[Strength of teeth to fracture by impact. Testing of fractural strength against impact force, using replication models of human permanent teeth].

H Hosoi
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Abstract

Traumatic injury anterior teeth is often encountered clinically. A number of clinical and statistical studies have so far been undertaken for the incidences, causes and ages in terms of the site of fracture. However, little has been attempted at fundamental estimation of the fractural resistance of anterior teeth that are susceptible to fracture. This has been studied in only an erect position of eruption by Nose or Chin. Changes in resistance of teeth in a twisted position or at different angles of eruption still remain unstudied. We took an interest in the relation between physicopositional conditions of human teeth and changes in their fractural strength against impact. Determination of the resistance of teeth to a variety of experimental conditions was attempted by use of an Izod-type tester. Epoxy resin replication models of human anterior teeth were used as experimental specimens, since human teeth were considered inappropriate because of their large individual differences and an anticipated difficulty in precise reproduction of the angles of eruption and torsion. The following results were obtained; (1) In the replication models of teeth erected positioned at 90 degrees vertically to the horizontal plane, the fractural strength against impact was highest for the maxillary cuspid model and was lowest for the mandibular central incisor model. (2) In the replication models of teeth with their mesial or distal incisal margin twisted 45 degrees medially, the fractural strength was reduced for all the teeth except the maxillary central incisors. (3) In comparison of the strength between the replication models with the mesial incisal margin twisted 45 degrees medially and those with the distal incisal margin twisted likewise am marked reduction in strength was found for the maxillary cuspid model prepared in the former condition of torsion. For the mandibular cuspid model, a relatively large reduction of the strength was found in the latter condition of torsion. (4) In comparison of the strength of teeth positioned at various angles, the strength was decreased by slanting either labially or lingually for all the replication models except the maxillary and mandibular cuspid models.

牙齿因撞击而断裂的强度。用人类恒牙的复制模型测试抗冲击力的断裂强度。
临床上常遇到外伤性前牙损伤。到目前为止,已经对骨折部位的发生率、原因和年龄进行了一些临床和统计研究。然而,很少有人尝试对易骨折的前牙的抗骨折性进行基本估计。这只在鼻子或下巴的直立位置上进行了研究。牙齿在扭曲位置或不同出牙角度的阻力变化仍未研究。我们对人类牙齿的物理位置条件和它们抗冲击断裂强度的变化之间的关系很感兴趣。用伊佐德型试验仪测定了齿对各种试验条件的阻力。由于人类牙齿存在较大的个体差异,并且难以精确地复制出牙和扭转角,因此认为不适合使用人类前牙的环氧树脂复制模型作为实验标本。得到以下结果:(1)在与水平面垂直90度竖立的牙齿复制模型中,上颌尖牙模型抗冲击断裂强度最高,下颌中切牙模型最低。(2)中切缘或远切缘向内侧扭曲45度的牙齿复制模型中,除上颌中切牙外,所有牙齿的断裂强度均降低。(3)将近切缘向内扭转45度的复制模型与远切缘同样扭转45度的复制模型进行强度比较,发现在前一种扭转条件下制备的上颌尖牙模型强度明显降低。对于下颌尖牙模型,后一种扭转状态下强度降低相对较大。(4)对比不同角度牙位的强度,除上颌和下颌尖牙模型外,所有复制模型的强度均因唇部或舌部倾斜而降低。
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