Haas Ellen, Schmid Andreas, Stocker Thomas, Wichelhaus Andrea, Sabbagh Hisham
Department of Orthodontics and Dentofacial Orthopedics, LMU University Hospital, LMU Munich, Goethestraße 70, 80336 Munich, Germany.
Bioengineering (Basel). 2023 Sep 7;10(9):1055. doi: 10.3390/bioengineering10091055.
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.
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。