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正畸领域的突破:关于稳定盘如何改善微型种植体效果的实验研究

Breaking Barriers in Orthodontics: An Experimental Study on How Stabilization Discs Improve Mini-Implant Outcomes.

作者信息

Panaite Tinela, Romanec Cristian Liviu, Iacob Mihnea, Balcos Carina, Savin Carmen, Olteanu Nicolae Daniel, Vieriu Raluca-Maria, Alice Chehab, Zetu Irina Nicoleta

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iasi, Romania.

出版信息

Dent J (Basel). 2025 Feb 28;13(3):109. doi: 10.3390/dj13030109.

Abstract

The stabilization disc (SD) for orthodontic mini-implants is a novel device designed to enhance anchorage stability and minimize the risk of mini-implant mobility. The disc features a flat structure with four prongs and is crafted from biocompatible materials such as titanium or stainless steel. It provides additional support to mini-implants by improving force distribution and reducing stress concentration around the insertion site. This study aims to evaluate the biomechanical performance of mini-implants with an SD compared to without-SD mini-implants, with a specific focus on their ability to maintain anchorage under orthodontic loading conditions. : A finite element analysis (FEA) model was created for a commercially available mini-implant (2.0 mm in diameter and 12 mm in length). The mandible's anatomical structure was reconstructed in 3D from computed tomography (CT) scans using SpaceClaim software 2023.1. To simulate real-world orthodontic conditions, forces of 10 N were applied at an angle of 30°. This retrospective study explores the role of SDs in enhancing mini-implant stability by reducing displacement and optimizing stress distribution. The evaluation included analyzing von Mises stress, cortical bone deformation, and mini-implant movement under simulated orthodontic loading. The results demonstrate that the SD significantly reduces maximum total displacements by over 41% and redistributes von Mises stresses more evenly across the mini-implant and surrounding bone. Cortical bone stress and deformation were reduced in cases utilizing the SD, indicating enhanced implant stability and durability. : The stabilization disc enhances mini-implant stability by improving stress distribution and reducing deformation without requiring permanent implant modifications. Its adaptability makes it a valuable solution for managing variable bone density and high orthodontic forces, offering a promising advancement in orthodontic anchorage.

摘要

正畸微型种植体稳定盘(SD)是一种新型装置,旨在增强支抗稳定性并将微型种植体移动的风险降至最低。该盘具有带四个尖头的扁平结构,由钛或不锈钢等生物相容性材料制成。它通过改善力的分布和减少植入部位周围的应力集中,为微型种植体提供额外的支撑。本研究旨在评估带有SD的微型种植体与不带SD的微型种植体的生物力学性能,特别关注它们在正畸加载条件下保持支抗的能力。:为一种市售微型种植体(直径2.0毫米,长度12毫米)创建了有限元分析(FEA)模型。使用SpaceClaim软件2023.1从计算机断层扫描(CT)扫描中三维重建下颌骨的解剖结构。为模拟实际正畸情况,以30°角施加10 N的力。这项回顾性研究探讨了SD通过减少位移和优化应力分布在增强微型种植体稳定性方面的作用。评估包括分析在模拟正畸加载下的von Mises应力、皮质骨变形和微型种植体移动。结果表明,SD显著降低了最大总位移超过41%,并使von Mises应力在微型种植体和周围骨之间更均匀地重新分布。在使用SD的情况下,皮质骨应力和变形降低,表明种植体稳定性和耐久性增强。:稳定盘通过改善应力分布和减少变形来增强微型种植体稳定性,而无需对种植体进行永久性修改。其适应性使其成为处理可变骨密度和高正畸力的有价值解决方案,为正畸支抗提供了有前景的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c747/11941622/2a39cda652c6/dentistry-13-00109-g001.jpg

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