不同牙槽骨高度正畸牙移动的三维有限元分析
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兰州大学 口腔医学院

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Three-Dimensional Finite Element Analysis of Orthodontic Tooth Movement at Different Alveolar Bone Heights
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1.School of Stomatology,Lanzhou University,Gan Su Lanzhou 730000;2.China

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    摘要:

    目的:探讨不同牙槽骨高度下正畸牙移动的生物力学特点和适宜的正畸力,为正畸临床治疗提供理论依据。方法:建立牙槽骨高度正常、降低1/3、降低1/2、降低2/3的四组下颌牙列仿真模型。模拟下颌中切牙在不同大小的载荷下进行舌向移动、远中移动、压低移动。分析牙齿的位移趋势和位移量的变化,及牙周膜应力分布和大小变化。结果:在三种移动中,随着牙槽骨高度的降低和矫治力的增大,四组模型的牙周膜最大等效应力增大,牙颈部应力集中程度增加,同时各个观察点位移量和冠根位移差增大,牙齿倾斜移动趋势加重。结论:①牙槽骨高度的降低都可能会加重牙槽嵴顶的应力集中以及牙齿倾斜移动的趋势。②最佳矫治力建议:牙槽骨高度降低1/3时:舌向移动矫治力在50~100 g为宜,远中移动矫治力在50~100 g为宜,压低移动时矫治力在50~75 g为宜;牙槽骨高度降低1/2时:舌向移动矫治力在50 g以下为宜;远中移动矫治力在50 ~100 g为宜;压低移动矫治力小于50 g为宜;牙槽骨高度降低2/3时:舌向及压低移动不宜施加矫治力;远中移动矫治力小于50 g为宜。

    Abstract:

    Objective To investigate the effects of different alveolar bone heights and orthodontic forces on tooth displacement and periodontal stress changes, and to guide the optimization of orthodontic treatments. Method Four groups of mandibular dentition finite element models with normal alveolar bone height, resorption 1/3, resorption 1/2, and resorption 2/3 were established. Next, the lingual, distal, and intrusion movements of the mandibular central incisors were simulated with different loads. Finally, the trend of tooth displacement and the change of displacement amount, as well as the distribution and size change of periodontal stress were analyzed. Results With alveolar bone height decreased and orthodontic force increased, the maximum periodontal equivalent force increased and the stress concentration in cervical increased and the displacement of each observation point and the crown-root displacement difference increased, the tendency for tipping movement of the teeth increased in the three movements. Conclusions ①The reduction in alveolar bone height may exacerbate stress concentrations at the top of the alveolar ridge as well as the tendency for tipping movement. ②It is recommended that: for 1/3 of the alveolar bone resorption: lingual movement force of 50~100 g, distal movement force of 100~150 g, and intrusion movement force of 50~75 g; for 1/2 resorption of the alveolar bone: lingual movement of less than 50 g, distal movement of 50~100 g, and intrusion movement of less than 50 g; for 2/3 resorption of the alveolar bone height: lingual and intrusion movements should not be applied; distal movements with a force of less than 50 g are appropriate.

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  • 收稿日期:2024-04-30
  • 最后修改日期:2024-07-05
  • 录用日期:2024-07-16
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