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腭侧阻生尖牙的位移及牙周应力分析——有限元分析

Displacement and periodontal stress analysis on palatally impacted canine - A finite element analysis.

作者信息

Nagendraprasad Komal, Mathew Silju, Shivamurthy Prashantha, Sabrish Sharanya

机构信息

Department of Orthodontics, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.

出版信息

Indian J Dent Res. 2019 Sep-Oct;30(5):788-793. doi: 10.4103/ijdr.IJDR_1_17.

Abstract

OBJECTIVE

The aim of the study was to analyze the displacement and stress pattern in periodontal ligament (PDL) of palatally impacted canines (PIC) lateral incisors (LI) and first premolars (FP) adjacent to the impacted teeth when different magnitudes of orthodontic extrusion forces were applied along with variation in the inclination of the impacted teeth.

METHODOLOGY

A three-dimensional finite element model of a maxilla containing a palatally impacted canine was made with three different inclinations of the palatally impacted canine (model one, model two, and model three). Forces of 50, 70, and 100 g were loaded on the impacted tooth.

RESULTS

There was steady increase in the initial rate of displacement in the three teeth when the magnitude of the force that was applied on to the PIC increased. The initial rate of displacement was more in the FP tooth as compared to LI and the impacted teeth. The von Mises stress on the PDL varied along with the variation in the inclination of the impacted canine.

CONCLUSION

The study showed that there was variation in the displacement and the stress distribution in the impacted canine when it was placed in different angulations. The rate of displacement of the impacted teeth reduced when the crown of the palatally impacted canines (PIC) was inclined more mesial. The use of minimal forces is ideal to extrude the impacted canines as observed from the study that the PDL stress increases with increase in the magnitude of force.

摘要

目的

本研究旨在分析当施加不同大小的正畸矫治力以及阻生牙倾斜度发生变化时,上颌骨中腭侧阻生尖牙(PIC)、侧切牙(LI)和第一前磨牙(FP)牙周膜(PDL)的位移和应力模式。

方法

制作了一个包含腭侧阻生尖牙的上颌骨三维有限元模型,该腭侧阻生尖牙有三种不同的倾斜度(模型一、模型二和模型三)。在阻生牙上施加50、70和100克的力。

结果

当施加于PIC的力的大小增加时,三颗牙齿的初始位移速率稳步增加。与LI和阻生牙相比,FP牙的初始位移速率更大。PDL上的von Mises应力随阻生尖牙倾斜度的变化而变化。

结论

研究表明,当阻生尖牙处于不同角度时,其位移和应力分布存在差异。当腭侧阻生尖牙(PIC)的牙冠向近中倾斜更多时,阻生牙的位移速率降低。从研究中观察到PDL应力随力的大小增加而增加,因此使用最小的力来矫治阻生尖牙是理想的。

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