Professional Documents
Culture Documents
SEMINAR
ON
BIOMECHANICS
Submitted by:
GURINDER SINGH
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BIOMECHANICS
CONTENTS
1)Introduction 1
2) What Is Biomechanics
3) Center Of Gravity
4) Center Of Resistance
5) Moment
6) Centre Of Rotation
7) Couple
9) Stateof Equilibrium
17) Conclusion
18) Bibliography
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BIOMECHANICS
INTRODUCTION
The physical concepts that form the foundation of orthodontic
work. The principles are not unique to orthodontics but are basic to
BIOMECHANICS:
movement.
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BIOMECHANICS
BIOMECHANICS:
Biology + Mechanics =
Biomechanics
Force
Moments
Couple
FORCE:
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BIOMECHANICS
CENTER OF MASS:
Each body has a point in its mass, which behaves as if the whole
mass is concentrate at that single point, which we call the center of mass
gravity is present.
Since the tooth is partially restrained as its root is embedded in bone its
resistance.
axis of tooth between one third and one half of the root length
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BIOMECHANICS
1) Length of root: Maxillary canine have long root than maxillary lateral
MOMENT:
MOMENT OF FORCE:
When a force is applied at any point other than through the center of
cannot apply force directly on CRES, but can apply force on the exposed
Moment is the product of the force times the perpendicular distance from
M=FXD
magnitude of moment.
CENTER OF ROTATION:
of the tooth in its initial and final positions; we will see that both these
lines intersect at a point. This is the point around which the tooth rotates
movement.
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BIOMECHANICS
The moment to force ratio controls the center of rotation for the intended
displacement.
UNCONTROLLED TIPPING:
In this situation, when force is applied the crown moves in one direction
and root moves in the opposite direction. Here Center of rotation lies
near to center of resistance. This is referred as uncontrolled tipping.
CONTROLLED TIPPING:
In this situation, crown moves in the direction of force but the root
position remains the same or gets minimally displaced. Here Center of
rotation lies at apex of the root.
TRANSLATION:
In this situation tooth moves bodily i.e. both crown and root portion of
tooth moves bodily in the direction of force. Here Center of rotation lies
at infinity. All the points in the tooth move by same distance in the same
direction in translation.
ROOT MOVEMENT:
In this situation, root moves in the direction of force but the crown
position remains the same or gets minimally displaced. Here Center of
rotation lies at Incisal edge of the crown.
COUPLE:
Two equal and opposite, non - collinear forces are called a couple. Couple
consists of two forces of equal magnitude, which are parallel to each other but
not coincident and they face in opposite direction.
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BIOMECHANICS
The moment of this couple is equal to the magnitude of one of the forces
multiplied by the perpendicular distance between the two lines of actions.
If the two forces of the couple act on opposite sides of the center of resistance,
their effect is additive.
However, if they are on the same side of the center of resistance, their effect is
subtractive.
The ratio of the counter moment to the force applied determines the type of
tooth displacement, brought about by the combined application of a force and
counter moment. As the counter balancing moment increases, the center of
rotation moves apically.
At one specific level of M/F the moment which arises from the force and the
applied counter movement cancel out each other i.e. there is no rotational
component, and hence only a translation takes place under the effect of force.
M/F Ratio values normally quoted of various types of displacements are;
M/F ratio less than 5:1 causes uncontrolled tipping in which the crown and the
root apex move in opposite directions.
M/F ratio between 5:1 and 8:1 causes controlled tipping in which the root apex
remains stationary and only the crown moves.
M/F ratio of 10:1 causes translation. The crown and the root apex move to
same extent in the same direction of force.
4) M/F ratio of 12:1 causes root movement. The crown remains stationary
while only the root moves.
It is important to note that the differences between the M/F Raito for
controlled tipping, translation and root movement are small. In other words,
even small alterations in the magnitude of the applied force or the counter
movement will alter the type of movement brought about.
STATE OF EQUILIBRIUM:
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BIOMECHANICS
Whenever state of equilibrium is established in the system the sum of all forces
and moments (together) present must be zero in all three planes.
For example, tip back bend (like the bite opening bend in Begg appliance)
generates a moment which tends to tip the molar tooth crown distally. This is
balanced by an automatic creation of another moment in the overall system in
opposite direction comprising of two forces an intrusive force at the anterior
end and on extrusive force on the molar.
BEGG MECHANOTHERAPY
OBJECTIVES OF STAGE I:
Open the anterior bite :
Proper amount of bite opening bends or curves in the arch wire.
Continual wearing of Class II intermaxillary elastics as required.
2) Eliminate anterior crowding:
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BIOMECHANICS
Vertical loops between crowded anterior teeth, with bracket areas modified for
desired overcorrection.
3) Close anterior spaces:
- Plain arch wire with latex elastic or elastomeric chain from cuspid to
cuspid.
Over correct rotated cuspids and bicuspids :
Rotating springs
Elastomeric traction into the arch wire
Over correct the mesiodistal relationship of the buccal segments
Continued wearing of class II elastics.
Proper bite opening bends in both upper and lower arch wires.
BIOMECHANICS OF STAGE-I
As we understand today the Begg appliance is a good example of single couple
system.
The orthodontic environment created during stage I is conducive to rapid
movement of anterior teeth under the light forces generated by the arch wires
and intermaxillary elastics
Bite opening has been reported as a result of;
Primarily increased eruption of the mandibular molar (According to Cadman,
Swain et al).
Intrusion of the mandibular incisors (Sims, Levin et al)
A combination of mandibular incisor intrusion and mandibular molar extrusion
(James, William and Thompson).
Mainly by intrusion of upper and lower anterior teeth (Begg and Kesling).
The preference during bite opening is for incisor intrusion and avoid for molar
extrusion because of the following reasons.
Incisor intrusion reduces or prevents gummy smile.
In case of adults, bite opening should not be done by molar extrusion as it is
not a stable result and at the same time can increase the mandibular plane angle
thereby worsening the Class II profile.
MECHANISM OF INTRUSION:
Lack of true intrusion of the maxillary incisors was one of the major
weaknesses of traditional Begg. Bite opening occurred mainly on account of
molar extrusion and some intrusion of the lower incisors. Whether the upper
incisors are intruded is a debated issue. The round arch wire derives bite
opening force from the anchor bends.
A clockwise moment generated by the anchor bend in the molar tube (upper) is
automatically balanced by the generation of anticlockwise moment in the
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BIOMECHANICS
anterior segment along with intrusive force on the anterior and extrusive force
on the molars in order to establish state of equilibrium. This anticlockwise
moment generated in the anterior segment bring about labial flaring of the
upper anteriors.
This flaring tendency of upper incisors can be resisted by using Class II elastics
during stage I.
But class II force along with horizontal component have vertical component
of force which reduces the magnitude of the intrusive force of the arch wire on
the upper anteriors.
Thus the interplay between the intrusive force from the arch wire and the
retractive force from the elastics determines both the magnitude and direction
of the net resultant force acting on anterior teeth.
The Anchor bend the conventional bite opening bend causes more intrusion of
canines while the lateral and central incisors progressively lag behind.
A Gable bend causes a progressively more intrusion of central and lateral
incisor, as compared to canine
Mollenhouers bite opening curve Mollenhouers especially recommends it
with use of 0.018 wire.
Swain modification: Mild gingival curve is incorporated in the anterior section,
from mesial of cuspid to mesial of other side cuspid.
For active intrusion the upper anteriors should receive approximately 60 grams
net force in the midline in after negating the extrusive component of Class II
elastics.
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Sims states the use of 3/8 ultra light elastics instead of routinely used 5/10
light elastics. He said continue the same elastic for 4-5 days till they break.
He summarized that the direction of resultant force should pass through the
center of resistance of anterior teeth (or close to it). Therefore, substituting
Class II elastic forces by Class I elastic forces would orient the resultant force
more vertically passing nearer to the center of resistance of anterior teeth.
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Difference in the archwire sizes. Normally .018 wire will produce more
intrusive force as compared to 0.016 wire when some degree of anchor
bend is given.
Teeth respond only to the resultant of the forces which are applied and
not to the individual components of the force system. During Stage I, the
upper anteriors are subjected to two forces i.e. the retractive force of class
II elastics and the intrusive force generated by the anchor bend in the arch
wire. The resultant of these two will determine how the upper anterior
The direction and magnitude of resultant force both depend upon the
interplay between.
i.e. tangential to the arc that the anterior segment of the arch wire
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Hocevar states, that the teeth are not affected by the magnitudes of
resultant force
magnitude of intrusive force along with high class II force would give a
desired resultant force, passing palatal to Cres; this will help correcting
corrected then the class II elastics force is reduced helping in keeping the
In Class II Division 2 cases, where the upper centrals are retroclined, only
intrusive force acts labial to Cres and corrects the retroclination. Once the
MECHANISM OF ROTATION
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BIOMECHANICS
distopalately, then weld the ligature on the mesial side of the bracket.
- Rotating springs
Since in rotating spring the couple generated is acting on one side of Cres
of Cres
MECHANISM OF TIPPING:
Intrusion and tipping are intimately related not only because they are
carried out simultaneously but also, when both are balanced judiciously it
and retractive component of force from the elastics. Both the anchor bend
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in the wire and class II elastics produce moments in the same labio-
The moment from the intrusive force can act as the counter balance
moment against the moment produced by the elastic force. The ratio of
the former to the retraction component of the elastic force is the M/F ratio
which governs the type of tipping while retracting the anterior teeth. The
Both the moments generated by the anchor bend and the MAA are in the
anticlockwise direction thus gets summed up. Once the bite is opened in
the first stage, the intrusive force level is reduced which inturn reduces
upper anterior teeth during later part of the first stage and whole of
second stage.
In case of lower anterior the anchor bend the intrusive force generated by
anchor bend can alone can flare the teeth. Flaring occurs as lower
incisors are subjected to crown labial root lingual moment from the
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BIOMECHANICS
force.
anchor bend so there are more chances to tip the lower anteriors more
lingual
So in that case we give a By pass arch wire in order to upright the lower
incisors. When we activate the By pass arch wire by pulling from the
BEGG STAGE II
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BIOMECHANICS
When all the objectives of Stage I are met stage II mechanics can be
During Stage II all the corrections achieved during first stage should
be maintained.
elastics as required.
space closure. In addition to the above, the stage II of the refined Begg
aims are
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BIOMECHANICS
In addition to the above, the stage II of the refined Begg aims are
When all the objectives of Stage I are met stage II mechanics can be
instituted.
combination of both.
In addition to the above, the stage II of the refined Begg aims are
3) If the molar relation is not fully corrected at the end of Stage I, this
BIOMECHANICS OF STAGE II
tipping movement.
Same way in lower arch the clockwise moment produced by anchor bend
Normally 0.016 upper and lower arch wires with reduced bite opening
bends are used. Some authors say use of heavy arch wire 0.020 as it will
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BIOMECHANICS
during stage I.
cuspids to allow the use of lingual space closing elastics to aid the
closing elastics
alternative, elastomeric modules can be put to use. But the use of fixed
elastomeric modules is best done in those patients who have good oral
hygiene status.
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- Using T pins
The brakes reverse the anchorage site from the posterior to anterior
anchorage.
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CONCLUSION
The importance of biomechanics is well understood in clinical
In the lighthearted note - One can say that on the average, an orthodontist
spends half the treatment time on problems presented by the patient and
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EFFICIENT BIOMECHANICS
BIBLIOGRAPHY
457-477, 1981.
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498, 1975
300-315, 1981.
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