Gupta Mayank, Madhok Kriti, Kulshrestha Rohit, Chain Stephen, Kaur Harmeet, Yadav Adarshika
Consulting Orthodontist, Private Practice, New Delhi, India.
Consulting Prosthodontist, Private Practice, New Delhi, India.
J Oral Biol Craniofac Res. 2020 Oct-Dec;10(4):758-763. doi: 10.1016/j.jobcr.2020.10.011. Epub 2020 Oct 17.
The purpose of this study was to evaluate the stress distribution on the maxillary central incisors by various tooth movements using three-dimensional finite element modeling with varying periodontal ligament (PDL) thickness and different alveolar bone height (at the apex and alveolar crest).
A Finite Element Modeling model was created using surface data of the tooth using SolidWorks Software. Different types of force (intrusion, extrusion, tipping, and bodily movement) were applied on the maxillary central incisor, with two different periodontal ligament thickness (0.15 mm and 0.24 mm) and alveolar bone height (at the apex and alveolar crest). Stress generated due to force applied due to different types of tooth movement was calculated and compared.
Maximum stresses generated under intrusion, extrusion, tipping, bodily movement were 9.0421 E N/mm for 0.15 mm pdl at alveolar bone, 7.2833 E N/mmfor 0.24 mm pdl labio-lingually, 9.1792 E N/mm at 0.15 mm pdl at alveolar bone height and 6.2208 E N/mm for 0.24 mm pdl at alveolar crest respectively.
The stress pattern seen was nearly the same in all the cases in both PDL thickness. The maximum stress pattern was found to be at the apex of the central incisor, reducing from apex to the cervical region. Intrusion, extrusion, and tipping movement showed the greatest amount of relative stress at the apex of the maxillary central incisor. The bodily movement produced forces at root apex and distributed it all over.
本研究旨在通过三维有限元建模,利用不同厚度的牙周膜(PDL)和不同的牙槽骨高度(根尖和牙槽嵴处),评估各种牙齿移动对上颌中切牙应力分布的影响。
使用SolidWorks软件根据牙齿表面数据创建有限元模型。对上颌中切牙施加不同类型的力(压入、伸出、倾斜和整体移动),同时设置两种不同的牙周膜厚度(0.15毫米和0.24毫米)以及牙槽骨高度(根尖和牙槽嵴处)。计算并比较因不同类型牙齿移动施加力而产生的应力。
在牙槽骨处0.15毫米牙周膜厚度下,压入、伸出、倾斜、整体移动产生的最大应力分别为9.0421E N/mm;在唇舌向0.24毫米牙周膜厚度下为7.2833E N/mm;在牙槽骨高度处0.15毫米牙周膜厚度下为9.1792E N/mm;在牙槽嵴处0.24毫米牙周膜厚度下为6.2208E N/mm。
在两种牙周膜厚度的所有情况下,所观察到的应力模式几乎相同。最大应力模式出现在中切牙的根尖处,从根尖向颈部区域逐渐减小。压入、伸出和倾斜移动在上颌中切牙根尖处显示出最大量的相对应力。整体移动在根尖处产生力并将其分散到各处。