下颌后牙游离端缺失种植固定桥连接体横截面适宜受力面积的研究.docVIP

下颌后牙游离端缺失种植固定桥连接体横截面适宜受力面积的研究 　　[摘要]目的：探寻下颌后牙游离端缺失种植固定桥连接体横截面适宜受力面积，以保证瓷层不发生断裂。方法：在建立下颌单侧后牙游离端缺失种植固定桥三维有限元模型的基础上，建立不同桥体跨度不同连接体面积时的模型I-I、I-II、I-III和II-I、II-II、II-III，利用有限元分析软件ABAQUS找出连接体变形量小于0.001mm时连接体横截面积。结果：在模型I中和模型II中，连接体的最大变形量分别为0.00106、0.000938、0.000563、0.00118、0.000958和0.000785。结论：在第二前磨牙至第二磨牙缺失和第一前磨牙至第二磨牙缺失时，连接体横截面积分别大于或等于4mm2和8mm2时连接变形率小于0.1%,可确保瓷层不发生断裂。 　　[关键词]种植固定桥；连接体；横截面 　　[中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2012）04-0630-03 　　 　　The appropriate area of cross section area of attachment body in the fixed bridge supported by implant in restoring mandibular single side distal free-end edentulism 　　DING Xu,CHENG Wei,SUN Ying-ming,CAO Xue,WANG Da-lin 　　(Department of Stomatology, No.101st Hospital of PLA,Wuxi 214044,Jiangsu,China) 　　 　　Abstract: Objective To explore the appropriate area of cross section areas of attachment body in the fixed bridge supported by implant in restoring mandibular single side distal free-end edentulism for enuring that the porcelain layer is not broken. Methods Base on a three-dimensional finite element model of the fixed bridge supported by implant in restoring mandibular single side distal free-end edentulism and according to designed three different cross section areas of attachment body,we construct model I-I,I-II,I-III and model II-I,II-II,II-III. Results In model I and in modedl-II,the maximum deflection of attactment body are 0.00106,0.000938,0.000563,0.00118,0.000958 and 0.000785. Conclusion In the second premolar to second molar and first premolar to second molar missing,the cross section areas of the attachment body should be more than or equal to 4mm2 and 8mm2,and strains are less than or equal to 0.1%,to ensure that the porcelain layer is not broken. 　　Key words:the fixed bridge supported by implant;attachment body;cross section area 　　 　　 种植固定桥目前在临床普遍应用，桥体的长度越长，所受应力越大，作为桥体薄弱环节的连接体断裂的机会也就越大。传统制作工艺只要求连接体的面积不小于4mm2[1]，但是对桥体的长度和面积之间并没有给出关系。此外，由于牙科陶瓷折断前能承受的变形率约为0.1%[2]，由于金属连接体部外包裹瓷层，可以根据连接体的变形量而反求瓷层的变形量，因此连接体变形量