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个别牙扭转矫治方法的进展

付 佳鑫, 车 锋哲

摘要

个别牙扭转常见于牙列拥挤与错颌畸形,不仅影响美观和咬合稳定性,且矫治后复发风险高,是正畸治疗及保持期的重
点与难点。目前,前牙与后牙扭转的定量评估、分级标准尚未统一,复发风险防控及保持策略也缺乏高质量证据支持。
本文从生物力学要点出发,指出矫治核心为施加纯旋转力偶,需通过控制力矩比(M/F)与作用点方向调整旋转中心轨
迹(CRot),且偶力设计需结合牙体解剖与力系方向个体化实施,不同牙齿运动形式对应不同牙周膜最佳应力/应变窗口。

关键词

个别牙扭转;正畸矫治;生物力学;传统固定矫治;种植支抗(TADs);隐形矫治

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参考

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