带有周周病变的内牙治疗的支柱牙的生物机械行为:3D有限元分析
Ömer Kırmalı1, Ayten Zeynallı1, Türker Akar1
1Department of Prosthodontics, Faculty of Dentistry, Akdeniz University, Antalya, Türkiye.
European journal of dentistry
|February 5, 2026
概括
固定假牙在牙上有周周病变经历较少的压力时 splinted. 这项研究发现,与三单元桥梁相比,单个冠状桥梁将更多的压力集中在损伤区域.
科学领域:
- 生物材料科学 生物材料科学
- 牙科机械 牙科机械
- 牙修复 牙修复 牙修复 牙修复 牙修复
背景情况:
- 支柱牙的周周病变可能会损害固定假肢的成功.
- 了解压力分布对于预测恢复结果至关重要.
研究的目的:
- 为了研究压力分布在支柱牙与围性病变在闭塞负荷下.
- 为了比较单个皇冠和 splinted 修复之间的应力和变形.
主要方法:
- 用有限元分析 (FEA) 建模了三种下前情景.
- 模型包括一个健康的牙,一个用单个皇冠修复的牙,一个牙作为三单元桥梁的支柱.
- 应用了静态闭塞负荷,并分析了牙组织和周围骨的应力/变形.
主要成果:
- 单冠模型显示,与三单元桥梁模型 (0.054 MPa) 相比,单冠模型在根沿线的应力传播更大,在周围损伤区域的度更高 (0.061 MPa).
- 在单冠模型中观察到最大的变形.
- 在所有模型中,峰值应力始终局部存在于宫上项圈区域.
结论:
- 假肢的设计显著地影响了带有周周病变的支柱牙的应力度.
- 在牙周围损伤的牙中,式修复 (三单元桥梁) 与单个冠状牙相比,具有生物机械优势.
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