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论文摘要

Ⅱ类骨质中正畸微种植体锥度及植入角度对支抗稳定性影响的三维有限元分析

Effect of taper and inserting angle on stability of micro-implants in type Ⅱ bone with three-dimensional finite element

作者:董晶 张哲湛 周国良

Author:Dong Jing, Zhang Zhechen, Zhou Guoliang

收稿日期:          年卷(期)页码:2014,32(1):13-13-17

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:微种植体,植入角度,锥度,稳定性,

Key words:micro-implant, inserting angle, taper, stability,

基金项目:

中文摘要

目的 探讨微种植体锥度和植入角度对Ⅱ类骨质下颌骨中支抗稳定性的影响,为临床选择微种植体最佳锥度与植入角度提供理论依据。方法 建立包含正畸微种植体的颌骨三维有限元模型,在植入角度为 30°、45°、 60°、75°、90°时分别植入不同锥度的微种植体(直径为 1.1~1.6 mm,锥度为 0~0.062 5),分析在 2N水平力作用下颌骨应力、种植体应力和位移的变化规律。结果 植入角度对骨皮质、种植体应力和位移影响较大,植入角度为 60°时,应力和位移水平均较小;微种植体锥度的影响与植入角度相关,植入角度为 60°时D模型出现应力最小值,分别为5.013 4 MPa(骨皮质)和25.131 0 MPa(微种植体),种植体位移与锥度变化趋势呈正比。结论 植入角度对支抗稳定性影响显著, 60°为较适宜的植入角度;微种植体锥度对稳定性的影响与植入角度相关,锥度为 0.037 5(最大直径为1.6 mm,最小直径为1.3 mm)的微种植体更加适用于Ⅱ类骨质颌骨。

英文摘要

ObjectiveTo evaluate the effect of taper and inserting angle on stability of micro-implants in type Ⅱ bone and toprovidetheoretical evidencefor clinical selectionoftaper andinsertingangle.MethodsThree-dimensionalfinite element models of type Ⅱ bone sections and micro-implants were fabricated. They were designed using different tapers (diameter between 1.1 to 1.6 mm, taper between 0 to 0.062 5) and different inserting angles ranging from 30° to 90° (30°, 45°, 60°, 75°, 90°). Effects on the maximum von Mises stresses in mandible and micro-implants, as well as on the maximum displacements inmicro-implants, were analyzedunder an applied 2N horizontalforce.ResultsTheinserting anglehadasignificant effect on stresses and displacements, with lower distribution of stresses and displacements occurring at 60°. The effect of the taper wasalsorelatedtotheinsertingangle.Theminimumstresseswere5.0134MPa(corticalbone)and25.1310MPa(micro-implant) in modelD at 60°. The displacements of micro-implantswere proportional to the taper.ConclusionThe insertingangle has a significant effect on stability of micro-implants, and the recommended inserting angle is 60°. The influence of taper on the stability of micro-implants is related to the inserting angle. The micro-implant with 0.037 5 taper(maximum diameter is 1.6 mm, minimum diameter is 1.3 mm) ismoresuitablefor type Ⅱ bones.

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