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不同骨密度下不同种植体设计的应力分布有限元分析。

Finite Element Analysis of the Stress Distribution Associated With Different Implant Designs for Different Bone Densities.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.

Department of Mechanical Engineering, Abdullah Gul University, Kayseri, Turkey.

出版信息

J Prosthodont. 2022 Aug;31(7):614-622. doi: 10.1111/jopr.13539. Epub 2022 Jun 6.

DOI:10.1111/jopr.13539
PMID:35603892
Abstract

PURPOSE

The main objective of this study was to investigate the influence of implant design, bone type, and abutment angulation on stress distribution around dental implants.

MATERIALS AND METHODS

Two implant designs with different thread designs, but with the same length and brand were used. The three-dimensional geometry of the bone was simulated with four different bone types, for two different abutment angulations. A 30° oblique load of 200 N was applied to the implant abutments. Maximum principal stress and minimum principal stresses were obtained for bone and Von misses stresses were obtained for dental implants.

RESULTS

The distribution of the load was concentrated at the coronal portion of the bone and implants. The stress distributions to the D4 type bone were higher for implant models. Increased bone density and increased cortical bone thickness cause less stress on bone and implants. All implants showed a good distribution of forces for non-axial loads, with higher stresses concentrated at the crestal region of the bone-implant interface. In implant types using straight abutments there was a decrease in stress as the bone density decreased. The change in the abutment angle also caused an increase in stress.

CONCLUSIONS

The use of different implant threads and angled abutments affects the stress on the surrounding bone and implant. In addition, it was observed that a decrease in density in trabecular bone and a decrease in cortical bone thickness increased stress.

摘要

目的

本研究的主要目的是探讨种植体设计、骨类型和基台角度对种植体周围应力分布的影响。

材料与方法

使用两种具有不同螺纹设计但长度和品牌相同的种植体设计。模拟了四种不同骨类型的三维骨几何形状,用于两种不同的基台角度。在种植体基台上施加 30°斜向 200 N 的负载。获得了骨的最大主应力和最小主应力以及种植体的 Von misses 应力。

结果

负载分布集中在骨和种植体的冠部。D4 型骨的种植体模型的应力分布更高。增加骨密度和增加皮质骨厚度会减少骨和种植体的应力。所有种植体在非轴向负载下都显示出良好的力分布,在骨-种植体界面的嵴顶区域集中了更高的应力。在使用直基台的种植体类型中,随着骨密度的降低,应力会降低。基台角度的变化也会导致应力增加。

结论

使用不同的种植体螺纹和角度基台会影响周围骨和种植体的应力。此外,还观察到小梁骨密度降低和皮质骨厚度减小会增加应力。

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