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基于有限元分析的不同骨膜下植入物厚度对机械强度和骨应力的评估。

Evaluation of Different Subperiosteal Implant Thicknesses on Mechanical Strength and Stress on Bone by Finite Element Analysis.

机构信息

Istanbul University Faculty of Dental Medicine Department of Oral and Maxillofacial Surgery, Istanbul, Turkey.

出版信息

Int J Med Sci. 2024 Jun 17;21(9):1672-1680. doi: 10.7150/ijms.91620. eCollection 2024.

Abstract

Implants have always been within the interest of both clinicians and material scientists due to their places in reconstructive and prosthetics surgery. Excessive bone loss or resorption in some patients makes it difficult to design and manufacture the implants that bear the necessary loads to carry the final prosthetics. With this study; we tried to determine the minimum material thickness of the subperiosteal implants that can withstand the physiological forces. We have created a digital average bone structure based on actual patient data and designed different subperiosteal implants with 1, 1.5, and 2mm material thicknesses (M1, M2, M3) for this digital model. The designed implant models are subjected to 250 Newtons (N) of force, and the implant and bone are tested for the stress they are exposed to, the pressure they transmit to, and their mechanical strength with Finite Element Analysis with the physical parameters boot for the implant material and human bone. Results show us that under specific design parameters and thicknesses, the 1mm thickness design failed due to exceeding the yield stress limit of 415MPa with a 495,44MPa value. The thinnest implant showed plastic deformation and transmitted excessive forces, which may cause bone resorption due to residual stress. We determined that thinner subperiosteal implants down to 1.5mm that have the necessary material parameters for function and tissue support can be designed and manufactured with current technologies.

摘要

由于在重建和假肢手术中的地位,植入物一直是临床医生和材料科学家感兴趣的对象。一些患者的过度骨丢失或吸收使得设计和制造能够承受承载最终假肢所需负荷的植入物变得困难。在这项研究中;我们试图确定能够承受生理力的骨膜下植入物的最小材料厚度。我们根据实际患者数据创建了一个数字平均骨结构,并为该数字模型设计了不同材料厚度(M1、M2、M3)的 1、1.5 和 2mm 的骨膜下植入物。将设计的植入物模型承受 250 牛顿(N)的力,并使用植入物材料和人体骨骼的物理参数引导对植入物和骨骼进行有限元分析,以测试它们所承受的应力、传递的压力以及它们的机械强度。结果表明,在特定的设计参数和厚度下,1mm 厚度的设计由于超过 415MPa 的屈服应力极限而失效,达到 495.44MPa。最薄的植入物显示出塑性变形并传递过大的力,这可能由于残余应力导致骨吸收。我们确定可以使用当前技术设计和制造厚度达 1.5mm 的更薄的骨膜下植入物,这些植入物具有功能和组织支撑所需的必要材料参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5835/11241093/a3326585be12/ijmsv21p1672g001.jpg

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