中国实用口腔科杂志

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全瓷嵌体修复MOD洞型对牙体组织应力分布影响的三维有限元分析

文成超仇丽鸿   

  1. 中国医科大学口腔医学院·附属口腔医院牙体牙髓病科,辽宁  沈阳  110002
  • 出版日期:2018-04-15 发布日期:2018-04-17

  • Online:2018-04-15 Published:2018-04-17

摘要:

目的    分析下颌第一磨牙全瓷嵌体修复不同MOD洞型后,不同剩余颊侧壁厚度对牙体组织应力分布的影响。方法    建立下颌第一磨牙MOD洞型的三维有限元模型,在此基础上建立不同颊侧壁厚度所对应的MOD洞型模型,采用ANSYS Workbench15.0有限元分析软件,计算分析不同剩余颊侧壁厚度对牙体组织应力的影响及应力变化趋势。结果    不同剩余颊侧壁厚度对牙体组织的应力水平有一定的影响,在2 mm时远中邻面颊侧牙颈部应力水平最低。单侧牙尖覆盖MOD洞型嵌体修复的应力水平高于MOD洞型嵌体修复。结论    尽量保留足够的健康牙本质,避免形成无基釉,是嵌体修复降低牙体折裂风险的有效手段;剩余牙体量越多,越不适合做单侧牙尖覆盖修复。

关键词: 全瓷嵌体, 下颌第一磨牙, 应力分布, 三维有限元

Abstract:

Objective To study the influence of the inlay on the stress of the remained tooth tissue,three-dimensional finite element is used to analyse stress distributions of the tooth endured different MOD inlay restore at different remaining buccal wall thickness. Methods Using ANSYS Workbench 15.0 software to established 3d finite element model of mandibular first molar restored by all-ceramic inlay restoration with designed MOD cavities. Analyzing the influences of different remaining buccal wall thickness to the stress distribution and tendency of the teeth. Results Different remaining buccal wall thickness of the tooth tissue on the stress level had a certain influence;the lowest stress level was the remaining buccal wall thickness of 2 mm. The stress level of occlusal coverage restoration was higher than inlay restoration. Conclusion The study found that different remaining buccal wall thickness of the tooth tissue on the stress level have a certain influence,try to keep healthy dentine,avoid enamel without foundation is effective means of inlay restoration reducing the risk of tooth fracture. Remaining more tooth tissue is not suggested to restore occlusal coverage.

Key words: all-ceramic inlay, mandibular first molar, stress distributions, three-dimensional finite element