Professional Documents
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By Orthodontic Fames: C002-9416/80/040396+ 14$01.40/O 0 1980 The C. V. Mosby CO
By Orthodontic Fames: C002-9416/80/040396+ 14$01.40/O 0 1980 The C. V. Mosby CO
Dr. Burstone
fames
Corm.
A new tool for measuring
tooth movement-luser
holography-ogler:,
on uccutute.
noninvasive
approach
for determining
movement
in three dimensions.
This iu \,iiro
study is designed
to establish
the required
force system applied
on the crobttl of (I
maxillas
incisor
thut would produce
different
centers
of rotation,
LIS in linguul
tipping,
translation,
and root movement.
The relationship
between
monlmt-to-f~)rc,e
ratios
and centers
of rotation
is shown.
The experimental
data are compured
to
theoretic
approaches.
With respect
to the location
of the center of resistance
aud
centers
of rotation,
force
systems
needed to produce
different
centers
of rotcrtion
clre
given for a central
incisor
of averuge
root length.
DE-03545
from the National
Md.
School of Dental Medicine,
Engineering,
C002-9416/80/040396+
Worcester
14$01.40/O
Institute
University
Polytechnic
of Dental
of ConInstitute,
Volume II
Number 4
Holographic
determination
of centers of rotation
397
a three-dimensional cone of revolution and also analyzed the problem of the tooth with a
root of general conical form and uniform ligament thickness.8 Dyment and Synge determined values for the elastic coefficients of the periodontal ligament. Furthermore, Synge
developed a theory of equilibrium for a compressible membrane which was later extended
by Hay1-13 to treat thin membranes and stresses in the periodontal ligament. Twodimensional analytical models have been developed by Burstone, Nikolai,14 and Davidian.15 Three-dimensional stress distributions within the periodontal ligament were determined theoretically by Haack16 and Haack and Heft.17
The effects of force on the supporting periodontium and, in turn, tooth movement have
also been studied by constructing physical models in photoelastic plastic and analyzing
photoelastically the stress distribution produced by the applied force.*-*
Unfortunately, the attempts at mathematical modeling by an analytical approach as
well as photoelastic techniques have been limited by a number of oversimplifying assumptions, such as (1) the anatomy of the root, periodontal ligament, and alveolar bone
were represented by idealized geometric forms, (2) the physical characteristics of the
supporting structures were assumed to be homogeneous, isotropic, and linear, whereas the
structures of interest here are nonhomogeneous, anisotropic, and nonlinear. Furthermore,
in most instances the model was two-dimensional.
In addition to the above, previous experimental studies of force-displacement characteristics of teeth have yielded low predictive capability because most of these experiments
(1) employed forces that produced three-dimensional displacement of the tooth and yet the
tooth displacements were measured along one axis only; (2) produced three-dimensional
tooth displacements which resulted from an applied force with three components and yet
the force, if monitored at all, was measured along one axis only; (3) employed a force
system whose magnitude changed with deflection and yet often the change of the magnitude of the force was not measured as the tooth deflected; (4) used displacement and
force-measuring systems whose accuracy was suspect because of mechanical inertia during deflection in the measuring instruments themselves; and (5) the experimental apparatus was invasive and influenced the tooth movement.
The above shortcomings in the studies on the prediction of the tooth movement, under
the influence of external forces, can be overcome by the noninvasive techniques of laser
holography. Unfortunately, there has been a limited application of the modem holographic methods in dental research. Only a handful of investigators have used holographic
techniques of laser holography. Unfortunately, there has been a limited application of the
modem holographic methods in dental research. Only a handful of investigators have used
holographic techniques in their studies. Wictorin and associates23 investigated elastic
deformations of dental joints, Wedenal and Bjelkhagen24, 25 measured uniplaner displacements of teeth resulting from masticatory forces, whereas Bowley, Burstone, and
Koenig26 demonstrated that holography and mathematical modeling can be used to measure and predict tooth displacements. More recently, Pryputniewicz* has developed a
technique that, for the first time, allowed tooth displacements to be measured in the
three-dimensional space. This technique, based on recent advances in hologram interferometry,28-32 allows noninvasive measurements of tooth displacements with an accuracy of 0.5 pm. Burstone and Pryputniewicz 33,34have successfully applied this technique
to the study of in vivo movements of human teeth.
In this article a new, noninvasive method of laser holography, which has been applied
398
Burstorw
nrd
Pryputnic,\vic,:
Fig. 1. Schematic representation of the 10: 1 model of the maxillary central incisor. The force of 200
grams in the labiolingual direction was applied at various incisal-gingival positions to produce controlled
motion of the root.
to the study of the three-dimensional displacements of teeth, is presented. Since the initial
tooth movement is small, accurate measurement of the displacements via laser holography
avoids errors found in previous studies of this nature. Furthermore, this measuring technique eliminates the influence of mechanical inertia of the apparatus which changes the
nature of the periodontal support.
In order to more closely model the incisor and its supporting structures, careful
attention was given to (1) the anatomy of the tooth and periodontal ligament and (2) the
mechanical properties of the periodontal ligament.
In the study presented here, primary centers of rotation were determined for varying
moment-to-force (M/F) rations with respect to a bracket on a maxillary central incisor. (A
primary displacement is that movement produced by a force applied to the tooth before
resorption and apposition occur. The second biologic phase of tooth movement is referred
to as the secondary displacement.) The study was carried out on a 10: 1 three-dimensional
model of a maxillary central incisor. By using the model, it was possible to eliminate the
biologic variation in a given subject or patient so that base line data could be developed for
comparison with in vivo studies. The present three-dimensional model is superior to
previous physical models, allows for analytical studies since geometry and constitutive
behavior are known, and can be used for correlation with clinical studies using the same
methods.
Methods and materials
Experimental
apparatus;
recording and reconstruction
of holograms.
In order to carry
out the studies presented in this article, a simplified scale model of a tooth-periodontal
ligament-alveolar
bone was designed and built. The tooth geometry chosen was that of
Haacks16 maxillary central incisor: paraboloid of revolution root shape with a uniformly
thick periodontal ligament. The model itself was ten times the size of Haacks geometry to
Volume 77
Number 4
Fig. 2. Schematic
model depicted
Holographic
representation
in Fig. 1.
of the maxillary
central
determination
incisor
showing
of centers of rotation
scaled
dimensions
399
of the 10: 1
allow the periodontal ligament to be 2.29 mm. thick (Fig. l), a workable space for model
construction purposes. * For ease of interpretation of the experimental results, the dimensions relating to the actual tooth size are also shown in Fig. 2.) The characteristic dimensions of the tooth structures used in this study are shown in Fig. 1. The root is machined
out of a solid aluminum blank, the alveolar bone was modeled in dental stone, and
viscoelastic silicone rubber (GE/RTV-615)
was used to represent the periodontal
ligament.
We would like to point out at this time that the aluminum, dental stone, and silicone
rubber are not compatible with the actual in vivo characteristics of tooth, alveolar bone,
and peridontal ligament, respectively. These materials were used in the present study
merely for construction of the experimental model.*
This 10 : 1 model of a maxillary central incisor was loaded with a labiolingual force of
200 grams normal to the long axis of the tooth. The point of force application was varied
in the occluso-apical direction, as shown in Fig. 1. The magnitude and direction of the
applied force were carefully controlled by a pulley and a dead weight system. Each
loading condition (that is, application of a force at a given occluso-apical level) was
repeated three times, and the results presented herein are arithmetic averages of the
corresponding runs.
Application of the force to the model of the maxillary central incisor resulted in
three-dimensional displacements. These displacements were recorded and analyzed by the
modem, noninvasive techniques of double-exposure hologram interferometry28-32 and the
experimental apparatus shown in Fig. 3. This apparatus consisted of a 0.92 by 1.22 m. flat
optical table with air suspension. The illumination for recording and reconstruction of
holograms was provided by a 15 mW He-Ne laser. The laser, the optical components for
steering and shaping of object and reference beams, the tooth model, and the photosensitive material used for recording of holograms were rigidly mounted on top of the optical
table by means of magnetic bases. The appropriate exposure times needed to record
holograms were determined by taking into account viscoelastic properties of silicone
rubber,* which was used to model periodontal ligament, and were effectively monitored
by an electronic shutter system. All holograms were recorded on 102 by 127 mm. plates
with Agfa-Gevaert lOE75 emulsions.
In order to understand the use of laser holography in the determination of tooth
400
Burstonr
und
Pryputnirwicz
4nr
./. Orrhocf.
April I980
Fig. 3. Experimental
setup of holographic
apparatus.
All of the components
of the system
were rigidly
mounted
on the air-suspended
optical table. The tooth was loaded by means of pulley and dead-weight
systems.
The exposure
of holograms
was controlled
by the exposure
meter and shutter.
Volume 71
Number 4
401
m
REMOTE
CONTROL
Fig. 4.
Schematic
representation
of hologram
recording
setup. The
light from laser illuminates
the tooth and exposes
the photographic
highly coherent
plate.
and monochromatic
reconstruction, a portion of the laser light is let through the plate undeviated (the so-called
zero-order wave) and the remaining light is diffracted into higher orders. Out of the
number of diffracted beams, the most important, in holography, are two first-order wavefronts, one on each side of the zero-order waveform.
One of these diffracted orders consists of waves that produce an image of the original
object, as if it were still located behind the plate at the position it occupied during the
recording, although the object had since been removed. A camera placed in this beam may
be used to photograph this (reconstructed) virtual, sometimes also called true, image. A
typical virtual image obtained during reconstruction of a double-exposure hologram is
shown in Fig. 6. The actual displacements and rotations the individual teeth have experienced during recording of a hologram can easily be determined from resulting interferograms by the techniques discussed by Pryputniewicz. z&3* The virtual images have to be
viewed through the hologram as if it were a window for this procedure.
Determination
of center of resistance
By definition, the center of resistance is found at a point where a single force produces
pure translation. In the experiments reported in this article, we have loaded the 10: 1
model of the maxillary central incisor with a force of constant magnitude and with the line
of action horizontal and normal to the long axis of the tooth. The point of loading was then
varied occluso-apically, as shown in Figs. 1 and 7. By loading the model in this manner,
we have produced varying moments with respect to the center of resistance and, therefore,
varying amounts of tooth rotation.
The tooth loaded with a lingual force of 200 grams, parallel to the Z axis, rotated
primarily with respect to the X axis (that is, the mesiodistal axis), while rotations with
respect to the remaining axes were negligible and were omitted for the sake of clarity
(Fig. 7). Varying the M/F ratio by moving the horizontal force in the vertical direction,
RECONSTRUCTIN
Fig. 5. Schematic
representation
of holographic
(resulting
from a diffraction
of the reconstructing
reconstruction
setup. One of the first-order
wavefronts
beam by the hologram)
appears
to emanate
from the
position
in space where the object was during recording
of the hologram.
The viewer,
looking
the hologram
as if it were a window and placing himself or herself in the direction
of this beam,
three-dimensional
virtual (true) image of the tooth, although
the tooth itself might have been
from the recording
space.
through
sees the
removed
different amounts of rotation were produced. With the force placed at the incisal edge,
rotation was large. The magnitude of rotation decreased as the theoretical center of
resistance was approached and then increased as the point of force application neared the
apex. The point where this curve intersected the vertical axis (that is, where rotation was
zero) was, by definition, the experimental center of resistance. The experimental center of
resistance was found to be 9.9 mm. apical to the bracket.
The experimentally found center of resistance was compared to the location of two
theoretical centers of resistance (Fig. 7). One was based on a simple two-dimensional
parabolic model of the tooth with uniform stress distribution and linear properties of
periodontal ligament,jq 35 where the centroid was determined at two-fifths of the root
length measured apically from the alveolar crest. However, in order to represent an actual
tooth more closely, a second theoretical center of resistance was determined for a threedimensional root geometry. In this approach, the centroid of a paraboloid of revolution
was selected, which was found to be at one-third of the root length measured apically to
the alveolar crest. Note the close correspondence between the three-dimensional theoretical center of resistance (10.2 mm.) and the experimentally determined center of resistance
(9.9 mm.). The theoretical two-dimensional center of resistance lies further apically at
11.0 mm.
The reason that the center of resistance moves occlusally in the three-dimensional
model, as compared with the simple two-dimensional one, becomes apparent when one
makes numerous thin sections of the root, parallel to the long axis of the tooth (Fig. 8, a).
Each of these sections approximates a two-dimensional parabola for which the centroid is
Volume II
Number 4
Fig. 6. Photographs
tion of double-exposure
application
is varied
centroid.
Holographic
determination
of centers
of rotation
403
BRACKET
-20
Ei=
EE
/
,-ii
5
i
Fig. 7. Holographically
determined
rotations
at the bracket for loading with a lingual
normal to the long axis of the tooth model and at different
occlusogingival
positions.
cally the center of resistance
is at a point where there is zero rotation.
located at two-fifths of the height of the section as measured from the base toward the apex
(Fig. 8, b), which corresponds precisely with the two-dimensional model used previ0us1y.~ Plotting the locations of centroids of each of the thin sections of Fig. 8, a, we
obtain a curve similar to the one shown in Fig. 8, c. The centroid for the entire threedimensional root is then found to be located on the long axis, one-third of the root length
apical to the alveolar crest.
Calvin Case36 developed an appliance system based on the use of a single force on an
extension attached to the band to produce translation. In recent years this concept has been
reintroduced. A gingival extension from the bracket on a typical central incisor would
have to be approximately 10 mm. in length to translate the incisor. Using the centroid of a
404
Burstone cd
Pryputnieuic-
33JTROlDS OF
THIN SECTIONS
/
Fig. 8. The centroid for a two-dimensional
centroid
for a three-dimensional
paraboloid
(b)
parabolic
section
is found at a point
of revolution
is at h/3 (c).
at 2h/5
paraboloid of revolution as an estimate of the center of resistance, one can determine the
length of a gingival extension for other teeth. For example, an average maxillary canine
has an alveolar-crest-to-apex dimension of 16 mm. Therefore, the canines centroid lies
5.3 mm. from the alveolar crest and is 0.9 mm. more apical than the centroid for the
central incisor, which locates at 4.4 mm. A slightly shorter crown and a more gingival
placement of the bracket on the canine suggests that the distance from bracket to centroid
will be similar for maxillary canines and maxillary incisors.
Determination of centers of rotation by varying moment-to-force
at the bracket
(M/F) ratios
It has been long established that the point of force application is an important determinant of the center of rotation of a tooth. Although it is feasible to carry out some
orthodontic treatment by applying the force at different points along the surface of the
tooth or through an extension, most of the multibanded techniques employ the application
of a force and a pure moment at the bracket on a crown of a tooth.
In this study, single forces were used. The point of force application was varied
occlusoapically, and the centers of rotation were then determined. It should be noted that
any of these single forces can be replaced with an equivalent force and a couple (a pure
moment) at the bracket. In Fig. 9, b and c a single force F, has been replaced by an
equivalent force system consisting of a moment (M) and a force (Fb) at the bracket. The
sign convention is given in Fig. 9 for the force (F = Fb), the moment (M), and the
moment-to-force ratio (M/F). Note that the coordinate system used for the maxillary teeth
is the left-hand coordinate system with the Y axis pointing in the occlusal direction. The
data obtained in this study were presented as a function of moment-to-force ratio at the
bracket, since this is the typical mode of force application that is used clinically. The
moment-to-force ratio, in reality, represents nothing more than the distance from the
Volume 77
Number 4
Holographic
determination
of centers
of rotation
405
x
(b)
I
Y
Fig. 9. Sign convention for force systems; note that the left-hand rectangular coordinate system is used.
Moment in the counterclockwise direction with respect to the mesiodistal axis (the X axis) is positive and
a force in the linguolabial direction is positive. a, Force at the bracket: equivalent M/F = 0. b, Force
incisal to the bracket: equivalent force system at the bracket results in a positive M/F ratio. c, Force
gingival to the bracket: equivalent force system at the bracket produces a negative M/F ratio.
bracket to a point from which a single force could produce the same effect. For example, a
force applied at the bracket (Fig. 9, a) has an equivalent M/F ratio of zero, as determined
at the bracket. Fig. 9, b illustrates the case in which the force is incisal to the bracket.
This force can be substituted by an equivalent force system at the bracket, consisting of a
negative lingual force (Fb) and a negative moment (M); therefore, the corresponding M/F
ratio has a positive value. In a similar way, the force (F,) apical to the bracket (Fig. 9, c)
can be substituted by an equivalent force system at the bracket, consisting of a negative
force (Fb) and a positive moment (M), thus yielding a negative M/F ratio.
In Fig. 10 the experimental location of the center of rotation (measured in millimeters
from the centroid along the long axis of the tooth) was plotted versus the moment-to-force
ratio as evaluated at the bracket. In this figure, the centroid was calculated at one-third of
the root length apical to the alveolar crest. As the moment-to-force ratio approaches
infinity in either a positive or a negative direction, the center of rotation approaches the
centroid of the root. Moment-to-force ratios of minus 2.5 or greater will produce centers of
rotation very close to the centroid of the root. The same is true of the moment-to-force
ratios of minus 17.5 or less. In other words, if a single force is placed 2.5 mm. or more
incisal to the bracket, or 17.5 mm. or more apical to the bracket, the tooth will rotate
around a point near the centroid.
With the moment-to-force ratio at the bracket of -9.9, the central incisor translates.
EXPERIMENTAL
RESULTS
THEORETICAL
RESULTS
INCISAL EWE
(AT 14.2 MM1
-30
-25
-20
-I5
-10
I
-5
/
0
I
5
IO
Fig. 10. Center of rotation measured from the centroid of the paraboloid of revolution (h/3) as a function
of the M/F ratio at the bracket. The center of rotation approaches infinity as the line of action of the
applied force approaches the centroid.
At a M/F ratio of zero (that is, a single force at the bracket), the center of rotation lies
slightly apical to the centroid. As the values of the M/F ratio at the bracket become more
negative, the center of rotation moves apically. When the M/F of -9.9 is reached, the
center of rotation is at infinity. Negatively increasing the M/F ratio moves the center of
rotation from infinity to centers incisal to the bracket. Further negative increases of the
M/F ratio will cause the center of rotation to move from points incisal to the bracket
toward the centroid. It should be noted that the moment-to-force ratios for translation,
rotation at the apex, and rotation at the incisal edge are found in a very narrow range. The
actual moment-to-force ratios are given in Table I.
When 10: 1 model of the maxillary central incisor was used, it was found experimentally that tipping at the apex requires a moment-to-force ratio of -7.1; to translate the
tooth, a moment-to-force ratio of -9.9 is needed; rotation at the incisal edge is caused by
M/F = - 11.4. These differences are small and suggest some of the clinical problems in
trying to control centers of rotation accurately during tooth movement.
On the basis of a simple two-dimensional model, Burstone has suggested that the
M/F ratio with respect to the centroid of a root determines the instantaneous center of
rotation of a tooth. The formula developed was (M/F) = 0.068.h2/y where h is the root
length from the alveolar crest to the apex and y is the distance from the cetroid (determined at two-fifths of root length) of a parabola, representing the morphology of the Foot,
volume
Number
71
4
Holographic
Table I. Moment-to-force
determination
of rotation
407
Location of
center of rotation
Infinity
10 mm. apical to apex
Apex
Bracket
Incisal edge
of centers
Experimental
-9.90
-9.24
-7.10
- 12.50
-11.40
ratio
at bracket
Theoretical
-11.00
- 10.35
-9.52
-12.06
-11.78
408
Burstone
mui
Pryputniewic:
4m J Orrhml
.4prrl I980
Summary
A new tool based on laser holography was used to study three-dimensional tooth
displacements. In this study, 200 gram loads were placed on 10: 1 model of the maxillary
central incisor. It was found that the center of resistance was at a point one-third of the
distance from the alveolar crest to the apex. The centers of rotation as measured experimentally differed from the theoretical estimates based on the two-dimensional model in
that they were less sensitive in establishing commonly used centers of rotation. The IO : 1
model offers a very useful adjunct to the in vivo studies employing laser holography in
that the geometry of the tooth and the periodontium can be kept constant under different
loading conditions. Hence, it can serve as a base line for comparison of biologic data
measured in vivo where greater variabilities are encountered in geometry, loading conditions, and the constitutive behavior of the periodontal support.
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N.: Holographic
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Holographic
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of centers of rotation
409
24. Wedendal,
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26. Bowley,
W. W., Burstone,
C., Koenig, H., and Siatkowski,
R.: Prediction
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using
laser holography
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Proc. Symp. Comm.
V of ISP, Washington,
D. C.,
pp. 241-273,
1974.
27. Pryputniewicz,
R. J., Burstone,
C. J., and Bowley, W. W.: Determination
of arbitrary tooth displacements,
J. Dent. Res. 57: 663-678,
1978.
28. Pryputniewicz,
R. J., and Stetson, K. A.: Holographic
strain analysis-Extension
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method to include perspective,
Appl. Opt. 15: 725-728,
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R. J.: Determination
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vectors directly from holograms,
J. Opt. Sot. Am.
67: 1351-1353,
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30. Pryputniewicz,
R. J., and Bowley,
W. W.: Techniques
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measurement-An
experimental
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Appl. Opt. 17: 1748-1756,
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R. J.: Holographic
strain analysis-An
experimental
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of the fringe vector
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32. Pryputniewicz,
R. J.: Holographic
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Appl. Opt. IS: 1442-1444,
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33. Burstone, C. J., Pryputniewicz,
R. J., and Bowley, W. W.: Holographic
measurement
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