活髓牙修复的实验室探讨

龋病修复体的长寿耐用不仅要求洞型兼顾抗力型和固位型,还要考虑修复体对牙体组织的力学影响。本实验模拟活髓牙下颌第一磨牙颌面Ｉ类洞采用三维有限元法建立数值模型,用八节点等参三维实体单元进行离散,利用ＳＡＰ８４（Ｖ４．２）程序。计算并作一系列力学分析寻求活髓牙修复时垫底材料与修复材料最佳厚度比的力学模型。实验结果表明应力曲线的峰值主要出现在不同材料交界面附近,因此该处的修复应尽量采用圆弧过度。另外基底材     

人体椎间盘蠕变力学模型和理论分析

本文提出了人体椎间盘的压缩蠕变力学模型。并且应用二相多孔弹性理论,对蠕变力学模型进行了理论分析。其椎间盘压缩蠕变位移公式应为Wf=a.h.p用此式计算与文献上的实验结果相接近,此外还证明了,椎间盘退化较正常椎间盘的蠕变速率为大。     

含液体骨单元的力学模型

基于骨单元的生理结构特性,将骨单元作为厚壁圆筒春内部合弗氏管内充满组织液。并考虑屯液体在筒壁内的扩散,从而得取了骨单元沿轴向的等效本方程。该本构方程表明,含液体骨单元具有粘生力学性质;若筒壁的轴向治松经为１／２,则哈弗氏管内的液体将不影响骨单元的力学行为,骨单元的孔隙率越大,液体艰骨单元的影响也越大。     

酸蚀粘结技术修复牙颈部非龋性疾病的疗效观察

目的:比较自酸蚀粘结技术和全酸蚀粘结技术在牙颈部非龋性疾病修复中的效果.方法:选取我科门诊就诊患者42人,共78对166颗牙齿.分为治疗组和对照组,每组各39对牙齿.采用自身对照方法,左侧为实验组.应用自酸蚀粘结技术,右侧应用全酸蚀粘结技术,均用复合树脂充填.于治疗后6、12个月随访观察.结果:治疗组修复体成功率达94.87%,而对照组则为85.90%.两组疗效差异有显著性(P＜0.05).结论:自酸蚀粘接修复的复合树脂与全酸蚀粘接技术相比,具有固位性好、成功率高的优点.可在临床推广使用.     

质膜的损伤修复及相关模型

生物膜的磷脂双分子层将细胞与外界环境分开。大部分细胞会在机械损伤或化学应激下引发质膜损伤,如果不及时修复将会导致细胞死亡。胞外钙离子通过伤口进入细胞,作为损伤的最初信号,会诱发一系列的修复反应。随后,胞内细胞器也释放钙离子,并产生系列细胞行为来应对损伤,维护质膜的完整性。本文介绍了在损伤修复过程的胞吞作用、胞吐作用、胞外小泡脱落等细胞行为。综述了补丁模型、修复帽模型和大损伤修复的模型特点。补丁模型是最早的修复模型,提出后不断得到完善。细胞除了需要在损伤处聚集小泡、融合形成补丁外,还需通过胞吐、胞吞和出芽（小泡脱落）等方式参与伤口修复。本文简要介绍参与质膜修复的重要蛋白质如钙蛋白酶、dysferlin、MG53、膜联蛋白、突触结合蛋白(Syt-VⅡ)、ESCRTⅢ、酸性鞘磷脂酶、细胞骨架蛋白质等在修复过程中的作用。     

三种不同材料用于邻面龋填充后牙周微生态变化的分析

目的 观察3种不同的充填材料对邻面龋患者牙周微生态变化的影响。方法 将90例邻面龋患者随机分3组,分别采用玻璃离子水门汀、光敏复合树脂、银汞合金3种不同材料充填。在充填修复后1个月和6个月时间点对牙周微生态状况进行临床分析。结果 银汞合金组充填后6个月菌斑指数（PLI）、牙龈指数（GI）、探诊深度（PD）与充填后1个月比较差异有统计学意义（P<0.05）。结论 玻璃离子水门汀和光敏复合树脂由于其理化性能特征,对牙周组织健康有一定的损伤影响,银汞合金仍是治疗磨牙邻面龋的优选材料。     

细胞梯度力学微环境体外构建的研究

细胞微环境与细胞的相互作用日益成为细胞生物学领域研究热点。微环境中物理信号(如基底的力学性能、形貌和牵张力)在控制细胞命运中的作用更不容忽视。其中力学刺激常以不均一的梯度形式参与调节发育、炎症、伤口愈合以及癌症过程中不同细胞的增殖、迁移和分化等行为。水凝胶是模拟细胞外基质(extracellular matrix, ECM)二维/三维组织支架的理想材料。先进的微纳制造技术已被广泛应用于支撑或包裹细胞的仿生水凝胶的合成和微环境的个性化定制研究中。本文阐述了体内细胞力学微环境中刚度和拉压应力刺激的构建方法与表征手段的研究现状,并着重综述了近年来水凝胶在细胞梯度力学微环境体外构建中的应用研究,同时也对未来研究中所面临的挑战提出了新的展望。这些工作对于组织工程及再生医学具有重要意义。     

水稻茎秆抗倒伏的力学分析

建立了水稻茎秆的力学模型,根据该模型,利用力学理论和方法,分析了典型风荷载对水稻茎秆的影响．综合风、雨、土壤、茎秆性状等各种因素,给出了水稻茎秆抗例伏的各种性质参数的关系式．根据此关系式,可对水稻茎秆的抗倒伏能力进行综合评价和预测。     

病毒性心肌炎细胞模型的建立以及细胞力学的特性

建立了病毒性心为自身免疫损伤的离体心肌细胞模型,在此基础上进行心肌细胞的细胞力学特性和心肌细胞收缩蛋白分子一心肌和蛋白的α重（α－ＭＨＣ）,β重链（β－ＭＨＣ）的ｍＲＮＡ表达水平的分析。发现免疫损伤对心肌细胞有明显的损害,造成心肌细胞的变性坏死,心肌细胞收缩力下降,其中免疫损伤的恼肌细胞在２４小时的心肌收缩力下降比１２小时更为明显,经分子生物学分析,共收缩蛋白分子的表达发生了改变,在正常心肌细胞α     

Thermal analysis of bone cement polymerisation at the cement-bone interface

The two major problems that have been reported with the use of polymethylmethacrylate (PMMA) cement are thermal necrosis of surrounding bone due to the high heat generation during polymerisation and chemical necrosis due to unreacted monomer release. Computer models have been used to study the temperature and monomer distribution after cementation. In most of these models, however, polymerisation is modelled as temperature independent and cancellous bone is modelled as a continuum. Such models thus cannot account for the expected important role of the trabecular bone micro-structure. The aim of this study is to investigate the distribution of temperature and monomer leftover at the cancellous bone–cement interface during polymerisation for a realistic trabecular bone—cement micro-structure and realistic temperature-dependent polymerisation kinetics behaviour.

A 3-D computer model of a piece of bovine cancellous bone that underwent pressurization with bone–cement was generated using a micro-computed tomography scanner. This geometry was used as the basis for a finite element model and a temperature-dependent problem for bone cement polymerisation kinetics was solved to simulate the bone cement polymerisation process in the vicinity of the interface. The transient temperature field throughout the interface was calculated, along with the polymerisation fraction distribution in the cement domain.

The calculations revealed that the tips of the bone trabeculae that are embedded in the cement attain temperatures much higher than the average temperature of the bone volume. A small fraction of the bone (10%) is exposed to temperatures exceeding 70°C, but the exposure time to these high temperatures is limited to 50 s. In the region near the bone, the cement polymerisation fraction (about 84%) is less than that in the centre (where it is reaching values of over 96%). An important finding of this study thus is the fact that the bone tissue that is subjected to the highest temperatures is also subjected to high leftover monomer concentration. Furthermore the maximum bone temperature is reached relatively early, when monomer content in the neighbouring cement is still quite high.     

单端固定式下颌骨修复体的应力分析

目的：针对包括一侧髁状突的下颌骨缺损,通过有限元应力分析,了解单端固定式下颌骨修复体在功能运动时的受力与变形规律,以期寻求更加合理的修复体的设计和固定方式。方法：建立下颌骨断端和修复体的简易三维模型,模拟咀嚼运动,施加垂直方向载荷,进行有限元法应力分析,计算出该模型各组成部分的应力分布和受力变形。结果：在该模型加载时,延伸板基部和近断端处上部的螺钉颈部是应力集中的部位,近断端处下部的螺钉颈部和修复体的远端舌侧为形变最大的部位。结论：单端固定式下颌骨修复体在加载时,延伸板的基部和靠近断端的固定螺钉是应力集中的部位,修复体远离固定的一侧是变形最大的部位,提示我们应将延伸板形态设计为尽可能加宽,并应增加下颌骨下缘处的固定,使修复体与下颌骨断端受力更加合理,变形也尽可能缩小。     

A study of the viscoelastic effect in a bone remodeling model

The present paper addresses the following question can a simple regulatory bone remodeling model predict effects of viscosity on the trabecular morphology? For that, we propose an extension of a previous bone remodeling model by taking into account the viscosity properties of the tissue. Zener’s law is used to describe the mechanical behavior of the bone and a specific law of the apparent bone density rate is proposed. Based on stability analysis, numerical simulations are then performed to investigate the viscosity role on simulations of the bone remodeling process. We show that the viscous contribution affects the evolution of the apparent bone density, by slowing down the adaptation process, which seems to be confirmed by simulations with real data obtained from rat tibia.     

单端固定式下颌骨修复体的应力分析

目的:针对包括一侧髁状突的下颌骨缺损,通过有限元应力分析,了解单端固定式下颌骨修复体在功能运动时的受力与变形规律,以期寻求更加合理的修复体的设计和固定方式。方法:建立下颌骨断端和修复体的简易三维模型,模拟咀嚼运动,施加垂直方向载荷,进行有限元法应力分析,计算出该模型各组成部分的应力分布和受力变形。结果:在该模型加载时,延伸板基部和近断端处上部的螺钉颈部是应力集中的部位,近断端处下部的螺钉颈部和修复体的远端舌侧为形变最大的部位。结论:单端固定式下颌骨修复体在加载时,延伸板的基部和靠近断端的固定螺钉是应力集中的部位,修复体远离固定的一侧是变形最大的部位,提示我们应将延伸板形态设计为尽可能加宽,并应增加下颌骨下缘处的固定,使修复体与下颌骨断端受力更加合理,变形也尽可能缩小。     

Long-term study of bone remodelling after femoral stem: a comparison between dexa and finite element simulation

A hip replacement with a cemented or cementless femoral stem produces an effect on the bone called adaptive remodelling, attributable to mechanical and biological factors. The objective of all of cementless prostheses designs has been to achieve a perfect transfer of loads in order to avoid stress-shielding, which produces an osteopenia. In order to quantify this, the long term and mass-produced study with dual energy X-ray absorptiometry (DEXA) is necessary. Finite element (FE) simulation makes possible the explanation of the biomechanical changes which are produced in the femur after stem implantation. The good correlation obtained between the results of the FE simulation and the densitometric study allow, on one hand, to explain from the point of view of biomechanical performance the changes observed in bone density in the long-term, where it is clear that these are due to a different transfer of load in the implanted model compared to the healthy femur; on the other hand, it validates the simulation model, in a way that it can be used in different conditions and at different time periods, to carry out a sufficiently precise prediction of the evolution of the bone density from the biomechanical behaviour in the interaction between the prosthesis and femur.     

Verification of predicted specimen-specific natural and implanted patellofemoral kinematics during simulated deep knee bend

Verified computational models represent an efficient method for studying the relationship between articular geometry, soft-tissue constraint, and patellofemoral (PF) mechanics. The current study was performed to evaluate an explicit finite element (FE) modeling approach for predicting PF kinematics in the natural and implanted knee. Experimental three-dimensional kinematic data were collected on four healthy cadaver specimens in their natural state and after total knee replacement in the Kansas knee simulator during a simulated deep knee bend activity. Specimen-specific FE models were created from medical images and CAD implant geometry, and included soft-tissue structures representing medial–lateral PF ligaments and the quadriceps tendon. Measured quadriceps loads and prescribed tibiofemoral kinematics were used to predict dynamic kinematics of an isolated PF joint between 10° and 110° femoral flexion. Model sensitivity analyses were performed to determine the effect of rigid or deformable patellar representations and perturbed PF ligament mechanical properties (pre-tension and stiffness) on model predictions and computational efficiency.Predicted PF kinematics from the deformable analyses showed average root mean square (RMS) differences for the natural and implanted states of less than 3.1° and 1.7 mm for all rotations and translations. Kinematic predictions with rigid bodies increased average RMS values slightly to 3.7° and 1.9 mm with a five-fold decrease in computational time. Two-fold increases and decreases in PF ligament initial strain and linear stiffness were found to most adversely affect kinematic predictions for flexion, internal–external tilt and inferior–superior translation in both natural and implanted states. The verified models could be used to further investigate the effects of component alignment or soft-tissue variability on natural and implant PF mechanics.     

A numerical study of the flow-induced vibration characteristics of a voice-producing element for laryngectomized patients

A computational model for exploring the design of a voice-producing voice prosthesis, or voice-producing element (VPE), is presented. The VPE is intended for use by laryngectomized patients who cannot benefit from current speech rehabilitation techniques. Previous experiments have focused on the design of a double-membrane voice generator as a VPE. For optimization studies, a numerical model has been developed. The numerical model introduced incorporates the finite element (FE) method to solve for the flow-induced vibrations of the VPE system, including airflow coupled with a mass-loaded membrane. The FE model includes distinct but coupled fluid and solid domains. The flow solver is governed by the incompressible, laminar, unsteady Navier–Stokes equations. The solid solver allows for large deformation, large strain, and collision. It is first shown that the model satisfactorily represents previously published experimental results in terms of frequency and flow rate, enabling the model for use as a design tool. The model is then used to study the influence of geometric scaling, membrane thickness, membrane stiffness, and slightly convergent or divergent channel geometry on the model response. It is shown that physiological allowable changes in the latter three device parameters alone will not be sufficient to generate the desired reduction in fundamental frequency. However, their effects are quantified and it is shown that membrane stiffness and included angle should be considered in future designs.     

Engineered bone culture in a perfusion bioreactor: a 2D computational study of stationary mass and momentum transport

Successful bone cell culture in large implants still is a challenge to biologists and requires a strict control of the physicochemical and mechanical environments. This study analyses from the transport phenomena viewpoint the limiting factors of a perfusion bioreactor for bone cell culture within fibrous and porous large implants (2.5 cm in length, a few cubic centimetres in volume, 250 μm in fibre diameter with approximately 60% porosity).

A two-dimensional mathematical model, based upon stationary mass and momentum transport in these implants is proposed and numerically solved. Cell oxygen consumption, in accordance theoretically with the Michaelis–Menten law, generates non linearity in the boundary conditions of the convection diffusion equation. Numerical solutions are obtained with a commercial code (Femlab® 3.1; Comsol AB, Stockholm, Sweden). Moreover, based on the simplification of transport equations, a simple formula is given for estimating the length of the oxygen penetration within the implant.

Results show that within a few hours of culture process and for a perfusion velocity of the order of 10^? 4 m s^? 1, the local oxygen concentration is everywhere sufficiently high to ensure a suitable cell metabolism. But shear stresses induced by the fluid flow with such a perfusion velocity are found to be locally too large (higher than 10^? 3 Pa). Suitable shear stresses are obtained by decreasing the velocity at the inlet to around 2 × 10^? 5 m s^? 1. But consequently hypoxic regions (low oxygen concentrations) appear at the downstream part of the implant.

Thus, it is suggested here that in the determination of the perfusion flow rate within a large implant, a compromise between oxygen supply and shear stress effects must be found in order to obtain a successful cell culture.