Power Arm在隐形矫治器联合微种植钉整体内收上前牙中的作用
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军事口腔医学国家重点实验室(2017ZB03)


The Role of Power Arm by Combined Use of Clear Aligner and Miniscrew in En-Masse Retraction of Maxillary Anterior Teeth
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    摘要:

    目的 探讨Power Arm在无托槽隐形矫治器(clear aligner,CA)联合微种植体支抗(micro-implant anchorage,MIA)整体内收上前牙中的作用。方法 建立CA联合MIA整体内收上前牙三维有限元模型,在尖牙或尖牙所对应矫治器上加入高6 mm的Power Arm,分析矫治器施力+尖牙150 g牵引力整体内收上前牙、矫治器施力+矫治器Power Arm 150 g牵引力整体内收上前牙、矫治器加力+尖牙Power Arm 150 g牵引力整体内收上前牙3种工况下上颌前后牙初始位移和最大牙周膜等效应力。结果 3种工况下,矢状向上,上中切牙的冠根位移差分别为129、129、133 μm,第1磨牙牙冠近移量分别为-23.3、-23.5、-26.8 μm;上中切牙和第1磨牙的最大牙周膜等效应力分别为48.4、72.6、40.0 kPa以及5.3、10.5、5.8 kPa。结论 尚不能证实在150 g牵引力作用下,高于牙槽嵴顶5 mm的微种植钉与尖牙或矫治器上6 mm高Power Arm牵引能够较直接在尖牙上牵引更有利于前牙的整体移动、后牙支抗保护和最大牙周膜应力的减小。

    Abstract:

    Objective To investigate the role of Power Arm in en-masse retraction of maxillary anterior teeth using clear aligner (CA) and micro-implant anchorage (MIA). Methods The three-dimensional (3D) model of maxillary anterior teeth by combined use of CA and MIA was established, and the 6 mm-height Power Arm, was attached to the canine or appliance. The initial displacement and the maximum von Mises stress of periodontal ligament under three loading conditions were analyzed, namely the force was loaded by CA+150 g retraction force at canine, CA+150 g retraction force on Power Arm at appliance, CA+150 g retraction force on Power Arm at canine. Results In sagittal direction, the crown and root displacement difference of maxillary central incisor was 129, 129, 133 μm,respectively. The crown displacement of the maxillary first molar was -23.3, -23.5, -26.8 μm, respectively. The maximum von Mises stress of periodontal ligament in central incisor was 48.4, 72.6, 40.0 kPa, respectively, and that of the first molar was 5.3, 10.5, 5.8 kPa, respectively. Conclusions It can not be testified that retraction of the 6 mm-height Power Arm at canine or appliance with 5 mm-height mini-screw has more advantages than retraction of the canine directly for more favorably controlling the torque of incisors, saving anchorage of posterior teeth and decreasing von Mises stress of the periodontal ligament.

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白煜,赵贺剑,杨富刚,曹猛. Power Arm在隐形矫治器联合微种植钉整体内收上前牙中的作用[J].医用生物力学,2021,36(1):79-84

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  • 收稿日期:2019-10-24
  • 最后修改日期:2019-12-29
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  • 在线发布日期: 2021-02-26
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