国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (4): 491-496.doi: 10.7518/gjkq.2020069

• 方法介绍 • 上一篇    

新型正畸转矩簧夹装式门形辅弓及其临床应用

郑丹,易俭如,李宇(),赵志河   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院正畸科 成都 610041
  • 收稿日期:2019-11-21 修回日期:2020-03-24 出版日期:2020-07-01 发布日期:2020-07-10
  • 通讯作者: 李宇
  • 作者简介:郑丹,硕士,Email:zhengdan94@qq.com
  • 基金资助:
    国家自然科学基金面上项目(31971247);四川省科学技术厅重点研发项目(2018SZ0379)

Clinical application of a novel torque control auxiliary: crimpable gate spring

Zheng Dan,Yi Jianru,Li Yu(),Zhao Zhihe   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-11-21 Revised:2020-03-24 Online:2020-07-01 Published:2020-07-10
  • Contact: Yu Li
  • Supported by:
    This study was supported by General Program of National Natural Science Foundation of China(31971247);Key Projects of Science and Technology Department of Sichuan Province(2018SZ0379)

摘要:

转矩控制对正畸疗效尤为重要,然而传统的转矩控制方法有时无法获得理想的效果。本文介绍一种新型的成品夹装式门形辅弓,利用其独特的力学原理与结构设计,用于高效、便捷地改正目标牙转矩。夹装式门形辅弓由不锈钢圆丝弯制的U形曲与2个固位金属夹组成,根据U形曲高度分为6和8 mm 2种型号。夹闭金属夹将门形辅弓固定于主弓丝后,通过弯曲U形曲呈一定角度即可加力,U形曲位于主弓丝龈方或切方分别施加根舌向或根唇向转矩,弯曲角度越大则加力越大。通常加力2~3个月目标牙转矩即可发生明显改变。

关键词: 转矩, 夹装式门形辅弓, 固定正畸矫治器

Abstract:

Torque control is critical for orthodontic treatment. However, current torque control approaches are still unsatisfactory. This article aims to introduce crimpable gate spring, a novel, customizable torquing auxiliary that comprises a U loop and two crimpable clips. According to the height of the U loop, the spring has two types: 6 and 8 mm. The large arm of the force contributes to its high efficiency for torque control, and crimpable clips facilitate easy repair. Force is applied by bending the U loop at a certain angle; the force is substantial when the bending angle is large. Lingual and labial root torques are produced by placing the U loop in the gingival and incisal directions, respectively. The torque of the target tooth can generally be changed two to three months after force application.

Key words: torque, crimpable gate spring, fixed appliance

中图分类号: 

  • R783.5

图 1

夹装式门形辅弓的结构 A:未加力状态;B:加力状态;C:固位部分放大细节图;a:U形曲;b:固位部分。"

图 2

应用门形辅弓后牙齿的旋转中心 A:控根移动示意图;B:托槽以主弓丝为旋转中心带动牙齿控根移动;α:转矩自由度;δ:余隙角;α=2δ。"

图 3

双重结扎 在常规结扎基础上,再加上1根结扎丝,以加固结扎。"

图 4

控制转矩同时关闭间隙 A:门形辅弓治疗前,内收过程中上颌中切牙过于直立;B:门形辅弓施加根舌向转矩,同时继续关闭拔牙间隙;C:门形辅弓治疗结束后,上颌中切牙转矩恢复,且间隙已关闭。"

表 1

6和8 mm门形辅弓不同加力度数对应的力值"

加力弯曲角度/° 6 mm U形曲顶端产生力值/N 8 mm U形曲顶端产生力值/N
5 1.23±0.17 0.77±0.09
10 2.46±0.11 1.42±0.15
15 3.23±0.05 2.16±0.04
20 3.99±0.07 2.79±0.15
25 4.99±0.08 3.35±0.07

图 5

唇侧错位尖牙的舌向控根 A:初诊口内像示13、23牙与邻牙12、22牙易位;B:纠正易位并排齐后,23牙根唇侧突出,根形明显;C:使用夹装式门形辅弓加力4个月后,23牙根舌向转矩移动明显;D:结束时,23牙控根效果稳定。红色箭头指示目标牙23。"

图 6

上颌中切牙舌向控根 A、C:使用门形辅弓前;头侧位片示,上颌中切牙牙根向唇侧突出;B、D:使用门形辅弓对上颌中切牙舌向控根移动后;头侧位片示上中切牙根舌向移动,进入牙槽骨内。"

图 7

上颌侧切牙唇向控根 A、B:初诊口内像示,22牙严重舌向错位;C、D:排齐后,22牙冠唇倾,需要根唇向转矩;E、F:应用门形辅弓2个月后,22牙牙冠直立,牙根唇向移动。红色箭头指示目标牙。"

图 8

门形辅弓的力学原理 A:弓丝与槽沟相互作用产生力矩的作用机制;B:夹装式门型辅弓的作用机制;a、b:弓丝边长;d:力臂;F:力;M:力矩。"

图 9

传统转矩簧结构图示意图 a:施力部分;b:线圈组固位;c:主弓丝。"

图 10

夹装式门形辅弓在临床使用的优越性 a:夹装式门形辅弓;b:牵引钩;c:传统转矩簧。"

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