边缘类型和材料选择对内冠修复中的压力分布的影响:3D有限元素研究
Kulashekar Reddy Nandalur1, Abdulkarim Hussain Alshehri1, Hemant Ramesh Chourasia2
1Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
概括
有限元分析显示,在内冠修复 (ER) 中,肩边缘和脉延伸的增加显著改变了应力分布. 材料选择也会影响压力,树脂纳米陶提供更均的分布.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物材料工程 生物材料工程
- 计算力学 计算力学 计算力学
背景情况:
- 内冠修复 (ER) 越来越多地用于经过内治疗的大牙,有广泛的衰变.
- 有限元分析 (FEA) 是了解牙科修复中的应力分布的宝贵工具.
- 有限的FEA研究存在于尾上内冠修复.
研究的目的:
- 调查制备特征 (边缘类型,纸腔扩展) 和修复材料 (,二酸盐,纳米陶树脂) 对使用3D FEA的尾内冠修复中应力分布的影响.
- 评估牙结构中的应力模式和功能负荷下的恢复本身.
主要方法:
- 创建6个3D有限元模型的上第一牙与内冠修复.
- 模拟制备的特点:边缘类型 (平坦的部,20度的斜,肩部),脉延伸 (2毫米,4毫米) 和闭口厚度 (3毫米).
- 使用Von Mises压力 (VMS) 在600N的功能负载下分析应力分布,考虑三种修复材料:,二氧化和纳米陶树脂.
主要成果:
- 肩边缘,特别是增加的脉延伸 (2mm/4mm),导致牙准备表面,宫面膜,口腔根和修复的内角表面的应力度更高.
- 具有更高弹性模块的材料在修复过程中集中了应力,减少了水泥层的应力,并可能增强牙粘合.
- 树脂纳米陶在修复和牙组织中表现出更均的应力分布.
结论:
- 制剂设计 (边缘类型,脉延伸) 和修复材料在尾尾内冠修复中显著影响应力分布.
- 无论使用什么材料,肩边缘在牙结构和内冠上都产生了较高的应力,而平坦的后边缘则产生了较高的应力.
- 增加的脉延伸减少了牙组织的压力,但在内冠恢复过程中增加了压力.
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