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[微种植体支抗与滑动机制对上颌前牙内收的三维有限元分析]

[Three dimensional finite element analysis of maxillary anterior teeth retraction with micro-implant anchorage and sliding mechanics].

作者信息

Zhang Yi, Zhang Lei, Fan Yu-bo, Song Jin-lin, Deng Feng

机构信息

Dept. of Orthodontics, The Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 400015, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2009 Oct;27(5):557-60.

Abstract

OBJECTIVE

To investigate the biomechanical effects of micro-implant anchorage technique with sliding mechanics on maxillary anterior teeth retraction under different implant insertion heights and different retraction hook heights.

METHODS

The three dimensional finite element model of maxillary anterior teeth retraction force system was constructed with CT scanning and MIMICS software and the relationships between brackets, teeth, wire and micro-implant were simulating the clinical factions. Then the initial tooth displacement was calculated when the insertion heights were 4 mm and 8 mm and the retraction hook heights were 1, 4, 7, 10 mm respectively.

RESULTS

With retraction hook height added, the anterior teeth movement changed from lingual crown tipping to labial crown tipping and the intrusion movement was more apparent when the micro-implant was inserted in a higher location.

CONCLUSION

The ideal teeth movement control could be achieved by different insertion heights of micro-implant and different retraction hook heights in straight wire retraction force system.

摘要

目的

探讨微种植体支抗技术结合滑动机制在不同种植体植入高度和不同牵引钩高度下对上颌前牙内收的生物力学影响。

方法

采用CT扫描和MIMICS软件构建上颌前牙内收力系统的三维有限元模型,模拟临床情况下托槽、牙齿、弓丝与微种植体之间的关系。然后分别计算种植体植入高度为4mm和8mm、牵引钩高度为1、4、7、10mm时的初始牙齿位移。

结果

随着牵引钩高度增加,前牙移动方式从冠舌向倾斜转变为冠唇向倾斜,且微种植体植入位置较高时,压低移动更明显。

结论

在直丝弓内收力系统中,通过不同的微种植体植入高度和不同的牵引钩高度可实现理想的牙齿移动控制。

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