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中華民國家庭牙醫學雜誌

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篇名 立即受力式牙科植體初期癒合之最佳受力條件分析
卷期 5:4
並列篇名 Analysis of Optimal Loading Conditions of Immediate Loading Dental Implant during Initial Healing
作者 張維仁劉宗豪林哲堂黃豪銘
頁次 020-025
關鍵字 植體有限元素分析應變靜水壓骨整合ImplantFinite element analysisStrainHydrostatic pressureOsseointegration
出刊日期 201103

中文摘要

臨床研究指出,當一植體於癒合過程中,承受過大的咬合力,會造成過度受力,無法產生骨整合或癒合,雖然過大的受力會造成植體應力集中,但近年來發現給予適當的形變及靜水壓會是造成生長癒合與否的因素之一。在本策研究中,我們使用二維有限元素方法來模擬植體受力的情形,探討在正常咬合力下,植體與周圍骨骼癒合生長的過程。根據模擬研究的結果,我們可以推論在20牛頓正向力的施予時,骨骼可以產生癒合。而這樣的模擬研究也可以幫助於理解在機械受力下骨骼組織產生的物理變化,為臨床上提供參考資料,減少植體過度受力的情況。

英文摘要

Clinical studies revealed that when an implant is in healing process, too much occlusal force leads to overloading, the re fore it cannot achieve further osseointegration in order for bone to heal. In addition to implant stress concentration ca used by the too much occlusal force, deformation and the hydrostatic pressure can also interfere with bone healing. In this study, we use the finite element method to simulate the loading situations around the implant, to investigate the surrounding bone growth and the bone healing process in relation to the normal biting force. According to the simulation results of the study, we can deduce 20N vertical force will leading to success healing in the early stages of osseointegration. This can provide references for clinicians in improving implant osseointegration, thus a voiding implant failure due to excessive loading.

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