唇腭裂术后瘢痕及上颌扩弓联合前牵引治疗对上颌骨发育综合影响的有限元分析

doi:10.7518/hxkq.2020.06.006

华西口腔医学杂志 ›› 2020, Vol. 38 ›› Issue (6): 642-646.doi: 10.7518/hxkq.2020.06.006

唇腭裂术后瘢痕及上颌扩弓联合前牵引治疗对上颌骨发育综合影响的有限元分析

黄威¹(), 李颖辉², 郭凯利³, 周永川⁴, 李向军¹()

1.河北医科大学口腔医学院·口腔医院口腔颌面外科,河北省口腔医学重点实验室,石家庄 050017
2.河北医科大学口腔医学院·口腔医院口腔正畸科,河北省口腔医学重点实验室,石家庄 050017
3.河北医科大学口腔医学院·口腔医院,河北省口腔医学重点实验室,石家庄 050017
4.河北医科大学口腔医学院·口腔医院儿童口腔科,河北省口腔医学重点实验室,石家庄 050017

收稿日期:2020-02-06 修回日期:2020-09-07 出版日期:2020-12-01 发布日期:2020-12-07
通讯作者: 李向军 E-mail:505060770@qq.com;lixiangjun2013@sina.cn
作者简介:黄威,主治医师,硕士,E-mail：505060770@qq.com
基金资助:
河北省医学科学研究课题计划(20190097)

Finite element analysis of the comprehensive impact of scar and maxillary expansion combined with protraction on the development of maxilla with cleft lip and palate after repair operation

Huang Wei¹(), Li Yinghui², Guo Kaili³, Zhou Yongchuan⁴, Li Xiangjun¹()

1. Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Hebei Medical University & Hebei Key Laboratory of Stomatology, Shijiazhuang 050017, China
2. Dept. of Orthodontics, School and Hospital of Stomatology, Hebei Medical University & Hebei Key Laboratory of Stomatology, Shijiazhuang 050017, China
3. School and Hospital of Stomatology, Hebei Medical University & Hebei Key Laboratory of Stomatology, Shijiazhuang 050017, China
4. Dept. of Pediatric Dentistry, School and Hospital of Stomatology, Hebei Medical University & Hebei Key Laboratory of Stomatology, Shijiazhuang 050017, China

Received:2020-02-06 Revised:2020-09-07 Online:2020-12-01 Published:2020-12-07
Contact: Li Xiangjun E-mail:505060770@qq.com;lixiangjun2013@sina.cn
Supported by:
Medical Science Research Project in Hebei Province(20190097)

摘要/Abstract

摘要：

目的探究在唇腭裂术后瘢痕及上颌扩弓联合前牵引治疗综合影响下上颌骨发育的变化情况。方法在原腭裂上颌骨有限元模型基础上,利用ANSYS 17.0软件进行布尔操作形成唇腭裂上颌骨有限元模型,同时添加唇腭裂术后瘢痕力及上颌扩弓联合前牵引力进行力学分析。结果上颌骨在三维方向上均出现明显形变,形变位移比较结果为X轴>Z轴>Y轴。结论在唇腭裂术后瘢痕及上颌扩弓联合前牵引治疗综合影响下,上颌骨在三维方向上均出现明显生长抑制现象,其中以横向及矢状向生长抑制最明显。

关键词: 唇腭裂, 瘢痕, 正畸治疗, 上颌骨发育, 三维有限元

Abstract:

Objective To study the comprehensive impact of scar and maxillary expansion combined with protraction on the development of maxilla with cleft lip and palate after repair operation. Methods In the original finite element model of the maxilla with cleft palate, a finite element model of the maxilla with cleft lip and palate was established by using Boolean operation in ANSYS. Scar force after cleft lip and palate repair and maxillary expansion force combined with protraction were added simultaneously to process the stress analysis. Results Maxillary deformation occurred in the three-dimensional direction. The comparison of displacements was as follows: X-axis>Z-axis>Y-axis. Conclusion Maxillary growth is significantly inhibited in the three-dimensional direction under the comprehensive impact of scar and maxillary expansion combined with protraction after repair operation, especially transverse and sagittal growth.

Key words: cleft lip and palate, scar, orthodontic treatment, maxillary growth, three-dimensional finite element

中图分类号:

R782.2

黄威, 李颖辉, 郭凯利, 周永川, 李向军. 唇腭裂术后瘢痕及上颌扩弓联合前牵引治疗对上颌骨发育综合影响的有限元分析[J]. 华西口腔医学杂志, 2020, 38(6): 642-646.

Huang Wei, Li Yinghui, Guo Kaili, Zhou Yongchuan, Li Xiangjun. Finite element analysis of the comprehensive impact of scar and maxillary expansion combined with protraction on the development of maxilla with cleft lip and palate after repair operation[J]. West China Journal of Stomatology, 2020, 38(6): 642-646.

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参考文献 23

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工况名称	施力部位	力值大小/N	施力方向
上唇压力	上唇软组织与牙槽突交界区	7.16	垂直于牙槽突前表面
腭部瘢痕力	腭板软硬组织交界区	17.52	由前向后,由外向内
上颌扩弓力	双侧上颌第一前磨牙、第一磨牙牙槽嵴顶区	4.9	平行于平面水平向两侧
上颌前牵引力	双侧上颌尖牙牙槽嵴顶区	4.9	平面前下30°

唇腭裂术后瘢痕及上颌扩弓联合前牵引治疗对上颌骨发育综合影响的有限元分析

Finite element analysis of the comprehensive impact of scar and maxillary expansion combined with protraction on the development of maxilla with cleft lip and palate after repair operation

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