›› 2014, Vol. 34 ›› Issue (4): 257-257.

• 基础与临床研究 • 上一篇    下一篇

J钩高位牵引压低内收上颌切牙的三维有限元分析

曹伟清1,陈锋艳2,郭玉杰3   

  1. 1. 无锡市精神卫生中心
    2. 昆山市千灯人民医院口腔科
    3. 东南大学机械工程学院
  • 收稿日期:2013-08-26 修回日期:2013-10-11 出版日期:2014-04-28 发布日期:2014-05-15
  • 通讯作者: 曹伟清 E-mail:white-storm2003@163.com

Three-dimensional finite element analysis of maxillary incisor intrusion and retrusion with high-pull J-hook

  • Received:2013-08-26 Revised:2013-10-11 Online:2014-04-28 Published:2014-05-15
  • Contact: cao weiqing E-mail:white-storm2003@163.com

摘要: [摘要]目的 分析J钩高位牵引时牵引钩高度变化对切牙牙周膜应力和初始位移的影响,探讨J 钩牵引过程中的力学机制,为临床正畸提供客观的理论依据。 方法 建立上颌牙齿及矫治器的三维有限元模型;牵引钩高度分2、4、6、8、10、12 mm 6种高度;于牵引钩顶端加载与矢状面颊向30°及与牙合平面向上30°,力大小为1.5 N;描绘出上颌切牙牙周膜应力图和初始位移图。结果当牵引钩高度增加时,中切牙最大主压应力变大,牵引钩高度小于4 mm时表现为舌倾压低,牵引钩高度大于8 mm时表现为唇倾压低;侧切牙最大主压应力值先变小后增大,在牵引钩高度为4 mm时最小、12 mm时最大,舌倾伸长趋势增加。结论 J钩高位牵引时随着牵引钩高度增加,中切牙从舌倾压低变为唇倾压低;侧切牙舌倾伸长趋势增加。

关键词: 上颌切牙, 三维有限元, J 钩, 牵引钩

Abstract: Abstract: Objective To analyze the effect of different heights of the traction hook on the stress distribution on the maxillary incisors periodontal ligament and initial displacement and to discuss the mechanical mechanism in the process of J-hook traction in order to provide objective theory basis for clinical orthodontics. Methods Three-dimensional finite element models of the maxillary anterior teeth and the appliance werefirst established; the traction hook height was respectively 2,4,6,8,10 and 12 mm;a fixed angle of 30°was maintainedfrom the sagittal plane toward cheek and occlusal plane upward with 1.5 N; A seriesof stress distributionmaps and initial displacement maps were made. Results With the traction hook height increasing,the maximum principal compressive stress of central incisors became larger,and lingual inclination was down when traction hook height was less than 4 mm,while the labial inclinationwas down with hook height greater than 8 mm; the maximum principal stress of lateral incisordecreased at first and then increased,with the minimum stressvalueoccurred attraction hook height of 4 mm while the maximum stressvalueoccurred attraction hook height of 12 mm,andthe elongation tendency of lingual inclination increasedwith the height of traction hook increasing. Conclusions As towing hook height increases,the central incisors trend to lingually -down at firstand thenlabially -down; the lingual inclination elongationtendency of lateral incisor increaseswith the height of traction hook increasing.

Key words: maxillary incisors, dimensional finite element, J hooks, traction hook

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