华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

纤维支架设计对后牙纤维强化复合树脂粘接桥应力分布的影响

谢秋菲1, 张磊1, 冯海兰1, 王勇2   

  1. 1.北京大学口腔医院修复科; 2.卫生部计算机中心, 北京100081
  • 收稿日期:2006-12-25 修回日期:2006-12-25 出版日期:2006-12-20 发布日期:2006-12-20
  • 通讯作者: 张磊,Tel:010- 62179977- 2552
  • 作者简介: 谢秋菲( 1955-),女,江西人,教授,博士
  • 基金资助:

    首都科学发展基金资助项目( 2002- 3082)

Influence of Fiber Fr amework Design on Str ess Distr ibution in Poster ior Glass Fiber Reinfor ced Composite Resin- bonded Fixed Par tial Dentur es

XIE Qiu- fei1, ZHANG Lei1, FENG Hai- lan1, WANG Yong2   

  1. 1. Dept. of Prosthodontics, School of Stomatology, Peking University, Beijing 100081, China; 2. Computer Center, Ministry of Health, Peking University, Beijing 100081, China
  • Received:2006-12-25 Revised:2006-12-25 Online:2006-12-20 Published:2006-12-20
  • Contact: ZHANG Lei,Tel:010- 62179977- 2552

摘要:

目的比较传统纤维支架与改良纤维支架对后牙纤维强化复合树脂粘接桥应力分布的影响。方法在Marc 2003软件中对不同支架设计的三维有限元模型采用4种加载方式,然后进行三维有限元计算,输出应力结果。结果在尖窝载荷、均布载荷、斜向载荷3种载荷下,固位体的近连接体处和连接体区出现应力集中,纤维支架加强后,应力集中区面积减小,最大主应力均较单纯树脂粘接桥显著降低。在颊舌尖载荷时,除了以上两处应力集中区外,!面中央窝沟处也是应力集中区,仅有纵横纤维结合支架使应力集中区域明显减小,使最大主应力的最大值明显降低。结论在模拟口腔咀嚼载荷下,后牙纤维强化复合树脂粘接桥的危险部位有3个,分别为固位体的近连接体处、连接体区和!面中央窝沟区。在颊舌尖载荷下,3种支架设计中仅有纵横结合的改良纤维支架设计形式可以明显改善!面中央窝区域的应力集中现象。

关键词: 三维有限元, 玻璃纤维, 粘接桥

Abstract:

Objective To compare the difference of stress distribution among models with different fiber frameworks. Methods Four models were generated in Marc 2003 software. Four types of loads simulating normal mastication were selected. The stress within models was calculated, and output by means of graph and data. Results There was stress concentration around connectors and retainers near connectors under cusp- fossa load, occlusal even load, and lateral load. When dentures were reinforced with fiber framework, area of stress concentration and principal stress max could decrease in comparison with pure composite resin bonded fixed partial denture. Under buccal- lingual load, there was another stress concentration around central fossa beside above two stress concentration areas. Only modified fiber framework constructed with both mesial- distal and lingual- buccal directional glass fiber could markedly reduce principal stress under buccal- lingual cusp loads. Conclusion Under 4 types of loads simulating normal mastication, three critical regions were disclosed at the area of retainers adjacent connectors, connectors and occlusal central fossa and fissures. Only modified fiber framework constructed with both mesial- distal and lingual - buccal directional glass fiber could markedly reduce stress concentration under buccal- lingual cusp loads.

Key words: three dimensional finite element analysis, glass fiber, resin- bonded fixed partial dentures