口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响

doi:10.19438/j.cjoms.2022.02.003

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (2): 117-122.doi: 10.19438/j.cjoms.2022.02.003

口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响

马捷¹, 王齐帅², 张兵华¹, 陈天天¹, 蔡国平², 宋涛¹

1.上海市徐汇区牙病防治所,上海 200032;
2.上海交通大学海洋工程国家重点实验室,工程力学系,上海 200240

收稿日期:2021-12-03 修回日期:2022-01-12 出版日期:2022-03-20 发布日期:2022-03-20
通讯作者: 宋涛,E-mail：13701635237@139.com
作者简介:马捷（1987-）,女,博士,医师,E-mail：majie_morrina@163.com
基金资助:
徐汇区医学科研项目（SHXH201810）

The effect of oral implant-abutment microgaps closed by sealing materials on implant-supported prosthesis, surrounding bone

MA Jie¹, WANG Qi-shuai², ZHANG Bing-hua¹, CHEN Tian-tian¹, CAI Guo-ping², SONG Tao¹

1. Shanghai Xuhui District Dental Center. Shanghai 200032;
2. Department of Engineering Mechanics, State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University. Shanghai 200240, China

Received:2021-12-03 Revised:2022-01-12 Online:2022-03-20 Published:2022-03-20

摘要/Abstract

摘要： 目的:探讨口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响。方法:建立第一磨牙缺失的下颌骨有限元模型,模拟植入1颗Straumann种植体。建立对不同大小种植体-基台微间隙（5、6、7、8、9 μm)胶质充填后的种植系统模型,于面垂直向加载100 N咬合力和斜向45°加载100 N咬合力,分析种植体系统各部件及下颌骨的等效应力。结果:不论种植体-基台微间隙充填与否,修复体整体和基台的受力基本相同。当该微间隙被充填时,种植体上的等效应力略微减小,下颌骨与种植体接触部分的等效应力有较明显减小。当该间隙变大时,模型的受力整体变大。结论:种植体-基台微间隙充填可有效减小种植体及下颌骨的受力,添加封闭材料可能有一定实用价值。

关键词: 牙种植体, 牙基台, 微间隙, 有限元分析, 等效应力

Abstract: PURPOSE: To investigate the stress and stress distribution generated on each component of dental implant system and surrounding bone when using sealing materials to close the implant-abutment microgaps. METHODS: A finite element model of partial mandible without first molar was set up, and a dental implant (Straumann) was placed. The implant system models were established with different sizes of implant-abutment microgaps (5, 6, 7, 8, 9 μm), which were closed by sealing materials. The loading forces were 100 N axially (0°) and 100 N obliquely (45°) respectively on occlusive surface. Finite element analysis was performed by computer. RESULTS: The stress on the whole prosthesis and the abutment was almost unchanged whether the implant-abutment microgap was filled or not. When the microgap was closed, the equivalent stress on the implant decreased slightly, and the equivalent stress on the surrounding bone decreased significantly. The stress on the whole prosthesis increased with the increase of the microgaps. CONCLUSIONS: Using sealing materials to close the implant-abutment microgaps could effectively reduce the stress on the implant and mandible, which may have some practical value.

Key words: Dental implant, Dental abutment, Microgap, Finite element analysis, Equivalent stress

中图分类号:

R782.1

马捷, 王齐帅, 张兵华, 陈天天, 蔡国平, 宋涛. 口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响[J]. 中国口腔颌面外科杂志, 2022, 20(2): 117-122.

MA Jie, WANG Qi-shuai, ZHANG Bing-hua, CHEN Tian-tian, CAI Guo-ping, SONG Tao. The effect of oral implant-abutment microgaps closed by sealing materials on implant-supported prosthesis, surrounding bone[J]. China J Oral Maxillofac Surg, 2022, 20(2): 117-122.

参考文献

[1] Sailer I, Philipp A, Zembic A, et al.A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions[J]. Clin Oral Implants Res, 2009, 20(Suppl 4): 4-31.
[2] Baixe S, Fauxpoint G, Arntz Y, et al.Microgap between zirconoia abutments and titanium implant[J]. Int J Oral Maxillofac Implants, 2010, 25(3): 455-460.
[3] Solá-Ruíz MF, Selva-Otaolaurruchi E, Senent-Vicente G, et al.Accuracy combining different brands of implants and abutments[J]. Med Oral Patol Oral Cir Bucal, 2013, 18(2): e332-e336.
[4] de Morais Alves da Cunha T, de Araújo RP, da Rocha PV, et al. Comparison of fit accuracy between Procera? custom abutments and three implant systems[J]. Clin Implant Dent Relat Res, 2012, 14(6): 890-895.
[5] Coelho AL, Suzuki M, Dibart S, et al.Cross-sectional analysis of the implant-abutment interface[J]. J Oral Rehabil, 2007, 34(7): 508-516.
[6] Tsuge T, Hagiwara Y, Matsumura H, et al.Marginal fit and microgaps of implant-abutment interface with internal anti-rotation configuration[J]. Dent Mater J, 2008, 27(1): 29-34.
[7] 苟敏, 蔡潇潇. 种植体-基台微间隙对种植体颈部周围骨的影响[J]. 国际口腔医学杂志, 2015, 42(6): 733-738.
[8] Mencio F, Papi P, Di CS, et al.Salivary bacterial leakage into implant-abutment connections: preliminary results of an in vitro study[J]. Eur Rev Med Pharmacol Sci, 2016, 20(12): 2476-2483.
[9] Alves DCC, de Carvalho PSP, Elias CN, et al. In vitro analysis of the microbiological sealing of tapered implants after mechanical cycling[J]. Clin Oral Investig, 2016, 20(9): 2437-2445.
[10] Zembic A, Kim S, Zwahlen M, et al.Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses[J]. Int J Oral Maxillofac Implants, 2014, 29(Suppl): 99-116.
[11] Sahin C, Ayyildiz S.Correlation between microleakage and screw loosening at implant-abutment connection[J]. J Adv Prosthodont, 2014, 6(1): 35-38.
[12] Freitas-Júnior AC, Almeida EO, Bonfante EA, et al.Reliability and failure modes of internal conical dental implant connections[J]. Clin Oral 1mplants Res, 2013, 24(2): 197-202.
[13] Podhorsky A, Biscoping S, Rehmann P, et al.Transfer of bacteria into the internal cavity of dental implants after application of disinfectant or sealant agents in vitro[J]. Int J Oral Maxillofac Implants, 2016, 31(3): 563-570.
[14] Nayak AG, Fernandes A, Kulkarni R, et al.Efficacy of antibacterial sealing gel and O-ring to prevent microleakage at the implant abutment interface: an in vitro study[J]. J Oral Implantol, 2014, 40(1): 11-14.
[15] Duarte AR, Rossetti PH, Rossetti LM, et al. In vitro sealing ability of two materials at five different implant-abutment surfaces[J]. J Periodontol, 2006, 77(11): 1828-1832.
[16] 闫嘉群, 朱焱, 王太和, 等. 不同粘接剂对中切牙全瓷冠应力分布的影响[J]. 口腔医学研究, 2016, 32(12): 1296-1298.
[17] 王维丽, 马洁, 李鑫, 等. 颌骨骨质类型对种植体骨界面应力分布影响的三维有限元分析[J]. 河北医药, 2017, 39(12): 1771-1775.
[18] Smojver I, Vuletic M, Gerbl D, et al.Evaluation of antimicrobial efficacy and permeability of various sealing materials at the implant-abutment interface-a pilot in vitro study[J]. Materials (Basel), 2021, 14(2): 385-396.
[19] Biscoping S, Ruttmann E, Rehmann P, et al.Do sealing materials influence superstructure attachment in implants?[J]. Int J Prosthodont, 2018, 31(2): 163-165.
[20] Paolantonio M, Perinetti G, D'Ercole S, et al. Internal decontamination of dental implants: an in vivo randomized microbiologic 6-month trial on the effects of a chlorhexidine gel[J]. J Periodontol, 2008, 79(8): 1419-1425.
[21] Romanos GE, Biltucci MT, Kokaras A, et al.Bacterial composition at the implant-abutment connection under loading in vivo[J]. Clin Implant Dent Relat Res, 2016, 18(1): 138-145.
[22] 周强强, 廖红兵. 种植单冠螺丝固位的机械原理与松动原因的研究进展[J].口腔医学研究, 2019, 35(2): 122-124.

口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响

The effect of oral implant-abutment microgaps closed by sealing materials on implant-supported prosthesis, surrounding bone

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 10

编辑推荐

Metrics

本文评价

[1]	张佳园, 于德栋, 冀敏, 林海燕. 3D打印自就位钛网的仿真分析及实验研究[J]. 中国口腔颌面外科杂志, 2023, 21(5): 432-438.
[2]	王义洲, 蔡嫚, 孙立凡, 祝庆海, 侯辰兴, 韩微, 汤雨婷, 孙楠楠, 王晨星, 李怀奇, 叶金海. 腓骨肌皮瓣修复下颌骨节段性缺损术前有限元分析[J]. 中国口腔颌面外科杂志, 2021, 19(4): 325-331.
[3]	张楚南, 赵旭, 乔士冲, 张晓梦, 顾迎新. 拔牙窝内植入不同深度骨水平种植体周围软硬组织改建的组织形态变化[J]. 中国口腔颌面外科杂志, 2021, 19(3): 193-196.
[4]	杨路鹏, 樊林峰, 史俊宇, 张枭, 顾迎新, 张楚南. 磨牙区使用角度螺丝一体冠不同全瓷材料修复种植单冠：1年前瞻性半口自身对照研究[J]. 中国口腔颌面外科杂志, 2021, 19(3): 222-225.
[5]	李明喆, 徐晓峰, 徐兵. 不同程度老年人萎缩性无牙颌下颌骨骨折的内固定方式选择及相关生物力学分析[J]. 中国口腔颌面外科杂志, 2018, 16(4): 328-333.
[6]	欧阳骞, 黄燕飞, 杨向红, 李德宏, 周静. 即刻种植联合组织清理术对犬种植体周围软组织形态的影响[J]. 中国口腔颌面外科杂志, 2018, 16(4): 334-337.
[7]	张晓东, 刘茜, 张民主, 王敏, 朱坤. 2型糖尿病血糖控制水平对种植体稳定性和血液炎症指标的影响[J]. 中国口腔颌面外科杂志, 2017, 15(6): 488-492.
[8]	张青, 区跃坚, 游嘉, 许海燕, 孙启俊. 具有多孔表面的SLM多根牙种植体的实验研究[J]. 中国口腔颌面外科杂志, 2016, 14(5): 397-403.
[9]	马猛, 沈洪洲, 黄圣运, 左书玉, 张世周, 张东升. 骨质量对上颌窦提升术后植入种植体稳定性影响的三维有限元分析[J]. 中国口腔颌面外科杂志, 2016, 14(3): 209-212.
[10]	莫嘉骥，钱姝娇，朱钰，乔士冲，顾迎新，赖红昌. 单纯上颌窦内提升术植入Straumann种植体的早期稳定性[J]. 中国口腔颌面外科杂志, 2016, 14(1): 19-23.