Quantitative approach for the prediction of tooth movement during orthodontic treatment.
The orthodontic treatment is aimed to displace and/or rotate the teeth to obtain the functionally correct occlusion and the best aesthetics and consists in applying forces and/or couples to tooth crowns. The applied loads are generated by the elastic recovery of metallic wires linked to the tooth crowns by brackets. These loads generate a stress state into the periodontal ligament and hence, in the alveolar bone, causing the bone remodeling responsible for the tooth movement. The orthodontic appliance is usually designed on the basis of the clinical experience of the orthodontist. In this work, a quantitative approach for the prediction of the tooth movement is presented that has been developed as a first step to build up a computer tool to aid the orthodontist in designing the orthodontic appliance. The model calculates the tooth movement through time with respect to a fixed Cartesian frame located in the middle of the dental arch. The user interface panel has been designed to allow the orthodontist to manage the standard geometrical references and parameters usually adopted to design the treatment. Simulations of specific cases are reported for which the parameters of the model are selected in order to reproduce forecasts of tooth movement matching data published in experimental works.
Soncini
Monica
M
Laboratory of Biological Structure Mechanics, Dipartimento di Bioingegneria, Politecnico di Milano, Milano, Italy. soncini@biomed.polimi.it
Pietrabissa
Riccardo
R
D000818:Animals; D003198:Computer Simulation; D003799:Dental Stress Analysis / Q000379:methods; D004285:Dogs; D004548:Elasticity; D005260:Female; D006801:Humans; D008297:Male; D008954:Models, Biological; D016382:Orthodontic Appliance Design / Q000379:methods*; D009967:Orthodontic Appliances; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013314:Stress, Mechanical; D013813:Therapy, Computer-Assisted / Q000379:methods; D014070:Tooth / Q000503:physiopathology* / Q000601:surgery; D014087:Tooth Movement Techniques / Q000379:methods*; D019415:Torque; D014783:Viscosity; D016474:Weight-Bearing