Hemanth M, Deoli Shilpi, Raghuveer H P, Rani M S, Hegde Chatura, Vedavathi B
Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India.
Consultant Orthodontist, Bengaluru, Karnataka, India.
J Int Oral Health. 2015 Aug;7(8):129-33.
Orthodontic tooth movement is a complex procedure that occurs due to various biomechanical changes in the periodontium. Optimal orthodontic forces yield maximum tooth movement whereas if the forces fall beyond the optimal threshold it can cause deleterious effects. Among various types of tooth movements intrusion and lingual root torque are associated with causing root resoprtion, especially with the incisors. Therefore in this study, the stress patterns in the periodontal ligament (PDL) were evaluated with intrusion and lingual root torque using finite element method (FEM).
A three-dimensional (3D) FEM model of the maxillary incisors was generated using SOLIDWORKS modeling software. Stresses in the PDL were evaluated with intrusive and lingual root torque movements by a 3D FEM using ANSYS software using linear stress analysis.
It was observed that with the application of intrusive load compressive stresses were distributed at the apex whereas tensile stress was seen at the cervical margin. With the application of lingual root torque maximum compressive stress was distributed at the apex and tensile stress was distributed throughout the PDL.
For intrusive and lingual root torque movements stress values over the PDL was within the range of optimal stress value as proposed by Lee, with a given force system by Proffit as optimum forces for orthodontic tooth movement using linear properties.
正畸牙齿移动是一个复杂的过程,它是由牙周组织的各种生物力学变化引起的。最佳正畸力可产生最大程度的牙齿移动,而如果力超过最佳阈值,则可能会产生有害影响。在各种类型的牙齿移动中,压低和舌向牙根转矩与牙根吸收有关,尤其是在前牙。因此,在本研究中,使用有限元方法(FEM)评估了压低和舌向牙根转矩作用下牙周膜(PDL)中的应力模式。
使用SOLIDWORKS建模软件生成上颌切牙的三维(3D)有限元模型。使用ANSYS软件通过三维有限元方法,采用线性应力分析,评估压低和舌向牙根转矩移动时牙周膜中的应力。
观察到,施加压低载荷时,压应力分布在根尖,而拉应力出现在颈部边缘。施加舌向牙根转矩时,最大压应力分布在根尖,拉应力分布在整个牙周膜。
对于压低和舌向牙根转矩移动,在给定的力系统下,牙周膜上的应力值在Lee提出的最佳应力值范围内,该力系统是Proffit提出的正畸牙齿移动的最佳力,采用线性特性。