种植体颈部不同螺距动态负载的生物力学分析

Biomechanical analysis of stress distribution of dental implant with different neck thread pitch design under dynamic loading

  • 摘要: 目的 利用三维有限元模型,分析种植体不同颈部螺纹加载动态力时种植体周围骨组织的Von-Mises应力分布情况,为种植体结构设计提供生物力学实验数据和理论参考依据。 方法 运用三维计算机辅助设计CAD软件,建立颈部螺距分别为0.4 mm、0.6 mm、0.8 mm、1.0 mm、1.2 mm的圆柱状“V”形螺纹种植体模型,将其与CT扫描数据重建的下颌骨组织模型进行仿真结合。在即刻负载情况下,加载一个咀嚼周期0.875 s内的动态力,运用ANSYS Workbench有限元分析软件进行仿真分析,比较种植体和周围牙槽骨组织随种植体螺距改变而引起的Von-Mises应力变化。 结果 即刻负载情况下,模拟前磨牙一个咀嚼周期内垂直向加载(F1)时,种植体和骨皮质的Von-Mises应力峰值增幅分别为67.15%和74.02%,在螺距1.0 mm时应力最小为21.749 MPa;颊侧偏向舌侧(F2)加载时,种植体在螺距1.0 mm时应力最小为79.175 MPa;舌侧偏向颊侧(F3)加载,种植体在螺距0.8 mm时应力最小为78.612 MPa;当螺距P变化时颈部骨松质在0.8 mm、1.0 mm时应力相对较小。 结论 对于圆柱状“V”形螺纹种植体,颈部螺距选取0.8 mm、1.0 mm时,在模拟前磨牙一个咀嚼周期内力的即刻负载情况下,种植体-骨组织系统的综合力学性能较好。

     

    Abstract: Objective To evaluate the effects of different thread designs in implant neck area by analyzing the Von-Mises stress distribution between the implant and bones when it was in the simulating cycle of mastication by three dimensional finite element analysis. Methods Dental implants models were designed as a cylindrical shape with trapezoidal thread pitch of 0.4 mm, 0.6 mm, 0.8 mm, 1.0 mm, 1.2 mm in neck area by using computer aided design (CAD) software. Then, these implants were combined with mandible model after CT scan data's reconstruction. In immediate loading, this study loaded a dynamic force within a mastication cycle of 0.875 s on implant and the simulation analysis was done by applying the finite element software ANSYS Workbench. The Von-Mises stress changes in implants with different pitches and the surrounding alveolar bone were compared. Results In immediate loading, the amplitude of peak Von-Mises stress of implant and cortical bone were 67.15% and 74.02% respectively under vertical loading (F1) in mastication cycle on the premolar. The minimum stress (21.749 MPa) was obtained in the implant with pitch of 1.0 mm. Under oblique 45°buccal-to-lingual loading (F2), the minimum stress of the implant in the pitch of 1.0 mm was 79.175 MPa. The minimum stress of implant was 78.612 MPa when the implant tread pitch was 0.8 mm under oblique 45°buccal-to-lingual loading (F3). When the pitch changed, the stresses of the cancellous bone in 0.8 mm and 1.0 mm models were relatively lower. Conclusion For cylindrical trapezoidal threaded implants, the comprehensive mechanical properties of the implant-bone systems with 0.8 mm and 1.0 mm thread pitch in neck area are better in the case of simulating the cycle of mastication on the premolar.

     

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