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Effect of topical fluoride gel and fluoride varnish in the prevention of white spot lesions in patients undergoing fixed orthodontic treatment: An in vivo study 局部氟化物凝胶和氟化物清漆对固定正畸治疗患者预防白斑病变的作用:一项体内研究
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-12 DOI: 10.25259/apos_170_2020
V. Thakur, Raghuvinder S. Vats, M. Kumar, S. Datana, Mohit Sharma, A. Waingankar, Ishan Pradhan
Our primary objective was to establish the efficacy of fluoride gel and fluoride varnish in the prevention of white spot lesions (WSLs) development during fixed orthodontic treatment.The study sample consisted of 60 adult patients in a prospective split-mouth study design. Interventions, that is, topical fluoride gel and topical fluoride varnish were assigned at the time of bonding to either the right or left halves of the dentition. In all subjects, repeated evaluation of demineralization was done on the facial surfaces of sample teeth in each quadrant. Evaluation using laser fluorescence and by direct visual observation under magnification was carried out at bonding (T0), 3 months (T1), and 6 months (T2).The distribution of mean DIAGNOdent score at T1 (3.14 ± 1.00 vs. 2.81 ± 0.852) and T2 (4.17 ± 1.41 vs. 3.51 ± 1.13) was observed which is significantly higher in the Gel group compared to the Varnish group. In the Gel group, the distribution of mean DIAGNOdent score at T1 (3.14 ± 1.00) and T2 (4.17 ± 1.41) is significantly higher compared to mean DIAGNOdent score at baseline T0 (2.07 ± 0.66). In the Varnish group, the distribution of mean DIAGNOdent score at T1 (2.81 ± 0.852) and T2 (3.51 ± 1.13) is significantly higher compared to the mean DIAGNOdent score at T0 (2.07 ± 0.66). Visual scores also correlated with DIAGNOdent scores.Fluoride varnish is more efficacious than fluoride gel in reducing enamel demineralization. Initial application of fluoride varnish around the orthodontic bracket at bonding appointment can offer significant protection against WSLs.
我们的主要目的是确定氟化物凝胶和氟化物清漆在预防固定正畸治疗期间白斑病变(WSLs)发展的功效。研究样本包括60名成年患者,采用前瞻性裂口研究设计。干预措施,即局部氟化物凝胶和局部氟化物清漆,在粘接时分配到右半边或左半边牙列。在所有受试者中,在每个象限的样本牙齿表面重复评估脱矿情况。在粘接(T0)、3个月(T1)和6个月(T2)时采用激光荧光和放大目视观察进行评价。平均诊断评分在T1(3.14±1.00比2.81±0.852)和T2(4.17±1.41比3.51±1.13)时的分布,Gel组明显高于Varnish组。凝胶组T1(3.14±1.00)和T2(4.17±1.41)的平均诊断评分分布明显高于基线T0(2.07±0.66)的平均诊断评分分布。Varnish组T1(2.81±0.852)和T2(3.51±1.13)的平均诊断评分分布明显高于T0(2.07±0.66)。视觉得分也与诊断得分相关。氟化物清漆在减少牙釉质脱矿方面比氟化物凝胶更有效。在粘接预约时,在正畸托架周围初始应用氟化物清漆可以有效地保护牙齿免受wsl的侵害。
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引用次数: 1
Evaluation of facial soft-tissue values and craniofacial morphology in obese adolescent patients with different skeletal classes 不同骨骼类型肥胖青少年患者面部软组织价值及颅面形态的评价
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-12 DOI: 10.25259/apos_76_2021
A. Karaman, Esra Genc
The purpose of this study was to evaluate the facial soft tissue and craniofacial morphological structures in adolescent obese individuals with different skeletal patterns.The study was carried out on 292 adolescents examined under three groups based on their body mass indexes (BMIs) as obese, healthy, and overweight. The subjects were also categorized based on skeletal classes as Class I, Class II, and Class III.The glabella, nasion, labiale inferius, labiomentale, and pogonion values of the female patients were significantly higher in obese group. In the obese and overweight groups, effective midfacial and mandibular length, anterior and posterior facial heights, and SN values of the females were higher than males. In the obese group, the mean effective midfacial and mandibular length (Co-A and Co-Gn), anterior and posterior facial heights (S-Go and N-Me), and anterior cranial base (SN) values were significantly higher than other groups.Soft-tissue thicknesses increase as BMI value increases. Craniofacial morphology reveals significant differences between BMI groups.
本研究的目的是评估不同骨骼模式的青少年肥胖个体的面部软组织和颅面形态结构。这项研究对292名青少年进行了调查,根据他们的身体质量指数(bmi)分为肥胖、健康和超重三组。受试者也根据骨骼分类分为I类、II类和III类。肥胖组女性患者的眉间、鼻间、下阴唇、大阴唇和毒理学值明显增高。肥胖和超重组女性有效面中、下颌长度、前后面高、SN值均高于男性。肥胖组平均有效面中、下颌长度(Co-A、Co-Gn)、前后面高(S-Go、N-Me)、前颅底(SN)值均显著高于其他组。软组织厚度随BMI值的增加而增加。颅面形态在BMI组间差异有统计学意义。
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引用次数: 1
Evaluation of mandibular indices and cephalometric parameters in adolescents with impacted maxillary canines 上颌牙阻生青少年下颌指数和头侧测量参数的评价
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-12 DOI: 10.25259/apos_38_2021
Esra Genc, S. Buyuk
Maxillary impacted canines have an important place in orthodontics for the reason of being a common anomaly and its treatment is time consuming and difficult. The aim of this study was to investigate the mandibular indexes and cephalometric parameters in adolescents with impacted maxillary canines.The radiographs of 4026 patients aged 12–19 years old were scanned and a total of 155 patients were included in the study. Subjects were divided into three groups according to the permanent maxillary canines: Bilateral impacted canine (BIC) (52 subjects; mean age 15.02 ± 1.74 years), unilaterally impacted canine (UIC) (51 subjects; mean age 14.89 ± 1.39 years), and the control (52 subjects; mean age 14.84 ± 1.65 years) groups. Skeletal, soft tissue and dental measurements were performed on cephalometric radiographs. Mandibular index analyzes including the panoramic mandibular index (PMI), mental index (MI), antegonial index (AI), and gonial index (GI) measurements and also angular measurements of impacted maxillary canines were performed on panoramic radiographs. Data were analyzed statistically and P < 0.05 was considered significant.Maxillary skeletal and dental measurements showed retrusive positioned maxillary dental arch in the sagittal direction in the impacted canine groups (P < 0.05). PMI and MI values were greater in the BIC and UIC groups than in control group (P < 0.05). There was no statistically significant difference in AI value among groups (P < 0.05). GI value of BIC group was found statistically lower than other groups (P < 0.05).Individuals with impacted maxillary canines have more retrusive maxillary dental arch and soft-tissue components. Furthermore, mandibular cortex was thicker in subjects with impacted maxillary canine than individuals with not and clinicians should keep in mind this when examine the panoramic radiographs in terms of early diagnosis of impacted maxillary canine teeth.
上颌阻生牙是一种常见的畸形,治疗费时费力,在口腔正畸中占有重要地位。本研究的目的是探讨青少年上颌埋伏牙的下颌指数和头侧测量参数。对4026例12-19岁患者的x线片进行扫描,共纳入155例患者。根据上颌恒牙分为三组:双侧阻生犬(BIC) 52例;平均年龄15.02±1.74岁),单侧阻生犬(UIC) 51例;平均年龄(14.89±1.39岁),对照组(52例;平均年龄14.84±1.65岁)组。在头颅x线片上进行骨骼、软组织和牙齿测量。下颌指数分析,包括全景下颌指数(PMI)、心理指数(MI)、顺颌指数(AI)和下颌指数(GI)测量,以及在全景x线片上对上颌埋伏牙进行角度测量。对资料进行统计学分析,P < 0.05为差异有统计学意义。上颌骨骼和牙齿测量显示,阻生犬组上颌牙弓向矢状方向后退(P < 0.05)。BIC组和UIC组PMI和MI值均高于对照组(P < 0.05)。各组患者AI值比较,差异无统计学意义(P < 0.05)。BIC组GI值明显低于其他组(P < 0.05)。上颌阻生犬的个体有更多的上颌牙弓和软组织成分。此外,上颌犬牙阻生的受试者下颌骨皮层比未患上颌犬牙阻生的受试者下颌骨皮层更厚,临床医生在检查上颌犬牙阻生的全景x线片时应牢记这一点。
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引用次数: 0
The effect of orthodontic treatment with fixed appliances on sleep quality in adults and adolescents in Saudi Arabia using Pittsburgh sleep quality index 采用匹兹堡睡眠质量指数研究固定矫治器正畸治疗对沙特阿拉伯成人和青少年睡眠质量的影响
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-12 DOI: 10.25259/apos_171_2020
O. Alkadhi, Ali A. Alomran, Nawaf S. Alrafee, Faisal A. Alaresh, Marzouq S. Alqahtani, Faisal Talic
The aim of this study was to investigate the effect of pain caused by orthodontic fixed appliances on sleep quality of participants using the Pittsburgh Sleep Quality Index (PSQI).A previously validated Arabic version of PSQI was electronically distributed through different social media platforms and in waiting areas of orthodontic offices. Eligibility criteria included healthy adults and adolescents with orthodontic fixed appliances and with no systemic conditions that may affect sleep. The cut-off point used to determine poor sleep quality was (>5).Three hundred and eighteen participants were included in the final analysis (28.9% males and 71.1% females). Both males and females with orthodontic fixed appliances had poor sleep quality with (Mean = 6.48, SD = 2.85, P = 0.000) for males, and (Mean = 7.18, SD = 2.87, P = 0.000) for females. Comparing males and females, we found that females scored higher than males in both subjective sleep quality and PSQI global score.Individuals undergoing orthodontic treatment with fixed appliances have poor sleep quality. Females undergoing orthodontic treatment tend to have poorer sleep quality compared to males.
本研究的目的是利用匹兹堡睡眠质量指数(PSQI)调查正畸固定器具引起的疼痛对参与者睡眠质量的影响。先前经过验证的阿拉伯语版PSQI通过不同的社交媒体平台和正畸诊所的等候区以电子方式分发。入选标准包括健康成人和青少年,使用正畸固定矫治器,无可能影响睡眠的全身性疾病。判定睡眠质量差的分界点为(>5)。最终分析纳入318名参与者(28.9%为男性,71.1%为女性)。使用正畸固定矫治器的男女睡眠质量均较差,男性(Mean = 6.48, SD = 2.85, P = 0.000),女性(Mean = 7.18, SD = 2.87, P = 0.000)。比较男性和女性,我们发现女性在主观睡眠质量和PSQI总体得分上都高于男性。使用固定矫治器进行正畸治疗的人睡眠质量较差。与男性相比,接受正畸治疗的女性往往睡眠质量较差。
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引用次数: 1
Efficacy of clear aligners in producing molar distalization: Systematic review 透明矫正器在产生磨牙远端中的效果:系统评价
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-12 DOI: 10.25259/apos_37_2021
Purva Verma, A. George
The aim of this review is to systematically analyze the efficacy of molar distalization using clear aligners in non-growing Class II patients.A complete search across the electronic database through PubMed, Cochrane, Google scholar, LILACS, and manual search of orthodontic journals were done till 2019. Studies were selected on the basis of PRISMA guidelines.A total of four articles were included in this review. The amount of molar distalization reported was 2–3 mm.Out of the four studies included. In all the studies a significant amount of distalization was reported. Three retrospective studies concluded that distalization with aligners is the most effective of all tooth movements. One study concluded that aligners effectively achieved distalization with an efficacy of 87%, other two studies concluded that aligners effectively distalized the molars with good control over vertical dimension and mesiodistal tipping.
本综述的目的是系统地分析在非生长II类患者中使用透明对准器进行磨牙远端化的疗效。到2019年,通过PubMed、Cochrane、谷歌scholar、LILACS等电子数据库进行完整检索,并手动检索正畸期刊。研究是根据PRISMA指南选择的。本综述共纳入4篇文章。在四项研究中,报告的磨牙远端量为2-3毫米。在所有的研究中都报道了大量的远端化。三个回顾性研究得出结论,用矫正器远端是所有牙齿移动中最有效的。一项研究表明,矫正器有效地实现了远端,疗效为87%,另外两项研究表明,矫正器有效地实现了磨牙远端,并能很好地控制垂直尺寸和中远端倾斜。
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引用次数: 3
Relationship of maxillary and mandibular effective base length, arch length and dental crowding in different vertical growth pattern 不同垂直生长模式下上颌有效基牙长度、牙弓长度与牙群拥挤的关系
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-05 DOI: 10.25259/apos_134_2021
Priyanka Satra, Gauri S. Vichare, Veera I Bhosale
The objectives of the study were to assess, measure, and correlate the maxillary and mandibular effective base length, arch length to the amount of dental crowding in different vertical growth pattern patients.Sample comprising 100 pre-treatment lateral cephalograms and study models (age group – 16–25 years) was randomly selected. The sample was divided into two groups, that is, clockwise (50) and anticlockwise (50) rotation based on the measurement of the gonial angle. The gonial angle and maxillary and mandibular effective lengths were measured on pre-treatment lateral cephalograms. Dental crowding and arch length were measured on the pre-treatment dental casts. Intergroup comparisons of effective base length, arch length, and crowding were performed with unpaired t-tests. Correlations between effective base length, arch length, and dental crowding were examined by means of Pearson’s correlation coefficient (P < 0.05).Subjects with clockwise rotation significantly had more mandibular dental crowding and significantly decreased mandibular arch length compared to the anticlockwise group. An inverse correlation was found between maxillary and mandibular effective base length, arch length, and dental crowding while a positive correlation was found between maxillary and mandibular base length and arch length in both the groups.Clockwise rotation of the mandible along with skeletal and dental factors such as decreased effective base lengths and arch length, respectively, constitutes an important factor leading to dental crowding.
本研究的目的是评估、测量不同垂直生长模式患者的上颌和下颌有效基牙长度、牙弓长度与牙齿拥挤程度之间的关系。样本包括100个治疗前侧位脑电图和研究模型(16-25岁年龄组)。根据测得的角将样本分为顺时针(50)和逆时针(50)两组。在治疗前的侧位头像上测量角和上颌有效长度。在处理前的牙模上测量牙体拥挤度和牙弓长度。有效基底长度、弓长和拥挤度的组间比较采用非配对t检验。采用Pearson相关系数检验有效基托长度、牙弓长度与牙体拥挤度的相关性(P < 0.05)。与逆时针旋转组相比,顺时针旋转组的下颌牙群明显增多,下颌弓长度明显减小。上颌和下颌有效基托长度、牙弓长度与牙拥挤度呈负相关,两组上颌和下颌有效基托长度和牙弓长度呈正相关。下颌骨的顺时针旋转以及骨骼和牙齿的因素,如有效基牙长度和弓长分别减少,是导致牙齿拥挤的重要因素。
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引用次数: 1
Gingival crevicular fluid alkaline phosphatase activity as growth marker: A systematic review 牙龈沟液碱性磷酸酶活性作为生长标志物:系统综述
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-12-23 DOI: 10.25259/apos_49_2021
S. Sonwane, W. Bhad
This review synthesizes the available evidence about the individual skeletal maturity with biological maturity indicators and compares it with the levels of gingival crevicular fluid (GCF) alkaline phosphatase (ALP) activity in growing children.This systematic review aimed to clarify the question: Is GCF ALP a reliable biomarker to assess skeletal maturity during growth?The objective of this systematic review is to collect, compile, and review the existing evidence on the levels of GCF ALP activity in growing children and comparing its reliability with contemporary growth indicators.A literature appraisal executed using Entres PubMed, www.ncbi.nim.nih.gov, Scupose, Hinary, Ebsco, Embass, Cochrane; Google Scholar Electronic database search engines were used. The MeSH term used “growth markers in gingival crevicular fluid” or “growth markers in growing children.” Studies published till October, 2020, were included in this study.The data have extracted from the selected articles based on year of publication, study design, age of subjects, instruments used, and author’s conclusions. The quality assessment was executed using BIOCROSS Scale. This scale is exclusive for cross-sectional studies with biomarkers.Literature search identified 731 records from electronic databases and from the partial grey literature (Google scholar) search. Finally, six articles fulfilled eligibility criteria included in the review.All the six studies concluded that GCF ALP activity is a reliable method in determining a skeletal maturity indicator in growing children.
本文综述了个体骨骼成熟度与生物成熟度指标的关系,并将其与生长儿童龈沟液碱性磷酸酶(ALP)活性水平进行了比较。本系统综述旨在澄清以下问题:GCF ALP是评估生长过程中骨骼成熟度的可靠生物标志物吗?本系统综述的目的是收集、汇编和回顾关于生长中儿童GCF ALP活性水平的现有证据,并将其与当代生长指标进行比较。使用Entres PubMed、www.ncbi.nim.nih.gov、Scupose、Hinary、Ebsco、Embass、Cochrane进行文献评估;使用Google Scholar电子数据库搜索引擎。MeSH术语使用“龈沟液中的生长标志物”或“成长中的儿童中的生长标志物”。截至2020年10月发表的研究被纳入本研究。数据根据发表年份、研究设计、受试者年龄、使用的工具和作者结论从选定的文章中提取。采用bicross量表进行质量评价。该量表仅适用于生物标志物的横断面研究。文献检索从电子数据库和部分灰色文献(Google scholar)检索中确定了731条记录。最后,六篇文章符合纳入审查的资格标准。所有六项研究都得出结论,GCF ALP活性是确定生长中的儿童骨骼成熟度指标的可靠方法。
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引用次数: 1
Orthodontic treatment need and perception: A comparative study between different socio-economic groups of patients 正畸治疗需求与认知:不同社会经济群体患者的比较研究
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-12-17 DOI: 10.25259/apos_32_2021
S. Pandit, Soumo Mitra, Prateeti Pal
The aim of the present study was to compare parents’ perceptions of their children’s malocclusion and clinician-measured normative orthodontic treatment need with the socioeconomic status of the parents as a means of assessing whether demand for treatment is uniform across socioeconomic groups.In this cross-sectional study, 212 (125 girls and 87 boys) subjects between the ages of 8 and 25 years (mean age 17.03 ± 3.9) were assessed. The parents were asked to score the dental attractiveness of their children and their socioeconomic status (SES) based on the aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN) and the modified Kuppuswamy scale (2018), respectively. The subjects recorded their self-perception using the OASIS scale. These scores were then compared within themselves and with those of the clinician who also scored the Dental Health Component (DHC) and AC of the IOTN. The AC grade of the IOTN and parents’ SES was tested with the Chi-square test. The association between the AC scores of the IOTN, DHC, and the characteristics of the subjects was tested with Spearman’s correlation coefficient (rho).Treatment uptake was uniform throughout the different socioeconomic groups. Association between the SES group and DHC group and clinician-measured AC were statistically not significant (P = 0.3958), (P = 0.3447). Parents, in this study population, irrespective of their socioeconomic status rated their children’s orthodontic treatment need less severely than the clinician (P = 0.0001). Severity of malocclusion as measured by DHC was much higher in male subjects than in females (P = 0.0348).Socioeconomic status of the parents did not seem to affect their perception of dental appearance. Self-perception of appearance and perceived treatment need was uniform throughout the different socioeconomic groups.
本研究的目的是比较父母对孩子错牙合和临床测量的规范正畸治疗需求的看法与父母的社会经济地位,作为评估治疗需求是否在社会经济群体中是统一的一种手段。在这项横断面研究中,212名(125名女孩和87名男孩)年龄在8至25岁之间(平均年龄17.03±3.9)。要求家长分别根据正畸治疗需求指数(IOTN)的审美成分(AC)和修正库普斯瓦米量表(2018)对孩子的牙齿吸引力和社会经济地位(SES)进行评分。受试者使用OASIS量表记录他们的自我知觉。然后,这些分数在他们自己内部和那些也给IOTN的牙齿健康部分(DHC)和AC打分的临床医生进行比较。采用卡方检验对IOTN的AC等级和家长的SES进行检验。采用Spearman相关系数(rho)检验IOTN、DHC的AC分数与被试特征之间的相关性。在不同的社会经济群体中,接受治疗的情况是一致的。SES组和DHC组与临床测量AC的相关性无统计学意义(P = 0.3958), (P = 0.3447)。在本研究人群中,无论父母的社会经济地位如何,他们对孩子正畸治疗需求的评价都低于临床医生(P = 0.0001)。DHC测定的错牙合严重程度男性明显高于女性(P = 0.0348)。父母的社会经济地位似乎并不影响他们对牙齿外观的看法。在不同的社会经济群体中,外貌的自我知觉和治疗需求的知觉是一致的。
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引用次数: 0
Molar space closure: To do or not to do? 磨牙间隙闭合:做还是不做?
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-12-17 DOI: 10.25259/apos_112_2021
Nutthakarn Ratanasereeprasert, Chu-Yin Weng, Stella Ya-Hui Yang, Yi-Jane Chen, C. Yao
Missing or compromised permanent molars can complicate orthodontic treatment planning and mechanics. Molar extraction should be considered in appropriate situations, but clinicians must decide between closing and regaining the edentulous space. Several factors should be taken into consideration to achieve appropriate molar space management, such as the need for space, asymmetry, periodontal status, sinus pneumatization, and the terminal molar position. Herein, three sample cases are reported to demonstrate the treatment options for molar space closure and maintenance with these factors taken into consideration during treatment planning. The understanding of mechanics played a crucial role in anchorage preparation and side effect prevention. If the third molar substitution was managed in advance and adequate space between the ramus and third molar was obtained via second molar protraction, the tooth spontaneously erupted in a favorable position without requiring further treatment. This case series can aid clinicians in molar space management. Regardless of whether the space is to be closed or regained, the treatment plan should conform to the patient’s expectations and improve occlusion with minimal side effects and treatment duration.
恒磨牙缺失或受损会使正畸治疗计划和机制复杂化。在适当的情况下应该考虑拔牙,但临床医生必须在关闭和恢复无牙间隙之间做出决定。要实现适当的磨牙空间管理,应考虑几个因素,如空间需求、不对称、牙周状况、鼻窦充气和末端磨牙位置。在此,我们报告了三个样本病例,以展示在治疗计划中考虑这些因素的情况下,关闭和维持磨牙间隙的治疗选择。对锚固剂的力学认识对锚固剂的准备和副作用的预防起着至关重要的作用。如果事先安排好第三磨牙的置换,并且通过第二磨牙的拔除使支和第三磨牙之间有足够的空间,那么牙齿就会自发地在一个有利的位置上生长,而无需进一步的治疗。这个病例系列可以帮助临床医生进行磨牙间隙管理。无论是闭合间隙还是恢复间隙,治疗方案都应符合患者的期望,以最小的副作用和治疗时间改善闭塞。
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引用次数: 1
Effect of the bracketless orthodontics technique and resin composite material on the biomechanical response of the upper central incisor: 3D finite element analysis 无托架正畸技术与树脂复合材料对上中切牙生物力学响应的影响:三维有限元分析
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-12-17 DOI: 10.25259/apos_89_2021
Guaracy Lyra Fonseca, Ney Tavares Lima Neto, Marcos Gabriel do Lago Prieto, Felipe Azevedo, Cristina Harrop, Nivaldo Oliveira
The bracketless orthodontic treatment (BOT) is an alternative technique which indicates using an orthodontic appliance composed of wires and composite resin assisted by 3D technology. However, the biomechanical response of central incisor orthodontic movement has yet to be investigated. Thus, the aim of the present investigation was to calculate the stress magnitude in central incisor movement through 3D finite element analysis using different wire diameters (0.012”, 0.014”, and 0.016”) of nickel–titanium wire and two different resin composites (Opallis and Filtek).A 3D volume composed of enamel, dentin, cortical bone, cancellous bone, periodontal ligament, composite resin, and different orthodontic wire diameters was designed. After the modeling process, the models were exported to computer-aided engineering software divided into a finite number of elements, and a mechanical structural static analysis was conducted.The stress results were plotted on colorimetric maps and in tables for comparison between the different models. The results showed that the central incisor orthodontic movement with BOT does not induce damage to the periodontal ligament, dental root, or bone tissue, regardless of the simulated orthodontic wire diameter and resin composite materials. The palatal composite resin and orthodontic wire also presented acceptable stress magnitude during orthodontic movement.Thus, the BOT technique promoted a suitable biomechanical response during central incisor movement regardless the resin composite.
无托架正畸治疗(BOT)是在3D技术辅助下使用由金属丝和复合树脂组成的正畸矫治器的一种替代技术。然而,中切牙正畸运动的生物力学响应尚未得到研究。因此,本研究的目的是通过三维有限元分析,使用不同丝径(0.012”,0.014”和0.016”)的镍钛丝和两种不同的树脂复合材料(Opallis和Filtek),计算中切牙运动时的应力大小。设计了由牙釉质、牙本质、皮质骨、松质骨、牙周韧带、复合树脂和不同正畸线直径组成的三维体。建模过程结束后,将模型导出到计算机辅助工程软件中,划分为有限单元,进行力学结构静力分析。应力结果绘制在比色图和表中,以便不同模型之间进行比较。结果表明,无论模拟正畸丝直径和树脂复合材料如何,BOT在中切牙正畸运动时均不会对牙周韧带、牙根和骨组织造成损伤。在正畸运动过程中,腭复合树脂和正畸丝也呈现出可接受的应力值。因此,无论树脂复合材料如何,BOT技术在中切牙运动时都能促进适当的生物力学响应。
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引用次数: 1
期刊
APOS Trends in Orthodontics
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