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研究生:黃敬傑
研究生(外文):Ching-Chieh Huang
論文名稱:人工牙根鑽孔參數對齒槽骨溫升影響之研究
論文名稱(外文):The Effect of Dental Implant Drilling Parameters on the Temperature Rise of Alveolar Bone
指導教授:陳勇全 博士
指導教授(外文):Dr.Yung-Chuan Chen
學位類別:碩士
校院名稱:國立屏東科技大學
系所名稱:車輛工程系所
學門:工程學門
學類:機械工程學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:96
中文關鍵詞:人工牙根鑽頭骨疽溫升三維有限元素模型
外文關鍵詞:Dental ImplantDrill BitNecrosisTemperature RiseDynamic Finite Element Model
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本文主要是利用三維動態彈塑性有限元素模型來模擬分析人工牙根之鑽孔流程造成齒槽骨之溫升情形,探討不同人工牙根鑽孔參數對齒槽骨溫升之影響。本文所探討之鑽孔參數則分為兩大部分,分別為鑽頭設計參數及手術流程參數。在鑽頭設計參數部分,利用田口品質設計方法獲得鑽頭設計最佳化之參數組合。手術流程參數部分,針對Straumann標準鑽孔流程進行分析,並探討修改Straumann標準鑽孔流程之可行性。分析結果顯示,在固定進刀速率下,影響齒槽骨溫升之重要因子為螺旋角、鑽槽寬比、鑽頭直徑、鑽頭間隙角、鑽頂角,其中以螺旋角影響最大。分析結果也顯示,在Straumann標準流程中,造成齒槽骨最大溫升為無預鑽機制之鑽頭直徑D=2.2 mm之鑽孔。此外,研究結果也指出,可透過手術流程參數的變化,達到手術簡化及減少手術風險之效果。本文之分析結果可提供人工牙根廠商及臨床醫師,於鑽頭設計及鑽孔手術時之參考。
In this thesis, the effects of dental implant drilling parameters on the temperature rise of alveolar bone are investigated using a three-dimensional elastic-plastic dynamic finite element model. The parameters discussed are the geometrical parameters of drill bit and procedure parameters of surgery. In the analysis of geometrical parameters of drill bit, the Taguchi method is used to obtain the optimum parameters. In the analysis of procedure parameters of surgery, the Straumann standard drilling procedures are investigated and the possibility to modify the Straumann standard drilling procedures is also studied. The results indicate that for a constant feed rate, the helix angle, the specific heat of material, the flute/land ratio, the diameter and the point angle of drill are the key parameters affecting the bone temperature rise. Among these parameters, the helix angle affects most significantly. The results also show that, in Straumann standard drilling procedure, the maximum bone temperature rise occurs when a 2.2 mm-diameter drill bit is used with no pre-drilling.
In addition, the results also indicate that the modification of surgical process can simplify the surgery and reduce the risk. The research results can provide a basis for the design of drill bit to the dental implant manufacturer and the improvement of surgical operations to the dentist.

目 錄
摘要....................................... ......I
Abstract.........................................II
謝誌........................................... .IV
目錄 ............................................VI
表目錄...........................................IX
圖目錄...........................................XI
第1章 緒論 1
1.1前言 1
1.2文獻回顧 2
1.3組織與章節 5
第2章 問題背景與研究方法 6
2.1齒槽骨上溫度變化之影響 6
2.2鑽孔過程產生溫升之行為 8
2.3鑽頭設計參數 10
2.4植牙手術流程 13
2.5田口法 15
第3章 人工牙根鑽孔溫升之實驗量測 19
3.1實驗設備 19
3.2實驗步驟 25
第4章 人工牙根鑽孔之有限元素分析 31
4.1有限元素模型 31
4.2材料性質與邊界條件 35
4.3人工牙根鑽孔參數 37
4.4有限元素模型驗證 38
第5章 結果與討論 40
5.1齒槽骨上最高溫度發生位置及時間 40
5.2 鑽頭設計參數對齒槽骨溫升之影響 46
5.2.1 定義問題 46
5.2.2 選擇控制因子和相關水準 46
5.2.3 選擇適用直交表 46
5.2.4 執行分析並收集結果 48
5.2.5依品質特性計算的各分析結果之S/N比及 51
5.2.6各因子對於S/N比與 之影響 53
5.2.7 決定控制因子的最佳水準組合 57
5.2.8 確認最佳化參數並進行分析 60
5.3 手術流程參數對齒槽骨溫升之影響 62
5.3.1 Straumann標準鑽孔流程所造成之溫升情形 62
5.3.2 修改Straumann標準鑽孔流程所造成之溫升情形 77
第6章 結論 90
參考文獻 92
作者簡介 96


參考文獻
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