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动态载荷下不同骨质对天然牙-种植体联合修复应力分布的影响

张杨 王超 张晓南 徐凌

华西口腔医学杂志Issue(3):286-290,5.
华西口腔医学杂志Issue(3):286-290,5.DOI:10.7518/hxkq.2015.03.015

动态载荷下不同骨质对天然牙-种植体联合修复应力分布的影响

Evaluation of the stress distribution in tooth implant-supported fixed partial prostheses on different bone types under dynamic loads

张杨 1王超 1张晓南 1徐凌1

作者信息

  • 1. 重庆医科大学附属口腔医院修复科,口腔疾病与生物医学重庆市重点实验室,重庆 401147
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摘要

Abstract

ObjectiveThis study aims to evaluate the influence of different bone types on the stress distribution in tooth implant-supported fixed partial prostheses by using finite element (FE) analysis. Methods   Four FE models of mandibular arch containing one implant splinted to the mandibular second premolar were built according to bone types Ⅰ, Ⅱ, Ⅲ, and Ⅳ. Dy-namic loads of 250 N were applied to the buccal and lingual cusps of the prostheses in different directions to simulate the mas-ticatory cycle. The maximum Von Mises stresses were calculated using the FE analysis software. Results   The maximum Von Mises stresses of the cortical bones were 89.229, 91.860, 125.840, and 158.420 MPa, increasing from type Ⅰ to type Ⅳ, respec-tively. The maximum Von Mises stresses of the trabecular bone were 58.584, 43.645, 21.688, and 18.249 MPa, decreasing from type Ⅰ to type Ⅳ, respectively. During the process of dynamic loading, the maximum Von Mises stresses of the cortical and trabecular bones followed the order buccal to tongue loading>tongue to buccal loading>vertical loading. Conclusion   The results showed that bone type significantly influenced the stress distribution in bones, and that for tooth implant-supported fixed partial prostheses, bone types Ⅰ and Ⅱ were a better choice than bone types Ⅲ and Ⅳ. More caution should be exer-cised when restoring missing teeth using tooth implant-supported fixed partial prostheses in softer bone regions.

关键词

天然牙-种植体联合修复/骨质/动态载荷/有限元分析

Key words

tooth implant-supported fixed partial prostheses/bone quality/dynamic loads/finite element analysis

分类

医药卫生

引用本文复制引用

张杨,王超,张晓南,徐凌..动态载荷下不同骨质对天然牙-种植体联合修复应力分布的影响[J].华西口腔医学杂志,2015,(3):286-290,5.

基金项目

重庆市卫生局医学科研基金资助项目 ()

华西口腔医学杂志

OA北大核心CSCDCSTPCDMEDLINE

1000-1182

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