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不同尺寸金属桩和纤维桩修复后上颌尖牙的应力分布:一项有限元研究

Stress Distribution on Maxillary Canines Following Restoration With Different Dimensions of Metal and Fiber Posts: A Finite Element Study.

作者信息

Mohan Mahesh, Mohammad Lubna, Cholayil Nasarudheen, Vats Saumya, Salman Kuttikkodan Mohammed, Kodumbilayiparambil Anto John

机构信息

Department of Conservative Dentistry and Endodontics, Institute of Dental Studies & Technologies, Modinagar, Ghaziabad, IND.

Department of Endodontics, Danat Al Sahraa Medical Company, Jubail, SAU.

出版信息

Cureus. 2024 Jan 30;16(1):e53266. doi: 10.7759/cureus.53266. eCollection 2024 Jan.

Abstract

Introduction In recent times, finite element analysis (FEA) in the field of dentistry has been employed to assess the mechanical properties of biological materials and tissues, which are difficult to quantify directly within a living organism. Only a limited number of studies have examined the impact of post diameter and length on how stress is dispersed in a maxillary canine tooth. Hence, this in vitro investigation was conducted to analyze the distribution of stress in a maxillary canine tooth that was replaced using metal and fiber posts with different diameters (1.5 mm and 1.8 mm) and lengths (11 mm and 15 mm), applying FEA. Materials and methods A FEA study was performed and all models were grouped as follows: Models 1 and 5 were made of titanium (Ti) and glass fiber posts, respectively, with a diameter of 1.5 mm and a length of 15 mm with composite core and all-ceramic crown; Models 2 and 6 were made of Ti and glass fiber posts, respectively, with a diameter of 1.5 mm and a length of 11 mm with composite core and all-ceramic crown; Models 3 and 7 were made of Ti and glass fiber posts, respectively, with a diameter of 1.8 mm and a length of 15 mm with composite core and all-ceramic crown; and Models 4 and 8 were made of Ti and glass fiber posts, respectively, with a diameter of 1.8 mm and a length of 11 mm with composite core and all-ceramic crown. A force of 200 N was exerted on the ceramic crown at an angulation of 45° to the longitudinal axis of the tooth on the palatal surface above the cingulum. The failure was determined by the correlation between a larger von Mises stress estimate and an increased likelihood of failure. The resulting stresses were then contrasted with the highest possible tensile strength of the material. Results The study demonstrated that fiber posts with a diameter of 1.8 mm and an average length of 11 mm exhibited reduced stress levels in comparison to Ti posts. The largest stresses were seen at the cervical region of the tooth, regardless of the materials employed. There was no discernible alteration in stress when the length and diameter of the post were modified. The highest stress in the composite core was measured in Ti posts measuring 1.5 mm in diameter and 15 mm in length. The highest level of stress on dentin was noted in cases where a fiber post was used, as opposed to cases where a Ti post was used. The measured stress within the fiber post was insignificant. However, the pressures imparted to the dentin were greater and more uniformly distributed in comparison to the Ti post cases. Conclusion It is suggested that a composite resin core be used along with a fiber post that is larger in diameter and smaller in length, within clinical bounds, in order to lessen stress in the radicular tooth, despite the substantial coronal defect. Further clinical trials are required to assess the survival rate of these specific measurements, dimensions, and biomaterials.

摘要

引言 近年来,牙科领域已采用有限元分析(FEA)来评估生物材料和组织的力学性能,这些材料和组织在活体内难以直接量化。仅有少数研究探讨了桩直径和长度对上颌尖牙应力分布的影响。因此,本体外研究采用有限元分析来分析使用不同直径(1.5毫米和1.8毫米)和长度(11毫米和15毫米)的金属桩和纤维桩替换后的上颌尖牙的应力分布。

材料与方法 进行了一项有限元分析研究,所有模型分组如下:模型1和5分别由钛(Ti)桩和玻璃纤维桩制成,直径为1.5毫米,长度为15毫米,带有复合树脂核和全瓷冠;模型2和6分别由Ti桩和玻璃纤维桩制成,直径为1.5毫米,长度为11毫米,带有复合树脂核和全瓷冠;模型3和7分别由Ti桩和玻璃纤维桩制成,直径为1.8毫米,长度为15毫米,带有复合树脂核和全瓷冠;模型4和8分别由Ti桩和玻璃纤维桩制成,直径为1.8毫米,长度为11毫米,带有复合树脂核和全瓷冠。在腭侧表面舌隆突上方,以与牙齿纵轴成45°角的方向对陶瓷冠施加200牛的力。通过较大的冯·米塞斯应力估计值与增加的失败可能性之间的相关性来确定失败情况。然后将所得应力与材料的最高可能拉伸强度进行对比。

结果 研究表明,与Ti桩相比,直径为1.8毫米、平均长度为11毫米的纤维桩应力水平降低。无论采用何种材料,最大应力均出现在牙齿颈部区域。当桩的长度和直径改变时,应力没有明显变化。直径为1.5毫米、长度为15毫米的Ti桩的复合树脂核中测得的应力最高。与使用Ti桩的情况相比,使用纤维桩的情况下牙本质上的应力水平最高。纤维桩内测得的应力不显著。然而,与Ti桩情况相比,施加在牙本质上的压力更大且分布更均匀。

结论 建议在临床范围内,使用复合树脂核并搭配直径较大、长度较短的纤维桩,以减轻牙根牙齿的应力,尽管存在严重的冠部缺损。需要进一步的临床试验来评估这些特定尺寸、规格和生物材料的存活率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b5c/10905048/6918f2a04dcd/cureus-0016-00000053266-i01.jpg

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