Forsus矫治力前导下颌有限元仿真及最佳施力角度探讨.docVIP

Forsus矫治力前导下颌有限元仿真及最佳施力角度探讨( 颜功兴 刘占芳（重庆大学力学系，重庆400030） 摘 要: 目的 研究在Forsus矫治力作用下下颌骨的应力分布情况和位移分布情况，探讨最佳的施力角度,为临床设计新的矫治器提供生物力学基础。方法 选择临床恒牙牙合安氏Ⅱ类远中错牙合志愿者，运用螺旋CT扫描技术及三维影像技术完成初步重建，利用Abaqus 软件建立下颌骨、牙列和弓丝托槽的三维有限元模型,并在此基础上模拟临床Forsus施力部位加载,并设计了五种不同的计算工况。结果 在5种工况下，弓丝托槽和牙列上的Von Mises等效应力水平相对于下颌骨较高，最大应力出现在弓丝托槽。下颌骨上的应力集中主要位于髁突颈和牙槽嵴部位，下颌骨上最大的Von Mises等效应力出现在髁突颈处，下颌骨最大的位移都基本出现在颏部，髁突颈局部发生了塑性变形。结论 Forsus矫治力的加载角度最好为0°～25°。 关键词：下颌骨；有限元模型；生物力学 中图法分类号：R783.5 文献标识码:A FEM analysis on submaxilla anterior guidance subjected to forsus orthopedic force and discussion on optimal angle of orthopedic force YAN Gong-xing, Liu Zhan-fang (Department of engineering mechanics, Chongqing university, Chongqing 400030) 【Abstract】 (1)Objective To research the stress and displacement distribution of submaxilla subjected to forsus orthopedic force，and to discuss the optimal angle of orthopedic force. It can provide biomechanical basis for new appliances designation. (2) Methods A clinical volunteer with Angle classⅡ malocclusion was selected. Helical CT and 3-D image technique were used to finish the primary model reconstruction. And a 3-D FE model of forsus-dent-submaxilla were constructed by abaqus software. Then Forsus orthopedic force application based on the FE model were simulated. And Five conditions were designed for this.(3)Results Under all five loading conditions, the Von Mises equivalent stresses level on forsus-dent are higher than on the submaxilla, the highest stress is on the forsus. Stress centralization on submaxilla mostly locates at condylar and alveolar ridge, the highest stress of submaxilla is on the condylar, and the largest displacement of submaxilla is on the chin basically. And plastical strain were appeared on the condylar. (4)Conclusion The optimal angle of orthopedic forsus force is between 0° and 25°. 【key words】Submaxilla; FEM model; Biomechanics 下颌后缩是临床常见的Ⅱ类错牙合畸形的重要特征之一，在青少年Ⅱ类错牙合畸形中下颌后缩约占46％[1],严重影响患者的颜貌和功能。根据畸形的性质、程度和形成机制，在不同时期应用功能矫治器进行下颌前导是矫治下颌后缩畸形的关键。一直以