口腔正畸生物力学2024年度研究进展
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国家自然科学基金项目(12202274, 11932012),国家重点研发计划项目(2022YFC2405900)


Research Advances in Orthodontic Biomechanics in 2024
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    摘要:

    口腔正畸生物力学通过多学科交叉融合,在牙齿移动机制解析、矫治技术优化及个体化诊疗领域取得显著进展。研究表明,三维有限元模型精准揭示了牙周组织应力分布与骨改建的动态关联,强调轻力控制对治疗安全性的核心作用;隐形矫治器通过低摩擦弹性附件(low-friction elastic handel,LFEH)、协同支抗策略及材料力学优化,显著提升牙齿移动可预测性,其中LFEH设计可降低唇舌向倾斜应力。生物活性材料与智能弓丝的应用,在增强釉质抗脱矿能力与维持持续轻力释放方面成效显著。人工智能技术深度融合诊疗全流程:基于深度学习的动态预测模型优化施力方案,实时力学监测系统动态校准移动路径,推动诊疗向精准化转型。然而,个体差异对生物力学响应的影响及复杂移动仍是关键挑战。未来需整合多模态数据构建智能诊疗体系,开发力学响应性生物材料与可降解支抗装置,深化分子–细胞–组织跨尺度机制研究,以实现从“力导向”到“生物学响应导向”的精准正畸跃升。

    Abstract:

    Orthodontic biomechanics, through the integration of multiple disciplines, has made significant advancements in understanding tooth movement mechanisms, optimizing orthodontic techniques, and providing personalized treatment. Research indicates that three-dimensional finite element models accurately reveal the dynamic relationship between the stress distribution in periodontal tissues and bone remodeling, highlighting the critical role of light force control in ensuring treatment safety. Clear aligners, through low-friction elastic attachments (LFEH), collaborative anchorage strategies, and material mechanics optimization, significantly enhance the predictability of tooth movement, with LFEH design reducing lingual and buccal tilting stresses. The application of biologically active materials and smart archwires has significantly enhanced enamel resistance to demineralization and sustained light force release. Artificial intelligence technology is deeply integrated into the entire treatment process: dynamic prediction models based on deep learning optimize force application schemes, while real-time mechanical monitoring systems dynamically calibrate movement paths, promoting the precision of treatment. However, individual differences in biomechanical responses and complex movements remain key challenges. Future efforts should focus on integrating multimodal data to build intelligent diagnostic systems, developing mechanically responsive biomaterials and degradable anchorage devices, and deepening research on molecular-cell-tissue cross-scale mechanisms to achieve a leap from 'force-oriented' to 'biological response-oriented' precision orthodontics.

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肖圣钊,沈灿奥,房兵.口腔正畸生物力学2024年度研究进展[J].医用生物力学,2025,40(4):795-806

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  • 收稿日期:2025-07-08
  • 最后修改日期:2025-07-13
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  • 在线发布日期: 2025-08-25
  • 出版日期: 2025-08-25
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