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牙科玻璃纤维桩对根管治疗后的上颌中切牙牙根应力及骨折行为的影响:一项有限元分析研究

Effect of Dental Glass Fiber Posts on Root Stresses and Fracture Behavior of Endodontically Treated Maxillary Central Incisors: A Finite Element Analysis Study.

作者信息

Madfa Ahmed A

机构信息

Department of Restorative Dental Science, College of Dentistry, University of Ha'il, Ha'il, SAU.

出版信息

Cureus. 2023 Aug 6;15(8):e43056. doi: 10.7759/cureus.43056. eCollection 2023 Aug.

Abstract

OBJECTIVE

In this work, the influence of glass fiber posts with different designs on the root stress that had endodontic treatment was examined using the finite element method.

METHOD

Using two distinct materials (metal and glass fiber) and two different prototypes (tapered and parallel-sided), four three-dimensional (3D) finite element models of an upper central incisor were made and studied. Each 3D model received an oblique loading of 100 N. All forces were dispatched as distributed pressure to the aforementioned region. There were no considerations made for potential stresses when performing the endodontic procedure. The endodontic treatment was conducted without taking into account any potential stressors. The root stresses were then recorded.

RESULTS

The largest tensile stress is often focused at the apical third of the post and post/cement contact, as well as at the coronal third of the root on both the labial and palatal sides of the root, independent of the post's design and material. Restoration of endodontically treated maxillary central incisors with glass fiber posts has been shown to have less stress concentration than titanium posts. Regardless of the post materials employed, the tapered post design generated a higher tensile stress distribution than the parallel side design.

CONCLUSIONS

Prefabricated fiber posts used in model restoration resulted in more evenly distributed stress and less concentrated stress on the root. Reduction in modulus of elasticity of post materials used generally shows less stress concentration.

摘要

目的

在本研究中,使用有限元方法研究了不同设计的玻璃纤维桩对已进行根管治疗的牙根应力的影响。

方法

使用两种不同的材料(金属和玻璃纤维)以及两种不同的桩型(锥形和平行边),制作并研究了上颌中切牙的四个三维(3D)有限元模型。每个3D模型承受100 N的斜向载荷。所有力均作为分布压力施加到上述区域。在进行根管治疗时未考虑潜在应力。根管治疗在不考虑任何潜在应力源的情况下进行。然后记录牙根应力。

结果

无论桩的设计和材料如何,最大拉应力通常集中在桩的根尖三分之一处以及桩/粘结剂接触处,以及牙根唇侧和腭侧牙根的冠方三分之一处。已证明用玻璃纤维桩修复根管治疗后的上颌中切牙比钛桩具有更小的应力集中。无论使用何种桩材料,锥形桩设计产生的拉应力分布比平行边设计更高。

结论

模型修复中使用的预制纤维桩导致牙根上的应力分布更均匀且应力集中更小。所用桩材料弹性模量的降低通常显示出应力集中更小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c676/10480686/9f367feb7d90/cureus-0015-00000043056-i01.jpg

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