口腔医学 ›› 2025, Vol. 45 ›› Issue (6): 401-405.doi: 10.13591/j.cnki.kqyx.2025.06.001

• 基础与临床研究 •    下一篇

种植体螺丝入路孔道内封洞树脂所受应力的有限元研究

李非璠, 吴美琪, 毕梦霏, 沈铭()   

  1. 南京医科大学附属口腔医院综合诊疗科,口腔疾病研究与防治国家级重点实验室培育建设点(南京医科大学),江苏省口腔转化医学工程研究中心,江苏南京(210029)
  • 收稿日期:2025-02-19 出版日期:2025-06-28 发布日期:2025-07-08
  • 通讯作者: 沈铭 E-mail: shenming@njmu.edu.cn
  • 基金资助:
    国家自然科学基金面上项目(82471017);江苏省卫生健康委科研项目(M2021018);江苏省科教能力提升工程——江苏省研究型医院建设单位(YJXYYJSDW4);江苏省医学创新中心(CXZX202227)

Finite element study on the stress of hole sealing resin in screw approach of dental implant

LI Feifan, WU Meiqi, BI Mengfei, SHEN Ming()   

  1. Department of General Dentistry, Affiliated Stomatological Hospital of Nanjing Medical University, State Key Laboratory Cultivation Base of Research, Prevention and Treatment for Oral Diseases (Nanjing Medical University), Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China
  • Received:2025-02-19 Online:2025-06-28 Published:2025-07-08

摘要:

目的 采用三维有限元法比较种植修复体螺丝入路孔道内不同厚度封洞树脂所受的应力差异。方法 利用计算机辅助设计软件建立下颌第一磨牙位点处种植牙三维有限元模型,设计不同厚度(1、2、3、4、5 mm)的封洞树脂模型,对其施加200 N的静态载荷,分析不同厚度的封洞树脂所受等效应力和剪应力情况。结果 在一定范围内,树脂所受最大等效应力和最大剪应力值大小随着厚度的增加而减小。在厚度1 mm时,树脂所受最大等效应力和最大剪应力分别为23.85、11.82 MPa;在厚度2 mm时,树脂所受最大等效应力和最大剪应力分别为18.75、9.73 MPa;在厚度3 mm时,树脂所受最大等效应力和最大剪应力分别为17.46、9.04 MPa。当树脂厚度>3 mm时,其所受应力趋于稳定。在厚度4 mm时,树脂所受最大等效应力和最大剪应力分别为17.38、9.04 MPa;在厚度5 mm时,树脂所受最大等效应力和最大剪应力分别为17.18、8.85 MPa。结论 当封洞树脂达到一定厚度时,其所受应力较小且稳定。这为临床上减少因封洞树脂应力疲劳所引起的种植修复后并发症提供新的设计策略。

关键词: 螺丝入路孔道, 封洞树脂, 三维有限元法

Abstract:

Objective To compare the stress difference of the resin with different thicknesses in the screw access hole using three-dimensional finite element method. Methods A three-dimensional finite element model of the implant at the site of the mandibular first molar was established by computer aided design (CAD) software. A static load of 200 N was applied to the resin models with different thicknesses(1, 2, 3, 4, 5 mm) to analyze the effect of thickness on the von Mises stress and shear stress of the resin. Results In a certain range, the maximum von Mises stress and the maximum shear stress of the resin decreased with the increase of the thickness. At the thickness of 1mm, the maximum von Mises stress and shear stress of the resin were 23.85 MPa and 11.82 MPa, respectively. When the thickness was 2 mm, the maximum von Mises stress and shear stress of the resin were 18.75 MPa and 9.73 MPa respectively. At the thickness of 3 mm, the maximum von Mises stress and shear stress of the resin were 17.46 MPa and 9.04 MPa, respectively. When the thickness of the resin was more than 3 mm, the stress on it was in a stable level trend. When the thickness was 4 mm, the maximum von Mises stress and shear stress of the resin were 17.38 MPa and 9.04 MPa, respectively. When the thickness was 5 mm, the maximum von Mises stress and maximum shear stress of the resin were 17.18 MPa and 8.85 MPa, respectively. Conclusion When the resin reaches a certain thickness, the stress is small and stable. This study provides a new design strategy for reducing the complications after implant restoration caused by stress fatigue of the resin.

Key words: screw approach hole, hole sealing resin, three-dimensional finite element method

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