하악 임플랜트 유지형 피개의치의 안정성과 하악골 응력분포에 대한 3차원 유한요소법적 연구

홍해룡; 최대균; 권긍록; 백진

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하악 임플랜트 유지형 피개의치의 안정성과 하악골 응력분포에 대한 3차원 유한요소법적 연구
3D FINITE ELEMENT ANALYSIS OF OVERDENTURE STABILITY AND STRESS DISTRIBUTION ON MANDIBULAR IMPLANT-RETAINED OVERDENTURE

대한치과보철학회지 2007년 45권 5호 p.633 ~ 643

홍해룡, 최대균, 권긍록, 백진,

소속 상세정보

홍해룡 ( Hong Hae-Ryong ) - 경희대학교 치과대학 치과보철학교실
최대균 ( Choi Dae-Gyun ) - 경희대학교 치과대학 치과보철학교실
권긍록 ( Kwon Kung-Rock ) - 경희대학교 치과대학 치과보철학교실
백진 ( Paik Jin ) - 경희대학교 치과대학 치과보철학교실

KMID : 0362420070450050633

Abstract

Statement of Problem:Recently there are on an increasing trend of using implants-especially in edentulous mandible of severly alveolar bone recessed. Purpose: The aim of this study was to analyze the displacement and stress distribution of various mandibular implant-retained overdenture models supported by two implants in interforaminal region under the occlusion scheme load.

Material and Method: FEA models were made by the 3D scanning of the edentulous mandibular dentiform. The three models were named as Model M1, M2, and M3 accord ing to the position of implants: M1, Lt. incisor area, M2, Canine area, and M3, 1st Premolar area. Inter-implant angulation model was named as M4. Conventional complete denture was named M5 and used as a control group. Ball implant and Gold matrice were used as a retentive anchors. The occlusion type loads were applied horizontally over each tooth.

Results:1. In mandibular implant retained overdenture Canine Protected Occlusion type load resulted in higher levels of stress to the implants and female matrices than other types of loads. 2. The overdenture model M1, with implants in lateral incisor areas resulted in lower stress concentration to the implants and female matrices than other models. 3. In mandibular implant retained overdenture the stresses of the implant and female matrice were lower in mesially inclined implant than these of parallel installed implant.

Conclusion: Lateral incisor areas could be the best site for the implants in mandibular implant-retained overdenture. The mandibular implant retained overdenture models mentioned above showed to the lowest stress to the implants and female matrices.