关键词: 上前牙, 三维有限元, 种植, 树脂复合陶瓷, 单冠, 应力

Abstract: PURPOSE: To observe and compare the stress distribution of implant, crown, abutment and surrounding bone tissues in the aesthetic zone after restoration of resin-ceramic composite single crown, and provide theoretical basis for clinical restoration. METHODS: Three-dimensional finite element models of alveolar bone, implant, crown, and the thickness of different adhesives between crown and abutment (0.05 mm and 0.1 mm) were established by using Mimics 17.0 software.Force was applied at the angle of 130° with the long axis of the implant, the loading position was 2 mm from the incisal cingulum, and other force on the incisal margin was loaded in parallel to the long axis of the implant. The size was 100 N. Linear static stress analysis was carried out to compare the Von Mises stress after single crown restoration with different materials. RESULTS: When the thickness of adhesive was 0.05 mm, and resin cement was selected, after restoration of Enamic, Ultimate resin ceramic composite crown, the peak stress of alveolar bone, implant, crown and abutment was more uniform and decreased slightly, but the difference was not significant compared with that of IPS Empress, blocs Mark Ⅱ ceramic crown. When the thickness of adhesive was 0.05 mm, the peak stress was significantly lower than that of 0.1 mm. There was no significant difference in the stress between glass ionomer cement and resin cement.Under the same conditions, restoration with Ultimate crown had smaller stress value of peak Von Mises. CONCLUSIONS: The stress of resin composite ceramics single crown when applied to implantation in aesthetic area is slightly less and more uniform. The proportion of resin in composites and the thickness of adhesive can affect the stress distribution and peak value.

Key words: Upper anterior teeth, Three-dimensional finite element, Implant, Resin composite ceramic, Single crown, Stress