首页|有限元法分析常用咬合板对颞下颌关节应力影响

有限元法分析常用咬合板对颞下颌关节应力影响

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目的 研究对比三种咬合板对颞下颌关节的应力影响.方法:通过三维有限元方法建立上下颌骨及全牙列三维模型,分别在上颌骨模拟生成稳定型咬合板、松弛型咬合板、枢轴型咬合板,下颌骨加载相同方向及大小的力,对比不戴咬合板与临床常用的三种咬合板时髁突、关节盘、颞骨关节面的应力变化.结果:模拟三种咬合板时,髁突、关节盘、颞骨关节面的应力大小及位移大小均较不戴咬合板有所减低.结论:咬合板可以有效降低颞下颌关节的应力,对治疗颞下颌关节紊乱病(temporomandibular joint disorder TMD)有临床实际意义.
Finite element method analysis of the effects of commonly used occlusal plates on temporomandibular joint stresses
Objective To study and compare the stress effects of three types of occlusal plates on the temporomandibular joint.METHODS:A three-dimensional model of the maxilla and mandible and the whole dental row was established by the three-dimensional finite element method,and a stable occlusal plate,a relaxed occlusal plate,and a pivotal occlusal plate were simulated in the maxilla,and the mandible was loaded with forces of the same direction and magnitude to compare the stress changes of the condyle,articular disc,and temporal bone articular surfaces when the occlusal plate was not worn with the three types of occlusal plates commonly used in clinical practice.RESULTS:The stress magnitudes and displacement magnitudes of the condyle,articular disc,and temporal bone articular surfaces were reduced when simulating the three occlusal plates compared with those without the occlusal plates.CONCLUSION:Occlusal plates can effectively reduce the stress in the temporomandibular joint and have clinical practical significance for the treatment of TMD.

temporomandibular joint disorder,condylararticular discsThree-dimensional finite elementStabilization occlusal splintrelaxation splintpivot splint

楼婷、夏衣旦·艾合买提江、马家平、刘纪元、王星

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新疆医科大学第一附属医院 附属口腔医院 口腔修复科,新疆维吾尔自治区,乌鲁木齐市,830000

新疆维吾尔自治区口腔医学研究所,新疆维吾尔自治区,乌鲁木齐市,830000

颞下颌关节紊乱病,髁突 关节盘 三维有限元 稳定型咬合板 松弛型咬合板 枢轴型咬合板

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(2)
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