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牙周—正畸联合治疗牙周炎所致前牙扇形移位分析 被引量:25
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作者 杜凌晨 《世界中西医结合杂志》 2015年第1期92-93,96,共3页
目的探讨牙周—正畸联合治疗牙周炎所致前牙扇形移位的临床疗效。方法选取2010年1月-2011年1月收治的42例牙周炎所致前牙扇形移位患者,所有患者均行牙周—正畸联合治疗,治疗后给予患者为期2年的随访,并对其临床疗效进行分析。结果 42例... 目的探讨牙周—正畸联合治疗牙周炎所致前牙扇形移位的临床疗效。方法选取2010年1月-2011年1月收治的42例牙周炎所致前牙扇形移位患者,所有患者均行牙周—正畸联合治疗,治疗后给予患者为期2年的随访,并对其临床疗效进行分析。结果 42例患者共采用牙周—正畸联合治疗患牙148颗,治疗后年龄21~30岁、30~40岁的患者其牙周袋情况及牙槽骨吸收均明显改善,与治疗前相比差异有统计学意义(P<0.05);治疗后年龄>40岁的患者其牙周袋情况及牙槽骨吸收均没有明显改善,与治疗前相比差异无统计学意义(P>0.05)。结论给予牙周炎所致前牙扇形移位患者牙周—正畸联合治疗可有效地对患者牙周炎症进行控制,且有助于消除[牙合]创伤,可取得长期稳定的治疗效果,值得临床推广和应用,但需注意的是患者年龄应<40岁。 展开更多
关键词 牙周—正畸 牙周 前牙扇形移位
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A biomechanical case study on the optimal orthodontic force on the maxillary canine tooth based on finite element analysis 被引量:10
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作者 Jian-lei WU Yun-feng LIU +2 位作者 Wei PENG Hui-yue DONG Jian-xing ZHANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2018年第7期535-546,共12页
Excessive forces may cause root resorption and insufficient forces would introduce no effect in orthodontics. The objective of this study was to investigate the optimal orthodontic forces on a maxillary canine, using ... Excessive forces may cause root resorption and insufficient forces would introduce no effect in orthodontics. The objective of this study was to investigate the optimal orthodontic forces on a maxillary canine, using hydrostatic stress and logarithmic strain of the periodontal ligament(PDL) as indicators. Finite element models of a maxillary canine and surrounding tissues were developed. Distal translation/tipping forces, labial translation/tipping forces, and extrusion forces ranging from 0 to 300 g(100 g=0.98 N) were applied to the canine, as well as the force moment around the canine long axis ranging from 0 to 300 g·mm. The stress/strain of the PDL was quantified by nonlinear finite element analysis, and an absolute stress range between 0.47 k Pa(capillary pressure) and 12.8 k Pa(80% of human systolic blood pressure) was considered to be optimal, whereas an absolute strain exceeding 0.24%(80% of peak strain during canine maximal moving velocity) was considered optimal strain. The stress/strain distributions within the PDL were acquired for various canine movements, and the optimal orthodontic forces were calculated. As a result the optimal tipping forces(40–44 g for distal-direction and 28–32 g for labial-direction) were smaller than the translation forces(130–137 g for distal-direction and 110–124 g for labial-direction). In addition, the optimal forces for labialdirection motion(110–124 g for translation and 28–32 g for tipping) were smaller than those for distal-direction motion(130–137 g for translation and 40–44 g for tipping). Compared with previous results, the force interval was smaller than before and was therefore more conducive to the guidance of clinical treatment. The finite element analysis results provide new insights into orthodontic biomechanics and could help to optimize orthodontic treatment plans. 展开更多
关键词 BIOMECHANICS Optimal orthodontic force Finite element analysis Periodontal ligament
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