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不同骨整合条件下不同咬合材料对种植体周围应力分布的影响:有限元分析。

Effect of different occlusal materials on peri-implant stress distribution with different osseointegration condition: A finite element analysis.

机构信息

Department of Prosthodontics and Crown and Bridge, Government Dental College and Hospital, Chidamabram, Tamil Nadu, India.

出版信息

J Indian Prosthodont Soc. 2024 Jul 1;24(3):292-299. doi: 10.4103/jips.jips_424_23.

Abstract

AIM

Studies have not been done to evaluate the peri-implant stress exerted by materials(like PEEK and resin matrix ceramics) in different osseointegration conditions. To investigate the effect of different occlusal materials on peri-implant stress distribution with different osseointegration condition using finite element analysis.

SETTINGS AND DESIGN

Eighteen different 3D FEA models of implant fixed with abutment were created involving 6 different occlusal materials (Heat cured temporary acrylic resin (PMMA), Bis-GMA, PEEK, Lithium disilicate, Resin matrix ceramics and translucent Zirconia) and different osseointegrated conditions (50%, 75%, 100%).

MATERIALS AND METHODS

Models were subjected to loading vertically and obliquely followed by evaluation of stress distribution.

STATISTICAL ANALYSIS USED

The results of the simulation obtained were analysed in terms of Von mises, maximum principal and minimal principal stresses using descriptive stastistics.

RESULTS

PMMA (40.14 MPa on vertical loading and 66 MPa on oblique loading) resulted in the highest stresses and lithium disilicate (24 MPa on vertical loading and 52.40 MPa on oblique loading) resulted in least stresses among all the crown materials. Upon oblique loading, von Mises stress increases except for translucent zirconia and lithium disilicate (52.444 MPa on 50%, 47.733 MPa on 75%, and 43.973 MPa on 100% osseointegration). Minimal principal stress values decreased with increase in osseointegration upon oblique loading for PMMA, BisGMA, and PEEK.

CONCLUSION

Translucent zirconia and lithium disilicate offer a better stress transmission. Minimal principal stress values of PEEK and BisGMA decreased with increasing osseointegration.

摘要

目的

目前尚未有研究评估不同骨整合条件下(如 PEEK 和树脂基质陶瓷)材料对种植体周围的应力。本研究通过有限元分析研究不同骨整合条件下不同咬合材料对种植体周围应力分布的影响。

设置和设计

共建立了 18 种不同的种植体-基台三维有限元模型,涉及 6 种不同的咬合材料(热固性临时丙烯酸树脂(PMMA)、双酚 A 双甲基丙烯酸缩水甘油酯(Bis-GMA)、PEEK、锂硅玻璃陶瓷、树脂基质陶瓷和半透明氧化锆)和不同的骨整合条件(50%、75%、100%)。

材料和方法

对模型进行垂直和斜向加载,然后评估应力分布。

统计分析方法

使用描述性统计方法分析模拟结果的 Von mises、最大主应力和最小主应力。

结果

在垂直加载时,PMMA(40.14 MPa)和斜向加载时(66 MPa)产生的应力最高,而在所有冠材料中,锂硅玻璃陶瓷(垂直加载时为 24 MPa,斜向加载时为 52.40 MPa)产生的应力最低。在斜向加载时,除了半透明氧化锆和锂硅玻璃陶瓷外,Von Mises 应力增加(50%时为 52.444 MPa,75%时为 47.733 MPa,100%时为 43.973 MPa)。在斜向加载时,PMMA、Bis-GMA 和 PEEK 的最小主应力值随骨整合的增加而减小。

结论

半透明氧化锆和锂硅玻璃陶瓷可更好地传递应力。PEEK 和 Bis-GMA 的最小主应力值随骨整合的增加而降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3376/11321481/051b2be88cc1/JIPS-24-292-g001.jpg

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