在闭塞和创伤负荷下,宫根外部再吸收恢复的应力分布:有限元分析
Padmapriya Ramanujam1, Paul Kevin Abishek Karthikeyan2, Vignesh Srinivasan3
1Department of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Chennai, India.
Restorative dentistry & endodontics
|June 10, 2025
概括
用多层材料或内部根管治疗修复上切口的外部宫吸收缺陷可以显著降低压力. 这种方法对于在各种负载条件下保持牙完整性至关重要.
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
- 牙医学的有限元分析.
背景情况:
- 外部宫吸收缺陷 (ECRDs) 损害牙结构,需要有效的修复策略.
- 了解ECRD恢复牙中的压力分布对于预测治疗结果和寿命至关重要.
研究的目的:
- 用不同材料修复的ECRD (2Bd和2Bp分类) 来分析上中央切口的应力分布.
- 为了比较各种修复技术在正常的和创伤负荷下有效性.
主要方法:
- 用完整和吸收缺陷模型的形束计算断层扫描 (CBCT) 数据进行有限元素分析 (FEA).
- 模型用玻璃离子体水泥 (GIC),Biodentine,复合树脂或带有/没有纤维柱的内部根管治疗来恢复.
- 模拟的和创伤负荷被应用来评估压力模式 (von Mises压力).
主要成果:
- 所有测试的修复策略都在2Bd缺陷模型中减少了压力.
- 在2Bp缺陷中,牙在缺陷的最深处经历了最大的应力,转移到肉中.
- 与内部根管治疗的多层外部修复显示,2Bp缺陷中的压力分布优于纤维后放置.
结论:
- 增加的负载在恢复的ECRD模型中比例增加了·米塞斯应力.
- 对于2Bd缺陷,建议进行多层修复.
- 建议采用涉及根管治疗的内部方法来恢复2Bp缺陷,以改善应力分布.
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