基于三维有限元分析的下颌第二前磨牙残根修复应力研究
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何奇(1989.12-),男,浙江杭州人,本科,主治医师,主要从事口腔科方面工作

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R783.3

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杭州市医药卫生科技项目(编号:B20230004)


Stress Analysis of Mandibular Second Premolar Residual Root Restoration Based on Three-dimensional Finite Element Analysis
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    摘要:

    目的 评估不同修复方法及桩核材料对下颌第二前磨牙残根力学性能的影响。方法 应用三维有限元法建立4种修复模型(NPR、CLP、OEP、ISRF),分别结合玻璃纤维桩、钛合金桩、镍铬合金桩3种桩核材料,沿牙体长轴30°斜向施加400 N的静力载荷,分析不同修复方式应力与位移情况、不同桩核材料的生物力学表现,并采用双因素方差分析评估修复方式与桩核材料对各应力指标和位移指标的主效应及交互作用。结果 ISRF组基牙等效应力、粘接剂界面最大主应力、冠内粘接剂等效应力、最大位移低于NPR组、CLP组及OEP组(P<0.05);桩身内部最大主应力值随桩核材料弹性模量的增加而升高,其中,玻璃纤维桩在所有观测模型中应力水平最低,其桩身内部最大主应力值为(25.36±1.42)MPa,低于钛合金桩的(38.74±2.15)MPa和镍铬合金桩的(45.83±2.54)MPa(P<0.05);修复方式与桩核材料对各生物力学参数均存在显著的主效应及交互作用(P<0.01)。结论 下颌第二前磨牙残根修复中应用ISRF联合玻璃纤维桩可有效降低基牙和粘接剂界面的应力峰值,改善整体应力分布;ISRF结构在材料敏感性方面也起到了一定的缓冲作用,在力学稳定性和临床应用方面表现出较好的弹性和适应性。

    Abstract:

    Objective To evaluate the effects of different restoration methods and post-core materials on the mechanical properties of residual roots of mandibular second premolars. Methods Four restoration models (NPR, CLP, OEP, ISRF) were established by three-dimensional finite element method, combined with three types of post-core materials including glass fiber post, titanium alloy post and nickel-chromium alloy post, respectively. A static load of 400 N was applied obliquely at 30° along the long axis of the tooth. The stress and displacement of different restoration methods, as well as the biomechanical behaviors of different post-core materials were analyzed. Two-way analysis of variance was used to evaluate the main effects and interaction effects of restoration methods and post-core materials on various stress and displacement indexes. Results The equivalent stress of abutment teeth, maximum principal stress of adhesive interface, equivalent stress of intracoronal adhesive and maximum displacement in the ISRF group were lower than those in the NPR, CLP and OEP groups (P<0.05). The maximum principal stress inside the post increased with the increase of elastic modulus of post-core materials. Among them, the glass fiber post showed the lowest stress level in all observation models, with the maximum principal stress inside the post being (25.36±1.42)MPa, which was lower than that of titanium alloy post [(38.74±2.15)MPa] and nickel-chromium alloy post [(45.83±2.54)MPa] (P<0.05). Both restoration methods and post-core materials had significant main effects and interaction effects on various biomechanical parameters (P<0.01). Conclusion The application of ISRF combined with glass fiber post in the restoration of mandibular second premolar residual root can effectively reduce the peak stress of abutment teeth and adhesive interface, and improve the overall stress distribution. In addition, the ISRF structure also plays a certain buffering role in material sensitivity, showing good elasticity and adaptability in terms of mechanical stability and clinical application.

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何 奇 ,赵 剑 ,光倩颖.基于三维有限元分析的下颌第二前磨牙残根修复应力研究[J].医学美学美容,2025,34(24):146-149.

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  • 在线发布日期: 2026-01-22
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