Fabris Douglas, Moura José P A, Fredel Márcio C, Souza Júlio C M, Silva Filipe S, Henriques Bruno
Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Florianópolis, 88040-900, Brazil.
Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, Braga, 4800-058, Portugal.
J Biomed Mater Res B Appl Biomater. 2022 Jan;110(1):79-88. doi: 10.1002/jbm.b.34890. Epub 2021 Jun 26.
This work aimed to assess the biomechanics, using the finite element method (FEM), of traditional titanium Morse taper (MT) dental implants compared to one-piece implants composed of zirconia, polyetheretherketone (PEEK), carbon fiber-reinforced PEEK (CFR-PEEK), or glass fiber-reinforced PEEK (GFR-PEEK). MT and one-piece dental implants were modeled within a mandibular bone section and loaded on an oblique force using FEM. A MT implant system involving a Ti6Al4V abutment and a cp-Ti grade IV implant was compared to one-piece implants composed of cp-Ti grade IV, zirconia (3Y-TZP), PEEK, CFR-PEEK, or GFR-PEEK. Stress on bone and implants was computed and analyzed while bone remodeling prediction was evaluated considering equivalent strain. In comparison to one-piece implants, the traditional MT implant revealed higher stress peak (112 MPa). The maximum stresses on the one-piece implants reached ~80 MPa, regardless their chemical composition. MT implant induced lower bone stimulus, although excessive bone strain was recorded for PEEK implants. Balanced strain levels were noticed for reinforced PEEK implants of which CFR-PEEK one-piece implants showed proper biomechanical behavior. Balanced strain levels might induce bone remodeling at the peri-implant region while maintaining low risks of mechanical failures. However, the strength of the PEEK-based composite materials is still low for long-term clinical performance.
本研究旨在使用有限元方法(FEM)评估传统钛莫氏锥度(MT)牙种植体与由氧化锆、聚醚醚酮(PEEK)、碳纤维增强PEEK(CFR-PEEK)或玻璃纤维增强PEEK(GFR-PEEK)制成的一体式种植体的生物力学性能。通过FEM在下颌骨段内对MT和一体式牙种植体进行建模,并对其施加斜向力。将一个包含Ti6Al4V基台和IV级纯钛种植体的MT种植系统与由IV级纯钛、氧化锆(3Y-TZP)、PEEK、CFR-PEEK或GFR-PEEK制成的一体式种植体进行比较。计算并分析骨和种植体上的应力,同时考虑等效应变评估骨重塑预测。与一体式种植体相比,传统MT种植体显示出更高的应力峰值(112MPa)。一体式种植体上的最大应力达到约80MPa,无论其化学成分如何。MT种植体引起的骨刺激较低,尽管PEEK种植体记录到过度的骨应变。对于增强PEEK种植体观察到平衡的应变水平,其中CFR-PEEK一体式种植体表现出适当的生物力学行为。平衡的应变水平可能在种植体周围区域诱导骨重塑,同时保持较低的机械故障风险。然而,基于PEEK的复合材料的强度对于长期临床性能而言仍然较低。
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