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Understanding the thrust force evolution and primary stability for dental implantation - An in-vitro experimental investigation

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机构: [1]Department of Stomatology, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China. [2]School of Control and Mechanical Engineering, Tianjin Chengjian University, Tianjin, China.
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关键词: Bone drilling dental implant thrust force primary stability drilling parameter

摘要:
The dental implant is challenging due to the unstable quality of the surrounding bone. This study aimed to explore the feasibility of using thrust force characteristics to identify different bone types and the influencing mechanisms of spindle speed and feed rate on primary stability of dental implants through in-vitro experiments. 13 groups of osteotomy experiments were performed on mandibles and maxillae of pigs with different bone types (I, II, and III) under different spindle speeds (600 and 800 rpm) and feed rates (20 and 60 mm/min). The thrust force evolution under different conditions was extracted and analysed to elaborate the distribution and thickness of the cortical and trabecular bone layers on different bone types. Dental implant placements were performed, and corresponding primary stabilities were obtained. Furthermore, histologic observation was conducted to reveal the bone/implant contact morphology. From the results, the amplitude and trend of thrust force show a regular variation during drilling different bone types. The highly dynamic information of thrust force can be analysed to characterise the distribution and thickness of the cortical and trabecular bone layers, hence effectively detecting different bone types. Since a lower feed rate and resulting bone temperature elevation lead to more thermal damages, primary stability decreases with the decrease of feed rate. Spindle speed has no significant effect. This study establishes a more in-depth understanding into the thrust force evolution and also provide a clinical option for reducing the complexity of bone type and drilling parameters determination in osteotomy.

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出版当年[2021]版:
大类 | 4 区 工程技术
小类 | 4 区 工程:生物医学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 工程:生物医学
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出版当年[2020]版:
Q4 ENGINEERING, BIOMEDICAL
最新[2024]版:
Q4 ENGINEERING, BIOMEDICAL

影响因子: 最新[2024版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Department of Stomatology, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China.
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通讯机构: [2]School of Control and Mechanical Engineering, Tianjin Chengjian University, Tianjin, China. [*1]School of Control and Mechanical Engineering, Tianjin Chengjian University, No.26, Jinjing Road, Xiqing District, Tianjin 300384, China
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