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纤维增强复合材料及高嵌体修复隐裂牙的应力分布与抗折性能

Stress Distribution and Fracture Resistance of repairing Cracked Tooth with Fiber-reinforced Composites and Onlay.

作者信息

Shi Rui, Meng Xingwang, Feng Rui, Hong Shanshan, Hu Chen, Yang Min, Jiang Yuegui

机构信息

Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Xi'an Jiaotong University, Xi'an, China.

Department of Endodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.

出版信息

Aust Endod J. 2022 Dec;48(3):458-464. doi: 10.1111/aej.12578. Epub 2021 Oct 28.

Abstract

The purpose of this study was to explore the effects of fibre-reinforced composites and onlay restorations on the fracture resistance of the cracked teeth. The experiments were grouped as follows: intact teeth, cracked teeth, crown; onlay; annular ribbond + onlay, laminated ribbond + onlay and fibre post + onlay; annular ribbond + crown, laminated ribbond + crown and fibre post + crown. The maximal Von Mises stress of dentin, the maximal Von Mises stress at the crack, the fracture resistance and fracture pattern under static loading were analysed by single-factor analysis of variance (ANOVA) and post-test by LSD. The annular ribbond + crown had a significant difference in fracture resistance than the crown (P < 0.05). The annular ribbond + onlay had more favourable fractures than crown in fracture pattern, and there were significant differences (P < 0.05). Compared with crown restoration, fibre-reinforced composites and onlay can improve the fracture resistance of the cracked teeth.

摘要

本研究的目的是探讨纤维增强复合材料和高嵌体修复对隐裂牙抗折性能的影响。实验分组如下:完整牙、隐裂牙、全冠;高嵌体;环形丝带 + 高嵌体、分层丝带 + 高嵌体和纤维桩 + 高嵌体;环形丝带 + 全冠、分层丝带 + 全冠和纤维桩 + 全冠。采用单因素方差分析(ANOVA)和LSD事后检验分析静态加载下牙本质的最大冯·米塞斯应力、裂纹处的最大冯·米塞斯应力、抗折性能和骨折类型。环形丝带 + 全冠在抗折性能上与全冠有显著差异(P < 0.05)。环形丝带 + 高嵌体在骨折类型上比全冠有更有利的骨折情况,且存在显著差异(P < 0.05)。与全冠修复相比,纤维增强复合材料和高嵌体能提高隐裂牙的抗折性能。

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