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Characterizing constraining forces in the alignment phase of orthodontic treatment

机译:在正畸治疗的对准阶段表征约束力

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Objectives: To describe the frictional forces (FF) that constrain wire sliding in the initial alignment phase of treatment using a new term, the “constraining force” (CF), and to hypothesize that CF is dependent on two factors: the hyperelastic behavior of archwires and the specific type of tooth geometric malalignment present. Materials and Methods: A laboratory device that simulates the four distinct malalignment types (in-out, rotation, tipping, and vertical step) was used to couple with an Instron testing apparatus. Incremental CF data for the four types of malalignment were recorded. Each type had five trials per increment of severity, from which the CF was averaged using 0.016-inch copper-nickel-titanium (CuNiTi) archwires. Results: Two types of friction curves were obtained: a traditional step function response and a power regression response. For all malalignment types, increasing degrees of irregularity increased power regression responses and CF. A severity turning point, displayed as a sudden increase in CF, occurred for each malalignment. The rotation type of malalignment yielded the lowest CF, while the vertical step type resulted in the highest CF. Conclusions: The data infer a hypothesis that malrotation type having weak CF might act as a limiting factor in the alignment phase to unravel the neighboring teeth. Future investigations to compare clinical and bench data can help explain more fully the constraints impeding alignment resolution and the factors governing the ability to bring malaligned teeth into alignment.
机译:目的:使用新术语“约束力”(CF)来描述在治疗的初始对准阶段约束线材滑动的摩擦力(FF),并假设CF取决于两个因素:弓丝和牙齿几何错位的具体类型。材料和方法:模拟4种不同的错位类型(进,出,旋转,倾斜和垂直台阶)的实验室设备与Instron测试设备结合使用。记录了四种类型的错位的增量CF数据。每种类型的严重性每增加一次都会进行五次试验,使用0.016英寸铜镍钛(CuNiTi)弓丝对CF进行平均。结果:获得了两种类型的摩擦曲线:传统的阶跃函数响应和幂回归响应。对于所有错位类型,不规则度的增加会增加功率回归响应和CF。对于每个错位,都会出现一个严重性转折点,显示为CF突然增加。错位的旋转类型产生的CF最低,而垂直步进类型产生的CF最高。结论:数据得出这样的假设,即CF较弱的旋转不良类型可能是在对齐阶段中解开相邻牙齿的限制因素。将来进行比较临床数据和基准数据的研究可以帮助更全面地解释阻碍对齐分辨率的制约因素以及控制使畸形牙齿对齐的能力的因素。

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