口腔生物医学 ›› 2022, Vol. 13 ›› Issue (4): 246-250.

• 论著 • 上一篇    下一篇

隐形矫治器远移上颌第一磨牙的三维有限元分析

石慧1,2 ,康方芳 ,陆胜男,夏文倩 ,贡敏 ,曹灵 ,高美琴,梅予锋1∗   

  1. 1. 南京医科大学
    2. 南通市口腔医院
  • 收稿日期:2022-09-26 修回日期:2022-11-17 出版日期:2022-12-25 发布日期:2022-12-24
  • 通讯作者: 梅予锋 E-mail:yfmei@njmu.edu.cn

Three-dimensional finite element analysis of the maxillary first molar distalization with invisible appliance

  • Received:2022-09-26 Revised:2022-11-17 Online:2022-12-25 Published:2022-12-24

摘要: 目的:探讨隐形矫治器远中移动上颌第一磨牙0.2 mm时,上颌第一磨牙的位移趋势以及牙周组织的应力情况。方法:利用锥形束CT(CBCT)扫描志愿者的颌面部口腔情况,导入Mimics 20.0软件对CBCT获得的数据进行处理,通过Geomagic studio 2014逆向工程软件以及NX1911软件进行几何以及实体建模,建立上颌骨-上牙列-牙周膜-黏骨膜-隐形矫治器的模型,采用三维有限元软件Ansys Workbench 2019对隐形矫治器模型实施远中移动上颌第一磨牙0.2 mm的工况,探讨上颌第一磨牙的位移趋势、应力大小以及牙周膜的应力分布情况。结果:隐形矫治器远中移动上颌第一磨牙的单次位移量较小,牙齿偏向整体移动;隐形矫治器远中移动上颌第一磨牙时牙周膜等效应力最大值为0.039 MPa,且应力主要分布在颊侧。结论:隐形矫治器远中移动上颌第一磨牙时对牙齿位移距离以及牙周组织作用力均符合正畸要求,受力比较均匀,牙齿偏整体运动。

Abstract: Objective: To investigate the displacement trend of maxillary first molar and the stress of periodontal tissue when the invisible appliance was moved 0.2 mm away from the maxillary first molar. Methods: Cone-beam CT (CBCT) was used to scan volunteers' maxillofacial oral conditions. Mimics 20.0 software was introduced to process the CBCT data. Geometric and physical modeling was performed using Geomagic Studio 2014 reverse engineering software and NX1911software.The model of maxilla-upper dentition-periodontal membrane-mucoperiosteal-invisible appliance was established. The 3d finite element software Ansys Workbench 2019 was used to move the model of invisible appliance to the maxillary first molar by 0.2 mm. The displacement trend, stress size and stress distribution of periodontal membrane of maxillary first molar were discussed. Results: The single displacement of the distal maxillary first molars with the invisible appliance was small, and the teeth tended to move as a whole. The maximum equivalent stress of periodontal membrane was 0.039 MPa when the invisible appliance was moved to the maxillary first molar, and the stress was mainly distributed in the buccal side. Conclusions: invisible appliances have good value for the first molar of the upper jaw that is moved far away, the force is relatively uniform, and the teeth are partial to the overall movement.