Int J Periodontics Restorative Dent. 2021 March/April;41(2):e45–e54. doi: 10.11607/prd.4347. Epub 2020 Oct 20.
This study investigated the influence of silica-nylon reinforcement on the stress distribution and fracture load of a resin-bonded fixed partial dental prosthesis (RBFDP). Three-unit RBFDPs (N = 60) were inserted between the first premolar and the first molar of a maxillary model. The groups were divided according to the nylon reinforcement (n = 20/group): conventional fixed prosthesis (without reinforcement), prosthesis with silica-nylon reinforcement positioned vertically, and prosthesis with silica-nylon reinforcement positioned horizontally. Half of the specimens were tested after 24 hours in a universal testing machine until fracture (1,000 kgf; 1 mm/minute) to determine the single load to fracture. The other half was submitted to mechanical aging during 10 cycles (100 N, 2 Hz), totaling 6 groups (n = 10/group). The results were analyzed by two-way analysis of variance (ANOVA) (α = 5%). The stress distribution for non-aged groups was simulated using finite element analysis. The numeric prostheses were modeled similarly to the in vitro assay. ANOVA showed no statistical difference between groups (P < .05) for load to fracture. However, the use of the reinforcement provided stability even after the failure, as the parts did not separate. The computational analysis showed similar biomechanical behavior among the groups. The use of the nylon reinforcement does not influence the fracture load or the stress distribution, but it does enable the prosthesis to remain in position after failure.
本研究旨在探讨硅酮-尼龙增强对树脂粘结固定局部义齿(RBFDP)的应力分布和断裂负荷的影响。在上颌模型的第一前磨牙和第一磨牙之间插入三个单位的 RBFDP(N = 60)。根据尼龙增强的情况(n = 20/组)将组分为以下几组:常规固定义齿(无增强)、垂直放置硅酮-尼龙增强的义齿和水平放置硅酮-尼龙增强的义齿。将一半样本在万能试验机中测试 24 小时,直至断裂(1000kgf;1mm/min),以确定单一断裂负荷。另一半样本在经过 10 个循环(100N,2Hz)的机械老化后进行测试,共 6 组(n = 10/组)。结果采用双因素方差分析(ANOVA)(α = 5%)进行分析。未老化组的应力分布采用有限元分析进行模拟。数值义齿的建模类似于体外试验。ANOVA 显示,断裂负荷组间无统计学差异(P <.05)。然而,增强的使用即使在失败后也提供了稳定性,因为部件没有分离。计算分析显示,各组之间的生物力学行为相似。尼龙增强的使用不会影响断裂负荷或应力分布,但能使义齿在失效后保持原位。