无托槽牙齿矫治器个性化设计与3D成型
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辽宁省教育厅面上项目(LJKZ0500)


Customized Design and Three-Dimensional Molding of Bracketless Orthodontic Appliance
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    摘要:

    目的 对牙齿矫治器开展有限元仿真分析以确定不同工况的矫正量,制定无托槽牙齿矫治器的设计方案,使熔融沉积工艺成型的矫治器具备个性化的矫治效果。方法 结合患者CT数据逆向重构牙齿模型,通过有限元方法确立牙齿在倾斜、扭转、平移3种工况下的矫治量。选择不同弹性模量的材料3D成型不同矫治类型无托槽牙齿矫治器,并测量正畸力。结果 针对不同工况可设计不同的矫治偏移量,从而使矫治器具备个性化治疗效果。无托槽牙齿矫治器的正畸力随着弹性模量和厚度的增加而增大。在给定工况下,当矫治器材料为热可塑性聚氨酯(TPU)时正畸力最小(90 mN);当矫治器材料为聚乳酸(PLA)时正畸力最大(61.66 N)。结论 设计应根据患者的牙齿情况,在整个矫治过程中每一步矫治所需要正畸力的大小,选择不同弹性模量和不同厚度的无托槽牙齿矫治器对患者畸形牙齿进行治疗,从而实现分阶段矫治效果。

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    Objective A finite element simulation analysis of a bracketless orthodontic appliance was carried out to determine the correction amount under different working conditions. A design scheme for the bracketless orthodontic appliance was also formulated to create an orthodontic appliance formed by the fused deposition process with a personalized orthodontic effect. Methods Combined with the computed tomography data of the patient, a tooth model was reversely reconstructed. The correction amount of the tooth under tilting, twisting, and translation working conditions was established using the finite element method. Materials with different elastic moduli were chosen to make three-dimensional (3D) shaped bracketless orthodonitc appliance, and the orthodontic force was measured. Results Different correction amounts could be designed according to different working conditions so that the orthodontic appliance had a personalized treatment effect. The orthodontic force of the bracketless orthodontic appliance increased with elastic modulus and thickness. Under the given working conditions, the orthodontic force was minimal (90 mN) when the orthodontic material was at the minimum (90 mN). The orthodontic force reached its maximum value when the orthodontic material was at the maximum (61.66 N). Conclusions According to the patient’s tooth condition and the size of the orthodontic force required for each step of correction in the whole correction process, the design should consider bracketless orthodontics with different elastic moduli and thicknesses to treat deformed teeth to realize the effect of staged orthodontic correction.

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关天民,李 新,马 强,翟 贇.无托槽牙齿矫治器个性化设计与3D成型[J].医用生物力学,2024,39(1):164-171

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  • 收稿日期:2023-07-17
  • 最后修改日期:2023-08-16
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  • 在线发布日期: 2024-02-26
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