上颌前牙的阻抗中心及其临床应用

摘要/Abstract

摘要： 正畸拔牙病例内收前牙时，常采用4个或6个前牙的整体移动，对上前牙转矩和垂直方向的控制是治疗成败的关键。阻抗中心是影响牙齿移动的重要生物力学概念。作用力通过前牙的阻抗中心时，前牙将产生整体移动。反之，则发生倾斜移动。该文旨在对上颌前牙阻抗中心的研究进展及其临床应用作一综述。

关键词: 阻抗中心, 上颌前牙, 正畸牙移动, 有限元分析

Abstract: In premolar extraction orthodontic cases, four incisors or six anterior teeth are usually retracted en masse. The torque and vertical control of maxillary anterior teeth is the key to success. The center of resistance (CR) is an important biomechanical factor that determines the mode of orthodontic tooth movement. If a force is applied with a line of action passing through the CR of maxillary anterior teeth, the anterior teeth will undergo bodily movement. Otherwise, inclination movement will occur. This review discussed the factors affecting the position of CR of maxillary anterior teeth and the clinical related implications.

Key words: center of resistance, maxillary anterior teeth, orthodontic tooth movement, finite element analysis

中图分类号:

R783.5

徐凡唐国华. 上颌前牙的阻抗中心及其临床应用[J]. , 2016, 36(3): 281-284.

参考文献

[1]Vanden Bulcke MM,Dermaut LR,Sachdeva RC,et al.The center of resistance of anterior teeth during intrusion using the laser reflection technique and holographic interferometry[J].Am J Orthod Dentofacial Orthop,1986,90(3):211-220
[2]Bulcke MMV,Dermaut LR,Sachdeva RCL,et al.The center of resistance of anterior teeth during intrusion using the laser reflection technique and holographic interferometry[J].Am J Orthod Dentofacial Orthop,1986,90(3):211-220
[3]Matsui S,Caputo AA,Chaconas SJ,et al.Center of resistance of anterior arch segment[J].Am J Orthod Dentofacial Orthop,2000,118(2):171-178
[4]Yoshida N,Koga Y,MimakiN,et al.In vivo determination of the centres of resistance of maxillary anterior teeth subjected to retraction forces[J].Eur J Orthod,2001,23(5):529-534
[5]Kojima Y,Fukui H.A finite element simulation of initial movement,orthodontic movement,and the centre of resistance of the maxillary teeth connected with an archwire[J].Eur J Orthod,2014,36(3):255-261
[6]Geramy A.Alveolar bone resorption and the center of resistance modification (3D analysis by means of the finite element method)[J].Am J Orthod Dentofacial Orthop,2000,117(4):399-405
[7]Yoshida N,JostBrinkmann PG,Koga Y,et al.Experimental evaluation of initial tooth displacement,center of resistance,and center of rotation under the influence of an orthodontic force[J].Am J Orthod Dentofacial Orthop,2001,120(2):190-197
[8]Sung SJ,Kim IT,Kook YA,et al.Finiteelement analysis of the shift in center of resistance of the maxillary dentition in relation to alveolar bone loss[J].Korean J Orthod,2009,39(5):278-288
[9]Kim SH,Lee KB,Chung KR,et al.Severe bimaxillary protrusion with adult periodontitis treated by corticotomy and compression osteogenesis[J].Korean J Orthod,2009,39(1):54-65
[10]Pithon MM.Orthodontic treatment in an elderly patient with extraction of upper premolar[J].Gerodontology,2012,29(2):1146-1151
[11]Geramy A,Sodagar A,Hassanpour M.Threedimensional analysis using finite element method of anterior teeth inclination and center of resistance location[J].Chin J Dent Res,2014,17(1):37-42
[12]Sia SS,Shibazaki T,Koga Y,et al.Experimental determination of optimal force system required for control of anterior tooth movement in sliding mechanics[J].Am J Orthod Dentofacial Orthop,2009,135(1):36-41
[13]Meireles JKS,Ursi W.Optimization of orthodontic treatment using the Centrex System to retract anterior teeth[J].Dental Press J Orthod,2012,17(4):29-44
[14]Ruellas ACO,Pithon MM,Santos RL.Maxillary incisor retraction:evaluation of different mechanisms[J].Dental Press J Orthod,2013,18(2):101-107
[15]Sharif AG,AlJumaili KA.Evaluation of enmasse retraction using microimplant versus conventional techniques:An in vitro study[J].J Bagh College Dentistry,2013,25(Special Is):120-125
[16]Lee KJ,Park YC,Hwang CJ,et al.Displacement pattern of the maxillary arch depending on miniscrew position in sliding mechanics[J].. Am J Orthod Dentofacial Orthop,2011,140(2):224-232
[17]Parashar A,Aileni KR,Rachala MR,et al.Torque loss in enmasse retraction of maxillary anterior teeth using miniimplants with force vectors at different levels:3D FEM study[J].J Clin Diagn Res,2014,8(12):77-80
[18]Sung EH,Kim SJ,Chun YS,et al.Distalization pattern of whole maxillary dentition according to force application points[J].Korean J Orthod,2015,45(1):20-28
[19]Mo SS,Kim SH,Sung SJ,et al.Torque controlduring lingual anterior retraction without posterior appliances[J].Korean J Orthod,2013,43(1):3-14
[20]张翼,张磊,樊瑜波,等.微植体支抗滑动法内收上颌前牙的三维有限元研究[J].华西口腔医学杂志,2009,27(5):557-560
[21]Lee EH,Yu HS,Lee KJ,et al.Three dimensional finite element analysis of continuous and segmented arches with use of orthodontic miniscrews[J].Korean J Orthod,2011,41(4):237-254
[22]Tominaga J,Tanaka M,Koga Y,et al.Optimal loading conditions for controlled movement of anterior teeth in sliding mechanics:A 3D finite element study[J].Angle Orthod,2009,79(6):1102-1107
[23]Kim T,Suh J,Kim N,et al.Optimum conditions for parallel translation of maxillary anterior teeth under retraction force determined with the finite element method[J].Am J Orthod Dentofacial Orthop,2010,137(5):639-647
[24]Sung SJ,Jang GW,Chun YS,et al.Effective enmasse retraction design with orthodontic miniimplant anchorage:a finite element analysis[J].Am J Orthod Dentofacial Orthop,2010,137(5):648-657
[25]Ozaki H,Tominaga J,Hamanaka R,et al.Biomechanical aspects of segmented arch mechanics combined with power arm for controlled anterior tooth movement:A threedimensional finite element study[J].J Dent Biomech,2015,6:1-6
[26]Tominaga J,Chiang PC,Ozaki H,et al.Effect of play between bracket and archwire on anterior tooth movement in sliding mechanics:A threedimensional finite element study[J].J Dent Biomech,2012,3:1-8
[27]Tominaga J,Ozaki H,Chiang PC,et al.Effect of bracket slot and archwire dimensions on anterior tooth movement during space closure in sliding mechanics:A 3dimensional finite element study[J].Am J Orthod Dentofacial Orthop,2014,146(2):166-174
[28]苏杰华,刘佳莉,许潾于,等.J 钩高位牵引压低并内收上颌前牙的三维有限元分析[J].中华口腔医学杂志,2015,50(2):84-88
[29]苏杰华,刘佳莉,张端强,等.上颌前牙段阻抗中心定位的有限元研究[J].生物医学工程学杂志,2014,31(5):994-1000
[30]Mo SS,Kim SH,Sung SJ,et al.Factors controlling anterior torque with Cimplants depend on enmasse retraction without posterior appliances:biocreative therapy type II technique[J].Am J Orthod Dentofacial Orthop,2011,139(2):183-191
[31]Jee JH,Ahn HW,Seo KW,et al.Enmasse retraction with a preformed nickeltitanium and stainless steel archwire assembly and temporary skeletal anchorage devices without posterior bonding[J].Korean J Orthod,2014,44(5):236-245
[32]Jang HJ,Roh WJ,Joo BH,et al.Locating the center of resistance of maxillary anterior teeth retracted by Double J Retractor with palatal miniscrews[J].Angle Orthod,2010,80(6):1023-1028