Ⅱ类骨质中正畸微种植体锥度及植入角度对支抗稳定性影响三维有限元分析.docVIP

Ⅱ类骨质中正畸微种植体锥度及植入角度对支抗稳定性影响三维有限元分析 　　[摘要] 目的 探讨微种植体锥度和植入角度对Ⅱ类骨质下颌骨中支抗稳定性的影响，为临床选择微种植体最佳锥度与植入角度提供理论依据。方法 建立包含正畸微种植体的颌骨三维有限元模型，在植入角度为30°、45°、60°、75°、90°时分别植入不同锥度的微种植体（直径为1.1～1.6 mm，锥度为0～0.062 5），分析在2 N水平力作用下颌骨应力、种植体应力和位移的变化规律。结果 植入角度对骨皮质、种植体应力和位移影响较大，植入角度为60°时，应力和位移水平均较小；微种植体锥度的影响与植入角度相关，植入角度为60°时D模型出现应力最小值，分别为5.013 4 MPa（骨皮质）和25.131 0 MPa（微种植体），种植体位移与锥度变化趋势呈正比。结论 植入角度对支抗稳定性影响显著，60°为较适宜的植入角度；微种植体锥度对稳定性的影响与植入角度相关，锥度为0.037 5（最大直径为1.6 mm，最小直径为1.3 mm）的微种植体更加适用于Ⅱ类骨质颌骨。 　　[关键词] 微种植体； 植入角度； 锥度； 稳定性 　　[中图分类号] R 783.5 [文献标志码] A [doi] 10.7518/hxkq.2014.01.004 　　Effect of taper and inserting angle on stability of micro-implants in type Ⅱ bone with three-dimensional finite element Dong Jing1， Zhang Zhechen2， Zhou Guoliang3. （1. Dept. of Stomatology， Lianyungang Chinese Medicine Hospital， Lianyun-gang 222004， China； 2. Dept. of Orthodontics， Shanghai Ninth People’s Hospital Affiliated Shanghai Jiao Tong University School of Medicine， Shanghai 200011， China； 3. Jiangsu Automation Research Institute of China Shipbuilding Industry Cor-poration， Lianyungang 222061， China） 　　[Abstract] Objective To evaluate the effect of taper and inserting angle on stability of micro-implants in type Ⅱ bone and to provide theoretical evidence for clinical selection of taper and inserting angle. Methods Three-dimensional finite element models of type Ⅱ bone sections and micro-implants were fabricated. They were designed using different tapers （diameter between 1.1 to 1.6 mm， taper between 0 to 0.062 5） and different inserting angles ranging from 30° to 90° （30°， 45°， 60°， 75°， 90°）. Effects on the maximum von Mises stresses in mandible and micro-implants， as well as on the maximum displacements in micro-implants， were analyzed under an applied 2 N horizontal force. Results The inserting angle had a significant effect on stresses and displacements， with lower distribution of stresses and displacements occurring at 60°. The effect of the taper was also related to the inserting angle. The minimum str