安氏Ⅱ1类患者颞下颌关节三维有限元分析

doi:10.13701/j.cnki.kqyxyj.2017.02.019

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (2): 194-198.DOI: 10.13701/j.cnki.kqyxyj.2017.02.019

安氏Ⅱ¹类患者颞下颌关节三维有限元分析

吕儒雅¹, , 王婧¹, 刘海霞^1*, 韩蓓蕾¹, , 王为²

1. 新疆医科大学第二附属医院口腔科新疆乌鲁木齐 830000;
2. 乌鲁木齐大为创新信息科技有限公司新疆乌鲁木齐 830000

收稿日期:2016-08-23 出版日期:2017-02-20 发布日期:2017-02-22
通讯作者: 刘海霞,E-mail:kqlhx@sina.com
作者简介:吕儒雅(1988~ ),女,河南驻马店人,硕士在读,主要从事牙颌畸形诊断与治疗技术的研究。

Three-dimensional Finite Element Analysis of Temporomandibular Joint in Patients with Class Ⅱ Division 1.

LV Ru-ya¹, WANG Jing¹, LIU Hai-xia^1*, HAN Bei-lei¹, WANG Wei².

1. Department of Stomatology, The Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China;
2. Urumqi Dawei Innovative Information Technology limited Company, Urumqi 830000, China

Received:2016-08-23 Online:2017-02-20 Published:2017-02-22

摘要/Abstract

摘要： 目的:对比分析安氏Ⅱ¹类错牙合与正常牙合在牙尖交错位紧咬牙时颞下颌关节的应力分布。方法:运用相关软件将志愿者的CT及MRI数据融合,构建个别正常牙合及安氏Ⅱ¹类错牙合颞下颌关节有限元模型,分别对其进行边界约束和力学加载,分析描述两者颞下颌关节各个部位的应力分布。结果:正常牙合两侧颞下颌关节应力分布基本对称,安氏Ⅱ¹类错牙合颞下颌关节的应力分布特征与正常牙合基本一致,但下颌骨、髁突及颞骨关节窝的等效应力值比正常牙合增大;关节盘的等效应力有所下降,但其上下表面的中间带应力值比正常牙合增大。结论:安氏Ⅱ¹类错牙合患者在牙尖交错位时的应力分布增大了其罹患颞下颌关节紊乱病的危险性,应及时矫治为其颞下颌关节提供一良好的生物力学环境。

关键词: 安氏Ⅱ类1分类, 个别正常合, 颞下颌关节, 三维有限元

Abstract: Objective: To compare and analyze the stress distribution and biomechanic characters of temporomandibular joint (TMJ) by loading on the normal and ClassⅡ division1 occlusion using finite element models. Methods: The normal and ClassⅡdivision1 three-dimensional finite element models were constructed by integrating the data of CT and MRI. And then the stress distribution in the temporomandibular joint parts was conducted after mechanical loading and boundary constraint to two models, respectively. Results: The stress distribution of the TMJ was approximately symmetrical in normal occlusion. No significant difference was found in stress distribution between normal and. However, in ClassⅡdivision1 occlusion, the values on mandibular, condylar and glenoid fossa were higher, the values on joint disc were lower, and the values on top and bottom surface were higher than those in the normal occlusion. Conclusion: The stress distribution of ClassⅡdivision1 occlusion increases its risk of temporomandibular joint disorder syndrome. It should be promptly corrected to provide a good biomechanical environment for the temporomandibular joint.

Key words: ClassⅡdivision1 , Individual normal occlusion, Temporomandibular joint, Three-dimensional finite element

中图分类号:

R783.5

吕儒雅, , 王婧, 刘海霞, 韩蓓蕾, , 王为. 安氏Ⅱ¹类患者颞下颌关节三维有限元分析[J]. 口腔医学研究, 2017, 33(2): 194-198.

LV Ru-ya, WANG Jing, LIU Hai-xia, HAN Bei-lei, WANG Wei.. Three-dimensional Finite Element Analysis of Temporomandibular Joint in Patients with Class Ⅱ Division 1.[J]. Journal of Oral Science Research, 2017, 33(2): 194-198.

参考文献

[1] 方颖, 孙雯, 施洁珺, 等.安氏Ⅱ¹类下颌后缩颞下颌关节结构与垂直骨面型、覆牙合覆盖的相关性研究[J].实用口腔医学杂志,2008,24(6)∶886-889
[2] 张学军, 周传丽, 白玉兴, 等. 安氏Ⅱ类1分类错牙合髁突运动轨迹与关节盘位置的相关性研究[J].中华口腔医学杂志, 2010, 45(1)∶16-19
[3] Kim KN, Cha BK, Choi DS, et al. A finite element study on the effects of midsymphyseal distraction osteogenesis on the mandibule and articular disc[J]. Angle Orthod, 2012, 82(3)∶464-471
[4] 周子凌, 张渊, 石利强, 等.咬合接触对颞下颌关节应力分布影响的三维有限元分析[J].中华口腔医学杂志,2015,50(5)∶302-306
[5] Koolstra JH, vanEijden TM. Three-dimensional dynamical capabilities of the human masticatory muscles[J]. J Biomech,1999,32(2)∶145-152
[6] 刘梦超. 颞下颌关节骨骼肌肉系统三维有限元模型的建立[D]. 温州医科大学, 2014: 22-23.
[7] Tanaka E, Del P R, Tanaka M, et al. Three-dimensional finite element analysis of human temporomandibular joint with and without disc displacement during jaw opening[J]. Med Eng Phys, 2004, 26(6)∶503-511
[8] Mori H, Horiuchi S, Nishimura S, et al. Three-dimensional finite element analysis of cartilaginous tissues in human temporomandibuar joint during prolonged clenching Arch Oral Biol[J]. 2010, 55(11)∶879-886.
[9] Savoldelli C, Bouchard PO, Loudad R, et al. Stress distribution in the temporomandibular joint discs during jaw closing:a high-resolution three-dimensional finite-element model analysis[J]. Surg Radiol Anat, 2012, 4(5)∶405-413.
[10] 邓潇, 万哲, 何姝姝, 等.成人安氏II类错牙合正畸人群正中关系位与最大牙尖交错位不调的研究[J].中华口腔医学杂志,2011,29(1)∶48-52
[11] Vitral RWF, Telles CS. Computed tomography evaluation of temporomandibular joint alterations in ClassⅡDivisioon 1subdivision patients:condylar symmetry[J]. Am J Orthod Dentofacial Orthop, 2002, 121(4)∶369-374
[12] Vitral RW, Telles Cde S, Fraga MR, et al. Computed tomography evaluation of temporomandibular joint alterations in patients with class II division 1 subdivision malocclusions:condyle—fossa relationship[J]. Am J Oahod Dentofacial Oahop, 2004, 126(1)∶48-52
[13] 孙岩.安氏Ⅱ类1分类错牙合患者颞下颌关节CBCT测量值分析[D]. 中山大学, 2010∶31
[14] Fraga MR, Rodrigues AF, Ribeiro LC, et al. Anteroposterior condylar position: A comparative study between subjects with normal occlusion and patients with Class I, Class II Division 1, and Class III malocclusions[J]. Med Sci Monit, 2013, 19∶903-907
[15] 刘展, 钱英莉, 张远理, 等.关节盘移位对颞下颌关节内应力分布的影响[J]. 医用生物力学, 2013, 28(5)∶528-532
[16] 林有籁, 刘月华, 王冬梅, 等.个别后牙反牙合对颞下颌关节应力分布的三维有限元研究[J]. 中华口腔医学杂志, 2013, 48(2)∶86-90

安氏Ⅱ¹类患者颞下颌关节三维有限元分析

Three-dimensional Finite Element Analysis of Temporomandibular Joint in Patients with Class Ⅱ Division 1.

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