不同植入角度及载荷方向对微种植体稳定性影响的三维有限元分析

Effect of inserting angle and direction of orthodontic force on stability of micro-implants evaluated by 3-dimensional finite element analysis

  • 摘要: 目的 探讨下颌骨中微种植体不同植入角度及载荷方向对支抗稳定性的影响,为临床选择微种植体植入角度与载荷方向提供理论依据。 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°、60°、90°时分别植入微种植体,分析在4种不同方向2 N作用力下微种植体应力、颌骨应力和位移的变化规律。 结果 植入角度为60°时应力和位移的水平均较小,植入角度为60°载荷方向为45°时微种植体应力达最小值27.06 MPa,骨皮质应力达最小值3.234 MPa;微种植体载荷方向对微种植体及骨皮质应力没有显著影响。 结论 植入角度对微种植体、骨皮质应力和位移影响较大,对支抗稳定性影响显著,60°为微种植体较适宜的植入角度;微种植体载荷方向对稳定性的影响较小。

     

    Abstract: Objective To evaluate the effect of inserting angle and direction of orthodontic force on stability of micro-implants in mandible and provide theoretical evidence for clinical selection of inserting angle and direction of orthodontic force. Methods Three-dimensional finite element models of mandible and micro-implants were fabricated. They were assembled using different inserting angles ranging from 30° to 90° (30°, 60°, 90°) and 4 directions of orthodontic force. Effects on the maximum von Mises stresses in mandible and micro-implants, as well as on the maximum displacements in micro-implants, were analyzed under the application of 2 N horizontal force. Results The distribution of stresses and displacements was lower with an inserting angle of 60°. The minimum stresses were 3.234 MPa (cortical bone) and 27.06 MPa (micro-implant) with an inserting angle of 60° when direction of orthodontic force was 45°. The direction of orthodontic force had no significant effect on cortical bone stress. Conclusion The inserting angle has statistically significant effect on stresses and displacements, as well as stability of micro-implants, and the recommended inserting angle is 60°. Direction of orthodontic force has less influence on the stability of micro-implants.

     

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