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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses
in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Originaltitel
Biomech of Tooth Movemnt-Ortho / orthodontic courses by Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses
in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses
in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
www.indiandentalacademy.com www.indiandentalacademy.com INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com Introduction Components of P.D.L P.D.L & Bone response to orthodontic force Force Magnitude Theories of tooth movement Effects of force magnitude Force Distribution & Types of tooth movement Force Duration & Force Decay Orthodontic & Orthopedic Force Adverse Effect Of Orthodontic Force Skeletal Effects Of Orthodontic Force Biomechanics In Removable ,Fixed &Orthopedics
www.indiandentalacademy.com INTRODUCTION ORTHODONTIC TREATMENT IS BASED ON THE PRINCPLE THAT IF PROLONGED PRESSURE IS APPLIED TO A TOOTH, TOOTH MOVEMENT WILL OCCUR AS THE BONE AROUND THE TOOTH REMODELS www.indiandentalacademy.com STRUCTURES INVOLVED IN TOOTH MOVEMENT PDL ALVEOLAR BONE TOOTH www.indiandentalacademy.com COMPONENTS OF PDL CELLULAR ELEMENTS UNDIFFERENTIATED MESENCHYMAL CELLS- FIBROBLASTS AND OSTEOBLASTS TISSUE FLUID DERIVED FROM VASCULAR SYSTEM www.indiandentalacademy.com ALVEOLAR BONE CORTICAL PLATE
CANCELLOUS BONE www.indiandentalacademy.com TOOTH CEMENTUM FIBRES OF PERIODONTAL LIGAMENT www.indiandentalacademy.com PDL AND BONE RESPONSE TO SUSTAINED ORTHODONTIC FORCE HEAVY FORCE LEADS TO RAPIDLY DEVELOPING PAIN, NECROSIS OF CELLULAR ELEMENTS WITHIN THE PDL LIGHT FORCE COMPATIBLE WITH SURVIVAL OF CELLS WITHIN PDL AND A REMODELLING OF TOOTH SOCKET www.indiandentalacademy.com THEORIES OF TOOTH MOVEMENT BIOELECTRIC THEORY TOOTH MOVEMENT ATLEAST IN PART TO CHANGES IN BONE METABOLISM CONROLLED BY ELECTRIC SIGNAL THAT ARE PRODUCED WHEN ALVEOLAR BONE FLEXES AND BENDS PIEZOELECTRICITY IS OBSERVED IN CRYSTALLINE STRUCTURE PRODUCES A FLOW OF ELECTRIC CURRENT AS ELECTRON ARE DISPLACED FROM ONE PART OF CRYSTAL LATTICE TO ANOTHER www.indiandentalacademy.com CHARACTERISTIC OF PIEZOELECTRICITY- QUICK DECAY RATE PRODUCTION OF AN EQUIVALENT SIGNAL OPPOSITE IN DIRECTION WHEN FORCE IS RELEASED www.indiandentalacademy.com PRESSURE TENSION THEORY RELIES ON CHEMICAL RATHER THAN ELECTRICAL SIGNAL, AS THE STIMULUS FOR CELLULAR CHANGES
www.indiandentalacademy.com FORCE APPLIED ON THE TOOTH
ALTERATION IN BLOOD FLOWE IN PDL
FORMATION AND RELEASE OF CHEMICAL MESSENGER www.indiandentalacademy.com FORCE MAGNITUDE FORCE IS DEFINED AS AN ACT UPON A BODY THAT CHANGES OR TENDS TO CHANGE THE STATE OF REST OR THE MOTION OF THAT BODY FORCE 3 COMPONENTS MAGNITUDE DIRECTION SENSE www.indiandentalacademy.com FORCE MAGNITUDE www.indiandentalacademy.com EFFECTS OF FORCE MAGNITUDE HEAVY SUSTAINED PRESSURE
GREATER THE REDUCTUION IN BLOOD FLOW THROUGH COMPRESSED AREAS OF BLOOD FLOW
VESSELS ARE TOTATTLY COLAPSED
NO BLOOD FLOW
www.indiandentalacademy.com LIGHT CONTINOUS FORCE APPLIED TO THE TOOTH
BLOOD FLOW TO THE PARTIALLY COMPRESSED PDL
DECREASES THE FLUID FROM PDL SPACE
AFTER FEW HOURS CHANGES IN CHEMICAL ENVIROMENT
CHANGES IN CELLULAR ACTIVITY(INCREASED LEVEL OF CYCLIC AMP SECOND MESSENGERS )
CELLULAR CHANGES AFTER 4HOURS OF SUSTAINED PRESSURE www.indiandentalacademy.com RECENT STUDIES PROSTAGLANDIN LEVEL INCREASES IN PDL AFTER APPLICATION OF FORCE PROSTAGLANDIN IS AN IMPOTANT MEDIATOR FOR CELLULAR RESPONSE PROSTOGLANDIN IS RELEASED WHEN CELLS ARE DEFORMED FOR TOOTH MOVEMENT PLAY A MAJOR ROLE IN CELLULAR DIFFERENTIATION OB, OC, FB, FC www.indiandentalacademy.com REMODELING OF BONE FRONTAL OR DIRECT RESORPTION
UNDERMINING OR INDIRECT RESORPTION www.indiandentalacademy.com TYPES OF TOOTH MOVEMENT TIPPING
TRANSLATION
www.indiandentalacademy.com ROOT UPRIGHTING
ROTATION
EXTRUSION
INTRUSION
www.indiandentalacademy.com Optimum force for orthodontic tooth movement Type of movement Force(g/cm 2 ) Tipping 35-60 Bodily movement 70-120 Root uprighting 50-100 Rotation 35-60 Extrusion 35-60 Intrusion 10-20
www.indiandentalacademy.com Definitions Force: A load applied to an object that will tend to move it to a different position in space. Center of resistance: A point at which resistance to movement can be concentrated for mathematical analysis. Moment: A force acting at a distance to the center of resistance. M=F x d www.indiandentalacademy.com Couple: Two forces equal in magnitude and opposite in direction Center of rotation: The point around which rotation actually occurs when an object is being moved
www.indiandentalacademy.com Moment to Force ratio During movement requires both a force to move a tooth in desired direction, and a couple to produce the necessary counter balancing moment for control of root position www.indiandentalacademy.com Effects of force duration and force decay Continuous Force maintained at some appreciable fraction of the original from one patient visit to the next. Interrupted Force level decline to zero between activation Intermittent Force level decreases to zero intermittently, when the orthodontic appliance is removed by the patient and returns to the original level sometime later www.indiandentalacademy.com Adverse effects of the orthodontic force Mobility and pain related to orthodontic treatment Effects on the pulp Effects on the root structure Effects of treatment on the height of alveolar bone www.indiandentalacademy.com www.indiandentalacademy.com www.indiandentalacademy.com Leader in continuing dental education