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不同类型 PEEK 作为种植体支持式下颌覆盖义齿种植体材料的生物力学。

Biomechanics of Different Types of PEEK as Implant Materials for Implant-Retained Mandibular Overdentures.

机构信息

Assistant Lecturer, Prosthodontics Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.

Associate Professor, Prosthodontics Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.

出版信息

Eur J Prosthodont Restor Dent. 2022 May 29;30(2):113-120. doi: 10.1922/EJPRD_2286Hassan08.

Abstract

PURPOSE

To evaluate the biomechanical behavior of different types of PEEK as implant materials for mandibular implant-retained overdentures.

MATERIALS & METHODS: Virtual models of mandibular overdentures retained by two interforaminal implants were simulated. In each model, one implant material was assumed resulting in four models; titanium, carbon-reinforced PEEK, ceramic-filled PEEK and unfilled PEEK models. Unilateral vertical and oblique loads were applied separately. Von-Mises stresses and maximum equivalent strain values were computed.

RESULTS

All PEEK implant models induced higher stresses in the cervical portion of peri-implant bone compared to the titanium model. A more homogenous stress distribution pattern along the whole length of the titanium implants was observed compared to PEEK implants. The highest amount of strain values was recorded in the unfilled PEEK implants.

CONCLUSIONS

Titanium remains to be the most optimum material for dental implants. Unfilled and ceramic filled PEEK might not be recommended as a dental implant material due to the high stresses generated within the implant bodies and cervical part of peri-implant bone under oblique load which might contribute to an increased probability of implant body fracture and marginal bone loss.

摘要

目的

评估不同类型 PEEK 作为下颌种植覆盖义齿种植体材料的生物力学行为。

材料与方法

模拟了由两个牙槽嵴间植入物固位的下颌覆盖义齿的虚拟模型。在每个模型中,假设使用一种植入材料,从而产生了四种模型:钛、碳增强 PEEK、含陶瓷 PEEK 和未填充 PEEK 模型。分别施加单侧垂直和倾斜载荷。计算 Von-Mises 应力和最大等效应变值。

结果

与钛模型相比,所有 PEEK 种植体模型在种植体周围骨的颈部区域引起了更高的应力。与 PEEK 植入物相比,钛植入物在整个植入物长度上观察到更均匀的应力分布模式。未填充 PEEK 植入物记录到的应变值最高。

结论

钛仍然是最理想的牙科植入物材料。由于在倾斜载荷下植入体和种植体周围骨的颈部区域产生的高应力,未填充和含陶瓷的 PEEK 可能不推荐作为牙科植入物材料,因为这可能会增加植入体体部断裂和边缘骨丧失的可能性。

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