博碩士論文 973203069 詳細資訊


姓名 吳柏勳(Po-Hsun Wu)  查詢紙本館藏   畢業系所 機械工程學系
論文名稱 植牙術後穩固度評估研究
(Stability assessment after dental implantation)
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摘要(中) 本研究以非接觸式檢測技術進行術後牙科植體界面骨缺損評估,設計各類體外骨缺損模型,並改變模型周圍邊界條件,以聲能激振-位移響應方式測得結構共振頻率,再與有限元素分析和市售穩固度檢測儀測試結果作比較,探討共振頻率與骨缺損深度和方位之關係,建立術後骨整合評估與骨缺損方位檢測技術,並驗證其準確性與可行性,結果顯示此檢測方式可成功辨識出各類缺損型態及方位,較穩固度檢測儀精確。預期本研究成果將可用於人工牙根植入初期及骨整合期間頻率監測,期能提供客觀量化結果作為骨整合檢測依據,協助醫師評估與預測術後植體界面及骨缺損狀況,適時予以修復治療,降低病患植牙手術失敗之可能性。
摘要(英) The aim of this study is applied the noncontact detection technique to assess interfacial bone defects after the dental implantation. A series of in-vitro bone defect models were designed as well as made, and their surrounding boundary conditions were also changed. The structural resonance frequency (RF) was first measured by the acoustic excitation-displacement response procedure, and then this result was applied to compare with the outcome of the commercial implant stability instrument measurement and the finite element analysis (FEA). Therefore, the correlation between the RF difference and the bone defect orientation/location can be determined, and the postoperative assessment can also be established. This technique promises to assist the dentist in diagnosing and decreases the failure of the dental surgery.
關鍵字(中) ★ 非接觸式檢測技術
★ 牙科植體
★ 骨整合
★ 骨缺損
★ 共振頻率
★ 有限元素分析
關鍵字(英) ★ Bone defect
★ Osseointegration
★ Dental implant
★ Noncontact detection
★ Finite element analysis
★ Resonance frequency
論文目次 中文摘要 I
Abstract Ⅱ
誌謝 Ⅲ
目錄 Ⅳ
圖目錄 Ⅵ
表目錄 Ⅷ
第一章 緒論 1
1-1 研究動機 1
1-2文獻回顧 2
1-3 研究範疇 7
第二章 牙科植體/人造骨材之體外模型理論基礎 8
2-1懸臂樑振動分析 8
2-2有限元素分析 14
第三章 體外骨缺損模型實驗與模擬 17
3-1骨缺損模型設計與製作 18
3-1-1模型設計規劃 18
3-1-2邊界條件差異設計 22
3-2 骨缺損模型之實驗架構 24
3-2-1 聲能激振與位移響應量測 24
3-2-2 穩固度量測實驗 27
3-3 骨缺損模型之有限元素模態分析 30
3-3-1模型建構及網格化 31
3-3-2邊界條件設置及求解 33
3-3-3元素收斂性分析 35
第四章 骨缺損模型檢測結果與討論 36
4-1 骨缺損模型之理論數值討論 36
4-2 骨缺損模型實驗 38
4-2-1 聲能激振與位移響應 38
4-2-2 穩固度檢測數值 41
4-3模擬數值結果 45
4-4 骨缺損方向與位置檢測 49
4-4-1缺損型態與骨質條件差異討論 49
4-4-2 骨缺損檢測流程 53
4-5 結論 55
第五章 未來展望 56
參考文獻 57
參考文獻 [1] Carlsson, L., Rostlund, T., Albrektsson, B., Albrektsson, T. and Brnmark, P. I., “Osseointergration of Titanium Implants,” Acta Orthopaedica Scandinavica, Vol. 57, pp. 285-289 (1988).
[2] Meredith, N., “Assessment of Implant Stability as a Prognostic Determinant,” International Journal Prosthodont, Vol. 11, No. 4, pp. 491-501 (1998).
[3] Albrektsson, T., and Albrektsson, B., “Osseointehration of Bone Implants: a Review of an Alterative Mode of Fixation,” Acta Orthopaedica Scandinavica, Vol. 58, pp. 567-577 (1987).
[4] Sullivan, D. Y., Sherwood, R. L., Collins, T. A., and Krogh, P. H. J., “The Reverse-Torque Test. A Clinical Report,” International Journal of Oral and Maxillofacial Implants, Vol. 11, No. 2, pp. 179-185 (1996).
[5] 王大介,「利用共振頻率分析法研究植體在類似不同骨密度環境下之穩固度」,碩士論文,國防醫學院牙醫科學研究所,臺北(2004)。
[6] Sunden, S., Grondahl, K., and Grondahl, H. G., “Accuracy and Precision in the Radiographic Diagnosis of Clinical Instability in Brånemark Dental Implants,” Clinical Oral Implants Research, Vol. 6, No. 4, pp. 220-226 (1995).
[7] Schulte, W., Lukas, D., Maunz, M., and Steppeler, M., “Periotest for Messuring Periodontal Characteristics Correlation with Periodontal Loss,” Journal of Periodonntal Research, Vol. 27, No 3, pp. 184-190 (1992).
[8] Thomson, W. T., Theory of Vibration with Applications, Prentice-Hall, New York, pp. 221-229 (1995).
[9] Meredith, N., Alleyne, D., and Cawley, P., “Quantitative Determination of the Stability of the Implant-Tissue Interface Using Resonance Frequency Analysis,” Clinical Oral Implants Research, Vol. 7, No. 3, pp. 261-267 (1996).
[10] Lee, S. Y., Huang, H. M., Lin, C. Y., and Shih, Y. H., “In Vivo and in Vitro Natural Frequency Analysis of Periodontal Conditions, an Innovative Method,” Journal of Periodontal Research, Vol. 71, No. 4, pp. 632-640 (1999).
[11] Sjostrom, M., Lundgren, S., Nilson, H., and Sennerby L., “Monitoring of Implant Stability in Grafted Bone Using Resonance Frequency Analysis a Clinical Study from Implant Placement to 6 Months of Loading,” International Journal of Oral and Maxillofacial Surgery, Vol. 34, No. 5, pp. 45–51 (2005).
[12] Ito, Y., Sato, D., Yoneda, S., Ito, D., Kondo, H., and Kasugai, S., “Relevance of Resonance Frequency Analysis to Evaluate Dental Implant Stability: Simulation and Histomorphometrical Animal Experiments,” Clinical Oral Implants Research, Vol. 19 No,1 , pp. 9-14 (2008).
[13] Tözüm, T. F., Turkyilmaz, I., and McGlumphy, E. A., “Relationship between Dental Implant Stability Determined by Resonance Frequency Analysis Measurements and Peri-implant Vertical Defects: an in Vitro Study,” Journal of Oral Rehabilitation, Vol. 35, pp. 739-744 (2008).
[14] Tözüm, T. F., Turkyilmaz I., and Bal B. T., “Initial Stability of Two Dental Implant Systems: Influence of Buccolingual Width and Probe Orientation on Resonance Frequency Measurements,” Clinical Implant Dentistry and Related Research, Vol. 12, No 3, pp. 194-201 (2010).
[15] Tözüm T. F., Bal B. T., Turkyilmaz I., and Gulay G., “Which Device is more Accurate to Determine the Stability/Mobility of Dental Implants? A Human Cadaver Study,” Journal of Oral Rehabilitation, Vol. 37, pp. 217-224 (2010).
[16] Ohta, K., Takechi, M., Minami, M., Shigeishi, H. and Hiraoka, M., “Influence of Factors Related to Implant Stability Detected by Wireless Resonance Frequency Analysis Device,” Journal of Oral Rehabilitation, Vol. 37, pp. 131-137 (2010).
[17] Huang, H. M., Pan, L. C., Lee, S. Y., Chiu, C. L., Fan, K. H., and Ho, K. N., “Assessing the Implant-Bone Interface by Using Natural Frequency Analysis,” Clinical Oral Implants Research, Vol. 90, No. 3, pp. 285-291 (2000).
[18] 莊瀚伯,「牙科植體術後股缺損型態之結構分析」,碩士論文,國立中央大學機械工程研究所,桃園(2006)。
[19] 陳梓尉,「共振頻率法於牙根植體缺損位置判別研究」,碩士論文,國立中央大學機械工程研究所,桃園(2007)。
[20] 杜瑋珊,「共振頻率法之牙科植體個體骨缺損檢測研究」,碩士論文,國立中央大學機械工程研究所,桃園(2009)。
[21] Yamane, M., Yamaoka, M., Hayashi, M., Furutoyo, I., Komori, N., and Ogiso, B., “Measuring Tooth Mobility with a No-contact Vibration Device,” Journal of Periodontal Research, Vol. 43, pp. 84-89 (2007).
[22] Hayashi, M., Kobayashi, C., Ogata, H., Yamaoka M., and Ogiso B., “A no-contact Vibration Device for Measuring Implant Stability,” Clinical Oral Implants Research. Vol. 9, pp. 931-936 (2010).
[23] Samer, A. J., and Abdullah, A. A., “Assessment of Osstell™ and Periotest® Systems in Measuring Dental Implant Stability (In Vitro Study),” The Saudi Dental Journal, Vol. 23, No. 1, pp. 17-21 (2011).
[24] Huang, H. L., Tu, M. G., and Fuh, L. J., “Effects of Elasticity and Structure of Trabecular Bone on the Primary Stability of Dental Implants,” Journal of Medical and Biological Engineering, Vol, 30, No. 2, pp 85-89 (2010).
[25] 余俊杰,「不同模擬形式與程度的齒槽骨缺損對牙齒動搖度之共振響應分析」,碩士論文,臺北醫學大學口腔復健醫學研究所,臺北(2001)。
[26] Huang, H. M., Lee, S. Y., Yeh, C. Y., and Lin, C. T., “Resonance Frequency Assessment of Dental Implant Stability with Various Bone Qualities: A Numerical Approach,” Clinical Oral Implants Research. Vol. 13, No. 2, pp. 65–74 (2002).
[27] Natali, A. N., Pavan, P. G., Schileo, E., Williams, K. R., “A Numerical Approach to Resonance Frequency Analysis for the Investigation of Oral Implant Osseointegration,” Journal of Oral Rehabilitation Research, Vol. 33, No. 9, pp. 674–681 (2006).
[28] Pattijn, V., Van Lierde, C., Van Der Perre, G., Naert, I., Vander Sloten, J., “The Resonance Frequencies and Mode Shapes of Dental Implants: Rigid body Behaviour Versus Bending Behaviour. A Numerical Approach,” Journal of Biomechanics, Vol. 39, No. 5, pp. 939-947 (2006).
[29] Capek, Lukas., Simunek, Antonin., Slezak, Radovan., Dzan, adislav., “Influence of the Orientation of the Osstell® Transducer during Measurement of Dental Implant Stability using Resonance Frequency Analysis: A Numerical Approach,” Medical Engineering and Physics, Vol. 31, No. 7, pp. 764-769 (2009).
[30] Rao, S, S., Mechanical vibrations 4th, pp. 609-613。
[31] 王栢村,電腦輔助工程分析之實務與應用,全華科技圖書股份有限公司,臺北(2005)。
[32] 劉晉奇,褚晴暉,有限元素分析與ANSYS的工程應用,滄海(2006)。
[33] 林奕男,「懸臂樑結構尺寸與自然頻率及阻尼比關係之研究」,碩士論文,中興大學機械研究所,台中(2004)。
指導教授 潘敏俊(Min-Chun Pan) 審核日期 2011-8-9
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