不同硬度隐形矫治器关闭中切牙间隙的有限元分析
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湖南省科学技术厅一般项目(2011SK3255)


Finite Element analysis on space closure of central incisors using invisible appliance with different material hardness
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    摘要:

    目的 计算不同硬度隐形矫治器产生的力学效应,为其材料选择和设计提供理论依据。方法 建立中切牙近中移动0.3 mm矫治设计量,弹性模量分别为415.6、816.308、2 400 MPa的3个隐形矫治器有限元模型,用三维非线性分析方法计算矫治器、牙齿、牙周组织的应力应变分布及位移,对不同弹性模量隐形矫治器作用下的上述结果进行比较分析。结果 实验条件下,中切牙所受的应力及位移最大,最大位移量为0.17 mm,其冠方的初始位移大于根方,矫治牙始终做倾斜移动;侧切牙次之且位移与中切牙相反,最大位移量为0.10 mm。材料的弹性模量增大,隐形矫治器产生的应力增大,应变减小,牙周组织所受的应力及矫治牙位移增大。结论 隐形矫治器的硬度越大,目标矫治牙的位移量和矫治效能增大,但对于牙齿三维方向上的移动控制能力并未增强,临床上建议添加附件或是配合固定矫治器达到牙齿的整体移动。

    Abstract:

    Objective To analyze the mechanical effect of invisible appliances with different material hardness and provide theoretical basis for selecting the suitable material for invisible appliance and its clinical application. Methods Three different three-dimensional (3D) finite element models of invisible appliance were established, of which the elastic modulus was chosen as 415.6, 816.308 and 2 400 MPa, respectively. In these models, the upper central incisors were all designed to move 0.3 mm mesially. Then 3D nonlinear finite element method was used to analyze the stress-distribution in invisible appliance, teeth and periodontal ligament and the instant displacement of every tooth. The comparative study was made among three invisible appliances with different hardness. Results Under experimental condition, the most instant stress and displacement of teeth was the upper central incisor, with initial displacement greater in crown section than that in apical section and the greatest displacement was 0.17 mm. The tendency of central incisor movement was tipping in all situations. The movement of lateral incisor had the second greatest distance (the greatest displacement was 0.10 mm) and the tendency of its movement was in the opposite directions of aimed teeth. When elastic modulus of material decreased, the stress on the invisible appliance increased. The stress in periodontal ligament and the displacement of aimed teeth were also increased. Conclusions If the hardness of invisible appliance increases, the displacement of the designed tooth and treatment efficacy increases, but the appliance with more hardness couldn’t provide better ability in controlling of orthodontic tooth movement. The study suggested clinicians should use attachments or cooperate with fixed appliance to help move teeth bodily.

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夏舒迟,卢燕勤,韩景芸,徐琳,肖子轶.不同硬度隐形矫治器关闭中切牙间隙的有限元分析[J].医用生物力学,2013,28(6):654-658

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  • 收稿日期:2012-10-11
  • 最后修改日期:2013-01-23
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  • 在线发布日期: 2013-12-06
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