摇椅形唇弓滑动法整体内收上颌前牙的力学机制研究
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1.福建医科大学口腔医学院/附属口腔医院;2.福州大学机械工程及自动化学院

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Biomechanics of Rocking-chair Archwire in En-masse Retraction of Maxillary Anterior Teeth
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1.School and Hospital of Stomatology, Fujian Medical University, China;2.School of Mechanical Engineering and Automation, Fuzhou University, Fujian

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    摘要:

    目的:建立简化的参数化摇椅形唇弓(Rocking-chair Archwire,RCA)有限元模拟方法,探讨不同角度RCA在滑动法整体内收上前牙过程中的生物力学效应,为临床治疗提供指导。方法:在ANSYS中导入0.019×0.025英寸的标准唇弓模型,通过弹簧预载力模拟不同角度的RCA,实现参数化建模。建立含唇侧直丝弓矫治器、牙齿、牙周膜和上颌骨的三维有限元模型,分析1.5N颌内牵引配合不同深度RCA时前牙和后牙的位移及受力情况。结果:1、弹簧预载力为1.5N、3N、4.5N和6N时,RCA角度分别近似为5°、10°、15°和20°,模型构建灵活。2、平直唇弓颌内牵引时,前牙表现为冠舌向倾斜位移,随着RCA角度增大,中切牙冠舌向位移减少,侧切牙和尖牙冠压低、根舌向位移增加;当RCA为20°时,侧切牙和尖牙实现整体内收。3、RCA角度增大时,前磨牙伸长,磨牙表现为冠远中倾斜和压低趋势。4、RCA角度从0°增加到20°,前牙段垂直向压低力增加,M/F比值从9.75降至0.95,理论上有望实现前牙整体内收。结论:RCA能有效调控滑动法内收过程中前牙的移动方式,防止过度直立和伸长。粗方丝颌内牵引时,20°的RCA可达到良好的前牙转矩控制,有望整体内收前牙。

    Abstract:

    Objective: To establish a simplified parameterized finite element simulation method ofRCA, explore the effect of RCA during anterior teeth retraction with sliding mechanics, and provide guidance for clinical treatment. Methods: A standard labial archwire of 0.019×0.025 inch was imported into ANSYS software and preloaded spring was used to simulate different angles of RCA to achieve parameterized modeling. A three-dimensional finite element model with labial straight wire appliance, teeth, periodontium and maxillary bone was established to analyze the moving pattern and force system of anterior/posterior teeth under 1.5 N intra-arch traction combined with different angle of the RCA. Results: (1) Preloading forces of 1.5N, 3N, 4.5N, and 6N in spring induced angle of approximately 5°, 10°, 15°, and 20° for RCA, demonstrating the flexibility and convenience of the parameterized modeling method. (2) During intra-arch traction with plain archwire, anterior teeth exhibited lingual crown tipping with extrusion tendency; as the angle of RCA increased, lingual crown displacement of middle incisor gradually decreased, while lateral incisor and canine showed decreased crown tipping and increased lingual root displacement; when the RCA angle was 20°, lateral incisor and canine achieved almost bodily retraction. (3) With the increase in rocking-chair angle, premolars showed extrusion tendency, while molars demonstrated distal crown tipping and intrusion tendency. (4) As the RCA angle increased from 0 °to 20°, intrusive force on the anterior teeth increased, and the M/F ratio decreased from 9.75 to 0.95, theoretically has the potential to achieve almost En-masse retraction of anterior teeth. Conclusion: RCA helps to control moving pattern of maxillary anterior teeth and prevent their over-erection and extrusion during sliding mechanics. The 20° RCA on rigid archwire during intraoral traction gains well torque control of anterior teeth and can achieve their En mass retraction.

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  • 收稿日期:2024-09-18
  • 最后修改日期:2024-11-14
  • 录用日期:2024-11-15
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