不同材料高嵌体修复大面积缺损的上颌第一前磨牙有限元分析

doi:10.13701/j.cnki.kqyxyj.2020.11.018

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (11): 1065-1068.DOI: 10.13701/j.cnki.kqyxyj.2020.11.018

• 龋病与牙体修复学研究 • 上一篇下一篇

不同材料高嵌体修复大面积缺损的上颌第一前磨牙有限元分析

魏振辉^1*, 孙贺婷^1,2, 高志银², 王薇¹, 张娇¹, 张鹏¹, 王金海¹

1.解放军北部战区空军医院口腔科辽宁沈阳 110042;
2.锦州医科大学口腔医学系辽宁锦州 121000

收稿日期:2020-05-06 出版日期:2020-11-28 发布日期:2020-11-27
通讯作者: *魏振辉,E-mail:wei11008@sina.com
作者简介:魏振辉(1972~ ),女,博士,主任医师,研究方向:嵌体的有限元分析。
基金资助:
辽宁省自然科学基金(编号:201602761)

Finite Element Analysis of Maxillary First Premolars Repaired with Different Onlay Materials

WEI Zhenhui^1*, SUN Heting^1,2, GAO Zhiyin², WANG Wei¹, ZHANG Jiao¹, ZHANG Peng¹, WANG Jinhai¹

1. Department of Stomatology, North Area Air Force Hospital of PLA, Shenyang 110042, China;
2. Department of Stomatology, Jinzhou Medical University, Jinzhou 121000, China

Received:2020-05-06 Online:2020-11-28 Published:2020-11-27

摘要/Abstract

摘要： 目的:探讨4种材料高嵌体修复大面积缺损上颌第一前磨牙后,材料及牙体结构受应力大小及分布情况。方法:收集1颗完整的离体上颌第一前磨牙,通过锥形束CBCT扫描技术、 Mimics19.0、 Hypermesh、 Ansys19.0等逆向工程软件,建立大面积缺损的上颌第一前磨牙三维有限元模型。用金合金、氧化锆、复合树脂、玻璃陶瓷四种不同材料做高嵌体修复,来观察在垂直向与侧向加载时,修复体及剩余牙体组织的所受最大主应力大小变化和分布情况。结果:对于剩余牙体组织来说,垂直加载时的最大主应力从大到小为:复合树脂>璃陶瓷瓷>氧化锆=金合金;侧向加载时为:复合树脂>氧化锆>金合金>玻璃陶瓷;对于修复材料来说,垂直加载时最大主应力从大到小为:金合金>氧化锆>玻璃陶瓷>复合树脂;侧向加载时为:氧化锆>玻璃陶瓷>复合树脂>金合金。结论:综合受力分析,大面积缺损的上颌第一前磨牙,首选玻璃陶瓷高嵌体修复,但建议减低牙尖斜度,给予适当调牙合。

关键词: 高嵌体, 上颌第一前磨牙, 有限元法, 大面积缺损, 不规则洞形, 最大主应力

Abstract: Objective: To investigate the intensity and distribution of stress after the restoration of the first maxillary premolar with large defect by using four different materials. Methods: One normal and intact first maxillary premolar was collected. Through CBCT scanning technology, Mimics19.0, Hypermesh2017, and Ansys19.0 reverse engineering software, 3D finite element model of large defects was established. Gold alloy, zirconia, composite resin, and glass-ceramic were used to restore the defect in the form of onlay. The intensity and distribution of maximum principal stress of onlay and residual dental tissues were observed when loaded vertically and laterally. Results: For the remaining tooth tissues, the order of maximum principal stress of tooth enamel under vertical loading was: composite resin > glass-ceramic > zirconia = gold alloy, the order of maximum principal stress of tooth enamel under lateral loading was: composite resin > zirconia > gold alloy > glass-ceramic. For the repair materials, the order of maximum principal stress of the onlay under vertical loading was: gold alloy > zirconia > glass-ceramic > composite resin, the order of maximum principal stress of the onlay under the lateral loading was: zirconia > glass-ceramic > composite resin > gold alloy. Conclusion: For large defects of the first maxillary premolar, the first choice is glass-ceramic onlay, however, with recommendation to reduce the inclination of the tooth tip and provide occlusal adjustment.

Key words: onlay, the first maxillary premolar, finite element methods, large defect, irregular cavity shape, the maximum principle stress

魏振辉, 孙贺婷, 高志银, 王薇, 张娇, 张鹏, 王金海. 不同材料高嵌体修复大面积缺损的上颌第一前磨牙有限元分析[J]. 口腔医学研究, 2020, 36(11): 1065-1068.

WEI Zhenhui, SUN Heting, GAO Zhiyin, WANG Wei, ZHANG Jiao, ZHANG Peng, WANG Jinhai. Finite Element Analysis of Maxillary First Premolars Repaired with Different Onlay Materials[J]. Journal of Oral Science Research, 2020, 36(11): 1065-1068.

参考文献

[1] Frankenberger R,Zeilinger L,Krech M,et al.Stability of endodontically treated teeth with differently invasive restorations:adhesive vs non-adhesive cusp stabilization [J]. Dent Mater,2015,31(11):1312-1320.
[2] Juloski J,Apicella D,Ferrari M.The effect of ferrule height on stress distribution within a tooth restored with fibre posts and ceramic crown: a finite element analysis [J]. Dent Mater, 2014,30(12):1304-1315.
[3] Y Qian M,Zhong Q,Chen S.Composite of clinical effects of Co-Cr alloy cast post-core and everstick fiber post in restoration of labially or lingually inclined maxillary centralincisor [J]. Shanghai Kou Qiang Yi Xue,2017,26(1):89-93.
[4] Yu HY,Ma DD,Lin XY,et al.The clinic outcome of CAD/CAM onlay in the restoration of molars with extensive defect after root canal treatment [J]. Pract Stomatol,2017,33:41-44.
[5] 皮昕.口腔解剖生理学[M].北京:人民卫生出版社,2010,28-30.
[6] Wendler M,Belli R,Petschelt A,et al.Chairside CAD/CAM materials.Part 2: flexural strength testing [J]. Dental Mater, 2017, 33(1):99-109.
[7] Jiang W,Bo H,Yongchun G,et al.Stress distribution in molars restored with inlays or onlays with or without endodontic treatment: a three-dimensional finite element analysis [J]. Prosthet Dent,2010,103(1):6-12.
[8] Lin CL,Chang YH,Chang CY,et al.Finite element and Weibull analyses to estimate failure risks in the ceramic endocrown and classical crown for endodontically treated maxillary premolar [J]. Eur Oral Sci,2010,118(1):87-93.
[9]Nakamura T, Imanishi A, Kashima H, et al. Stress analysis of metal-free polymer [J]. Prosthodontics,2000,14(5):401-405.
[10] 姚蔚,陈维毅,李冰,等.咬合接触对桩核冠修复后牙体及牙周组织应力分布的影响[J].中国组织工程研究,2017,21(4):615-620.
[11] Teixeira EC,Teixeira FB,Piasick JR,et al. An in vitro assessment prefabricated fiber post systems [J]. Am Dent Assoc,2006,137(7):1006-1012.
[12] 林红.口腔材料学[M].北京大学医学出版社,2013.
[13] Su C,Su Y,Li Z,et al. In situ synthesis of bilayered gradient poly(vinylalcohol) /hydroxyapatite composite hydrogel by directionalfreezing-thawing and electrophoresis method [J]. Mater Sci Eng C Mater Biol Appl,2017,77:76-83.
[14] Han SH,Sadr A,Tagami J,et al. Internal adaptation of resincomposites at two configurations: Influence ofpolymerization shrinkage and stress [J]. Dent Mater,2016,32(90):1085-1094.
[15] 康婷,石思琼.上颌第一前磨牙舌尖斜形折裂不同修复设计的有限元分析[J].口腔医学研究,2019,35(10):953-956.
[16] 闫瑛.垫底材料和修复方式对牙齿应力分布影响的三维有限元分析[D].华北理工大,2018.
[17] Holberg C,Winterhalder P,Wichelhaus A,et al. Fracture risk of lithium disilicate ceramic inlays:a finite element analysis [J]. Dent Mater,2013,29(12):1244-1250.
[18] Liu X, Fok A, Li H. Influence of restorative material and proximal cavity design on the fracture resistance of MOD inlay restora-tion [J]. Dental Mater,2014,30(3):327-333.

不同材料高嵌体修复大面积缺损的上颌第一前磨牙有限元分析

Finite Element Analysis of Maxillary First Premolars Repaired with Different Onlay Materials

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 8

编辑推荐

Metrics

[1]	贾颖, 王频, 王振国, 刘敏. 下颌前磨牙根管治疗后不同修复设计抗折性能的对比研究[J]. 口腔医学研究, 2019, 35(9): 879-882.
[2]	康婷, 石思琼, 赵威, 郑睿, 李茜茜, 解静, 郭玲. 上颌第一前磨牙舌尖斜形折裂不同修复设计的有限元分析[J]. 口腔医学研究, 2019, 35(10): 953-956.
[3]	白雨豪，王芳芳，黎淼，王颖，唐路. 显微CT法研究中国人上颌第一前磨牙分支根管形态[J]. 口腔医学研究, 2017, 33(9): 991-994.
[4]	蒋剑晖, 樊牮, 邹耿森, 陈江, 戴霖霖. 平台转换锥形锁柱种植基台的三维有限元疲劳分析[J]. 口腔医学研究, 2017, 33(8): 841-844.
[5]	蒋剑晖,王清妹,樊牮,陈江,戴霖霖. 一种平台转换种植系统三维有限元模型的建立[J]. 口腔医学研究, 2016, 32(8): 808-811.
[6]	周蕾,王传江,魏玉华. 两种材质改良高嵌体/冠修复中重度后牙缺损的疗效研究[J]. 口腔医学研究, 2016, 32(8): 877-880.
[7]	黄琛琛, 潘丽娜, 张伟, 许庆安, 樊明文. CAD/CAM全瓷高嵌体修复根管治疗后牙体缺损的临床评价[J]. 口腔医学研究, 2016, 32(10): 1056-1059.
[8]	魏振辉,杜原宏,王金海. 间接法树脂高嵌体修复磨牙残冠的临床评价[J]. 口腔医学研究, 2015, 31(2): 179-181.