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使用HOSEA(用于正畸模拟、评估和分析的六足机器人)对带扭矩弓丝的正畸牙齿移动进行力控制生物力学模拟。

Force-Controlled Biomechanical Simulation of Orthodontic Tooth Movement with Torque Archwires Using HOSEA (Hexapod for Orthodontic Simulation, Evaluation and Analysis).

作者信息

Haas Ellen, Schmid Andreas, Stocker Thomas, Wichelhaus Andrea, Sabbagh Hisham

机构信息

Department of Orthodontics and Dentofacial Orthopedics, LMU University Hospital, LMU Munich, Goethestraße 70, 80336 Munich, Germany.

出版信息

Bioengineering (Basel). 2023 Sep 7;10(9):1055. doi: 10.3390/bioengineering10091055.

DOI:10.3390/bioengineering10091055
PMID:37760157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10525810/
Abstract

This study aimed to investigate the dynamic behavior of different torque archwires for fixed orthodontic treatment using an automated, force-controlled biomechanical simulation system. A novel biomechanical simulation system (HOSEA) was used to simulate dynamic tooth movements and measure torque expression of four different archwire groups: 0.017″ x 0.025″ torque segmented archwires (TSA) with 30° torque bending, 0.018″ x 0.025″ TSA with 45° torque bending, 0.017″ x 0.025″ stainless steel (SS) archwires with 30° torque bending and 0.018″ x 0.025″ SS with 30° torque bending ( = 10/group) used with 0.022″ self-ligating brackets. The Kruskal-Wallis test was used for statistical analysis ( < 0.050). The 0.018″ x 0.025″ SS archwires produced the highest initial rotational torque moment (M) of -9.835 Nmm. The reduction in rotational moment per degree (M/R) was significantly lower for TSA compared to SS archwires ( < 0.001). TSA 0.018″ x 0.025″ was the only group in which all archwires induced a min. 10° rotation in the simulation. Collateral forces and moments, especially F, F and M, occurred during torque application. The measured forces and moments were within a suitable range for the application of palatal root torque to incisors for the 0.018″ x 0.025″ archwires. The 0.018″ x 0.025″ TSA reliably achieved at least 10° incisal rotation without reactivation.

摘要

本研究旨在使用自动化的力控生物力学模拟系统,研究用于固定正畸治疗的不同扭矩弓丝的动态行为。采用一种新型生物力学模拟系统(HOSEA)来模拟牙齿的动态移动,并测量四种不同弓丝组的扭矩表达:具有30°扭矩弯曲的0.017″×0.025″扭矩分段弓丝(TSA)、具有45°扭矩弯曲的0.018″×0.025″TSA、具有30°扭矩弯曲的0.017″×0.025″不锈钢(SS)弓丝以及具有30°扭矩弯曲的0.018″×0.025″SS弓丝(每组n = 10),与0.022″自结扎托槽配合使用。采用Kruskal - Wallis检验进行统计分析(P < 0.050)。0.018″×0.025″SS弓丝产生的初始旋转扭矩力矩(M)最高,为 - 9.835 Nmm。与SS弓丝相比,TSA的每度旋转力矩降低值(M/R)显著更低(P < 0.001)。0.018″×0.025″TSA是模拟中唯一所有弓丝均能诱导至少10°旋转的组。在施加扭矩过程中会出现附带力和力矩,尤其是F、F和M。对于0.018″×0.025″弓丝,所测量的力和力矩在用于对切牙施加腭根扭矩的合适范围内。0.018″×0.025″TSA能够可靠地实现至少10°的切牙旋转,且无需再次激活。

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本文引用的文献

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