横向骨损失和骨质脱落与捆绑和传统纤维杆的共存:有限元分析
Deniz Yanık1, Nurullah Türker2, Ahmet Mert Nalbantoğlu3
1Faculty of Dentistry, Department of Endodontics, Süleyman Demirel University, Isparta, Turkey.
Computer methods in biomechanics and biomedical engineering
|November 5, 2024
概括
这项研究发现,纤维柱显著增加了内牙治疗牙的压力,特别是水平骨损失 (HBL). 带有8毫米HBL的捆绑杆显示出最高的应力,影响骨支.
科学领域:
- 生物材料科学 生物材料科学
- 牙科机械 牙科机械
- 牙周病学 牙周病学
背景情况:
- 水平骨损失 (HBL) 和脱落是影响牙支组织的普遍缺陷.
- 纤维柱通常用于经过内牙治疗的牙,但它们对损伤骨状况的应力分布的影响需要进一步调查.
研究的目的:
- 评估用常规或捆绑纤维柱恢复的内牙治疗前牙的应力分布,考虑到不同程度的水平骨损失 (HBL) 和脱落.
- 为了比较不同的帖子类型的生物力学行为,在骨缺陷的存在下,在模拟的闭塞负荷下.
主要方法:
- 用有限元分析建模了十二个经过内牙治疗的前牙 (模型-E).
- 模型包括传统的 (Model-C) 和捆绑式 (Model-B) 柱子,具有不同的水平骨损失 (HBL: 4mm, 8mm) 和脱落缺陷 (Model-D).
- 模型受到200N的力,并分析了·米塞斯应力.
主要成果:
- 任何帖子的存在都会使压力增加2至5.8倍. 捆绑邮件 (B型) 比传统邮件 (C型) 显示出更高,但更均的压力.
- 带有捆杆的8毫米HBL (B8型) 导致最大的应力增加 (5.8倍).
- 水平的骨损失导致压力延伸到边缘骨之外,而脱落则将压力局部化到缺陷区域.
结论:
- 纤维柱在经过内牙治疗的牙中显著增加压力,其大小受柱类型和骨缺陷尺寸的影响.
- 广泛的水平骨损失,特别是在捆绑柱子上,会增加压力度和潜在失败的风险.
- 了解受损骨的应力分布对于选择适当的修复材料和技术至关重要,以确保长期的牙存活.
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