Luo Rui, Zhao Zhenda, Leng Huijie, Huo Bo
Biomechanics Lab, Department of Mechanics, School of Aerospace Engineering, Beijing Institute of Technology, Beijing 100081, P.R.China.
Department of Orthopaedics, Peking University Third Hospital, Beijing 100191, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Feb 25;37(1):87-95. doi: 10.7507/1001-5515.201903019.
Fluid shear stress (FSS) caused by interstitial fluid flow within trabecular bone cavities under mechanical loading is the key factor of stimulating biological response of bone cells. Therefore, to investigate the FSS distribution within cancellous bone is important for understanding the transduction process of mechanical forces within alveolar bone and the regulatory mechanism at cell level during tooth development and orthodontics. In the present study, the orthodontic tooth movement experiment on rats was first performed. Finite element model of tooth-periodontal ligament-alveolar bone based on micro computed tomography (micro-CT) images was established and the strain field in alveolar bone was analyzed. An ideal model was constructed mimicking the porous structure of actual rat alveolar bone. Fluid flow in bone was predicted by using fluid-solid coupling numerical simulation. Dynamic occlusal loading with orthodontic tension loading or compression loading was applied on the ideal model. The results showed that FSS on the surface of the trabeculae along occlusal direction was higher than that along perpendicular to occlusal direction, and orthodontic force has little effect on FSS within alveolar bone. This study suggests that the orientation of occlusal loading can be changed clinically by adjusting the shape of occlusal surface, then FSS with different level could be produced on trabecular surface, which further activates the biological response of bone cells and finally regulates the remodeling of alveolar bone.
机械负荷下松质骨腔隙内组织液流动所产生的流体剪切应力(FSS)是刺激骨细胞生物学反应的关键因素。因此,研究松质骨内的FSS分布对于理解牙槽骨内机械力的传导过程以及牙齿发育和正畸过程中细胞水平的调节机制具有重要意义。在本研究中,首先对大鼠进行了正畸牙齿移动实验。基于微计算机断层扫描(micro-CT)图像建立了牙齿-牙周膜-牙槽骨的有限元模型,并分析了牙槽骨内的应变场。构建了一个模拟实际大鼠牙槽骨多孔结构的理想模型。采用流固耦合数值模拟预测骨内的流体流动。对理想模型施加正畸张力负荷或压缩负荷的动态咬合负荷。结果表明,沿咬合方向的小梁表面的FSS高于垂直于咬合方向的FSS,正畸力对牙槽骨内的FSS影响较小。本研究表明,临床上可通过调整咬合面形状来改变咬合负荷的方向,进而在小梁表面产生不同水平的FSS,进一步激活骨细胞的生物学反应,最终调节牙槽骨的重塑。