倾斜下颌第二磨牙近中移动的生物力学分析
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闫麒安(1998.1-),男,新疆昌吉人,硕士研究生,住院医师,主要从事错牙合畸形的诊治工作

通讯作者:

米丛波(1967.1-),男,新疆乌鲁木齐人,硕士,主任医师,主要从事错牙合畸形方面研究

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R78

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国家自然科学基金项目(编号:81960196)


Biomechanical Analysis of Mesial Movement of Mandibular Second Molar
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    摘要:

    目的 通过三维有限元方法探讨不同力值和加力方式下近中整体移动下颌第二磨牙的位移趋势及 牙周膜应力分布,以期为临床提供参考。方法 于2023年5月选取新疆医科大学第一附属医院口腔影像科 1例患者的锥形束CBCT资料,建立第一磨牙缺失的三维有限元模型。在第二磨牙牙冠上放入不同的矫治 装置,通过不同力值(100 g或50 g)及加力方式(近中牵引钩或远中牵引钩)进行分组,共8组工况。使用 Abaqus软件模拟比较8组工况近中整体移动下颌第二磨牙的位移趋势及牙周膜应力分布。结果 在所有工况 中,牙周膜Von Mises应力最大值均未超过2.6×10-2 Mpa,远中牵引钩的应力分布较近中牵引钩应力分布均 匀。当颊侧加力50 g舌侧加力100 g时,第二磨牙颊侧面出现近中平移,近中面出现颊侧旋转,颌面出现向 近中偏颊侧的旋转,与根尖组结果基本一致,此时牙周膜Maximum Principal Stress应力分布主要集中在第 二磨牙牙周膜远中面。结论 ①近中移动下颌第二磨牙时,远中牵引钩应力分布更均匀;②牵引钩加力100 g 舌侧扣加力50 g时,第二磨牙从颊侧面出现向远中旋转移动趋势,可以为矫正倾斜的第二磨牙提供临床参 考;③在平齐根分叉远中牵引钩颊侧加力50 g舌侧扣加力100 g情况下,第二磨牙最接近整体近中移动趋 势,且应力分布均匀。

    Abstract:

    Objective To investigate the displacement trend and periodontal stress distribution of the mandibular second molar under different force values and reinforcement methods by three-dimensional finite element method, so as to provide reference for clinical practice. Methods In May 2023, conical beam CBCT data of a patient in the Department of Dental Imaging of the First Affiliated Hospital of Xinjiang Medical University were selected to establish a 3D finite element model of the missing first molar. Different corrective devices were placed on the crown of the second grinding tooth, and the groups were divided by different force values (100 g or 50 g) and additional force methods (mesial traction hook or distal traction hook), a total of 8 working groups. Abaqus software was used to simulate and compare the displacement trend and the stress distribution of periodontal membrane of the second molar in 8 working conditions. Results The maximum Von Mises stress of the periodontal membrane did not exceed 2.6×10-2Mpa in all conditions, and the stress distribution of the distal traction hook was more uniform than that of the proximal traction hook. When the buccal Stress was 50 g and the lingual stress was 100 g, mesial translation occurred on the buccal side of the second molar, buccal rotation occurred on the mesial side, and the maxillary side rotated to the mesial side, which was basically consistent with the results of the apical group. At this time, the Maximum Principal Stress distribution of the periodontal membrane was mainly concentrated on the distal side of the second molar periodontal membrane. Conclusion ①The stress distribution of the distal traction hook is more uniform when the mandibular second molar is moved mesially; ②When the traction hook is applied 100 g and the lingual buckle is applied 50 g, the second molar appears a trend of distantly rotating movement from the buccal side, which can provide clinical reference for correcting the tilted second molar; ③Under the condition that the buccal force of the distal traction hook is 50 g and the lingual force is 100 g, the second molar is the closest to the overall mesial movement trend, and the stress distribution is uniform.

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闫麒安,周静文,米丛波.倾斜下颌第二磨牙近中移动的生物力学分析[J].医学美学美容,2024,33(6):37-43.

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  • 在线发布日期: 2024-04-12
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