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通过有限元分析实现的一种基于力学的新型隐形正畸过度矫正设计。

A Novel Mechanics-Based Design for Overcorrection in Clear Aligner Orthodontics via Finite Element Analysis.

作者信息

Yang Sensen, Cheng Yumin

机构信息

Shanghai Key Laboratory of Mechanics in Energy Engineering, Shanghai Institute of Applied Mathematics and Mechanics, School of Mechanics and Engineering Science, Shanghai University, Shanghai 200072, China.

Smartee Biomechanics Research Laboratory, Shanghai Smartee Denti-Technology, Shanghai 201210, China.

出版信息

Bioengineering (Basel). 2025 Jan 24;12(2):110. doi: 10.3390/bioengineering12020110.

DOI:10.3390/bioengineering12020110
PMID:40001630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11852136/
Abstract

A simplified mechanics model of aligner-tooth interaction was developed to establish a precise computational method for overcorrection design in clear aligner orthodontics. Validated through finite element analysis and experiments, the results demonstrated that designing the movement of only the target teeth on the aligner leads to uneven force distribution on adjacent teeth, while an overcorrection design can evenly distribute the reaction force generated by pushing the target teeth to the anchorage teeth, reducing the maximum force on the anchorage teeth, minimizing unplanned tooth movement, and improving the efficacy of the designed tooth movement for all teeth.

摘要

建立了一种简化的矫治器与牙齿相互作用力学模型,以确立一种用于透明矫治器正畸中过度矫正设计的精确计算方法。通过有限元分析和实验验证,结果表明,仅设计矫治器上目标牙齿的移动会导致相邻牙齿上的力分布不均,而过度矫正设计可将推目标牙齿向支抗牙齿产生的反作用力均匀分布,降低支抗牙齿上的最大力,减少意外的牙齿移动,并提高所有牙齿设计牙齿移动的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/11397f9fe17c/bioengineering-12-00110-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/a1ab854c93d2/bioengineering-12-00110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/7010c669fa44/bioengineering-12-00110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/e700911d2140/bioengineering-12-00110-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/79e32d1a64ae/bioengineering-12-00110-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/e67b4ced7de3/bioengineering-12-00110-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/18eab0d4e55c/bioengineering-12-00110-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/9d2e2547ee63/bioengineering-12-00110-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/07da3c2d9c6c/bioengineering-12-00110-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/8597f319e5c5/bioengineering-12-00110-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/f9bbcf1dc02c/bioengineering-12-00110-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/4a0c6d08c478/bioengineering-12-00110-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/b96c584fe659/bioengineering-12-00110-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/11397f9fe17c/bioengineering-12-00110-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/a1ab854c93d2/bioengineering-12-00110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/7010c669fa44/bioengineering-12-00110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/e700911d2140/bioengineering-12-00110-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/79e32d1a64ae/bioengineering-12-00110-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/e67b4ced7de3/bioengineering-12-00110-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/18eab0d4e55c/bioengineering-12-00110-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/9d2e2547ee63/bioengineering-12-00110-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/07da3c2d9c6c/bioengineering-12-00110-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/8597f319e5c5/bioengineering-12-00110-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/f9bbcf1dc02c/bioengineering-12-00110-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/4a0c6d08c478/bioengineering-12-00110-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/b96c584fe659/bioengineering-12-00110-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7502/11852136/11397f9fe17c/bioengineering-12-00110-g013.jpg

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本文引用的文献

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Planned and achieved overjet and overbite changes following an initial series of Invisalign® aligners: A retrospective study of adolescent patients.在最初一系列隐适美矫治器治疗后计划并实现的覆盖和覆合变化:一项青少年患者的回顾性研究
Int Orthod. 2024 Sep;22(3):100888. doi: 10.1016/j.ortho.2024.100888. Epub 2024 May 27.
2
Does aligner refinement have the same efficiency in deep bite correction?: A retrospective study.矫正器精细调整在深覆合上的矫正效果是否相同?一项回顾性研究。
BMC Oral Health. 2024 Mar 15;24(1):338. doi: 10.1186/s12903-024-04099-8.
3
Don't forget to overcorrect and much more: The current finite element analysis publications related to clear-aligner treatments.
不要忘记过度矫正以及更多内容:当前与隐形矫治治疗相关的有限元分析出版物。
Am J Orthod Dentofacial Orthop. 2023 Dec;164(6):764-765. doi: 10.1016/j.ajodo.2023.08.011. Epub 2023 Sep 29.
4
Effects of overtreatment with different attachment positions on maxillary anchorage enhancement with clear aligners: a finite element analysis study.不同附件位置过度治疗对上颌支抗增强的影响:一项有限元分析研究。
BMC Oral Health. 2023 Sep 25;23(1):693. doi: 10.1186/s12903-023-03340-0.
5
Digital treatment planning and clear aligner therapy: A retrospective cohort study.数字化治疗计划与透明牙套矫治:回顾性队列研究。
J Orthod. 2023 Dec;50(4):361-366. doi: 10.1177/14653125231166015. Epub 2023 Apr 1.
6
Predictability of the deep overbite correction using clear aligners.使用透明牙套矫正深覆合的可预测性。
Am J Orthod Dentofacial Orthop. 2023 Jun;163(6):793-801. doi: 10.1016/j.ajodo.2022.07.019. Epub 2023 Jan 19.
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Perception of Need for Further Refinement in a Clear Aligner Treatment among Orthodontists, Dentists and Laypeople: A Retrospective Study.正畸医生、牙医和非专业人士对Clear Aligner 治疗进一步精细化需求的认知:一项回顾性研究。
Int J Environ Res Public Health. 2022 Nov 23;19(23):15498. doi: 10.3390/ijerph192315498.
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Analysis of overcorrection to be included for planning clear aligner therapy: a retrospective study.分析需要纳入计划的过矫正量以用于规划透明牙套治疗:一项回顾性研究。
Angle Orthod. 2023 Jan 1;93(1):11-18. doi: 10.2319/052022-371.1.
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Association between initial complexity, frequency of refinements, treatment duration, and outcome in Invisalign orthodontic treatment.隐适美正畸治疗中初始复杂度、修正频率、治疗持续时间与治疗效果的相关性研究。
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Evaluation of Tooth Movement Accuracy with Aligners: A Prospective Study.使用矫治器评估牙齿移动准确性:一项前瞻性研究。
Materials (Basel). 2022 Apr 4;15(7):2646. doi: 10.3390/ma15072646.