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一体式桩核的生物力学分析:高性能聚合物与传统材料的比较。

Biomechanical Analysis of One-Piece Postand- Core: High-Performance Polymers vs Conventional Materials.

出版信息

Int J Prosthodont. 2024 Jun 21(3):339-348. doi: 10.11607/ijp.8658.

Abstract

PURPOSE

To evaluate the stress distribution along a premolar's root dentin, its post, and its post-luting agent when materials with different elastic moduli are used to fabricate one-piece post-and-cores in two different designs.

MATERIALS AND METHODS

Two 3D virtual models (for cylindrical and conical post designs) of a mandibular premolar restored with one-piece post-and-core restorations were obtained using a software. A total of eight post-and-core materials were tested: polyetheretherketone (PEEK), polyetherketoneketone (PEKK), glass fiber-reinforced polyetheretherketone (GFR-PEEK), carbon fiber-reinforced polyetheretherketone (CFR-PEEK), gold-palladium alloy (Au-Pd), titanium (Ti), zirconia (Zi), and chromium-nickel (Cr-Ni). Maximum principals stress (MPS) in the post, post-luting agent, and root dentin were determined. A load of 150 N was applied to the buccal cusp in the linguo-labial direction at an angle of 45 degrees oblique to the longitudinal axis of the crown.

RESULTS

The highest MPS value in post structure was observed with Cr-Ni material for both post designs. Similarly, the highest MPS value in the post-luting agent was observed for Cr-Ni, the material with the highest elastic modulus. However, in the root dentin, the highest value was observed in PEEK, the material with the lowest elastic modulus.

CONCLUSIONS

Post material and design influenced the stress concentration in the post, post-luting agent, and root dentin. The stress at the root dentin was slightly higher for polymeric materials. Cylindrical post design revealed lower stresses than conical post design at root dentin for all post-and-core materials tested.

摘要

目的

评估使用不同弹性模量的材料制造两种不同设计的一体式桩核时,在前磨牙根部牙本质、桩和桩核黏固剂上的应力分布。

材料和方法

使用软件获得下颌前磨牙用一体式桩核修复的两个 3D 虚拟模型(圆柱和锥形桩设计)。共测试了 8 种桩核材料:聚醚醚酮(PEEK)、聚醚酮酮(PEKK)、玻璃纤维增强聚醚醚酮(GFR-PEEK)、碳纤维增强聚醚醚酮(CFR-PEEK)、金钯合金(Au-Pd)、钛(Ti)、氧化锆(Zi)和铬镍(Cr-Ni)。确定了桩、桩核黏固剂和根部牙本质中的最大主应力(MPS)。在颊尖向舌侧以 45 度斜向牙冠长轴的方向施加 150N 的载荷。

结果

对于两种桩设计,Cr-Ni 材料的桩结构中 MPS 值最高。同样,Cr-Ni 材料的桩核黏固剂中 MPS 值最高,该材料的弹性模量最高。然而,在根部牙本质中,弹性模量最低的 PEEK 材料的 MPS 值最高。

结论

桩材料和设计影响桩、桩核黏固剂和根部牙本质的应力集中。聚合材料的根部牙本质处的应力略高。对于所有测试的桩核材料,圆柱形桩设计在根部牙本质处的应力均低于锥形桩设计。

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