两种加载方式前牙闭锁性深覆牙合颞下颌关节的三维有限元分析.pdfVIP

982 中国美容医学2012 年6 月第21 卷第6 期 Chinese Journal of Aesthetic Medicine.Jun.2012.Vol.21.No.6 ·齿科美容· ·论著· 两种加载方式前牙闭锁性深覆牙合颞下颌关节的三维有限元分析 1 2 3 1 唐顼晶 ，刘月华 ，王冬梅 ，刘海江 （1. 上海市口腔病防治院口腔正畸科 上海 200001 ；2. 同济大学口腔医院口腔正畸科；3. 上海交通大学机械工程学院） ［摘要］目的：研究单纯性和伴功能性下颌后退前牙闭锁性深覆牙合颞下颌关节髁突、关节窝和关节盘的受力情况。方法：利用笔者 已建立的前牙闭锁性深覆牙合的三维有限元模型，分两种工况进行力学加载，以观察不同组织部位的应力分布情况。结果：三维有 限元分析表明前牙闭锁性深覆牙合斜向加载时颞下颌关节的受力情况与垂直加载时的分布特点基本相似，但应力值增大，变化范 围也有所增加。结论：伴功能性下颌后退的前牙闭锁性深覆牙合颞下颌关节应力值增大，变化范围的增加可能是其易导致颞下颌 关节紊乱综合征的病因之一。 [ 关键词] 三维有限元分析法；颞下颌关节；前牙闭锁性深覆牙合；安氏Ⅱ类2 分类；功能性下颌后退 [ 中图分类号] R783. 5 [ 文献标识码] A [ 文章编号] 1008- 6455 （2012）06- 0982- 04 Three-dimensional finite element study on stress distribution of temporomandibular joint in patients with close anterior deep bite under two loading conditions 1 2 3 1 TANG Xu-jing ,LIU Yue-hua ,WANG Dong-mei ,LIU Hai-jiang (1.Department of Orthodontics,Shanghai Stomatological Disease Center,Shanghai 200001,China;2.Department of Orthodontics,Dental School,Tongji University;3.Shanghai Jiaotong University) Abstract: Objective To investigate the stress distribution and biomechanic characters of temporomandibular joint(TMJ) by loading on the anterior close deep bite occlusion finite element models. Methods On the basis of the anterior close deep bite finite element model,analyse the TMJ stress distributions of the anterior close deep bite finite element models under two loading conditions. Results Loading on the finite element model of close deep bite finite element model revealed that under conditions two the stress distribution pattern was similar to that of conditions one, however,the stress value and its variation wa