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Finite element simulation of bone remodelling in the human mandible surrounding dental implant

机译:人类下颌骨周围牙种植体中骨骼重塑的有限元模拟

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摘要

Dental implant is a biocompatible titanium device surgically placed into the jaw bone to support a prosthetic tooth crown in order to replace missing teeth. However, placement of an implant changes the normal mechanical environment of jawbone, which causes the bone density to redistribute and adapt to the new environment by remodelling. This study aims to predict the density distribution in human jawbone surrounding a dental implant. Based on some popular yet distinctive theories for bone remodelling, a new algorithm is proposed that takes into account both the 'lazy zone' effect and the self-organizational control process. The proposed algorithm is first verified by a two-dimensional (2D) plate model simulating bone tissue, then, a 2D finite element model of implant and jawbone is studied. The effects of two parameters, viz the reference value of strain energy density (SED) and the 'lazy zone' region, on density distribution are also investigated. The proposed algorithm is proven to be effective, and the predicted density distribution patterns correlate well with clinical observations. This study has demonstrated that consideration of the lazy zone is less important than consideration of the stress and strain (quantified as SED) induced within the bone.
机译:牙种植体是一种生物相容性钛器械,通过外科手术将其置入颌骨中以支撑假牙冠,以替代缺失的牙齿。但是,植入物的放置会改变颌骨的正常机械环境,这会导致骨骼密度通过重新建模而重新分布并适应新的环境。这项研究旨在预测牙齿植入物周围人颚骨的密度分布。基于一些流行的但又独特的骨骼重塑理论,提出了一种新算法,该算法同时考虑了“惰性区域”效应和自组织控制过程。首先通过模拟骨组织的二维(2D)平板模型验证了该算法,然后研究了种植体和颌骨的2D有限元模型。还研究了两个参数,即应变能密度(SED)的参考值和“惰性区域”区域对密度分布的影响。所提出的算法被证明是有效的,并且预测的密度分布模式与临床观察很好地相关。这项研究表明,考虑到惰性区域比考虑骨骼内引起的应力和应变(量化为SED)重要。

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