Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 7

Fig8-1 stretched and keeps

Newton’s the state of rest in


First equilibrium.
Law. Fig 8-2 Newton’s Third Law.
(a) An elastic is Sisyphus pushes the rock up
hooked on the mandibular second (action, blue arrow) and the rock
molar and is ready to be activated. The pushes down on Sisyphus
orthodontist brings it forward with a force of 100 (reaction, red arrow) with equal and
g. (b) Once the elastic is engaged, it remains opposite forces to each other.

Equilibrium Principle therefore, the left force must be equal in


The most important concept from physics magnitude and opposite in direction (–100
that can be applied to orthodontics is the g). The activated elastic demonstrates
equilibrium principle. It is based on Newton’s First Law of a body at rest or at
Newton’s First Law, which states that a body uniform velocity. Figure 8-2,
remains at rest or in motion with a constant on the other hand, demonstrates Newton’s
velocity unless acted upon by an external Third Law: For every action (or force), there
force. The overall mechanism that delivers is an equal and opposite reaction (or force).
orthodontic forces to teeth and bones is a In this figure, Sisyphus pushes the rock up
spring, and this energystoring device is the (action, blue arrow), and the rock pushes
active component of all orthodontic down on Sisyphus (reaction, red arrow). Now
appliances. The spring, which can be let us take a closer look at the canine hook
fabricated from many materials, including (Fig 8-3). Two forces (blue arrow and red
metal, rubber, or polymer, stores the arrow) are present: The hook holds the
mechanical energy charged by the stretched elastic forward; the blue activation
orthodontist during activation and releases force deforms the appliance, and the red
it slowly. The orthodontic spring comes in deactivation force acts to move the teeth
many different applications and shapes: during deactivation of the spring. Newton
archwires, coil springs, elastics, aligners, tells us that there are always two equal and
and loops, among others. opposite forces when bodies interact: the
It may be surprising that orthodontic activation force and
appliances are in equilibrium, because they the reactive deactivation force. It is these
are required to deliver forces to move teeth. forces and their direction (red arrow) that
Equilibrium means that no resultant forces will move the teeth (see Fig 8-3). Note that
are acting on the orthodontic appliance. Let Fig 8-4 is the same as Fig 8-1b except that
us consider a simple appliance, an elastic. If the force directions are reversed. A diagram
the elastic is hooked on the mandibular showing only the force system and objects
second molar (Fig 8-1a), we can bring it of interest, such as forces from the spring
forward with an applied force of 100 g (Fig and the teeth (excluding forces from
8-1b). The two blue forces are responsible mastication, gravity, etc), is called a force
for stretching the elastic, and they are (or free-body) diagram. Because the
considered activation forces because they activated appliance is always in equilibrium,
are applied to the appliance to activate it. its forcé diagram should always be in
The activated (stretched) elastic is also in equilibrium.
equilibrium, because the sum of all forces is Figure 8-1b is the activation force diagram
zero (100 g + [–100 g] = 0 g). Clinically, we of the elastic; conceptually, it correctly
know that the elastic is in equilibrium; it is depicts the elastic (the appliance) in a state
not accelerating. Most important, it is not of rest. Figure 8-4, however
exerting an unbalanced resultant force on
the patient. It does not push the patient up
to the ceiling, out the front door, or out of
Fig 8- 3 Two equal and
the window. Once it is recognized that the
opposite forces from an
appliance is in equilibrium (not pushing, appliance and the tooth are
pulling, or rotating the patient), the laws of action and reaction. Clinically the
equilibrium can help us solve for unknown forcé required for activation of the appliance is
forces. In Fig 8-1b, the force on the right called activation force, and the force on the tooth
(100 g) was measured with a force gauge. as the appliance deactivates is called
We do not need to measure the left force deactivation force.
because the elastic has to be in equilibrium;
Fig 8-4 Deactivation force diagram showing equilibrium diagram, although all of the forces
separate unbalanced deactivation forces sum to zero.
on both arches. This is not an
Fig 8-5 Two Fig 8-6 An
open coil
equilibrium spring is
diagrams. (a) The spring pushing
(yellow rectangle) with blue both
activation forces. (b) The canines
tooth (yellow) with a red
deactivation force and distally.
stresses (forces) in the No matter how noble and
periodontium. Compression-side and vertical sophisticated an appliance may be, it cannot
components of the stresses in the PDL are not overcome the laws of physics, so a single distal
depicted because they also sum to zero. force is not possible.

shows separate unbalanced forces on the However, that implication is wrong. No


maxillary and mandibular arches. It is an matter how noble and sophisticated an
incomplete force diagram in that it does not appliance is, it cannot overcome the laws of
show all forces (eg, stresses at the physics; a single distal force is not possible.
periodontal ligament [PDL]) acting on the In our simple example of a 100-g
object (ie, the teeth). However, all of the maxillomandibular elastic attached to the
forces sum to zero, so we can call it a maxillary arch, what is the force on the
deactivation force diagram, remembering mandibular arch at the molar? The answer
that the appliance is the only entity in comes from applying both Newton’s First
equilibrium, not the teeth as so represented. and Third Laws. Step 1 is to place the
Figure 8-5 shows two valid force diagrams in appliance in equilibrium (see Fig 8-1b).
equilibrium. Figure 8-5a demonstrates that Because the measured forcé to the right is
the appliance is in equilibrium from the 100 g, the unknown force to the left must
activation forces. Figure 8-5b shows the also be 100 g in magnitude (First Law). Step
deactivation forces, and the restraining 2 is to reverse the direction of the forces
forces (stresses) from the periodontium are determined from the appliance activation
also in equilibrium. Thus, teeth as well as force diagram (see Fig 8-4). This gives us
appliances can have suitable and correct the deactivation forces acting on
equilibrium diagrams if the PDL support is the teeth (the dental arches); hence, the
considered. In Fig 8-6, an open coil spring is conclusion
shown pushing both canines distally. is that the elastic gives equal and opposite
Because only distal forces acting on the forces to
canine are depicted in the figure, it might the dental arches. Some orthodontists have
imply that using an open coil spring believed
between the canines instead of a closed coil that this conclusion comes from Newton’s
spring between the canine and the first Third Law,
molar can eliminate anchorage loss.
system (red) is the reverse of the activation force
system shown in Fig 8-7 (based on Newton’s Third
Law).

Fig 8-7 The equilibrium


diagram of the activated
intrusión arch (solid teal). The sum of forces and
moments is zero. The deactivated arch is shown
in transparent teal.

Fig 8-9 The force system acting on the molar can


be depicted in a number of ways: A force and a
couple at the center of the bracket (a), a
downward force and two single forces producing a
couple at the edge of the bracket (b), or two
Fig 8-8 The deactivation force forces with the larger force at the mesial (c).
diagram shows that the forces are acting on the
tooth. The direction of the deactivation force
Fig 8-10 Anchorage assumed to be equal and
opposite. However, this is a misuse of Newton’s
Third Law.

but that is incorrect. It actually comes from


the equilibrium application of the First Law.
Although the Third Law is involved in
reversing force direction, no calculation is
involved in Step 2 because there is always
an equal and opposite force between bodies.
Some orthodontists have also incorrectly
assumed that it is Newton’s Third Law that
explains anchorage. For example, this
assumption would state that during space
closure, an appliance (eg, a loop) delivers
equal and opposite force systems to the Fig 8-11 Equilibrium tells us that the sum of all
anterior and posterior segments. Newton’s forces and moments should be zero. Any
Third Law seems to support this supposition, unbalanced force (a) or moment (b) is imposible
but it is not a correct application. The First on the archwire.
Law, on the other hand, provides the correct (see Fig 8-9b); or (3) two forces with the
answer that some forces may be equal while larger forcé at the mesial (see Fig 8-9c).
the force system can differ between the They are all equivalent. Figure 8-7 is the
anterior and posterior teeth. force diagram showing the intrusión arch in
An elastic delivers forces only; let us now equilibrium. If a 100-g force is measured in
consider an intrusion arch where both forces the incisor region, the activation force and
and moments are present. Figure 8-7 shows momento on the molar bracket need not be
the equilibrium diagram with the forces and measured.
moments on the intrusión arch given in Here Newton’s First Law is used to calculate
blue; the activated arch is depicted in teal, any unknowns Figure 8-8 reverses the
and the deactivated arch shape is depicted direction of all forces and moments based
in transparent teal. A downward activation on the Third Law to show the forces acting
forcé is present anteriorly, while an upward on the teeth; no calculations are needed. It
force and a counterclockwise couple are is the no-brainer part of the analysis.
present at the posterior end of the arch. The Clinicians are usually more interested in this
activated intrusion arch is in equilibrium deactivation force diagram—forces acting on
because the sum of the forces (100 g + the teeth (see Fig 8-8)—than the activation
-100 g]) is zero. The sum of the moments, force diagram from which it was derived.
measured from the molar tube, is also zero Although all forces and moments sum to
(100 g × 35 mm = +3,500 gmm and a zero, the deactivation force diagram does
molar couple of –3,500 gmm). In Fig 8-8, the not show any real object in equilibrium and
forces are reversed in red to show the should not conceptually be called an
deactivation forces that are in the direction equilibrium diagram. Misinterpretations of
of the tooth movement. The incisor brackets deactivation forcé diagrams are common;
feel intrusive force, and the molar bracket the forces and moments in these diagrams
feels an extrusive forcé and clockwise are independent and act separately at the
moment that tips the crown backward and molar tube and at the incisor bracket. These
the root forward. The forces acting on the unbalanced forces are what move the teeth.
molar can be depicted in a number of ways It is an incomplete equilibrium diagram
(Fig 8-9): (1) a force and a couple at the because the teeth are in equilibrium by the
center of the bracket (see Fig 8-9a); (2) a deactivation force and the stresses in the
downward force and two single forces PDLs, which are not depicted. By contrast, in
producing a couple at the edge of the the true equilibrium diagram the activation
bracket forces and moments act on the entire arch
and not as independent entities.
Also, note that the incisor force system of
the active
teeth is equal and opposite to the force
system of the anchorage molar tooth (Fig 8-
10). The incisors feel an intrusive force, and
the molar brackets feel both an extrusive incomplete equilibrium diagram because
force and a moment (see Fig 8-10). the teeth are in equilibrium by the
However, this example demonstrates and deactivation force and the stresses in the
emphasizes the principle of equilibrium for PDLs, which are not depicted. By contrast,
discussing in the true equilibrium diagram the
activation forces and moments act on the
entire arch and not as independent
entities.
Also, note that the incisor force system of
the active
teeth is equal and opposite to the force
system of the anchorage molar tooth (Fig
8-10). The incisors feel an intrusive force,
and the molar brackets feel both an
extrusive force and a moment (see Fig 8-
10). However, this example demonstrates
and emphasizes the principle of
equilibrium for discussing anchorage in
orthodontics, which is based on Newton’s
First Law and not his Third Law.

Basic Concepts and


formulas of
(see Fig 8-9b); or (3) two forces with the Equilibrium
larger forcé at the mesial (see Fig 8-9c). The formulas used in equilibrium
They are all equivalent. Figure 8-7 is the calculation are very simple. Because the
force diagram showing the intrusión arch appliance is at rest and not accelerating,
in equilibrium. If a 100-g force is the following information is known:
measured in the incisor region, the 1. Σ F = 0
activation force and momento on the 2. Σ M = 0
molar bracket need not be measured. where F is force and M is moment.
Here Newton’s First Law is used to Imagine that we are inserting an archwire
calculate any unknowns. Figure 8-8 into all of the brackets of a malocclusion
reverses the direction of all forces and and we must apply forces to elastically
moments based on the Third Law to show deform the wire or the PDL.
the forces acting on the teeth; no When the patient leaves the office, there
calculations are needed. It is the no- is no forcé acting on the archwire. The
brainer part of the analysis. Clinicians are equilibrium formula (1) tells us that any
usually more interested in this unbalanced force is impossible on the
deactivation force diagram—forces acting arch (Fig 8-11a). The balanced forces are
on the teeth (see Fig 8-8)—than the posible because they sum to zero. The
activation force diagram from which it same is true with any moments (Fig 8-
was derived. Although all forces and 11b). One cannot deliver only a moment
moments sum to zero, the deactivation from an arch to rotate a molar (see Fig 8-
force diagram does not show any real 11b). Balanced moments produced by a
object in equilibrium and should not couple and a force or a couple alone are
conceptually be called an equilibrium possible to meet equilibrium
diagram. Misinterpretations of requirements. Thus, in Fig 8-11, the
deactivation forcé diagrams are common; unbalanced force system to the archwire
the forces and moments in these is imposible no amount of wire bending or
diagrams are independent and act bracket placement can make it happen. A
separately at the molar tube and at the simple equilibrium diagram can keep us
incisor bracket. These unbalanced forces out of trouble by quickly identifying what
are what move the teeth. It is an is impossible from a given archwire.
that activate the archwire (Fig 8-12b) are
in equilibrium—the sum of the forces and
moments on the wire is zero. The force
system from this straight wire does not
always deliver desired tooth movement,
but at least we can be assured that the
archwire and the bracket geometry will
produce a forcé system that is in
equilibrium. It is better for us to do the
thinking than to let the appliance do it.
The primary value of the equilibrium
principle is that it gives us a powerful tool
to solve for unknown forces, so that we
can better design our appliances. The tool
is called boundary conditions, which
provide
simple equations to solve for unknown
forces. The deactivation force
diagram from the intrusión arch
shown in Fig 8-8 is very easy to
determine. We can measure the
force on the arch at the incisor and
replace it with an equivalent force
system at the molar bracket or some
posterior center of resistance
(CR). An activation force diagram of the
intrusión arch will give the same result
but is not necessary. A similar deep bite
scenario is depicted in Fig 8-13a. Let us
measure the activation moments at both
Fig 8-12 No matter how diverse and complicated
the incisors (500 gmm) and the molar
the forces on
the teeth may be, the archwire is always in bracket (–3,500 gmm). All of the other
equilibrium. (a) Deactivation forces (red arrows) forces do not need measurement and can
act independently on each tooth. (b) The now be calculated by boundary
activation force system (blue arrows) acts on the conditions.
entire archwire. Moments and forces sum to zero.
All forces and moments are artistic
Approximations 1. ΣM = 0
500 gmm + (–3,500 gmm) + M = 0
M = 3,000 gmm

M will come from vertical forces. There


No matter how diverse, complicated, and are no more couples at the incisor and
independent the forces on the teeth may molar because all moments
be, the archwire or the appliance is have been measured there. Any
always in equilibrium. In Fig 8-12a, a horizontal forces are ignored.
flexible nickel-titanium (Ni-Ti) wire is
placed into all of the brackets, which are FB × 35 mm = 3,000 gmm
badly misaligned. Many forces and FB at molar = +86 g
moments acting on the teeth (red arrows) 2. ΣF = 0
can be produced at every bracket, which FA at incisor = –86 g
are artistically depicted in the diagram.
The teeth move in response to these
deactivation forces, and yet the forces
The full answer is given in Fig 8-13b, the activation. The blue arrows are the activation
activation force diagram in equilibrium. To force system (middle), and the red arrows are the
deactivation force system (bottom). (c) The shape
obtain the forces on the teeth, all forces of the coil spring is continually changing as it
and moments have their direction moves from point A to point B, but the spring is
reversed (Fig 8-13c). always in equilibrium with the activation forces.
The principle of equilibrium applies not
only to rigid bodies but also to nonrigid
deformed bodies and even bodies with a Solving Problems
constant velocity. An activation force is
applied to a coil spring (Fig 8-14a).
Using
Although it changes shape, it is
continually in equilibrium with the
Equilibrium
activation forces. The spring in its original Let us now follow the steps in applying
shape before activation is the passive the equilibrium principle to clinical
shape, and the blue arrows are the situations. We decide to use a 2 × 4
activation force system and the red appliance from the first molars to the
arrows the deactivation force system (Fig incisors (Fig 8-15). We would like to place
8-14b). Movement can occur between a 40-g intrusive force on the incisors. To
points A and B in Fig 8-14c, but still the prevent flaring of the incisors, labial root
net force is zero, and no acceleration is torque of 300 gmm is also applied. The
occurring. Other examples of objects in question is: What will happen to the first
equilibrium are a squeezed balloon molar?
(where distances between points change)
and a flexible seesaw that changes its
shape.

Fig 8-15 The red force system is planned on the


incisor segment for intrusion without flaring.

Fig 8-13 The equilibrium principle provides


boundary conditions to solve for unknown forces.
(a) The activation moments at both the incisors
(500 gmm) and the molar bracket (–3,500 gmm)
are measured, and FA and FB are unknowns. (b)
The spring is in static equilibrium by vertical
forces of 86 g. The vertical forces do not need to
be measured. (c) The deactivation force system
acting on the tooth (red arrows). The direction of
the force system is reversed from the equilibrium
diagram (b). Fig 8-16 The equilibrium diagram for the
activated intrusion arch shown in Fig 8-15. The
direction of the known force system on the incisor
is reversed in blue.

Fig 8-17 The vertical upward force at the molar is


added to maintain the equilibrium of force (a). It is
calculated as 40 g (b).
Step 1
Figure 8-15 shows the deactivation forces
acting on the teeth, from which we must
determine all other forces. In this step, we
start the force diagram (Fig 8-16) by
reversing the direction of the known
Fig 8-14 The object of equilibrium does not need forces so they now become activation
to be a rigid body. (a) An activation force is forces—forces acting on the wire
applied to a flexible coil spring in equilibrium. (b) (Newton’s Third Law). All activation forces
The green spring (top) in its passive shape before
are in blue.
Step 2
Apply formula 1.
ΣF=0
Add any forces at the molar that will be
required for equilibrium. Because there is
a downward forcé acting at the incisors,
place an upward arrow at the molar (Fig
8-17a). The diagram is now in equilibrium
from the forces except for the magnitude
of the molar force. According to formula 1,
the force magnitude is –40 g (Fig 8-17b).

Step 3
Apply formula 2.
ΣM = 0
In order for equilibrium to exist, the sum
of the moments around any point must
equal zero. Let us sum the moments
around the red point on the incisors in Fig
8-18a. This point is selected as
convenient because it simplifies
calculation, eliminating the force at the
incisors. The equation holds true,
however, for any arbitrary point.
40 g × 30 mm + (–300 gmm) + Mmolar = 0
Mmolar = –900 gmm
The moment acting on the arch in the
molar región is a counterclockwise 900
gmm (Fig 8-18b). The equilibrium diagram
is now complete, and the vertical forces
balance. Couples on the wire at the molar
and at the incisors balance with the
couple produced by the 40-g vertical
forces.

You might also like