上颌全牙弓夹板式临时修复体中焊接钛棒与聚醚醚酮棒的有限元分析
Finite element analysis of welded titanium bar and poly ether ether ketone bar in maxillary full arch splinted interim prosthesis.
作者信息
Farouk Zaki Mohamed Lamiaa, Tarek Mohamed Hebatallah, Ibrahim Eid Hany, Saeid Mohammed Soha, Mohammad Abdelrahman Rana
机构信息
Oral and Maxillofacial Prosthodontics Department, Faculty of Dentistry, Ain Shams University, Organization of African Unity Street, Cairo, 11561, Egypt.
Oral and Maxillofacial Prosthodontics Department, School of Dentistry, Newgiza University, Giza, Egypt.
出版信息
Sci Rep. 2025 May 9;15(1):16193. doi: 10.1038/s41598-025-99750-x.
Full arch fixed provisional restorations are prone to fracture during function for several reasons. Those types of fractures during the healing period eliminate the cross-arch stabilization and disrupt stress distribution patterns. FEA (Finite Element Analysis) study was carried out using edentulous maxillary models where implants and other components were represented in three dimensional (3D) geometric models. Two 3D FEA models with six implants were used. Model TB: the implants were splinted with welded titanium bar; Model PB: the implants were splinted with PEEK (Poly Ether Ether Ketone) bar. An interim full arch PMMA (Poly methyl methacrylate) prosthesis was virtually designed for both models. Both models were subjected to vertical and oblique forces with a single force magnitude of 100 N. The amount of maximum equivalent Von-Mises stresses was calculated at the cervical part of the bone cylinder (marginal bone) and both frameworks. Under bilateral vertical loading, stresses were found to be comparable at the marginal bone between titanium and PEEK splinting. The PEEK framework had better and lower stress distribution than the titanium. While under unilateral oblique forces PEEK had better mechanical response on the marginal bone. And PEEK framework itself showed higher stresses than the titanium. The behavior of PEEK and Titanium splints are comparable under the vertical bilateral load. On the contrary to the oblique load, where the stresses are higher within the PEEK splint that correspondingly transmit less stresses to the underlying structures. So, PEEK was found successful in regards to the pattern of stress distribution to both implants and marginal bone, but further studies are needed to confirm its effectiveness and broader applicability.
全牙弓固定临时修复体在功能行使过程中容易发生折断,原因有多种。愈合期发生的这类折断会消除牙弓间的稳定性,并破坏应力分布模式。使用无牙上颌模型进行了有限元分析(FEA)研究,其中种植体和其他部件在三维(3D)几何模型中呈现。使用了两个带有六个种植体的3D FEA模型。模型TB:种植体用焊接钛杆固定;模型PB:种植体用聚醚醚酮(PEEK)杆固定。为两个模型虚拟设计了一个临时全牙弓聚甲基丙烯酸甲酯(PMMA)修复体。两个模型均承受大小为100 N的垂直和斜向力。计算了骨圆柱体(边缘骨)颈部和两个框架处的最大等效冯·米塞斯应力值。在双侧垂直加载下,发现钛固定和PEEK固定在边缘骨处的应力相当。PEEK框架的应力分布比钛框架更好且更低。而在单侧斜向力作用下,PEEK在边缘骨上具有更好的力学响应。并且PEEK框架本身显示出比钛框架更高的应力。在垂直双侧加载下,PEEK和钛固定夹板的表现相当。与斜向加载相反,在斜向加载时,PEEK夹板内的应力较高,相应地传递到下方结构的应力较少。因此,就应力分布到种植体和边缘骨的模式而言,PEEK是成功的,但需要进一步研究来证实其有效性和更广泛的适用性。