不同长度种植体固定桥修复种植体的三维有限元受力分析
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魏婷婷(1983.8-),女,广西柳州人,硕士,副主任医师,主要从事口腔种植、口腔修复研究

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R782.13

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广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20200602)


Three-dimensional Finite Element Stress Analysis of Implant Fixed Bridge with Different Lengths to Repair Implants
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    摘要:

    目的 观察相同直径不同长度种植体组合联合修复的种植体等效应力分布的区域及最大等效应力 大小。方法 使用Sol idwor ks软件建立不同长度种植体固定桥三维模型(A组:4.1 mm×10mm与 4.8 mm×10 mm;B组:4.1 mm×10 mm与4.8 mm×8 mm;C组:4.1 mm×12 mm与4.8 mm×10 mm;D组: 4.1 mm×12 mm与4.8 mm×8 mm),种植体置入位置为右下5和右下7,右下5种植体直径4.1 mm,右下7种植 体直径4.8 mm,长度分别为8 mm、10 mm、12 mm,并在不同种植固定桥修复模型上施加轴向100 N,斜向 45°100 N的力,观察不同模型种植体最大等效应力分布位置及大小。结果 在轴向及斜向45°力的加载作 用下,种植体的最大等效应力分布于种植体颈部;垂直力加载时,C组、D组右下7最大等效应力值均小于 A组、B组;右下5的最大等效应力值接近;倾斜力加载时,A、B、C组的右下5最大等效应力值接近,D组 稍大于其他三组;右下7的最大等效应力值与A组、C组接近,B组与D组接近。结论 种植固定桥修复中, 种植体长度的改变对种植体应力值会产生一定的影响,但变化不显著。基于此,在临床中提倡近远中种植 体可选择长度较长且尽量接近的种植体,而游离端悬臂结构应适当减少近远中径及颊舌径。

    Abstract:

    Objective To observe the area of the equivalent stress distribution and the maximum equivalent stress of the implant with the same diameter and different length of the implant combination. Methods SolidWorks software was used to establish three-dimensional models of implant fixed bridges with different lengths (group A: 4.1 mm×10 mm and 4.8 mm×10 mm; group B: 4.1 mm×10 mm and 4.8 mm×8 mm; group C: 4.1 mm×12 mm and 4.8 mm×10 mm; group D: 4.1 mm×12 mm and 4.8 mm×8 mm). The implant was placed at the lower right 5 and lower right 7. The diameter of the lower right 5 implant was 4.1 mm, and the diameter of the lower right 7 implant was 4.8 mm. The length was 8 mm, 10 mm, and 12 mm, respectively. The force of 100 N in the axial direction and 45° 100 N in the oblique direction was applied to the different implant fixed bridge repair models to observe the maximum equivalent stress distribution position and size of the implants in different models. Results Under the loading of axial and oblique 45° force, the maximum equivalent stress of the implant was distributed in the neck of the implant. When the vertical force was loaded, the maximum equivalent stress value of the right lower 7 in group C and group D was smaller than that in group A and group B; the maximum equivalent stress value of the lower right 5 was close; when the inclined force was loaded, the maximum equivalent stress values of the lower right 5 of group A, B and C were close, and group D was slightly larger than the other three groups; the maximum equivalent stress value of the right lower 7 was close to that of group A and group C, and that of group B and group D was close. Conclusion In the repair of implant fixed bridge, the change of implant length will have a certain influence on the stress value of implant, but the change is not significant. Based on this, it is advocated in clinical practice that the mesial and distal implants can be selected with a longer length and as close as possible, while the free end cantilever structure should appropriately reduce the mesial and distal diameters and buccolingual diameters.

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魏婷婷.不同长度种植体固定桥修复种植体的三维有限元受力分析[J].医学美学美容,2024,33(11):54-58.

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  • 在线发布日期: 2024-06-24
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