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几个 - 旋转系统在下牙中压力分布在闭合力下的影响:有限元素分析
1Dept. of Endodontics, Faculty of Dentistry, Aydın Adnan Menderes University, 09100, Aydın, Turkey.
Odontology
|September 6, 2024
概括
不同的-旋转系统可能会增加下牙的压力,可能导致根骨折. 建议保守的塑形和避免斜力,以最大限度地降低骨折风险.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 生物材料科学 生物材料科学
- 牙科机械 牙科机械
背景情况:
- 使用-旋转系统进行根运河制备在内牙治疗中很常见.
- 在仪器仪表后了解下牙内的应力分布对于预防根骨折至关重要.
研究的目的:
- 用各种-旋系统进行准备后,评估下牙中应力分布.
- 通过有限元分析 (FEA) 识别潜在的根骨折模式.
主要方法:
- 使用ProTaper Gold,Reciproc Blue,XP-endo Shaper和Hyflex EDM系统准备了五个3D打印的下牙.
- 创建了微型CT扫描和FEA模型,以模拟垂直和斜的闭合力.
- 分析了压力参数 (von Mises,最大/最小的主要压力).
主要成果:
- 压力值与所有系统的根管体积增加相关.
- 压力分布模式表明潜在的骨折在测试的旋转系统中是相似的.
- 斜闭合力诱导的应力度高于垂直力.
结论:
- 某些-旋转系统可能会增加应力,可能导致由于体积变化而导致根骨折.
- 保守的根管塑造可以最大限度地降低整体压力度.
- 与垂直力相比,斜力在下牙中造成根骨折的风险更大.
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