›› 2018, Vol. 38 ›› Issue (12): 1096-1101.

• 临床研究 • 上一篇    下一篇

两类改良型微钛板种植体辅助上颌前方牵引时上颌骨位移趋势的三维有限元分析

李雷1,李宁宁1,颜冬1,吴聿淼1,白璐1,于淼1,朱宪春2   

  1. 1. 吉林大学口腔医院
    2. 吉林大学口腔医学院
  • 收稿日期:2018-03-10 修回日期:2018-03-29 出版日期:2018-12-28 发布日期:2018-12-17
  • 通讯作者: 朱宪春 E-mail:15344310555@163.com
  • 基金资助:
    吉林省卫生技术创新项目

Three-dimensional finite element analysisi on the displacement trend of maxilla using two types of modified miniplate implants to assist maxillary protraction treatment

  • Received:2018-03-10 Revised:2018-03-29 Online:2018-12-28 Published:2018-12-17

摘要: 目的 为微钛板种植体辅助上颌前方牵引的临床应用提供参考。方法 建立两类(L/Y)改良型微钛板种植体辅助上颌前方牵引的三维有限元模型,模拟牵引力大小为500g/侧,牵引方向与上颌牙合 平面呈0°~50°斜向前下,分析各工况下上颌骨的位移趋势和变化规律。结果 L、Y型微钛板种植体辅助上颌前方牵引对上颌骨位移趋势的影响基本一致;上颌前方牵引时,上颌牙列有缩窄的趋势;牵引方向斜向前下与牙合 平面呈在0°~20°之间时,上颌骨发生逆时针旋转,30°~50°时,上颌骨发生顺时针旋转。结论 1、微钛板种植体的形态对前方牵引时上颌骨位移趋势影响较小;2、上颌前方牵引时,上牙列有缩窄趋势;3、上颌骨位移趋势会随着牵引方向的改变而不同,牵引方向斜向前下与牙合 平面呈0°~20°时,对治疗反覆牙合 患者有积极意义,30°~50°时,对治疗反牙合 伴开牙合 趋势的患者有积极意义。

关键词: 上颌前方牵引, 三维有限元, 微钛板种植体, 上颌发育不足

Abstract: Objective To provide reference for clinical application?of miniplate implants assisting maxillary complex for maxillary protraction treatment. Methods Establish the three-dimensional finite element model of the maxillary complex?with two types(L/Y)of modified miniplate implant .500g/side was applied to each?modified miniplate implant?respectively,the derection?was forward and downward?between?0°~50° degrees to the occlusion plane,we analyzed the trend of maxillary displacement.?Results The application of two types(L/Y) of modified miniplate implants showed that the displacement of the maxilla?were basically consistent;In the application of modified miniplate implants to assist the maxillary protraction treatment, the maxillary dentition has a tendency to narrow;When pulling the maxilla forward and downward,and the angle to the occlusal plane was at 0-20 °,the maxilla rotated counterclockwise. When the angle was at 30-50 °, the maxilla rotates clockwise..Conclusions 1. The morphology of the modified micro-titan plate implants do not affect the displacement of the maxilla in the maxillary protraction treatment.2.The maxillary dentition become narrower after maxillary protraction treatment.3. The displacement trend of maxilla vary with the direction of traction, when the traction direction forward and downward at the angle of 0-20 °, there is a counterclockwise rotation in the maxilla,it benefit to deep crossbite patients;when at 30-50°, there is a clockwise rotation in the maxilla,it benefit to crossbite patients who accompany open bite.

Key words: maxillary protraction, threedimensional finite element, miniplate implant anchorage, maxillary retrusion

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