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带末端后倾弯弓丝前牙段压入力衰减的实验研究
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摘要
目的:
     通过研究四种不锈钢弓丝在制备三种后倾弯角度后弓丝前牙段压入力的变化及弓丝在人工唾液环境中、模拟临床加载状态下的压入力衰减情况,分析带磨牙末端后倾弯弓丝前牙段的力学变化规律,为合理、高效地使用后倾弯进行临床实践提供依据。方法:
     选取直径为0.016英寸的四种常用不锈钢弓丝,每种不锈钢弓丝均制备20。、30。、40。三种角度后倾弯。利用Instron万能材料力学实验机测量各不锈钢弓丝在三种角度后倾弯时前牙段的最大压入力力值,比较各实验样本的力值情况。保持实验样本处于模拟临床加载的状态,并恒温于37℃人工唾液环境,观察带后倾弯的不锈钢弓丝在此后6个不同时间点(24小时、48小时、1周、2周、4周、8周)各实验样本剩余压入力力值变化,从而得出带末端后倾弯弓丝前牙段压入力衰减情况。
     结果:
     1、不锈钢弓丝在不同后倾弯角度时前牙段最大压入力力值不同。各组弓丝40°后倾弯时弓丝产生的压入力均最大,其均值范围为95.7g-100.0g;30°后倾弯时弓丝产生压入力居中,均值介于74.3g-79.0g;20°后倾弯时弓丝产生的压入力最低,均值为47.0g-49.5g。其中普通不锈钢弓丝组前牙段的压入力在后倾弯角度相同时力值最大,40°均值为100.0g,30°均值为79.0g、20°均值为49.6g。
     2、后倾弯角度相同时不同不锈钢弓丝的前牙段压入力力值不同。普通不锈钢弓丝组平均力值在同等条件下最大。
     3、带后倾弯弓丝前牙段压入力力值均随时间推移而降低。在恒温37℃的人工唾液环境下、模拟临床加载状态,压入力力值随着时间推移而降低,前四周的力值衰减速度大于后四周力值衰减速度。
     4、四种不锈钢弓丝在相同后倾弯角度时前牙段压入力力值衰减情况各不相同;且同种弓丝在不同后倾弯角度时力值衰减也不同。后倾弯角度越大,弓丝前牙段压入力力值衰减也越快。
     结论:.
     1、带末端后倾弯弓丝前牙段压入力力值与后倾弯角度、不锈钢弓丝类型相关。
     2、带末端后倾弯弓丝前牙段压入力力值随着加载时间的延长而衰减,衰减速度呈下降趋势。
     3、带末端后倾弯弓丝的前牙段压入力力值衰减与不锈钢弓丝的类型、后倾弯角度具有一定的相关性。
Objective:
     The study was to research the mechanical properties of four different stainless steel wires with three different tip-back bend angles, and the variousness with relation to the period of loading under artificial saliva environment, and to provide reference for clinical practice when using tip-back bend validly.
     Materials and Methods:
     Four types of stainless steel round wire of 0.016 inches being used popularly in orthodontics were selected. All groups were all prepared with tip-back bends of angles 20°,30°,40°.To simulate maximum intrusive force with the different tip-back bends of archwires when using in anterior teeth, a comparative study was about intrusive force of each experimental sample. All datas were measured by The Instron Universal Testing Machine.A Stress/strain curve was prepared; in addition, these samples were observed which were maintained in artificial saliva environment of 37℃under constant loading force. The forces at six different moments in 8 weeks were recorded respectively.(at 24-hour point,48-hour point,1-week point,2-week point,4-week point,8-week point). Then the percentage of residual force was calculated, and the results analysed.
     Results:
     1.All the samples indicated different intrusive forces. In all types of wires, the intrusive force of wire with the tip-back angle of 40°was the largest, the mean force was between 95.7g-100.0g, the intrusive force of wire with the tip-back angle of 30°in the middle, the mean force between 74.3g-79g, and the intrusive force of wire with the tip-back angle of 20°the weakest, the mean force between 47.0g-49.5g.The intrusive forces of the Ordinary stainless wires were the largest with the same angle, the mean force of the wire with angle 40°were 100.0g,the mean force of the wire with angle 30°79.0g,and the mean force of the wire with angle 20°49.6g.
     2.It is found that the intrusive forces of the archwires with the same tip-back bend angle were different,almost all the datas showed the force of Australian wire were weaker than that of Ordinary stainless steel wire.
     3.When given the same tip-back bend angle,with the same type wire, the intrusive force of the anterior teeth attenuated as the time went on.the initial 4 weeks is more than the later 4 weeks in simulated clinical usage in artificial saliva environment of 37℃.
     4.The influence of types and angles on force attenuatation of the wires was statistically significant. Different types' wires had different force attenuatation and the same is true of the tip-back bend angles, the larger the tip-back angle was,the more quickly the force attenuated.
     Conclusions:
     1.Intrusive forces had relation to the tip-back bend angles and the types of arch wires.
     2.The intrusive force attenuated as the loading time went on,the attenuatation showed downtrend.
     3.The intrusive force attenuatation was related with the types and tip-back bend angles of the wires.
引文
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