›› 2018, Vol. 38 ›› Issue (3): 202-205.

• 基础研究 • 上一篇    下一篇

纤维桩长度和预备体高度对桩核修复应力分布的影响

林捷1,林珍香2,郑志强1,李杰森3,王邦彦4,卢兆杰1   

  1. 1. 福建医科大学附属口腔医院
    2. 福建省级机关医院
    3. 福建医科大学附属口腔医院 晋江门诊部
    4. 福建医科大学附属口腔医院晋江门诊部
  • 收稿日期:2017-09-25 修回日期:2017-10-18 出版日期:2018-03-28 发布日期:2018-03-16
  • 通讯作者: 林捷 E-mail:linjie.dds@gmail.com
  • 基金资助:
    国家自然科学基金青年项目;福建省卫生计生委青年科研项目

Effect of fiber post length and abutment height on stress distribution of post-core restoration

  • Received:2017-09-25 Revised:2017-10-18 Online:2018-03-28 Published:2018-03-16
  • Contact: Jie Lin E-mail:linjie.dds@gmail.com

摘要: 目的 使用有限元方法分析3种不同纤维桩长度和2种不同预备体高度对预成玻璃纤维桩核修复根管治疗后前磨牙应力分布的影响。 方法 建立下颌第一前磨牙牙体缺损桩核冠修复有限元模型,并进行3种不同纤维桩长度(11 mm、14 mm和17 mm)和2种不同预备体高度(3 mm和5 mm)设计。在下颌第一前磨牙颊尖上施加100 N的135°方向静荷载模拟咬合力。分别记录最大拉伸和压缩应力值。 结果 11/5组合的最大拉伸应力(16.47 MPa)和最大压缩应力(-20.15 MPa)最高;17/3组合的最大拉伸应力(14.56 MPa)和最大压缩应力(-15.94 MPa)最低。纤维桩较长的14 mm和17 mm组中,最大拉伸应力集中比11 mm组低。预备体高度较短的3 mm组中,最大拉伸应力和最大压缩应力集中均较5 mm组低。 结论 有限元分析结果表明,纤维桩长度与牙颈部最大拉伸应力和最大压缩应力集中成负相关关系,预备体高度与牙颈部最大拉伸应力和最大压缩应力集中成正相关关系。

关键词: 纤维桩, 桩长度, 预备体高度, 肩领, 有限元

Abstract: Objective To compare the stress distribution of endodontically treated premolar prepared with 3 different fiber post lengths and 2 different abutment heights, using finite element approaches. Methods A finite element model of the mandibular first premolar tooth defect was created, and 3 different fiber post lengths (11 mm, 14 mm and 17 mm) and 2 different abutment height (3 mm and 5 mm) were designed. A 100 N static load of 135° was applied on the buccal cusp of the mandibular first premolar to simulate occlusal force. The maximum compression and tension stress values were recorded respectively. Results The maximum tensile stress (16.47 MPa) and maximum compressive stress (-20.15 MPa) of the 11/5 combination were the highest; the maximum tensile stress (14.56 MPa) and the maximum compressive stress (-15.94 MPa) of the 17/3 combination were the lowest. The maximum tensile stresses of the 14 mm and 17 mm post length groups were lower than that in the 11 mm post length group. The maximum tensile stress and the maximum compressive stress concentration of the 3 mm abutment height groups were lower than those of the 5 mm abutment height group. Conclusion The finite element analysis results show that the fiber post length has a negative correlation, while the abutment height has a positive correlation with the maximum tensile stress and the maximum compressive stress in the cervical region.

Key words: Fiber post, Post length, Abutment height, Ferrule, Finite element analysis

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