使用单张与双张柱恢复内牙治疗的牙的生成应力有限元分析: 简称:生成应力恢复内牙治疗的牙的有限元分析
Mai Soliman1, Amal Abdallah A Abo-Elmagd2,3, Elzahraa Eldwakhly4
1Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia. msmustafa@pnu.edu.sa.
Scientific reports
|November 28, 2025
概括
恢复严重损坏的内牙治疗牙 (ETT) 是一个挑战. 使用两个柱,特别是在远距离和半舌头道,与单一柱相比,显著减少应力,改善骨折抵抗力.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物机械工程 生物机械工程
- 牙周内科医院 牙周内科医院 牙周内科医院
背景情况:
- 恢复经过内牙治疗的牙 (ETT) 造成了广泛的损伤,这对长期成功提出了重大挑战.
- 确保足够的保留和抗破裂性对于ETT修复的长寿至关重要.
研究的目的:
- 用3D有限元素分析 (FEA) 来评估严重损坏的ETT中的应力分布.
- 在ETT中比较单对双柱设计的生物力学性能.
主要方法:
- 一个人的下第一个牙用形束计算断层扫描 (CBCT) 扫描.
- 分析了三个柱子设计:单个远端柱子 (模型D),双个远端柱子和 mesiobuccal 柱子 (模型DMB) 和双个远端柱子和 mesiolingual 柱子 (模型DML).
- 使用FEA来评估关键位置的应力分布,包括不同深度的闭合表面,终点线,口和根管.
主要成果:
- 模型D (单一帖子) 在所有评估区域中表现出最高的应力值.
- 模拟的DML (远距离和 mesiolingual帖子) 显示了最低的压力度.
- 模拟的DMB (远距离和腹腔柱) 显示中等压力水平,与单个柱相比,双柱减少压力.
结论:
- 双杆系统,特别是模型DML,与单杆系统相比,在严重损坏的ETT中提供了优越的减压.
- 在恢复ETT时,FEA是指导临床决策的宝贵工具.
- 闭塞表面和终点线是所有测试模型中最高应力度的关键区域.
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