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正畸保持器的材料类型和位置在抵抗轴向力或颊向力方面的作用。

The Effect of Material Type and Location of an Orthodontic Retainer in Resisting Axial or Buccal Forces.

作者信息

Ohtonen Jaana, Lassila Lippo, Säilynoja Eija, Vallittu Pekka K

机构信息

BioCity Turku Biomaterials and Medical Device Research Program, Department of Biomaterials Science, Institute of Dentistry, University of Turku, 20520 Turku, Finland.

City of Kotka Municipal Health Centre, 48600 Kotka, Finland.

出版信息

Materials (Basel). 2021 Apr 29;14(9):2319. doi: 10.3390/ma14092319.

Abstract

The purpose of this study was to investigate the effect of retainer material and retainer position on a tooth to resist movement of the tooth in a simulation model. Bidirectional continuous glass fiber-reinforced composite (FRC) retainers and control retainers of steel wires were tested. The FRC retainers had a polymer matrix of bisphenol-A-glycidyldimethacrylate (bis-GMA) and poly(methylmethacrylate) (PMMA), and it was cured with a photoinitiator system. The retainers were adhered to a lower jaw Frasaco model in two different positions. Resistance against the movement of one tooth was measured from two directions. The average load values within the FRC retainer groups were higher than within the metal retainer groups. The load values for the groups loaded from the axial direction were higher than those loaded from the buccal direction. FRC retainers, which were located 1-2 mm from the incisal edge, showed higher load values than those located 4-5 mm from the incisal edge. There was a significant difference in load values between FRC retainers and metal retainers ( < 0.01). The wire position and the direction of force also had significant effects ( < 0.01). There were no significant differences between metal retainer groups. The results of this study suggest that metal retainers are more flexible, allowing for tooth movements of larger magnitude than with FRC retainers.

摘要

本研究的目的是在模拟模型中研究固位材料和固位位置对牙齿抵抗牙齿移动的影响。测试了双向连续玻璃纤维增强复合材料(FRC)固位体和钢丝对照固位体。FRC固位体具有双酚A-缩水甘油二甲基丙烯酸酯(双-GMA)和聚甲基丙烯酸甲酯(PMMA)的聚合物基体,并用光引发剂体系固化。固位体在两个不同位置粘结到下颌Frasaco模型上。从两个方向测量一颗牙齿移动的阻力。FRC固位体组内的平均载荷值高于金属固位体组。轴向加载组的载荷值高于颊向加载组。距切缘1-2mm的FRC固位体的载荷值高于距切缘4-5mm的固位体。FRC固位体和金属固位体之间的载荷值存在显著差异(<0.01)。钢丝位置和力的方向也有显著影响(<0.01)。金属固位体组之间没有显著差异。本研究结果表明,金属固位体更灵活,与FRC固位体相比,允许更大幅度的牙齿移动。

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