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牙科植入物的多轴疲劳寿命评估

Multiaxial fatigue life assessment of dental implants.

作者信息

Armentia Mikel, Abasolo Mikel, Coria Ibai, Saintier Nicolas

机构信息

Mechanical Engineering Department, University of the Basque Country (UPV/EHU), Bilbao, Spain.

R&D Department, Biotechnology Institute I mas D S.L., Miñano, Spain.

出版信息

Heliyon. 2024 Aug 29;10(19):e36777. doi: 10.1016/j.heliyon.2024.e36777. eCollection 2024 Oct 15.

DOI:10.1016/j.heliyon.2024.e36777
PMID:39386765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11462250/
Abstract

As screwed joints, dental restorations may suffer mechanical failures such as screw loosening and implant or prosthetic screw failure due to fatigue. This work is focused on the failure of the implant and develops a numerical methodology to predict its fatigue life under cyclic loading conditions. This methodology is based on the combination of Critical Plane Methods and the Theory of Critical Distances to account for stress multiaxiality and notch effects. The obtained predictions were validated experimentally, which can be used to identify the main geometrical, assembly and operational factors affecting the fatigue behavior of dental implants. As a result, a powerful and efficient design tool for fatigue life prediction of dental implants is presented. This methodology complements a previously presented one focused on the fatigue life prediction of the prosthetic screw, thereby, offering now a complete design tool package regardless the critical component of the dental restoration, predicting accurately the fatigue response of the restoration, with no need for long-term fatigue test campaigns. This is a pioneering work since no other fatigue design methodology for dental implants with such a solid foundation and experimental validation has been published to date.

摘要

作为螺纹连接,牙科修复体可能会出现机械故障,如由于疲劳导致的螺钉松动以及种植体或修复体螺钉失效。这项工作聚焦于种植体的失效,并开发了一种数值方法来预测其在循环载荷条件下的疲劳寿命。该方法基于临界平面法和临界距离理论的结合,以考虑应力多轴性和缺口效应。所获得的预测结果通过实验进行了验证,这可用于识别影响牙科种植体疲劳行为的主要几何、装配和操作因素。结果,提出了一种用于牙科种植体疲劳寿命预测的强大且高效的设计工具。该方法补充了之前提出的一种专注于修复体螺钉疲劳寿命预测的方法,从而提供了一个完整的设计工具包,无论牙科修复体的关键部件是什么,都能准确预测修复体的疲劳响应,而无需进行长期疲劳测试活动。这是一项开创性的工作,因为迄今为止尚未发表其他具有如此坚实基础和实验验证的牙科种植体疲劳设计方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/7ef7a97a1b75/gr17.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/c89a9aad9fa0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/8fbf04031f46/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/f4e2899f642c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/d3faf29e17af/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/7fadadd5adb5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/b06212ba8466/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/8855690a8afb/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/47967738fc96/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/3152cda6de90/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/5eb63973444e/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/d24b26471ace/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/d978d170abf7/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/e6cbfc19769f/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/3335f9cd1d49/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/45439901caba/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11462250/7ef7a97a1b75/gr17.jpg

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本文引用的文献

1
Effect of the geometry of butt-joint implant-supported restorations on the fatigue life of prosthetic screws.对接式种植体支持修复体的几何形状对修复螺丝疲劳寿命的影响。
J Prosthet Dent. 2022 Mar;127(3):477.e1-477.e9. doi: 10.1016/j.prosdent.2021.12.010. Epub 2022 Jan 31.
2
Influence of Connection Type and Platform Diameter on Titanium Dental Implants Fatigue: Non-Axial Loading Cyclic Test Analysis.连接类型和平台直径对钛牙科种植体疲劳的影响:非轴向加载循环测试分析。
Int J Environ Res Public Health. 2020 Dec 2;17(23):8988. doi: 10.3390/ijerph17238988.
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Influence of vertical misfit in screw fatigue behavior in dental implants: A three-dimensional finite element approach.
Proc Inst Mech Eng H. 2018 Nov;232(11):1117-1128. doi: 10.1177/0954411918806325. Epub 2018 Oct 15.
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Fatigue of Dental Implants: Facts and Fallacies.牙种植体的疲劳:事实与谬误
Dent J (Basel). 2016 May 24;4(2):16. doi: 10.3390/dj4020016.
5
Removal torque evaluation of three different abutment screws for single implant restorations after mechanical cyclic loading.机械循环加载后单颗种植体修复中三种不同基台螺钉的拆除扭矩评估
Oral Implantol (Rome). 2016 Nov 16;9(4):213-221. doi: 10.11138/orl/2016.9.4.213. eCollection 2016 Oct-Dec.
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Effect of different types of prosthetic platforms on stress-distribution in dental implant-supported prostheses.不同类型的修复平台对种植体支持式修复体中应力分布的影响。
Mater Sci Eng C Mater Biol Appl. 2017 Feb 1;71:35-42. doi: 10.1016/j.msec.2016.09.062. Epub 2016 Sep 28.
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Prevention of bacterial leakage at implant-abutment connection level: an in vitro study of the efficacy of three different implant systems.预防种植体-基台连接部位细菌渗漏:三种不同种植系统效果的体外研究。
J Biol Regul Homeost Agents. 2016 Apr-Jun;30(2 Suppl 1):69-73.
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The Effect of Tissue Entrapment on Screw Loosening at the Implant/Abutment Interface of External- and Internal-Connection Implants: An In Vitro Study.组织嵌塞对内外连接种植体种植体/基台界面螺钉松动的影响:一项体外研究。
J Prosthodont. 2016 Apr;25(3):216-23. doi: 10.1111/jopr.12329. Epub 2015 Sep 30.
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Comparative study of torque resistance and microgaps between a combined Octatorx-cone connection and an internal hexagon implant-abutment connection.Octatorx锥联合连接与内六角种植体-基台连接之间的抗扭矩和微间隙的比较研究。
J Prosthet Dent. 2015 May;113(5):420-4. doi: 10.1016/j.prosdent.2014.12.006. Epub 2015 Mar 18.
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Marginal bone loss as success criterion in implant dentistry: beyond 2 mm.种植义齿学中以边缘骨吸收作为成功标准:超过2毫米。
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