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多用唇弓作用下左下颌中切牙和第一磨牙牙周组织应力分布的三维有限元分析

康振中1,2,胡 敏1,吴 洪3,刘 磊3   

  1. 1.吉林大学口腔医院正畸科,吉林 长春 130041;2.解放军第461医院口腔科,吉林 长春 130021; 3.吉林大学机械与工程学院力学实验中心,吉林 长春 130025
  • 收稿日期:2007-05-28 修回日期:1900-01-01 出版日期:2008-05-28 发布日期:2008-05-28
  • 通讯作者: 胡 敏

Three-dimensional finite element stress analysis in periodontal tissue of left mandibular incisor and first molar with Richtts Arch

KANG Zhen-zhong1,2, HU Min1, WU Hong3, LIU Lei3   

  1. 1.Department of Orthodontics,Stomatology Hospital,Jilin University,Changchun 130041,China;2.Department of Stomatology,No.461 Hospital of PLA, Changchun 130062,China;3.Experiment Center of College of Mechanics,Mechanical Science and Engineering,Jinlin University,Changchun 130025,China
  • Received:2007-05-28 Revised:1900-01-01 Online:2008-05-28 Published:2008-05-28
  • Contact: HU Min

摘要: 目的:定性定量研究多用唇弓作用下牙周组织应力分布情况,为临床正确应用多用唇弓提供理论根据。方法:通过建立包括牙周膜、牙槽骨的左下颌中切牙和左下颌第一磨牙的三维有限元模型,分析多用唇弓作用下牙体与牙周组织的应力分布以及牙体的位移情况,明确牙齿移动的机制。结果:左下中切牙受力-0.34 N,左下第一磨牙受力0.65 N(负为压力,正为拉力);左下颌第一磨牙牙根表面、牙周膜、牙槽骨所受的最大拉应力均位于近中侧牙颈部,最大压应力位于远中侧牙颈部;下中切牙牙根表面、牙周膜、牙槽骨所受的最大拉应力位于牙颈部舌侧,最大压应力均位于根尖区;运动趋势:左下颌第一磨牙有近中冠向、远中根向及向远中和舌侧运动的趋势;左下颌中切牙有向舌侧压低和近中移动的趋势。结论:应用多用唇弓时必须在支抗磨牙区增加额外支抗,以防止不利的牙齿移动。

关键词: 多用唇弓, 牙应力分析, 有限元

Abstract: Abstract:Objective To investigate the stress in the periodontal tissues using three-dimansional finite element method when Richtts Arch was used. Methods Three-dimensional finite element models of the lower left central incisor and first molar were set up by means of CT.Stress distribution in root,PDL and alveolar bone,and the tendency of the tooth movement were obtained by calculation under Richtts Arch.Results The value of the force at the left lower incisor was -0.34 Newton and the value of the force at the left lower molar was 0.65 Newton.The molar model revealed that the tensile stress concentration was at the mesial root cervix and the compressive stress was at the distal root cervix.The incisor model showed that the tensile stress was concentrated at the lingual cervix and the compressive stress was concentrated at the apical tip.The arch wire exerted intruding force,lingual force and the incisor tended to lingual movement and intruding movement.The molar had the tendency of lingual movement and distal tipping movement.Conclusion The anchorage molar will incline mesially when Richtts Arch is used in treatment of deep overbite,the additional torque must be used in the anchorage molar.

Key words: Richtts Arch, dental stress analysis, finite element

中图分类号: 

  • R783.5