Chander Naveen Gopi, Reddy D Ravindra
Professor (Prosthodontics), SRM Dental College, Chennai, Tamilnadu, India.
Resident (Prosthodontics), SRM Dental College, Chennai, Tamilnadu, India.
Med J Armed Forces India. 2024 Jul-Aug;80(4):442-448. doi: 10.1016/j.mjafi.2023.10.004. Epub 2023 Nov 20.
Few studies have established the relationship between connector widths, cuspal angulation, loading forces, and supporting structures of zirconia fixed dental prosthesis (FDP). The objective of the study was to compare the stress distribution in implant- and tooth-supported zirconia FDP with different connector designs, and cuspal angulations of replaced teeth under diverse angulations of forces.
Finite element (FE) analysis was done by simulating a 3-unit implant- and tooth-supported FDP. FE models with varying cuspal angulations 0°, 20°, and 33° and connector designs 2 mm, 2.5 mm, and 3 mm was generated. The simulated models were loaded with 100 N of forces under different axial and non-axial angulations. The graphical and numerical stresses were observed, recorded, and statistically analyzed.
Higher stress of 245.55 MPa in implant-supported FDP and lower stress value of 28.22 MPa in tooth-supported FDP was observed at 0-cuspal inclination for 3 mm connector width. The data were statistically analyzed with unpaired t test to eliminate the differences. The inter-group, intra-group tests, p and t values for various connector, and tooth angulations of tooth- and implant-supported FDP were statistically insignificant. (p > 0.05).
There was no statistically significant difference in stress was observed between tooth- and implant-supported FDP for different connector widths, cuspal inclination, and diverse angulation of forces.
很少有研究确定氧化锆固定义齿(FDP)的连接体宽度、牙尖角度、加载力和支持结构之间的关系。本研究的目的是比较不同连接体设计以及在不同力角度下被替换牙齿的牙尖角度的种植体支持和牙支持氧化锆FDP中的应力分布。
通过模拟一个3单位的种植体支持和牙支持FDP进行有限元(FE)分析。生成了具有不同牙尖角度(0°、20°和33°)和连接体设计(2mm、2.5mm和3mm)的FE模型。在不同轴向和非轴向角度下对模拟模型施加100N的力。观察、记录图形和数值应力并进行统计分析。
对于3mm连接体宽度,在0牙尖倾斜度下,种植体支持的FDP中观察到较高应力245.55MPa,牙支持的FDP中观察到较低应力值28.22MPa。使用非配对t检验对数据进行统计分析以消除差异。牙支持和种植体支持FDP的各种连接体和牙齿角度的组间、组内测试、p值和t值在统计学上无显著意义。(p>0.05)
对于不同的连接体宽度、牙尖倾斜度和不同的力角度,牙支持和种植体支持的FDP之间在应力方面没有观察到统计学上的显著差异。