Seidel Corinna L, Lipp Julian, Dotzer Benedikt, Janjic Rankovic Mila, Mertmann Matthias, Wichelhaus Andrea, Sabbagh Hisham
Department of Orthodontics and Dentofacial Orthopedics, University Hospital, LMU Munich, Goethestrasse 70, 80336 Munich, Germany.
Bioengineering (Basel). 2023 Nov 25;10(12):1356. doi: 10.3390/bioengineering10121356.
The Robot Orthodontic Measurement and Simulation System (ROSS) is a novel biomechanical, dynamic, self-regulating setup for the simulation of tooth movement. The intrusion of the front teeth with forces greater than 0.5 N poses a risk for orthodontic-induced inflammatory root resorption (OIIRR). The aim was to investigate forces and moments during simulated tooth intrusion using ROSS. Five specimens of sixteen unmodified NiTi archwires and seven NiTi archwires with intrusion steps from different manufacturers (Forestadent, Ormco, Dentsply Sirona) with a 0.012″/0.014″/0.016″ wire dimension were tested. Overall, a higher wire dimension correlated with greater intrusive forces F (0.012″: 0.561-0.690 N; 0.014″: 0.996-1.321 N; 0.016″: 1.44-2.254 N) and protruding moments M (0.012″: -2.65 to -3.922 Nmm; 0.014″: -4.753 to -7.384 Nmm; 0.016″: -5.556 to -11.466 Nmm) during the simulated intrusion of a 1.6 mm-extruded upper incisor. However, the 'intrusion efficiency' parameter was greater for smaller wire dimensions. Modification with intrusion steps led to an overcompensation of the intrusion distance; however, it led to a severe increase in F and M, e.g., the Sentalloy 0.016″ medium (Dentsply Sirona) exerted 2.891 N and -19.437 Nmm. To reduce the risk for OIIRR, 0.014″ NiTi archwires can be applied for initial aligning (without vertical challenges), and intrusion steps for the vertical levelling of extruded teeth should be bent in the initial archwire, i.e., 0.012″ NiTi.
机器人正畸测量与模拟系统(ROSS)是一种用于模拟牙齿移动的新型生物力学、动态、自我调节装置。施加超过0.5 N的力使前牙内收会引发正畸性炎性牙根吸收(OIIRR)的风险。本研究旨在使用ROSS研究模拟牙齿内收过程中的力和力矩。测试了16根未改性镍钛弓丝的5个样本以及7根来自不同制造商(Forestadent、Ormco、登士柏西诺德)的带有内收台阶的镍钛弓丝,其丝径为0.012″/0.014″/0.016″。总体而言,较大的丝径与更大的内收力F(0.012″:0.561 - 0.690 N;0.014″:0.996 - 1.321 N;0.016″:1.44 - 2.254 N)和突出力矩M(0.012″: - 2.65至 - 3.922 Nmm;0.014″: - 4.753至 - 7.384 Nmm;0.016″: - 5.556至 - 11.466 Nmm)相关,在模拟1.6 mm伸长的上颌切牙内收过程中。然而,较小丝径的“内收效率”参数更大。带有内收台阶的改性导致内收距离过度补偿;然而,这导致F和M大幅增加,例如,Sentalloy 0.016″中等型号(登士柏西诺德)施加2.891 N和 - 19.437 Nmm。为降低OIIRR的风险,0.014″镍钛弓丝可用于初始排齐(无垂直挑战),并且用于伸长牙齿垂直整平的内收台阶应在初始弓丝即0.012″镍钛弓丝上弯曲。