咬合调整对修复体咬合干扰的有限元分析。

IF 2.1 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Prosthodontics Pub Date : 2023-09-12 DOI:10.11607/ijp.7178
Alois Schmid, Thomas Strasser, Martin Rosentritt
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引用次数: 3

摘要

目的:应用有限元分析方法探讨咬合干扰对牙颌的影响。材料和方法:本研究设计的有限元模型以全陶瓷双层固定局部义齿(FPD)为中心,保留在上颌第一前磨牙和第一磨牙上,第二前磨牙由桥体代替。周围的结构-如邻近的牙齿,拮抗剂和牙周-被建模。在咬合干涉为0、8、12和24 μm的情况下,设计了4种不同的加载情况,模拟咬合力为300 n。结果:对于12 μm和24 μm的干扰,在咬合面上观察到贴面层的失效相关拉应力。在氧化锆FPD中发现的应力在任何测试负载下都没有达到疲劳或弯曲强度。结论:在咬合接触点附近出现峰值拉应力,峰值拉应力随咬合干扰的增加而增大。有限元分析结果表明,牙合应力大部分被牙周韧带的变形所吸收。由于模拟干扰导致的框架失效是预料不到的。表面缺陷可能最终导致断裂或碎裂,特别是在较弱的陶瓷或贴面的情况下。
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Finite Element Analysis of Occlusal Interferences in Dental Prosthetics Caused by Occlusal Adjustment.

Purpose: To investigate the influence of occlusal interference using finite element analysis (FEA).

Materials and methods: The FEA model designed for this study centered on an all-ceramic, bilayered, fixed partial denture (FPD) retained on the maxillary first premolar and first molar, with the second premolar replaced by a pontic. The surrounding structures-such as the neighboring teeth, antagonists, and periodontium-were modeled. Four different loading cases were designed at occlusal interferences of 0, 8, 12, and 24 μm and were loaded by a simulated bite force of 300 N. Principal and von Mises stresses, as well as strain, were evaluated for all included structures.

Results: For interferences of 12 and 24 μm, failure-relevant tensile stresses in the veneering layer were observed at the occlusal surfaces. Stress found in the zirconia FPD did not reach fatigue or flexural strength for any test load.

Conclusion: Peak tensile stress was observed in close proximity to occlusal contact points, increasing with increasing occlusal interference. The FEA results suggest that the majority of occlusal stress is absorbed by the deformation of the periodontal ligament. Framework failure caused by the simulated interferences was not expected. Surface defects may ultimately lead to failure due to fracture or chipping, especially in cases of weaker ceramics or veneering.

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来源期刊
International Journal of Prosthodontics
International Journal of Prosthodontics 医学-牙科与口腔外科
CiteScore
3.20
自引率
4.30%
发文量
82
审稿时长
6-12 weeks
期刊介绍: Official Journal of the European Association for Osseointegration (EAO), the International College of Prosthodontists (ICP), the German Society of Prosthodontics and Dental Materials Science (DGPro), and the Italian Academy of Prosthetic Dentistry (AIOP) Prosthodontics demands a clinical research emphasis on patient- and dentist-mediated concerns in the management of oral rehabilitation needs. It is about making and implementing the best clinical decisions to enhance patients'' quality of life via applied biologic architecture - a role that far exceeds that of traditional prosthetic dentistry, with its emphasis on materials and techniques. The International Journal of Prosthodontics is dedicated to exploring and developing this conceptual shift in the role of today''s prosthodontist, clinician, and educator alike. The editorial board is composed of a distinguished team of leading international scholars.
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