Woods M G
Department of Orthodontics, University of Oklahoma, Oklahoma City.
Am J Orthod Dentofacial Orthop. 1988 Mar;93(3):186-95. doi: 10.1016/s0889-5406(88)80002-7.
The effects of different combinations of segmented intrusion arch wires and anchorage units on the relative vertical positions of anterior and posterior teeth in the lower arch were demonstrated in four nongrowing baboons. Forces of between 90 and 100 g were delivered by the intrusion arch wires to the four lower incisor teeth in each animal over a period of 5 months. The dental and skeletal changes occurring during that period were assessed from lateral cephalometric radiographs. Lower incisor intrusion, determined by the vertical movement of an internal reference point, was demonstrated in each of the animals. However, the actual effects of the mechanics on the relative anterior and posterior vertical tooth positions, and consequently on the height of the lower face, were found to depend largely on the magnitude of the reactive moments acting on the anchorage units. It was suggested that in general, for a given intrusive force, the further forward the center of resistance is positioned in the anchorage unit, the smaller the reactive moment will be and the more incisor intrusion one might reasonably expect to achieve during arch leveling.
在四只成年狒狒身上展示了分段压低弓丝和支抗单位的不同组合对下牙弓前后牙齿相对垂直位置的影响。在5个月的时间里,压低弓丝向每只动物的四颗下切牙施加90至100克的力。在此期间发生的牙齿和骨骼变化通过头颅侧位X线片进行评估。通过内部参考点的垂直移动确定的下切牙压低在每只动物中都得到了证实。然而,发现力学对牙齿前后相对垂直位置的实际影响,进而对下脸部高度的影响,在很大程度上取决于作用于支抗单位的反作用力矩的大小。有人提出,一般来说,对于给定的压低力,抗力中心在支抗单位中的位置越靠前,反作用力矩就越小,在牙弓整平过程中可能合理预期实现的切牙压低就越多。