Stress Distribution on Mucosa Soft Tissue of Alveolar Ridge at the Dislocation of BPS: A Three-Dimensional Finite Element Analysis.

Sheng Fang, Kailun Chen, Xiaohan Lin, Zhu Tie, Ziqin Lin, Junjie Lin, Rui He, Botao Wang
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Abstract

Purpose: To analyze the stress distribution and displacement of alveolar ridge mucosal tissue when Biofunctional prosthetic system (BPS) dentures were dislocated under three conditions.

Materials and methods: CBCT was used to obtain the data of the patient's jaw, and the patient's BPS scan data was gained through the oral scanner. Through Mimics, Geomagic Studio and Unigraphics NX software, the CT data files were built into 3D finite element models (FEM) of the upper and lower edentulous jaws, mucosa and BPS complete dentures, then analyze the stress distribution and mucosal tissue displacement caused by ridge mucosal tissue when BPS dentures were dislocated under three conditions (BPS denture dislocation along the anterior alveolar ridge, BPS denture dislocation caused by the left posterior teeth biting hard food or anterior teeth biting hard food), respectively.

Results: In general, under the three different circumstances, the value in the relatively large area of the maxillary and mandibular equivalent stress was similar, but the deformation value of the mandibular mucosa was significantly higher than that of the maxillary mucosa.

Conclusion: When BPS complete denture is dislocated, the stress distribution of the mucosa under the base of the maxillary and mandibular dentures is uniform and extensive, and the stress distribution of the palatal mucosa is small. In comparison to the dislocation of BPS dentures that were removed and worn independently, the mucosal stress distribution was more uneven when BPS dentures were subjected to biting hard food, resulting in greater deformation.

牙槽嵴脱位时牙槽嵴黏膜软组织应力分布的三维有限元分析。
目的:分析生物功能修复系统(BPS)义齿在三种情况下脱位时牙槽嵴粘膜组织的应力分布和位移。材料与方法:采用CBCT获取患者颌骨数据,通过口腔扫描仪获取患者BPS扫描数据。通过Mimics、Geomagic Studio和Unigraphics NX软件,将CT数据文件构建为无牙上下颌、黏膜和BPS全口义齿的三维有限元模型,分析BPS义齿沿前牙槽嵴脱位三种情况下(BPS义齿沿前牙槽嵴脱位、分别由左后牙咬硬食物或前牙咬硬食物引起的BPS义齿脱位。结果:总的来说,在三种不同情况下,上颌和下颌骨相对大面积的等效应力值相近,但下颌骨黏膜的变形值明显高于上颌黏膜。结论:BPS全口义齿脱位时,上颌义齿基托下粘膜应力分布均匀且分布广泛,腭黏膜应力分布较小。与单独拔戴BPS义齿的脱位相比,BPS义齿在咬合坚硬食物时粘膜应力分布更不均匀,变形更大。
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