研究的目的是通过有限元分析,比较使用聚醚醚酮(PEEK)材料加载后种植体周围骨、种植体、牙冠、基台和螺钉中产生的应力,PEEK材料可替代钛基台和金属支持的修复体,并试图降低颈部吸收水平。

材料与方法

在我们的研究中,对4颗直径为3.8mm和10.5mm的钛种植体(美国阿拉巴马州伯明翰市Biohorizons种植系统公司)制作了2个PEEK和钛基台、金属烤瓷和整体式PEEK上颌中切牙修复体的三维模型,共获得4组。然后,在模型腭侧表面切缘下方2mm处,对牙齿长轴施加45°的178N斜向力,进行有限元应力分析。

结果

观察到,在所有测试中,PEEK材料降低了自身所受外力引起的应力。在所有组中,PEEK基台和PEEK牙冠降低了基台上的应力。在牙冠和螺钉的应力方面观察到最显著的差异。当检查牙冠上的应力时,使用PEEK牙冠降低了其自身的应力,而使用PEEK基台增加了牙冠上的应力。

结论

通过使用不同的修复材料可以改变种植体系统上的应力。

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