Hemanth M, Patil Chandrashekhargouda, Sunilkumar P, Raghuveer H P, Chandralekha B
Department of Orthodontics, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India.
J Contemp Dent Pract. 2013 Jan 1;14(1):104-10. doi: 10.5005/jp-journals-10024-1280.
The objective of this study was to estimate the increase in arch perimeter associated with mandibular lateral expansion, To estimate the increase in intermolar width with mandibular lateral expansion and to find out the changes of tooth inclination with mandibular expansion.
The mandibular bone with dentition of indian skeletal specimen was obtained. The computer tomogram (CT) slices of the mandible were taken. Finite element model (FEM): Numerical representation of the geometry was created by dividing the geometry into finite number of elements and the elements were connected together with nodes at the junction.
The result of the study showed when 10° of lateral expansion was applied to the lower buccal segment at the center of rotation found at 4.3 mm below the root apex of first molar, a space of 1.3 mm between the canine and first premolar, and thus an increase in arch perimeter of 2.6 mm.
The tip of the mesiolingual cusp of the first molar moved 4.2 mm laterally, resulting in a change in intermolar width by 8.4 mm. Three-dimensional simulation showed that 1 mm of intermolar expansion increased the arch perimeter by 0.30 mm.
As the finite element method evolves and scientists are able to more clearly define physical properties of biological tissues, more accurate information can be generated at the level that other analytical methods cannot fully provide data.This result would be of value clinically for prediction of the effects of mandibular expansion.
本研究的目的是评估下颌横向扩展相关的牙弓周长增加情况,评估下颌横向扩展相关的磨牙间宽度增加情况,并找出下颌扩展时牙齿倾斜度的变化。
获取带有印度骨骼标本牙列的下颌骨。拍摄下颌骨的计算机断层扫描(CT)切片。有限元模型(FEM):通过将几何形状划分为有限数量的单元,并在交界处用节点将这些单元连接在一起,创建几何形状的数值表示。
研究结果表明,当在第一磨牙根尖下方4.3毫米处的旋转中心对下颌颊侧段施加10°的横向扩展时,尖牙与第一前磨牙之间出现1.3毫米的间隙,从而使牙弓周长增加2.6毫米。
第一磨牙近中舌尖向外侧移动4.2毫米,导致磨牙间宽度变化8.4毫米。三维模拟显示,磨牙间扩展1毫米可使牙弓周长增加0.30毫米。
随着有限元方法的发展,科学家能够更清晰地定义生物组织的物理特性,在其他分析方法无法完全提供数据的层面上可以生成更准确的信息。该结果在临床上对于预测下颌扩展的效果具有价值。