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不同彈性模量的基臺-種植體組合對周圍成骨性能的影響

Effects of abutment-implant combinations with different elastic moduli on osteogenic performance

  • 摘要: 利用有限元分析軟件計算了不同靜力作用下的多種基臺-種植體周圍骨組織的應力分布.模擬結果顯示, 基臺-種植體組合中Ti6Al4V鈦合金-聚醚醚酮(TC4-PEEK)相對于其他實驗組其應力集中程度現象可以有效降低, 周圍骨組織的應力分布較為均勻, 最大應力值為40~60 MPa.在軸向加載條件下, 不同基臺-種植體系統中PEEK種植體的應力水平較小, 而周圍骨組織應力水平較大; 在斜向45°加載條件下, 相對于其他兩種基臺-種植體系統, TC4-PEEK的應力水平更低, 其周圍骨組織中的皮質骨承受的最大應力值為55 MPa, 松質骨承受的最大應力值為5 MPa, 綜合來看的應力水平最小, 有助于骨沉積和成骨量增加, 從而有效提高種植體的界面穩定性.

     

    Abstract: Many factors affect the success of dental implant surgery, such as surgical trauma, excessive chewing pressure, material performance mismatch, and improper abutment-implant connection. Among these factors, stress shielding caused by the mismatch of elastic modulus of the material is a major problem affecting the biomechanical compatibility of the implant. Also, the elastic modulus of the dental implant directly affects its binding to the surrounding support bone and stress distribution. Presently, most of the abutmentimplant systems on the market use the same material, with TC4 being popular because of its good biocompatibility. However, the elastic modulus of titanium implants is quite different from that of surrounding bone tissue; this difference can cause stress shielding. Additionally, stress concentration may cause implant surgery to fail. The abutment-implant with materials of different elastic modulus directly affect the stability and stress distribution of the bone tissue around the implant; thus, understanding the stress distribution under loading will help to establish a better elastic modulus combination of the dental implant system. In this paper, finite element analysis software was used to calculate the stress distribution of various abutments-implants under different loading conditions. Compared to other experimental abutment-implant systems, the simulation results show that Ti6Al4V abutment-(poly-ether-ether-ketone) (TC4-PEEK) can effectively reduce stress concentration, resulting in uniform stress distribution of surrounding bone tissue whose maximum stress value is 40-60 MPa. The stress level of PEEK implants in different abutment-implant systems is smaller under axial loading condition, whereas the stress level of surrounding bone tissue is larger. In the oblique direction of 45° loading condition, compared to two other abutment-implant systems, the stress level of the TC4-PEEK is lower, and the maximum stress value of the cortical and the cancellous bones in the surrounding bone tissue is 55 and 5 MPa, respectively, and the stress level is the smallest; such conditions contribute to the increase of bone deposition and bone formation, effectively improving the interface stability of the implant.

     

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