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牙弓生物力学与切牙拥挤

Biomechanics of the dental arch and incisal crowding.

作者信息

Ihlow Dankmar, Kubein-Meesenburg Dietmar, Fanghänel Jochen, Lohrmann Bettina, Elsner Verena, Nägerl Hans

机构信息

Department of Orthodontics, University of Goettingen, Germany.

出版信息

J Orofac Orthop. 2004 Jan;65(1):5-12. doi: 10.1007/s00056-004-0022-y.

Abstract

During horizontal contact, the dental arch represents a link chain in which two convex articular surfaces are in contact and are tensioned by the dentogingival and dentoalveolar fibrous tissue. Joints composed of convex-convex surfaces are equivalent to stretched dimeric link chains whose links are in a mechanically unstable position under compression. Experiments on plaster models show that the dimensional stability of an articulated (dental) arch is considerably increased when a concave and a convex articular surface are in contact, as these joints are equivalent to an overlapping dimeric link chain whose links are in a mechanically stable position when under compression. In the abraded denture of Stone Age man, horizontal interdental contacts of transversally concave-convex dental surfaces may be found extending even into the incisal region. Increased stability of the dental arch and reduced problems of incisal crowding are to be expected if an overlapping dimeric chain is produced morphologically in each horizontal contact by means of slight interproximal enamel reduction.

摘要

在水平接触时,牙弓代表一个连锁链,其中两个凸关节面相互接触,并由牙龈和牙槽纤维组织张紧。由凸-凸面组成的关节相当于拉伸的二聚体连锁链,其链节在压缩状态下处于机械不稳定位置。石膏模型实验表明,当一个凹关节面和一个凸关节面相互接触时,关节(牙)弓的尺寸稳定性会显著提高,因为这些关节相当于一个重叠的二聚体连锁链,其链节在压缩时处于机械稳定位置。在石器时代人类磨损的假牙中,可以发现横向凹凸牙面的水平牙间接触甚至延伸到切牙区域。如果通过轻微的邻面釉质减少在每个水平接触中形态学上产生重叠的二聚体链,预计牙弓的稳定性会增加,切牙拥挤问题会减少。

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