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CONCLUSION

ドキュメント内 東北大学機関リポジトリTOUR (ページ 30-48)

Within the scope of this experimental study, quantitative data of load distribution of

denture, implant, alveolar ridge and mucosa were obtained when different implant

distribution locations. The following conclusions are drawn from the results of this study:

1. The maximum stress of cortical bone, cancellous bone and mucous under the functional

load of traditional longitudinal partial denture is concentrated on the buccal side of the

premolar area.

2. The support of the implant reduces the burden on the abutment while making the occlusal

force distribution more uniform.

3. The maximum stress of the implant is concentrated in the neck and 1/3 of the root.

4. In the premolar area, the implant effectively disperses the force and reduces the stress value

of the cortical bone; In the molar area, the cortical bone takes more occlusal force and the

implant is protected.

23

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28

Tables and Figures

Table 1. Group of Experiments

number position

0 blank control

0 CRPD

1 #4

1 #5

1 #6

1 #7

Table 2. The number of nodes and units in the experimental model

Table 3. Material mechanics parameter

Part Elastic Modulus Poisson's ratio

Implant 107000 0.33

Cortical bone 13700 0.30

Cancellous bone 1370 0.30

Periodontal ligament 69 0.45

Mucosa 3 0.45

Natural tooth 20290 0.3

Denture base 2352 0.33

1 2 3 4 5 6

Nodes 17067 18492 18937 18983 18987 18988

29 Table 4. Maximum stress of an implant

Table 5.The maximum stress value of cortical bone of an implant

Table 6. Maximum stress for cancellous bone at the time of one implant

Model Blank control CRPD #4 #5 #6 #7

Stress maximum

(MPa)

0 0 1.654 1.736 1.316 0.972

Model Blank

control

CRPD #4 #5 #6 #7

Stress maximum

(MPa)

Premolar area stress

(MPa)

0

0

0

8.917 * 10-1 4.980 * 10-1 5.652 * 10-1 4.950 * 10

-1

5.460 * 10-1

2.13 * 10-1

1.74 * 10-1 2.11 * 10-1 2.04 * 10

-1

2. 07 * 10-1

Molar area stress

(MPa)

0.813 * 10-1 0.44 * 10-1 0.459 * 10-1 0.692 * 10

-1

0.343 * 10

-1

Model Blank

control

CRPD #4 #5 #6 #7

Stress maximum

(MPa)

0 1.098 * 10-1 4.221 * 10-1 3.167 * 10-1 2.362 * 10

-1

1.524 * 10-1

Premolar area stress

(MPa)

0 0.8 * 10-1 0.2 * 10-1 0.45 * 10-1 0.63 * 10

-1

0.78 * 10-1

Molar area stress

(MPa)

0 0.37 * 10-1 0.35 * 10-1 0.22 * 10-1 0.16 * 10

-1

0.16 * 10

30

Table 7. The maximum stress value of the mucosa of an implant

Table 8 The maximum deformable value of a denture of an implant

Model Blank

control

CRPD #4 #5 #6 #7

Negative displacement

(mm)

0 1.351 * 10-3 1.249 * 10-3 1.733 * 10-3 1.734 * 10-3 1.713 * 10-3

Positive displacement

(mm)

0 3.150 *

10-4

2.432 * 10-4

1.287 * 10-4

1.758 * 10-4

4.553 * 10-5

Model Blank

control

CRPD #4 #5 #6 #7

Stress maximum

(MPa)

Maximum displacement

(mm)

0

0

2.516 * 10

-1

2.045 * 10

-1

2.415 * 10

-1

1.620 * 10

-1

1.583 * 10

-1

1.108 * 10

-3

9.436 * 10

-4

1.448 * 10

-3

1.433 * 10

-3

1.419 * 10

-3

Premolar area stress(MPa)

0 11.08 * 10

-4

6.985 * 10

-4

1.55 * 10

-4

10.59 * 10

-4

10.5 * 10

-4

Molar area stress(MPa)

0 3.81 * 10

-4

2.083 * 10

-4

1.40 * 10-4 3.107 * 10

-4

3,121 * 10

-4

31

Fig. 1 CBCT scan of mandible before implantation with unilateral free dentition defect

Fig. 2 Mandibular-mucosa 3d finite element model

Fig. 3 Mandible-mucosa-implant 3d finite element model

32

Fig.6 Assemble an implant to the diagram Fig. 7 Diagram of loading conditions

Fig. 8 The implant is located at 4 Fig. 9 The implant is located at 5

Fig. 4 3d finite element model of denture Fig. 5 Mandibular - mucosa - denture 3d finite element model 3d

finite element mode

33

Fig. 10 The implant is located at 6 Fig. 11 The implant is located at 7

Fig. 12 Maximum stress of an implant

34

Fig. 13 Blank control group Fig. 14 CRPD control group

Fig. 15 The implant is located at 4 Fig. 16 The implant is located at 5

Fig. 17 The implant is located at 6 Fig. 18 The implant is located at 7

35

Fig. 19 The maximum stress value of cortical bone of an implant

Fig. 20 Blank control group Fig. 21 CRPD control group B control

36

Fig. 22 The implant is located at 4 Fig. 23 The implant is located at 5

Fig. 24 The implant is located at 6 Fig. 25 The implant is located at 7

Fig. 26 Maximum stress for cancellous bone at the time of one implant

37

Fig. 27 The stress of CRPD group Fig. 28 The displacement of CRPD group

Fig. 29 The implant is located at 4 Fig. 30 The implant is located at 5

Fig. 31 The implant is located at 6 Fig. 32 The implant is located at 7

38

Fig. 33 The implant is located at 4 Fig. 34 The implant is located at 5

Fig. 35 The implant is located at 6 Fig. 36 The implant is located at 7

Fig. 37 The maximum stress value of the mucosa of an implant

39

Fig. 38 CRPD control group Fig. 39 The implant is located at 4

Fig. 40 The implant is located at 5 Fig. 41 The implant is located at 6

Fig. 42 The implant is located at 7

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