Siatkowski R E
Am J Orthod Dentofacial Orthop. 1997 Oct;112(4):393-402. doi: 10.1016/s0889-5406(97)70047-7.
In Part I, a systematic approach to closing loop design for use in continuous arch wires is presented. The design process uses Castigliano's theorem to derive equations for moment-to-force ratio (M/F) in terms of loop geometry. The equations are used to optimize designs by optimizing M/F to produce tooth movement via translation. Further refinements are performed with finite element simulations of designs. In Part II, predicted results are verified experimentally. The result of this process is a new design, the Opus loop, which is capable of delivering a nonvarying target M/F within the range of 8.0 to 9.1 mm inherently, without adding residual moments via twist or bends (commonly gable bends) anywhere in the arch wire or loop before insertion. The resulting precise force systems delivered with nonvarying M/F can move groups of teeth more accurately to achieve predetermined anteroposterior treatment goals for esthetics and/or stability. In Part II the experimental results show that the loops must be bent accurately to achieve their design potential. The negative impact on M/F of various dimensional changes to the loop design are presented. Experimental data are presented illustrating the improved performance of the new design over standard available designs. Suggested applications of the design for varying anchorage requirements are presented, along with a case report in which rigorous protraction requirements were met.
在第一部分中,介绍了一种用于连续弓丝的闭环设计的系统方法。设计过程使用卡斯蒂利亚诺定理来推导关于弯矩与力之比(M/F)的方程,该方程基于弓丝弯圈的几何形状。这些方程用于通过优化M/F来优化设计,以通过平移产生牙齿移动。通过对设计进行有限元模拟来进一步完善设计。在第二部分中,对预测结果进行了实验验证。这一过程的结果是一种新的设计,即奥普斯弯圈(Opus loop),它能够在8.0至9.1毫米的范围内固有地提供不变的目标M/F,而无需在插入前在弓丝或弯圈的任何位置通过扭转或弯曲(通常是山墙弯曲)产生残余力矩。由此产生的具有不变M/F的精确力系统可以更准确地移动牙齿组,以实现预定的美观和/或稳定的前后治疗目标。在第二部分中,实验结果表明,弯圈必须精确弯曲才能发挥其设计潜力。文中介绍了弯圈设计的各种尺寸变化对M/F的负面影响。给出了实验数据,说明了新设计相对于现有标准设计的性能改进。文中还介绍了该设计在不同支抗需求下的建议应用,以及一个满足严格前牵引需求的病例报告。