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Stress distribution on edentulous mandible and maxilla rehabilitated by full-arch techniques: a comparative 3D finite-element approach

机译:通过全牙弓技术修复的无牙颌和上颌骨的应力分布:一种比较的3D有限元方法

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摘要

In this paper biomechanical interaction between osseointegrated dental implants and bone\udis numerically investigated through 3D linearly elastic finite-element analyses, when static\udfunctional loads occur. Influence of some mechanical and geometrical parameters on bone\udstress distribution is highlighted and risk indicators relevant to critical overloading of bone\udare introduced. Insertions both in mandibular and maxillary molar segments are analyzed,\udtaking into account different crestal bone loss configurations. Stress-based performances of\udfive commercially-available dental implants are evaluated, demonstrating as the optimal\udchoice of an endosseous implant is strongly affected by a number of shape parameters\udas well as by anatomy and mechanical properties of the site of placement. Moreover, effectiveness\udof some double-implant devices is addressed. The first one is relevant to a partially\udedentulous arch restoration, whereas other applications regard single-tooth restorations\udbased on non-conventional endosteal mini-implants. Starting from computer tomography\udimages and real devices, numerical models have been generated through a parametric\udalgorithm based on a fully 3D approach. Furthermore, effectiveness and accuracy of\udfinite-element simulations have been validated by means of a detailed convergence\udanalysis.
机译:本文通过3D线性弹性有限元分析,当发生静态\非功能性载荷时,对骨整合牙齿植入物与骨骼\生物之间的生物力学相互作用进行了数值研究。强调了一些力学和几何参数对骨\应力分布的影响,并介绍了与骨\临界超负荷有关的风险指标。考虑到不同的cre骨丢失结构,分析了下颌和上颌磨牙段的插入物。对五种市售牙科植入物的基于应力的性能进行了评估,这表明由于多种形状参数以及放置部位的解剖学和机械特性强烈影响了骨内植入物的最佳选择。此外,解决了某些双植入装置的有效性。第一个与部分\齿根弓修复有关,而其他应用则基于非常规的骨内微型种植体进行单齿修复。从计算机断层扫描\ udimages和实际设备开始,已经基于完全3D方法通过参数\ udalgorithm生成了数值模型。此外,已经通过详细的收敛\ udanalysis验证了\无限元素模拟的有效性和准确性。

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