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双力偶正畸矫治器系统:转矩弓丝

Two-couple orthodontic appliance systems: torquing arches.

作者信息

Isaacson R J, Rebellato J

机构信息

Department of Orthodontics, Virginia Commonwealth University, Richmond 232908-0566, USA.

出版信息

Semin Orthod. 1995 Mar;1(1):31-6. doi: 10.1016/s1073-8746(95)80086-7.

Abstract

Twists placed in an arch wire between incisor brackets are often used in an attempt to obtain root torque. This is only partially effective because of the equal and opposite reciprocals acting on the adjacent teeth. Alternatively, a V-bend in a torquing arch, inserted at only the molar and incisor brackets, may use the bending properties of the arch wire to create dissimilar moments in a two-bracket system. If the greater moment is present at the incisors, all of the incisors are rotated en masse in the same direction, with the associated equal and opposite vertical equilibrium forces directed at the incisors and molars. The lesser moment at the molar also usually has equilibrium forces that may reduce or supplement vertical forces at the molar and incisor depending on the magnitude and direction of the moment present. If the arch wire is unrestrained the resulting tooth movement shows rotation of the incisors around the CRes and movement of the CRes in the direction of the vertical equilibrium force present. The alternative use of a single force to rotate incisor crowns facially results in a reciprocal distal force at the posterior teeth and rotation of the incisors with a center of rotation apical to the CRes.

摘要

在切牙托槽之间的弓丝上放置扭转通常用于试图获得牙根转矩。但由于作用于相邻牙齿的大小相等、方向相反的反作用力,这种方法仅部分有效。另外,在仅插入磨牙和切牙托槽的转矩弓上制作一个V形弯曲,可以利用弓丝的弯曲特性在双托槽系统中产生不同的力矩。如果切牙处存在较大的力矩,所有切牙会整体沿相同方向旋转,同时在切牙和磨牙处存在相关的大小相等、方向相反的垂直平衡力。磨牙处较小的力矩通常也有平衡力,这可能会根据力矩的大小和方向减少或补充磨牙和切牙处的垂直力。如果弓丝不受约束,由此产生的牙齿移动表现为切牙围绕抗力中心旋转以及抗力中心沿现有垂直平衡力的方向移动。另外,使用单一力使切牙冠向面部旋转会在后牙处产生反向远中力,并使切牙以抗力中心根尖方向为旋转中心进行旋转。

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