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上颌后牙区Ⅳ骨质条件下应用短种植体长度和直径的优化分析 被引量:2

Bivariate evaluation of the short implant diameter and length in type Ⅳ jaw bone of maxillary posterior area
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摘要 目的:探讨上颌后牙区Ⅳ类骨质条件下不同长度和直径短种植体的骨界面应力分布情况,为临床上颌后牙区短种植体的临床设计选择提供理论依据。方法:采用三维有限元方法分析7种不同直径和长度的Bicon短种植体在Ⅳ类骨质条件下,受到垂直和侧向力时,种植体骨界面的应力分布和Von-Mises应力峰值。结果:无论是垂直载荷还是侧向载荷,种植体直径对骨界面的影响均比长度更显著。侧向载荷下,6*6mm组应力峰值最小,垂直载荷下,6*8mm组应力峰值最小,6*6mm组次之,直径5mm组中不同长度之间无明显差异。结论:上颌后牙区Ⅳ类骨质条件下短种植体长度与直径的选择中:骨量充足情况下,应优先选择6*6mm种植体;骨量适中情况下,选择5*6mm;骨量不够时选择4.5*8mm。 Objective: To analyze the stress distribution of short dental implant with different length and diameter in the type Ⅳ jaw bone of maxillary posterior area, providing the theoretical basis for the clinical design of short dental implant in the maxillary posterior region. Methods: Three dimensional finite element was used to simulate the stress size and distribution of implant-bone interface in 7 kinds of Bicon implants with different diameters and lengths under vertical loading and a 45 degree slope loading.Results: The effect of implant diameter on bone interface was more significant than that of length, regardless of vertical load or lateral load. Under the lateral load, the von-mises stresses of group 6*6 mm was minimum. Under the vertical load, the von-mises stresses of group 6*8 mm was minimum, the second place was group 6*6 mm. There were no significant difference between 5 mm diameter implants with different length. Conclusion: The choice of short implant in the type Ⅳ jaw bone of maxillary posterior area: if the bone in good conditions, 6*6 mm implant was suggested, if the bone in moderate conditions,5*6 mm implant was suggested, if the width of bone was not enough, 4.5*8 mm implant was suggested.
作者 涂慧娟 李月玲 俞明 TU Huijuan;LI Yueling;YU Ming(Department of General Dentistry, Shanghai Jiading District Dental Center, Shanghai 201800, China)
出处 《中国口腔种植学杂志》 2018年第1期1-5,共5页 Chinese Journal of Oral Implantology
基金 上颌后牙区骨量不足条件下应用短种植长度和直径有限元分析 基金来源:上海市嘉定区卫生计生委青年科研课题项目 基金编号:2014-QN-01
关键词 短种植体 有限元分析 VonMises应力 Ⅳ类骨 short dental implant three-dimensional finite element analysis von-mises stress Type Ⅳ bone
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