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金属、玻璃和聚乙烯纤维增强复合保持器的脱位力比较:力学和有限元分析。

Comparison of the debonding force of metal, glass and polyethylene Fiber reinforced composite retainers: Mechanical and finite element analyses.

机构信息

Department of Orthodontics, Shahed University of Medical Sciences, Tehran, Iran.

Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Int Orthod. 2022 Dec;20(4):100685. doi: 10.1016/j.ortho.2022.100685. Epub 2022 Sep 21.

Abstract

OBJECTIVE

The studies evaluating the efficiency of fiber reinforce composite (FRC) retainers are few and contradictory. This study aimed to compare the debonding force of metal, glass FRC (GFRC) and polyethylene FRC (PFRC) retainers, assess the interactions between the materials and forces, and pattern of load distribution by finite element analysis (FEA).

MATERIALS AND METHODS

Forty-eight sound lower incisors were collected and randomly assigned to 3 groups (n=8; each sample included 2 teeth). Next, 15mm of the three retainers (multi-stranded metal wire, GFRC, and PFRC) were bonded to the lingual surface of the teeth and debonding force was measured by a universal testing machine. For FEA, 3D models were designed. The data related to geometrical models and material properties were transferred to ANSYS software. A 187-Newton load was applied to the incisal edge of the two centrals. Then different parameters were assessed. The three groups were compared by one-way Anova and Tukey's test. Type one error was considered to be 0.05.

RESULTS

The debonding force decreased in the order: Metal (143.71N)≥GFRC (108.29N)>PFRC (45.08N). The difference between metal retainer and GFRC was not significant. In contrast, PFRC group showed significantly lower debonding force compared to other groups (P<0.05). FEA showed stress peak value in metal-composite interface. Maximum total deformation was noted in central, followed by lateral and canine.

CONCLUSIONS

Glass-FRC can serve as an alternative to metal retainers as the difference in debonding force is not significant. However, the difficulty of repairing or replacing the Glass-FRC should be taken into account given the large number of failure in the interproximal dental area.

摘要

目的

评估纤维增强复合材料(FRC)固位体效率的研究较少且相互矛盾。本研究旨在比较金属、玻璃纤维增强复合材料(GFRC)和聚乙烯纤维增强复合材料(PFRC)固位体的脱位力,通过有限元分析(FEA)评估材料与力之间的相互作用和载荷分布模式。

材料和方法

收集 48 颗完整的下颌切牙并随机分为 3 组(n=8;每个样本包含 2 颗牙齿)。然后,将 3 种固位体(多股金属丝、GFRC 和 PFRC)的 15mm 长部分黏接于牙齿舌面,用万能试验机测量脱位力。对于 FEA,设计了 3D 模型。将与几何模型和材料特性相关的数据传输到 ANSYS 软件中。在中切牙切缘施加 187 牛顿的负荷。然后评估不同参数。采用单因素方差分析和 Tukey 检验比较 3 组。将 0.05 设为Ⅰ类错误。

结果

脱位力的顺序为:金属(143.71N)≥GFRC(108.29N)>PFRC(45.08N)。金属固位体与 GFRC 之间的差异无统计学意义。相比之下,PFRC 组的脱位力明显低于其他组(P<0.05)。FEA 显示金属-复合材料界面的应力峰值。中央牙的总变形最大,其次是侧牙和尖牙。

结论

玻璃纤维增强复合材料可以替代金属固位体,因为脱位力的差异无统计学意义。然而,鉴于近中牙区大量固位体失败,应考虑玻璃纤维增强复合材料修复或更换的难度。

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