种植体颊舌向位移对应力分布影响的有限元研究-finite element study on the effect of buccal - lingual displacement of implant on stress distribution.docxVIP

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种植体颊舌向位移对应力分布影响的有限元研究-finite element study on the effect of buccal - lingual displacement of implant on stress distribution.docx

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种植体颊舌向位移对应力分布影响的有限元研究-finite element study on the effect of buccal - lingual displacement of implant on stress distribution

万方数据万方数据摘要 2. 在垂直载荷下，种植体与骨皮质的最大等效应力分布于种植体与牙槽嵴顶接触区的颊侧；在斜向载荷下，种植体与骨皮质的最大等效应力分布于种植体与牙槽嵴顶接触区的舌侧。松质骨内的等效应力主要分布于种植体的颈部与根方，且最大等效应力值均小于皮质骨的最大等效应力值。 3.在垂直载荷下，种植体从舌侧向颊侧偏移，骨界面的应力峰值呈逐渐减小的趋势；在斜向载荷下，种植体从舌侧向颊侧偏移，骨界面的应力峰值呈逐渐增大的趋势。且斜向载荷下的应力峰值均大于垂直载荷下的应力峰值（M1 位置除外）。结论 1.种植体的颊舌向偏移可以显著改变种植体-骨界面的应力分布，无论是颊侧偏移还是舌侧偏移，骨界面的应力都有增加的风险。 2.临床制定种植修复方案时应尽量避免或减少斜向力和悬臂的出现。关键词：种植体；下颌第一磨牙；有限元分析；应力分布；偏移 II Abst Abstract Finite element analysis of the influence of the buccal and lingual offset placement of an implant on stress distribution Postgraduate student: Jinli Cui Tutor: Prof. Haoyang Wu School of Stomatology of Zhengzhou University Zhengzhou HeNan 450052 Abstract Objective In clinical practice, due to topological conditions of the posterior region, occlusal relationship and limitation of mouth opening of the patients and other aspects, the implants can not be inserted in a suitable buccolingual position, which may produce localized excessive stress in the implant-bone interface, thus the long-term successful rate of the implant prostheses is affected. From biomechanical point of view, this study investigated the influence of different buccolingual position of an implant on Von-Mises stress distribution of implant-bone interface, in order to obtain a suitable buccolingual position of the implant and provide theoretical basis for clinical implant placement. Methods A series of three-dimensional finite element models of partial mandible which includes implant-supported mandibular first molar was established by using reverse engineering modeling and digital parametric modeling. The occlusal relationship between the crown and the opposite teeth was unchanged in each model, the position of the implant was moved from central to buccal and lingual respectively. The vertical III and 45° lateral load of 235N were applied on the crown of the models, the distribution of stress of implant-bone interface in each model was analyzed. Results The finite element model of partial mandibl