隐形矫治内收上前牙生物力学特性有限元分析
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李珂(1994.11-),女,河南信阳人,硕士,主治医师,主要从事口腔生物力学研究

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R783.5

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Finite Element Analysis of Biomechanical Properties in Maxillary Anterior Teeth Retraction Under Invisible Appliance
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    摘要:

    目的 分析牙周炎情形下隐形矫治内收上前牙口颌系统相关生物力学特性,旨在为此类患者隐形矫 治方案提供理论基础与临床指导。方法 采用三维有限元分析方法,基于志愿者颌面部CT数据与医学/工 程软件,提取并建立志愿者佩戴隐形矫治器的口腔上颌组织三维模型,即无牙周炎(A组)、轻度牙周炎 (B组)和中度牙周炎(C组)。在有限元分析结果中,分别在A、B和C组中监测左侧上颌前牙位移情况 和牙周膜受力情况。结果 在矫治载荷下,A、B、C三组上颌前牙均产生了有效位移,即随牙周炎程度加 重,牙冠切端和尖牙牙尖处附近总位移呈先增加后略减少趋势,根尖位移随牙周炎程度增加而不断减小, 牙冠和牙根之间整体位移差持续增加。上颌前牙颈部附近牙周膜(应力集中区)所受应力值随牙周炎程度 呈先增加后略有下降趋势,但仍大于无牙周炎情况。结论 对于牙周炎患者隐形矫治内收上前牙,可通过 增加根舌扭矩和减少内收载荷等方式,促使牙齿整体移动,且最大限度减少对牙周膜的应力损伤,以获得 更加安全有效的隐形矫治效果。

    Abstract:

    Objective To analyze the biomechanical properties of the oral and maxillofacial system of the maxillary anterior teeth in the case of periodontitis, and to provide theoretical basis and clinical guidance for the invisible orthodontic treatment of such patients. Methods Based on volunteers' maxillofacial CT data and medical/engineering software, a three-dimensional finite element analysis method was used to extract and establish a three-dimensional model of oral maxillary tissue of volunteers under invisible appliance, namely, no periodontitis (group A), mild periodontitis (group B) and moderate periodontitis (group C). In the finite element analysis results, the displacement of the left maxillary anterior teeth and the stress of the periodontal ligament were monitored in groups A, B and C, respectively. Results Under the correction load, the maxillary anterior teeth of the three groups A, B and C all produced effective displacement, that is, with the increase of periodontitis, the total displacement near the incisal end of the crown and the cusp of the canine increased first and then decreased slightly. The displacement of the root tip decreased with the increase of periodontitis, and the overall displacement difference between the crown and the root continued to increase. The stress value of periodontal ligament (stress concentration area ) near the neck of maxillary anterior teeth increased first and then decreased slightly with the degree of periodontitis, but it was still greater than that without periodontitis. Conclusion For periodontitis patients with maxillary anterior teeth retraction under invisible appliance, the overall movement of the teeth can be induced by increasing the root-lingual torque and reducing the internal retraction load, and the stress damage to the periodontium can be minimized, so as to obtain a more safe and effective invisible correction effect.

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李珂,洪蕾蕾.隐形矫治内收上前牙生物力学特性有限元分析[J].医学美学美容,2025,47(1):62-65.

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  • 在线发布日期: 2025-02-10
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