华西口腔医学杂志

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纤维桩修复上颌中切牙的三维有限元研究

康成容;魏素华;张美超;张新春;   

  1. 1.广东药学院附属第一医院口腔科, 广东广州510080; 2.中山大学光华口腔医学院附属口腔医院修复科, 广东广州510055; 3.南方医科大学生物力学实验室, 广东广州510515
  • 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: 魏素华,Tel:020- 83870378
  • 作者简介:康成容(1980-),女,四川人,住院医师,硕士
  • 基金资助:

    广东省医学科研基金资助项目(B2006068)

A thr ee dimensional finite element study on str ess distr ibution in maxillary centr al incisor r estor ed with fiber post

KANG Cheng- rong1, WEI Su- hua2, ZHANG Mei- chao3, ZHANG Xin- chun2   

  1. 1. Dept. of Stomatology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou 510080, China; 2. Dept. of Prosthodontics, Guanghua College of Stomatology, Sun Yat- Sen University, Guangzhou 510055, China; 3. Laboratory of Medical Biomechanics, Southern Medical University, Guangzhou 510515, China
  • Received:2008-08-25 Revised:2008-08-25 Online:2008-08-20 Published:2008-08-20
  • Contact: WEI Su- hua,Tel:020- 83870378

摘要:

目的应用三维有限元法研究上颌中切牙采用全瓷冠修复和纤维桩全瓷冠修复时牙本质的应力变化情况,分析纤维桩修复对上颌中切牙应力大小和分布的影响。方法通过螺旋CT扫描、Mimics软件、ANSYS软件建立不同牙体量上颌中切牙的三维有限元模型,分别行全瓷冠修复和纤维桩全瓷冠修复,模拟咬合加载,记录牙本质的von Mises应力和最大拉应力。结果相同牙体量的上颌中切牙,采用纤维桩全瓷冠修复时牙本质的应力值小于全瓷冠修复时的应力值,应力分布基本相似。结论纤维桩的应用能降低上颌中切牙牙体组织的应力峰值,有利于降低牙折的风险,并且不改变原有应力分布模式。

关键词: 纤维桩, 上颌中切牙, 三维有限元

Abstract:

Objective To study the stress changes of maxillary central incisor restored with or without fiber post using three dimensional finite element method, and analysis the role of fiber post in determining the stress distribution in dentin. Methods Three dimensional finite element models of maxillary central incisor with various remaining tooth structure were established by spiral CT, Mimics software and ANSYS software. Test samples were restored with all- ceramic crown and fiber post all- ceramic crown, respectively. The von Mises stress and maximal tensile stress of dentin were recorded. Results The stress level in dentin of maxillary central incisor restored with fiber post all- ceramic crown was smaller than that restored with all - ceramic crown, the stress distribution of both were similar. Conclusion The apply of fiber post can reduce the stress level in dentin of maxillary central incisor and decrease the risk of tooth breakage, but not change the stress pattern.

Key words: fiber post, maxillary central incisor, three dimensional finite element