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experimental study
Hans N~igerl,* Charles d. Burstone, DDS, MS, b Benedict Becker," and
Dietmar Kubein-Messenburg d
T h e basis of orthodontic therapy is the ability to control the force system applied to the teeth. Yet
the relationship between the point at which a given force
is exerted on a tooth and the center of rotation for the
movement that such force produces is not completely
understood.
Previously, the problem has been attacked by analysis of both analytical and numerical models, t4 but,
effective as these models may be, it is necessary to test
them experimentally with suitable instrumentation in
laboratory models and, ideally, in vivo in human subjects. Previous experimental techniques have been limited by the invasive nature of mechanical force gauges,
the complexity of techniques such as holography, and
the inability to vary the position of the force on the
tooth by small incrementsJ s
The purpose of the present study was to develop a
reliable and relatively noninvasive technique for simultaneously measuring the pressure that exerted on a
tooth by the application of a specific force and the
resulting tooth movement.
=Dr. rer. nat., IV. Phys. Institute of the University of Grttingen, West Germany.
bProfessor, Health Center, University of Connecticut, Farmington, Connecticut.
elY. Phys. Inst. der Univ. Grttingen, West Germany.
aProfessor Dr.med., Kieferorthop. Abtlg. Zentrum Zahnmedizin, University
of G6rtingen, West Germany.
811120918
338
Niigerl et al.
i F
or
Torqu e~lexible
shaft
1- crown extension
| Force ,,
b = cr2
B
Fig. 1. A, A general theory of tooth movement states that the
product of the distances a and b equals a constant (~2). B, o~
is a constant, provided that the single forces are parallel and
act in the.same plane. Any
individual forces shown in B
produces the same o-2.
ofthe
METHOD
An extracted upper right canine was used for the
experimental model. A mold was formed that allowed
placement ofa 1 mm thickness of soft plastic to simulate
the periodontal ligament (Moloplast B E = 7 N / m m 2,
lvoclar Dental GmbH, Ellwangen, West Germany).
The model was constructed of relatively rigid acrylic
(SR Kunststoff" Evoclar E = 2500 N / m m 2, Ivoclar
!i
I
root
load
.J/
Fig. 2. Loading method. The range of clinically relevant centerof-rotation locations obtained with the inherent sense of the
couple (torque) opposite the moment of the force about thecenter of resistance. The magnitude of the torque was varied
with a constant force.
Volume 99
Number 4
339
I
|
1
,, it
.....
-1- ......
"x
Fig. 3. Method of displacement measurement. A minimum of three sensors was required to define
displacement in one plane.
of the tooth. At least three points are required for mathematical determination of the center of rotation in one
plane, since loading could also produce intrusion or
extrusion of the tooth. The sensors were inductive in
nature and loaded with a very low force (0.05 N, Feinpriif GmbH, G6ttingen, Germany), at the initial loading
position. The effect of the small load was corrected in
the computer program; hence the inductive transducers
were noninvasive (Fig. 3). Displacement resolution of
the sensors was 0.02 ~m.
The computer integrated and controlled the application of the forces and torques and the measurement
of displacement (Fig. 4). The applied torque was proportional to the current and was regulated by the computer. The sensors measured the displacement and, after
A - D conversion, the displacement figures were fed into
the computer, which calculated the locations of the centers of rotation.
The equipment tested 160 different equivalent force
positions by varying the magnitude of torque with respect to a constant force in each plane and for each
direction of loading. Readings were made 1 second after
application of the force to allow the tooth to reach a
state of equilibrium. Five separate readings were made
for each loading condition. Means and standard deviations were calculated for the location of the center of
resistance and tr z. The center of resistance was defined
as that point through which a single force produced no
XZ-plane rotation as measured directly by the transducers.
The overall equipment, including the tooth model,
torque motor and weight, displacement sensors, and
computer, is shown in Fig. 5.
AT
computer
A/D I
C 0 nve ~er
" I
converter
amplifier
displacement
-~sensor 1 0 ~
current
I
I
controlL_=,..
[+_0__400 reAl r
I 24V- /
RESULTS
Loading of the tooth through its long axis demonstrated that a b = tr'- for any given plane. A representative graph is shown in Fig. 6, in which the dis-
340
Am. J.
Niigerl et al.
Fig. 5. Overall view of equipmentshowing tooth model, displacementsensors, torque motor, and pulley
with weight.
Table I. Position o f center o f resistance (CR), 0-2 values, and force direction
Force direction
Labial
Distolabial
Distal
Distopalatal
Palatal
Mesiopalatal
Mesial
Mesiolabial
CR (ram)
CelL
(cm2)
oe l L 2
6.9
5.4
6.4
6.6
6. I
6.9
7.0
8.3
0.35
0.27
0.32
0.33
0.31
0.35
0.35
0.42
1.029
1.009
0.869
1.028
i .237
0.885
0.909
0.985
0.257
0.252
0.217
0.257
0.309
0.22 l
0.227
0.246
Center of resistance is measured from a uniform alveolar crest. Average standard deviation for CR was 0.25 mm. Average standard deviation
for ~ was 0.033 cmL
Volume 99
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341
'b
8- err/
Force F = 1N d i s t a l
6,,o
Jo
4-
.t~ o*
s"
2
ot./-'
i
I
-8
-6
-4
I
-2
...-'
2t
4:
6:
: a '--~
cm-1
.=.-"
.#"
#,
//
-- 4
a,b
= a= = 0 . 9
cm 2
/"
--6
.
.s
Fig. 6. Representative plot of center-of-rotation position versus reciprocal of force position. The constancy of slope (o=) is demonstrated.
The equipment was accurate and gave highly reproducible data, both in determining the centers of ro-
342
Niigerl et al.
Az__.
/Jm
-i
Tf"
"
elasticityconstant
D = 5,4kN,Zcm
___e
0.5
1.0
1.5
F/N
Fig. 8. Representative plot of force magnitude versus displacement during translation. Force-deflection
rate (D) is a constant.
uCR
cm
1.0'
t--j
r--rl--~--------
0.5
0
0.5
1.0
1.5
F/N
case with a restrained body such as a tooth. Orthodontists may have assumed that there is only one center of
resistance for a given tooth and its periodontal support.
This study shows that this may not be the case, and
one may anticipate that future clinical studies will show
that the center of resistance will vary with the direction
in which the tooth is to be moved. In the present study,
the location of the center of resistance varied from 27%
of the root length to 42%, as measured from a constantlevel alveolar crest. It has been previously reported that,
with a root of parabolic shape, one might predict a
center of resistance at 33% of the root length. 8 It is
Volume 9 9
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343
Table II. Distal canine movement: Position of force for various centers of rotation
Lcticeter l
rotation
bIL
Apex
Midpoint of CR to A p e x
2 Root lengths apical to CR
Translation (infinity)
Incisal edge
Bracket (13 m m from CR)
0.217
0.217
0.217
*
0.217
0.217
0.680
0.330
2.00
*
0.845
0,645
aI L
c IL
0.32
0.66
0. i 1
0.00
- 0.26 t
--0.34
0.00
0.34
--0.2 i 2
- 0.32
- 0.58
--0.66
a(mm )
6,4
13.2
2.2
0.0
- 5,2 t
--6.8
c(mm)
0.0
6.8
- 4.22
-6.4
-!1.6
13.2
Minus signs refer to distances or distances/root-length ratios apical to the center of resistance I or alveolar crest:. See Fig. I.
0.2
"Y-VE
Ca = Center of resistance.
L = Root length.
a = Distance from point of application of force to center of resistance.
b = Distance from center of resistance to center of rotation.
c = Distance from alveolar crest to point o f application of force.
*Undefined.
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Number 4
REFERENCES
I. Burstone CJ. The biomechanics of tooth movement. In: Kraus
BS, Reidel RS, eds. Vistas in orthodontics. Philadelphia: Lea &
Febiger, 1962;197-213.
2. Nikolai RJ. Periodontal ligament reaction and displacements of a
maxillary central incisor subjected to transverse crown loading.
J Biomech 1974;7:93-9.
3. Nikolai RJ. An optimum orthodontic force theory as applied to
canine retraction. At4 J ORTHOD 1975;68:290-302.
4. Tanne K, Koenig HA, Burstone CJ. Moment to force ratios and
!he center of rotation. Ar,t J ORTtlOD DE.,'q'rOFACORTItOP 1988;
94:426-31.
5. Mi.ihlemann HR, Zander HA. Tooth mobility. 11I. The mechanism
of tooth mobility. J Pcriodont 1954;25:128-37.
6. Christiansen RL, Burstone CJ. Centers of rotation within the periodontal space. AM J OR'IqtOD 1969;55:351-69.
345
7. Burstone CJ, Pryputniewicz RJ, Bowley WW. Holographic measurement of tooth mobility in three-dimensions. J Periodont Res
1978; 13:283-94.
8. Burstone CJ, Pryputniewicz RJ. Holographic determination of
centers of rotation produced by orthodontic forces. Ar,I J ORTtIOD
1980;77:396-409.
9~ Tanne K. Stress induced in the periodontal tissue at the initial
phase of the application of various types of orthodontic force:
three-dimensional analysis by means of the finite element method.
J Osaka Univ Dent Soc 1983;28:209-61.