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임플란트 배열과 하중 방향이 임플란트와 치조골에 미치는 유한요소 응력분석

Effects of implant alignment and load direction on mandibular bone and implant: finite element analysis

구강회복응용과학지 2020년 36권 3호 p.176 ~ 182
정현주, 박찬, 윤귀덕, 임현필, 박상원, 양홍소,
소속 상세정보
정현주 ( Chung Hyun-Ju ) - Chonnam National University School of Dentistry Department of Periodontology
박찬 ( Park Chan ) - Chonnam National University School of Dentistry Department of Prosthodontics
윤귀덕 ( Yun Kwi-Dug ) - Chonnam National University School of Dentistry Department of Prosthodontics
임현필 ( Lim Hyun-Pil ) - Chonnam National University School of Dentistry Department of Prosthodontics
박상원 ( Park Sang-Won ) - Chonnam National University School of Dentistry Department of Prosthodontics
양홍소 ( Yang Hong-So ) - Chonnam National University School of Dentistry Department of Prosthodontics

Abstract


Purpose: To evaluate the effects of load direction, number of implants, and alignment of implant position on stress distribution in implant, prosthesis, and bone tissue.

Materials and Methods: Four 3D models were made to simulate posterior mandible bone block: two implants and 3-unit fixed dental prosthesis (FDP) with a pontic in the center (model M1), two implants and 3-unit FDP with a cantilever pontic at one end (model M2), FDP supported by three implants with straight line placement (model M3) and FDP supported by three implants with staggered implant configuration (model M4). The applied force was 120 N axially or 120 N obliquely.
Results: Peak von Mises stresses caused by oblique occlusal force were 3.4 to 5.1 times higher in the implant and 3.5 to 8.3 times higher in the alveolar bone than those stresses caused by axial occlusal force. In model M2, the connector area of the distal cantilever in the prosthesis generated the highest von Mises stresses among all models. With the design of a large number of implants, low stresses were generated. When three implants were placed, there were no significant differences in the magnitude of stress between staggered arrangement and straight arrangement.

Conclusion: The effect of staggering alignment on implant stress was negligible. However, the number of implants had a significant effect on stress magnitude.

키워드

유한요소법,;보철 실패; 응력 분석; 임플란트지지 보철; 교합력
finite element analysis; dental restoration failure; dental stress analysis; implant supported prosthesis; occlusal force

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