平衡负荷:最佳力量如何塑造迷你种植体正畸的寿命和稳定性。

IF 3.4 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dentistry Journal Pub Date : 2025-02-05 DOI:10.3390/dj13020071
Tinela Panaite, Carmen Savin, Nicolae Daniel Olteanu, Cristian Liviu Romanec, Raluca-Maria Vieriu, Carina Balcos, Alice Chehab, Irina Nicoleta Zetu
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引用次数: 0

摘要

目的:利用有限元分析(FEA)研究钛(Ti6Al4V)微型种植体(MIs)在不同正畸力下的力学行为,并在临床实际情况下评估其性能和耐久性。最佳的正畸力显著影响MIs的结构完整性和功能寿命,同时最大限度地减少对周围骨组织的不良影响。材料和方法:采用有限元法对市售MI(直径2.0 mm,长度12 mm)进行建模。采用计算机断层扫描(CT)获得下颌骨几何形状,利用spacecclaim软件2023.1进行三维重建,并在ANSYS Workbench中离散为10节点四面体单元。基于已有文献对材料属性进行赋值,采用非线性摩擦接触模型模拟种植体与骨的相互作用。采用倾斜30°的2 N和10 N正畸力模拟临床载荷情况。通过分析总位移、von Mises应力、等效应变、疲劳寿命和安全系数来评估种植体的力学性能。结果:在2 N时,MI表现出最小位移(0.0328 mm),在安全疲劳载荷条件下持续约445,000次循环,安全系数为4.8369。在10 N时,种植体的寿命急剧缩短至1546个周期,应力(6.468 × 105 MPa)和应变浓度显著升高,表明机械故障和骨损伤的风险增加。研究结果揭示了正畸力损害种植体稳定性和种植体周围骨骼健康的临界阈值。结论:本研究证实,将正畸力维持在最佳范围内,约2 N,对于延长心肌梗死寿命和保持骨完整性至关重要。过大的力,如10n,会导致耐久性迅速下降和失败的风险增加,强调在临床实践中需要校准力的应用。这些见解为提高MI性能和优化正畸治疗结果提供了有价值的指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Balancing the Load: How Optimal Forces Shape the Longevity and Stability of Orthodontic Mini-Implants.

Objective: This study aims to investigate the mechanical behavior of titanium (Ti6Al4V) mini-implants (MIs) under varying orthodontic forces using finite element analysis (FEA) and to evaluate their performance and durability under realistic clinical conditions. Optimal orthodontic forces significantly influence the structural integrity and functional longevity of MIs while minimizing adverse effects on surrounding bone tissues. Materials and Methods: A commercially available MI (diameter: 2.0 mm, length: 12 mm) was modeled using FEA. The mandible geometry was obtained using computed tomography (CT) scanning, reconstructed in 3D using SpaceClaim software 2023.1, and discretized into 10-node tetrahedral elements in ANSYS Workbench. Material properties were assigned based on the existing literature, and the implant-bone interaction was simulated using a nonlinear frictional contact model. Orthodontic forces of 2 N and 10 N, inclined at 30°, were applied to simulate clinical loading conditions. Total displacement, von Mises stresses, equivalent strains, fatigue life, and safety factors were analyzed to assess the implant's mechanical performance. Results: At 2 N, the MI demonstrated minimal displacement (0.0328 mm) and sustained approximately 445,000 cycles under safe fatigue loading conditions, with a safety factor of 4.8369. At 10 N, the implant's lifespan was drastically reduced to 1546 cycles, with significantly elevated stress (6.468 × 105 MPa) and strain concentrations, indicating heightened risks of mechanical failure and bone damage. The findings revealed the critical threshold beyond which orthodontic forces compromise implant stability and peri-implant bone health. Conclusions: This study confirms that maintaining orthodontic forces within an optimal range, approximately 2 N, is essential to prolong MI lifespan and preserve bone integrity. Excessive forces, such as 10 N, lead to a rapid decline in durability and increased risks of failure, emphasizing the need for calibrated force application in clinical practice. These insights provide valuable guidance for enhancing MI performance and optimizing orthodontic treatment outcomes.

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来源期刊
Dentistry Journal
Dentistry Journal Dentistry-Dentistry (all)
CiteScore
3.70
自引率
7.70%
发文量
213
审稿时长
11 weeks
期刊最新文献
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