Menghi C, Planert J, Melsen B
Department of Orthodontics, The Royal Dental College, Aarhus, Denmark.
Angle Orthod. 1999 Feb;69(1):49-57. doi: 10.1043/0003-3219(1999)069<0049:DEIOFS>2.3.CO;2.
Intra-arch irregularities can be corrected using wire of low stiffness, wires of increasing stiffnesses, or by the activation of loops built into the appliance. While the orthodontist controls only the magnitude of force when leveling with continuous arches, the configuration and positioning of loops offer the possibility of controlling the type and direction of force. In the present study, force systems developed by the L-loop, the T-loop, and the rectangular (R-) loop were analyzed with respect to the force systems acting for first order irregularities, buccolingual movement, and rotation along the long axis of the tooth. An interbracket distance of 21 mm was chosen, and the loops were analyzed in a testing machine that made it possible to register forces and moments simultaneously in three planes of space. The activations included a symmetrical translation of 1 mm made in steps of .2 mm, corresponding to a buccolingual movement, and 10-degree rotations clockwise and counterclockwise in steps of one degree. Force systems were recorded during activation and deactivation. Loops made of TMA wire delivered 40% of the force delivered by the same loops made of stainless steel wire. The T-loop generated a force system that deviated qualitatively only slightly from that delivered by a straight wire. The L-loop generated a force system that was dependent on orientation; constancy was better corresponding to the anterior part of the loop. It was evident that the rectangular loop was capable of generating any desired moment-to-force ratio, and the R-loop demonstrated a high degree of constancy of the force system. Rectangular loops should, therefore, be preferred for making first order corrections.
牙弓内的不规则情况可以使用低刚度的弓丝、刚度逐渐增加的弓丝,或者通过激活矫治器上内置的曲来矫正。在使用连续弓丝排齐整平牙齿时,正畸医生只能控制力的大小,而曲的形态和位置则提供了控制力的类型和方向的可能性。在本研究中,针对作用于一阶不规则情况、颊舌向移动以及沿牙齿长轴旋转的力系,分析了L形曲、T形曲和矩形曲所产生的力系。选择了21毫米的托槽间距,并在一台测试机中对曲进行分析,该测试机能够在空间的三个平面上同时记录力和力矩。激活方式包括以0.2毫米的步长进行1毫米的对称平移,这相当于颊舌向移动,以及以1度的步长进行顺时针和逆时针10度的旋转。在激活和去激活过程中记录力系。由TMA弓丝制成的曲所产生的力是由不锈钢弓丝制成的相同曲所产生力的40%。T形曲产生的力系在性质上与直弓丝产生的力系仅略有偏差。L形曲产生的力系取决于其方向;在曲的前部,恒定性更好。很明显,矩形曲能够产生任何所需的力矩与力的比值,并且矩形曲展示出高度恒定的力系。因此,在进行一阶矫正时应优先选择矩形曲。