华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

组合式可摘局部义齿支持组织的应力分布

魏敏 王敏 林映荷 罗云   

  1. 四川大学华西口腔医院修复科, 四川成都610041
  • 收稿日期:2008-08-25 修回日期:2008-08-25 出版日期:2008-08-20 发布日期:2008-08-20
  • 通讯作者: 王敏,Tel:028- 85501486
  • 作者简介:魏敏(1977-),女,甘肃人,主治医师,博士
  • 基金资助:

    四川省应用研究计划基金资助项目(05JY029- 023- 2)

Str ess distr ibution on per iodontium of separ ated r emovable par tial dentur e assembly

WEI Min, WANG Min, LIN Ying- he, LUO Yun   

  1. Str ess distr ibution on per iodontium of separ ated r emovable par tial dentur e assembly
  • Received:2008-08-25 Revised:2008-08-25 Online:2008-08-20 Published:2008-08-20
  • Contact: WANG Min,Tel:028- 85501486

摘要:

目的应用三维有限元的方法,分析在不同方向载荷下组合式可摘局部义齿基牙及其支持组织的应力变化,从生物力学的角度为其在临床应用奠定理论基础。方法CT扫描1例双侧上颌第二前磨牙和第一磨牙缺失,基牙均为Ⅰ度松动的患者,建立组合式可摘局部义齿的三维有限元模型。通过在人工牙施加不同方向载荷来分析基牙及其支持组织的应力变化。结果不同方向载荷下,基牙牙周膜在应力分布中变化不大,无统计学差异(P>0.05),对基牙牙槽骨并没有产生明显的拉伸或压缩的作用;而基托下支持组织承受了大部分载荷,并且随着载荷的变化应力分布有明显差异。结论从生物力学角度证明组合式可摘局部义齿在行使功能时,利用上下两层支架的特殊设计可以分别承担义齿的固位和承力两大功能,既保护了基牙的健康,又达到良好的修复效果,对牙周病伴牙列缺损的病例是一种理想的修复设计方案。

关键词: 组合式可摘局部义齿, 三维有限元, 应力

Abstract:

Objective The objects of the present study were to construct a computer model and to evaluate the load and stress of denture by means of three dimensional finite element analysis in order to provide evidence for clinic application. Methods The study utilized CT to scan the maxilla of a healthy man to receive the primal data, and then used Materialise Mimics 9.1 to establish a series of two- definite images artificially and automatically. The three dimensional finite element model of partial maxilla, including teeth, bone and softy tissue, could be constructed in Pro/Engineer WF 2.0 software by using related commands. The separated removable partial denture assembly was finally set up according to the denture design in Pro/Engineer WF 2.0. After converting data into Ansys Workbench 9.0, the command of meshing was fulfilled. Applying different loads on artificial teeth, the data about the stress on the periodontium, abutment and supporting tissue were obtained. Results Statistical comparisons showed that the stresses of periodontal membranes had no significant differences, but the periodontium under saddle changed greatly under different loads. Conclusion This study shows that the separated removable partial denture assembly can undertake the retention and load respectively due to special design. It is the two layers of bases that can protect the healthy of abutments. This design may be applicable for the restoration of the tooth with poor periodontium around abutments.

Key words: separated removable partial denture assembly, three dimensional finite element, stress