牙齿的抗力中心:文献综述

The center of resistance of a tooth: a review of the literature.

作者信息

Kuruthukulam Reene Mary, Patil Amol Somaji

机构信息

Department of Orthodontics and Dentofacial Orthopaedics, Bharati Vidyapeeth Dental College and Hospital, Pune, Maharashtra India.

出版信息

Biophys Rev. 2023 Jan 17;15(1):35-41. doi: 10.1007/s12551-023-01042-z. eCollection 2023 Feb.

Abstract

The center of resistance is considered the fundamental reference point for controlled tooth movement. Accurate determination of its location can greatly enhance the efficiency of orthodontic treatment. The purpose of this review was to analyse the scientific literature related to the location of center of resistance of tooth determined by various approaches. The literature describes three essential approaches to identify the center of resistance point, one being experimental in nature, one based on an analytical physical approach, and one using a numerical physical approach that uses a finite element simulation. A review on data referring to the location of the center of resistance, limited to single rooted tooth has been performed from electronic databases. It showed variation in its location related to the assumptions used in the model. The center of resistance of tooth therefore cannot be considered a static point, but rather as the composite point of all factors offering resistance to the applied force such as the tooth morphology and mass distribution within the tooth, the structure of the periodontium, the alveolar bone level, the adjacent teeth and direction of force applied.

摘要

抗力中心被视为控制牙齿移动的基本参考点。准确确定其位置可极大提高正畸治疗的效率。本综述的目的是分析通过各种方法确定的牙齿抗力中心位置的相关科学文献。文献描述了三种确定抗力中心点的基本方法,一种本质上是实验性的,一种基于分析物理方法,还有一种使用有限元模拟的数值物理方法。已从电子数据库对限于单根牙的抗力中心位置的数据进行了综述。结果显示其位置因模型中使用的假设而异。因此,牙齿的抗力中心不能被视为一个固定点,而应被看作是所有对抗施加力的因素的综合点,这些因素包括牙齿形态、牙齿内部的质量分布、牙周组织的结构、牙槽骨水平、相邻牙齿以及施加力的方向。

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