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短种植体上多单位基牙加载应力的评估——一项研究。

Evaluation of Loading Stresses on Multiunit Abutments in Short Implants - An Study.

作者信息

Moorthy Rathika Jeyaram, Hussain Sharmila, Abraham Ponsekar, Nandanwar Jayshri, Rajambigai M Aarti, Dwivedi Abhishek

机构信息

Department of Prosthodontics and Crown and Bridge, Thai Moogambigai Dental College and Hospital, Chennai, Tamil Nadu, India.

Department of Prosthodontics and Crown and Bridge, Madha Dental College and Hospital, Chennai, Tamil Nadu, India.

出版信息

J Pharm Bioallied Sci. 2025 Jun;17(Suppl 2):S1832-S1835. doi: 10.4103/jpbs.jpbs_1946_24. Epub 2025 Jun 18.

DOI:10.4103/jpbs.jpbs_1946_24
PMID:40655809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12244603/
Abstract

AIM

This study aims to measure the displacement of straight abutment and multiunit abutment with straight abutment after static loading of 200 N at 30-, 40-, and 45-degree angulations.

MATERIALS AND METHODS

30 implants were divided into two groups according to the abutment used: Group I - Implant with straight abutments; Group II - Implant with multiunit with straight abutments. Fracture load was determined using a compression load on the abutments with a universal testing machine.

RESULTS

The data were analyzed with one-way analysis of variance (ANOVA) and Tukey's test. A significant difference was noted between the groups ( ≤ 0.05). Short implants adequately took up static loading and may be advocated. Minimum displacement occurred in Groups I and II at static loading of 200 N in 30- and 40-degree angulation, which was statistically significant. Maximum displacement occurred in Groups I and II at static loading of 200 N in 45-degree angulation.

CONCLUSION

Multiunits may improve the crown height space and reduce stress concentration at implant abutment junction. Within the limits of the study, it may be concluded that short implants may be advocated with straight abutment and/or multiunit with straight abutment.

摘要

目的

本研究旨在测量直基台以及带有直基台的多单位基台在30度、40度和45度角度下承受200N静载荷后的位移。

材料与方法

根据所使用的基台,将30颗种植体分为两组:第一组——使用直基台的种植体;第二组——使用带有直基台的多单位基台的种植体。使用万能试验机对基台施加压缩载荷来确定断裂载荷。

结果

数据采用单因素方差分析(ANOVA)和Tukey检验进行分析。两组之间存在显著差异(P≤0.05)。短种植体能够充分承受静载荷,或许值得推荐。在30度和40度角度下承受250N静载荷时,第一组和第二组的位移最小,具有统计学意义。在45度角度下200N静载荷时,第一组和第二组的位移最大。

结论

多单位基台可能会改善冠部高度间隙并减少种植体基台连接处的应力集中。在本研究的范围内,可以得出结论,对于直基台和/或带有直基台的多单位基台,或许推荐使用短种植体。

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本文引用的文献

1
Effect of Loading Angles and Implant Lengths on the Static and Fatigue Fractures of Dental Implants.加载角度和种植体长度对牙种植体静态和疲劳骨折的影响。
Materials (Basel). 2021 Sep 24;14(19):5542. doi: 10.3390/ma14195542.
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The influence of prosthetic crown height and implant-abutment connection design selection on the long-term implant-abutment stability: A laboratory study.全冠高度和种植体-基台连接设计选择对种植体-基台长期稳定性的影响:一项实验室研究。
J Mech Behav Biomed Mater. 2021 Jan;113:104095. doi: 10.1016/j.jmbbm.2020.104095. Epub 2020 Sep 22.
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Long-term Short Implants Performance: Systematic Review and Meta-Analysis of the Essential Assessment Parameters.长期短种植体性能:基本评估参数的系统评价和荟萃分析
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Use of short implants (6 mm) in a single-tooth replacement: a 5-year follow-up prospective randomized controlled multicenter clinical study.短种植体(6毫米)用于单颗牙种植修复:一项为期5年的随访前瞻性随机对照多中心临床研究。
Clin Oral Implants Res. 2016 Apr;27(4):458-64. doi: 10.1111/clr.12564. Epub 2015 Feb 18.
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Periodontol 2000. 2014 Oct;66(1):72-96. doi: 10.1111/prd.12053.
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A brief historical perspective on dental implants, their surface coatings and treatments.关于牙种植体、其表面涂层及处理的简要历史回顾。
Open Dent J. 2014 May 16;8:50-5. doi: 10.2174/1874210601408010050. eCollection 2014.
7
The effect of splinting implant-supported restorations on stress distribution of different crown-implant ratios and crown height spaces.夹板固定种植体支持修复体对不同冠-种植体比例和冠高度间隙应力分布的影响。
J Oral Maxillofac Surg. 2011 Dec;69(12):2990-4. doi: 10.1016/j.joms.2011.06.210. Epub 2011 Aug 24.
8
To what extent does the crown-implant ratio affect the survival and complications of implant-supported reconstructions? A systematic review.冠-种植体比例对种植体支持式修复体的存活率和并发症有多大影响?一项系统评价。
Clin Oral Implants Res. 2009 Sep;20 Suppl 4:67-72. doi: 10.1111/j.1600-0501.2009.01762.x.
9
Effect of subgingival depth of implant placement on the dimensional accuracy of the implant impression: an in vitro study.种植体植入龈下深度对种植体印模尺寸精度的影响:一项体外研究。
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The glossary of prosthodontic terms.口腔修复学术语词汇表。
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