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牙在正运动下有外部顶端根再吸收:关于应力和位移的in silico分析
Alessandra Rodrigues Fonseca Tavares1, Marco Aurelio de Carvalho1, Priscilla Cardoso Lazari-Carvalho2
1Evangelical University of Goias, Anapolis, Brazil.
概括
在正牙治疗过程中,可以发生外部顶端根再吸收. 这项研究发现,转换力对牙造成最大的压力,而现有的牙根再吸收会影响牙周组织.
科学领域:
- 生物材料和生物力学
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科成像 牙科成像 牙科成像
背景情况:
- 外部角根再吸收 (EARR) 是正牙治疗的一个常见并发症.
- 现有的EARR需要在开始 ортодонтической治疗之前仔细评估患者.
- 了解正力对有EARR的牙的生物力学影响至关重要.
研究的目的:
- 评估顶端根再吸收和各种正牙力量对应力和位移的影响.
- 使用三维 (3D) 有限元素分析 (FEA) 方法进行全面的生物力学评估.
- 在不同的正牙运动下,比较牙的压力和位移模式,有和没有顶端再吸收.
主要方法:
- 开发了两个上部中央切口的3D FEA模型:一个是原始的,一个是3毫米的顶部吸收.
- 模拟了四种正牙力应用:侵入,挤出,倾斜和翻译 (0.6 N).
- 使用专门的FEA软件 (Ansys) 分析了压力 (von Mises) 和位移.
主要成果:
- 转移运动产生了最高的·米塞斯应力值,不管根状况如何.
- 牙上角再吸收的牙在皮质骨和牙周带中表现出增加的应力度.
- 在牙和牙周结构的最大位移方面没有观察到显著差异.
结论:
- 牙周再吸收显著影响牙周组织的应力分布,但不会影响最大位移.
- 翻译性正牙力量在牙和周围的牙周组织中产生最高的应激水平.
- FEA提供了有价值的见解,用于管理先前存在根再吸收的患者的正牙治疗.
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