机构:[1]Department of Stomatology, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China.首都医科大学附属北京同仁医院临床科室口腔科[2]School of Control and Mechanical Engineering, Tianjin Chengjian University, Tianjin, China.
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.
基金:
Science & Technology Commissioner Program of
Tianjin [grant No. 20YDTPJC00610 and 22YDTPJ
C00050], and the Tianjin Research Innovation Project
for Postgraduate Students [grant No. 2021YJSS335
and 2021YJSO2S19].
第一作者机构:[1]Department of Stomatology, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China.
通讯作者:
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
推荐引用方式(GB/T 7714):
Zhao Jing,Liu Sinan,Zhang Zhijun,et al.Understanding the thrust force evolution and primary stability for dental implantation - An in-vitro experimental investigation[J].PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE.2022,236(12):1732-1743.doi:10.1177/09544119221131880.
APA:
Zhao Jing,Liu Sinan,Zhang Zhijun,Gong Kun&Zhao Jian.(2022).Understanding the thrust force evolution and primary stability for dental implantation - An in-vitro experimental investigation.PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE,236,(12)
MLA:
Zhao Jing,et al."Understanding the thrust force evolution and primary stability for dental implantation - An in-vitro experimental investigation".PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE 236..12(2022):1732-1743