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滑动力学正畸牙齿移动中牙根机械应力的三维有限元分析

Three-dimensional finite element analysis of the mechanical stress on root from orthodontic tooth movement by sliding mechanics.

作者信息

Li Ping, Mao Jing, Peng Zhou

机构信息

Center of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2007 Dec;27(6):745-7. doi: 10.1007/s11596-007-0634-8.

Abstract

In order to study mechanical stress on root from orthodontic tooth movement by sliding mechanics, a 3-dimensional finite element model incorporating all layers of a human mandibular dental arch with orthodontic appliance has been developed to simulate mechanical stress on root from the orthodontic tooth movement. Simulated orthodontic force of 2 N at 0, 30 and 45 degree from the horizontal axis was applied to the crown of the teeth. The finite element analysis showed when orthodontic forces were applied to the tooth, the stress was mainly concentrated at the neck of the tooth decreasing uniformly to the apex and crown. The highest stress on the root was 0.621 N/mm(2) for cervical margin of the canine, and 0.114 N/mm(2) for apical region of the canine. The top of canine crown showed the largest amount of displacement (2.417 microm), while the lowest amount of displacement was located at the apical region of canine (0.043 microm). In conclusion, this model might enable one to simulate orthodontic tooth movements clinically. Sliding force at 2 N is ideal to ensure the bodily orthodontic tooth movement. The highest stress concentration in the roots was always localized at the cervical margin when orthodontic force of 2 N at 0, 30 and 45 degree from the horizontal axis, so there may be the same risk of root resorption when orthodontic force of 2 N at 0, 30 and 45 degree was used in clinic cases.

摘要

为了通过滑动力学研究正畸牙齿移动过程中牙根的机械应力,已建立了一个包含人类下颌牙弓所有层次及正畸矫治器的三维有限元模型,以模拟正畸牙齿移动过程中牙根的机械应力。将与水平轴呈0度、30度和45度的2N模拟正畸力施加于牙冠。有限元分析表明,当对牙齿施加正畸力时,应力主要集中在牙颈部,向根尖和牙冠均匀递减。犬牙颈部边缘牙根的最高应力为0.621N/mm²,犬牙根尖区域的最高应力为0.114N/mm²。犬牙牙冠顶部的位移量最大(2.417微米),而最低位移量位于犬牙根尖区域(0.043微米)。总之,该模型可能使人们能够在临床上模拟正畸牙齿移动。2N的滑动力是确保牙齿整体正畸移动的理想选择。当与水平轴呈0度、30度和45度的2N正畸力作用时,牙根中的最高应力集中始终位于颈部边缘,因此在临床病例中使用与水平轴呈0度、30度和45度的2N正畸力时,可能存在相同的牙根吸收风险。

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