硬腭骨膜下种植体修复单侧无牙上颌骨缺损中基台设计的有限元分析.pdfVIP

254 中国美容医学2008年2月第 17卷第2期 Chinese Journal of Aesthetic Medicine．Feb．2008．Vo1．17．N0．2 · 论著· 硬腭骨膜下种植体修复单侧无牙上颌骨缺损中基台设计的有限元分析 邱宜农 ，周金芳 ，李琳 ，步荣发 ，刘洪臣 (1．解放军总医院口腔科 北京 10085 3；2．中科院兰州分院化物所；3．武警陕西总队医院口腔科) 【摘要]目的：对支持单侧上颌赝复体的硬腭骨膜下种植体基台数量及分布进行优化设计。 方法：建立目标三维有限元模型，分 别对6、5、4、3、2个基台共15种设计方案进行双侧加载测试，对比观测其健侧颌骨6个不同部位骨皮质内最大von Mi ses应 力。用简化模型计算各类设计中健侧基台上的最大脱位力。结果：5基台与6基台设计骨应力反应无明显差异；4基台设计中Iv b、3基台设计中IIIa、2基台设计中IIa方案在同组方案中骨应力反应最佳，前二者甚至接近6基台设计。各类设计中健侧分 布靠前的基台上产生的脱位力较大，反之较小。结论：IVb和IIIa是此类骨膜下种植体较理想的基台设计方案。 [关键词]上颌骨；骨膜下种植体；基台；三维有限元法 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2008)02-04 Analysis of three-dimensionaI finite element in the abutment design of the palataI subperJosteaIimplant in the rehabilitation of the unilateraI edentuIous maxillary defect QIU Yi-nong~,ZHOU Jin—fang2,LI Lin3,BU Rong-fa1,LIU Hong—chen’ (1．Department of Stomatology，General Hospital of P．L．A．，Beijing 100853，China；2．Lanzhou Institute of Chemical Physics． Chinese Academy of Sciences．3．Department of stomatology，Shanxi Provincial Corps Hospital of Chinese People s Armed Police Force) Abstract：Objective To optimize the abutment design of the palatal subperiosteal implant in the rehabilitation of the unilateraI edentulous maxillary defect．Methods A three-dimensionaI finite element modeI of the rehabilitated right defective maxillae using palatal subperiosteal implant was constructed．Fifteen implants with frOm 2 fO 6 abutments were designed．Bilateralloads on the denture of the obturator were simulated and the maximaI von Mises stress values in the corticaI bone of six sites of the Ieft maxillae were investigated．The maximaI dislocating forces applied on the Ieft abutments of every implant were evaluated using a simplified mode1．Results There was no evident difference in the stress IeveI