Department of Automation, Shanghai Jiao Tong University, Shanghai, 200240, People's Republic of China.
Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, 518055, People's Republic of China.
Int J Numer Method Biomed Eng. 2019 May;35(5):e3189. doi: 10.1002/cnm.3189. Epub 2019 Mar 3.
Orthodontic force simulation of tooth provides important guidance for clinical orthodontic treatment. However, previous studies did not involve the simulation of orthodontic force of archwire applied to full dentition. This study aimed to develop a method to simulate orthodontic force of tooth produced by loading a continuous archwire to full dentition using finite element method.
A three-dimensional tooth-periodontal ligament-bone complex model of mandible was reconstructed from computed tomography images, and models of brackets and archwire were built. The simulation was completed through two steps. First, node displacements of archwire before and after loading were estimated through moving virtual brackets to drive archwire deformation. Second, the obtained node displacements were loaded to implement the loading of archwire, and orthodontic force was calculated. An orthodontic force tester (OFT) was used to measure orthodontic force in vitro for the validation.
After the simulation convergence, archwire was successfully loaded to brackets, and orthodontic force of teeth was obtained. Compared with the measured orthodontic force using the OFT, the absolute difference of the simulation results ranged from 0.5 to 22.7 cN for force component and ranged from 2.2 to 80.0 cN•mm for moment component, respectively. The relative difference of the simulation results ranged from 2.5% to 11.0% for force component, and ranged from 0.6% to 14.7% for moment component, respectively.
The developed orthodontic force simulation method based on virtual bracket displacement can be used to simulate orthodontic force provided by the archwire applied to full dentition.
牙齿正畸力模拟可为临床正畸治疗提供重要指导。然而,以往的研究并未涉及到对弓丝施加于全牙列的正畸力的模拟。本研究旨在开发一种使用有限元方法模拟连续弓丝加载于全牙列时牙齿正畸力的方法。
从 CT 图像重建下颌三维牙齿-牙周韧带-骨复合体模型,并构建托槽和弓丝模型。通过两步完成模拟。首先,通过移动虚拟托槽来驱动弓丝变形,估算加载前后弓丝的节点位移。其次,将获得的节点位移加载到弓丝上,计算正畸力。体外采用正畸力测试仪(OFT)进行验证测量。
模拟收敛后,成功将弓丝加载到托槽上,并获得牙齿的正畸力。与使用 OFT 测量的正畸力相比,模拟结果的绝对值差异在力分量上的范围为 0.5 至 22.7 cN,在力矩分量上的范围为 2.2 至 80.0 cN·mm。模拟结果的相对差异在力分量上的范围为 2.5%至 11.0%,在力矩分量上的范围为 0.6%至 14.7%。
基于虚拟托槽位移的正畸力模拟方法可用于模拟弓丝施加于全牙列的正畸力。