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论文摘要

Ⅰ类洞树脂充填中不同调和比例基底材料的三维有限元应力分析

Three- dimensional finite analysis of the str ess in fir st mandibular molar with composite classⅠrestoration when var ious mixing r atios of bases wer e used

作者:周岚 杨锦波 刘丹 刘展 陈颖 高波

Author:HOU Lan1, YANG Jin- bo1, LIU Dan1, LIU Zhan2, CHEN Ying1, GAO Bo1

收稿日期:2008-06-25          年卷(期)页码:2008,26(03):334-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:有限元分析,Ⅰ类洞,基底材料,

Key words:finite element analysis,classⅠcavity,base cement,

基金项目:

国家自然科学基金资助项目(30200317)

中文摘要

目的分析树脂充填中采用不同调和比例的基底材料垫底盖髓时,其对牙体和修复体受力可能造成的影响。方法测定调和比例分别为1∶1、3∶4、4∶3的玻璃离子Vitrebond及化学固化氢氧化钙Dycal弹性模量及泊松比,采用Micro- CT扫描离体牙标本,建立下颌第一磨牙Ⅰ类洞的三维有限元模型,模拟不同调和比例的基底材料垫底盖髓,复合树脂充填,生理性力作用下对牙体、修复体进行应力分析。结果不同调和比例的Vitrebond和Dycal的弹性模量不同。在生理性力作用下,Vitrebond或Dycal调和比例不同时,其对牙体、修复体所受应力的大小及分布影响不大。与Vitrebond垫底相比,Dycal垫底时牙体的峰值应力及高应力区面积均较大。结论人为改变双组份基底材料的理想调和比例会影响材料部分机械性能,但其对牙体、充填体、垫底材料的应力分布影响不大。为避免应力集中,在深龋治疗中应尽量使用弹性模量与牙本质或修复体相接近的基底材料。

英文摘要

Objective To analyze the possible damage to the remaining tooth and composite restorations when various mixing ratios of bases were used. Methods Testing elastic modulus and poission′s ratio of glass- ionomer Vitrebond and self- cured calcium hydroxide Dycal with mixing ratios of 1∶1, 3∶4, 4∶3. Micro- CT was used to scan the first mandibular molar, and the three- dimensional finite element model of the first permanent mandibular molar with class Ⅰ cavity was established. Analyzing the stress of tooth structure, composite and base cement under physical load when different mixing ratios of base cement were used. Results The elastic modulus of base cement in various mixing ratios was different, which had the statistic significance. The magnitude and location of stress in restored tooth made no differences when the mixing ratios of Vitrebond and Dycal were changed. The peak stress and spreading area in the model with Dycal was more than that with Vitrebond. Conclusion Changing the best mixing ratio of base cement can partially influence the mechanistic character, but make no differences on the magnitude and location of stress in restored tooth. During the treatment of deep caries, the base cement of the elastic modulus which is proximal to the dentin and restoration should be chosen to avoid the fracture of tooth or restoration.

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