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1986 - Analysis of Moment Force Ratios
1986 - Analysis of Moment Force Ratios
tooth movement
Robert P. Kusy, Ph.D.,* and J. F. Camilla Tulloch, B.D.S.**
Chapel Hill, N.C.
Orthodontic tooth movement is analyzed by means of the center of rotation model and the concept
of moment/force ratios. Several equivalent force systems are considered at both the bracket and
the center of resistance of the tooth. When moment/force ratios are evaluated at the bracket, the
laws of physics appear to be suspended: inconsistencies occurring as single forces applied at
different points claim equivalent results and pure translational movements purport to be nonzero
moment/force ratios. These paradoxes can be reconciled only if the moment/force ratios are analyzed
at the center of resistance of the tooth. Here, all of the moments applied to the tooth by the force
system are included in the analysis. Only when the force system is evaluated around the center of
resistance of the tooth is the concept of moment/force ratios consistently correct. (AM J ORTHOD
DENTOFAC ORTHOP 90: 127-131, 1986.)
Key words: Center of resistance, center of rotation, couple, force, mechanics, moment, tooth movement
A m o n g the approaches used to explain the do not fully describe the reaction of the tooth to the
motion of a tooth, the center of rotation model appears force system. Only by considering the moment/force
to be the most popular. 1-5 In this model the center of ratios at the center of resistance can the center of ro-
resistance replaces the center of gravity and tooth mo- tation model and the concept of moment/force ratios
tion is described in terms of rotation relative to this be reconciled. Two specific examples and the schematic
point. Bodily movement or translation can be consid- drawing of moment/force ratios at the center of resis-
ered to occur when the center of rotation moves to a tance illustrate this fact as well as the practical diffi-
point infinitely distant from the center of resistance. culties of maintaining bodily translation and achieving
Pure rotation occurs when the center of rotation coin- pure rotation.
cides with the center of resistance. All other centers of
rotation result from combinations of translation and ro- THE GENERAL SITUATION: A FORCE AND A
tation, and are commonly referred to as either tipping COUPLE
or torquing procedures. In a conventional fixed appliance, a bracket may be
How a tooth moves is dependent on two components subjected to both a force and a couple. As a result the
of the force system. The first component, the force, tooth may experience not only a force but also two
translates the tooth parallel to the line of force. The moments. That two moments exist can be seen if an
second, the moment, rotates the tooth around the center equivalent force system is determined (Fig. 1).* One
of resistance in either a clockwise or counterclockwise moment is generated by the fit of the wire in the bracket
direction. The force system, together with specific bi- and is referred to as the couple. The other moment is
ologic variables within the support system, ultimately produced by the force (F) applied at the bracket, which
determine the type and amount of tooth movement. has been positioned at a fixed distance (D) from the
Traditionally, the center of rotation model and the center of resistance (CR) of the tooth. If the moment
associated translational and rotational motions of the of the couple (M) equals but opposes the moment of
tooth have been described in terms of the moment/force the force (Mr = F x D), then the tooth will experience
(M/F) ratios at the bracket. 6-8 Although most ortho- only a force acting through the center of resistance. The
dontic force systems are applied at the crown of the tooth will translate (that is, rotate about a point at in-
tooth and analysis of force systems at this point might
first appear logical, moment/force ratios at the bracket *Because a two-dimensional tooth model is assumed, only forces that act in
a buccolingual-mesiodistal plane will be analyzed. Thereby, the points of force
From the Department of Orthodontics/Dental Research Center, University of application (for example, at a bracket) will be projected until they contact the
North Carolina. axis of the tooth. Moreover, axial forces that cause extrusion or intrusion, or
*Associate Professor. small moments that tend to rotate a tooth in the occlusal plane (that is, in its
**Assistant Professor. socket) will be ignored.
127
128 Kusy and Tulloch Am. J. Orthod. Dentofac. Orthop.
August 1986
0•_•
=
g-mm
MF ----3,000
[ g-mm
r\ (5 L.--., (5
/ ~'R 300g/ .~/300g) 300g/ "-~"-.,3,000
T l+" r
// /
~3oo~
3,000 g-mm 3,000 g-mm 3,000 g-mm
A B C D
M v = 3,600
j~33~0 g-ram
m V t ] g-ram g-ram
Oog~ ~3oo~.~Y
3,000 g-mm 3,000 g-mm 3,000 g-mm
A B C D
Fig. 3. Equivalent force systems in which a single force is opposed by a pair of equal, opposite, and
parallel forces--that is, a countervailing couple. R o w / - - B a s e l i n e case when a 300 g force is applied
10 mm from the CR along with a 3,000 g-mm countervailing couple, r o w / / - - w h e n only the anatomy
of the tooth is lengthened so that the CR moves 1 mm apically, and row ill--when only the amount
of the alveolar bone is reduced so that the CR moves 2 mm apicaily. Although in each case the force
and couple at the bracket are equivalent, what the tooth experiences at the center of resistance is
different. For M = Mf to be maintained, either M must increase or F must decrease. Ultimately, anatomic
and physiologic considerations will dictate which course of action is appropriate.
equals ten in each situation. For bodily tooth movement definition rotate a tooth about its center of resistance,
to occur, a longer tooth root (Fig. 3, row II) requires the only logical point of reference is the center of re-
that a greater M be applied to counteract the larger Mr; sistance. If the concept of M/F ratios is carried out
whereas, the loss of alveolar bone (row III) suggests anywhere else, a portion, if not all, of the moment due
that a smaller F be applied to reduce the value of Mr. to the force could be lost in the analysis, which would
Thus, although by the conventional approach the M/F inevitably lead to erroneous interpretations.
ratios at the bracket are the same, Fig. 3 illustrates that
the tooth motion will be different because the values THE ONLY GENERAL APPROACH FOR
of Mf are different. MOMENT/FORCE RATIOS
To reconcile these apparent inconsistencies, the
THE INADEQUACIES OF THE PRESENT APPROACH concept of the M/F ratios at the center of resistance ~°
The two special situations graphically illustrate the along with the geometry of the tooth must be included
inadequacies of the present concept of moment/force in the theory of tooth mechanics. As a basis for fur-
ratios at the bracket--namely, that all of the moments ther discussion, one approach might be to plot the mo-
are not considered when the force system is interpreted ment/force ratios versus the centers of rotation posi-
via the couple and the force at the bracket. Thus, al- tions. 6'u-~3 Using the tooth model shown in Fig. 4, the
though the force systems at the bracket and at the center distance from the applied force to the center of resis-
of resistance are equivalent, the net M/F ratios are not tance must be estimated. For anterior teeth CR equals
equivalent because the reference points are different. one third to one half of the root length as measured
Because a couple applied anywhere on a tooth must by apically from the alveolar crest12; for posterior teeth 0.3
130 Kusy and Tulloch Am. J. Orthod. Dentofac. Orthop.
August 1986
+co
4,~- . . . . . . . . . . . . . . . . . . . . . 44
g (3)
g
g
Note that, unlike the earlier convention in which the
first term of equation 3 is the conventional moment/
force ratio at the bracket, equation 3 states that D will
change the NM/NF ratio too, depending on the mag-
2 -CR nitude and sense of the force and couple. Although
.g_ ~ generally referred to as a "ratio," NM/NF is not a pure
9 number, but rather a proportion that must be defined in
units of distance. 7
1 Subject to this interpretation, all clinical situations
i +F may be defined if the NM/NF ratio at the center of
-----i .......
&
resistance is plotted against the distance from the cen-
I I
ter of rotation to the center of resistance (Fig. 4).
i
i When the countervailing couple (M) equals zero,
].... t 5