# force# centerof resistance # center of rotation # type of tooth movement # type of forces # tipping # torquing# controlled and uncontrolled tooth mob
Cement # continuous, interrupted, intermittent forces
The Mechanics of tooth movement in orthodontic practice
1. THE MECHANICS OF
TOOTH MOVEMENT
DR. SHWETA A. KOLHE
BDS. MDS. (ORTHO) PHD SCHOLAR
ASSOCIATE PROFESSOR
VYWS DENTAL COLLEGE AND HOSPITAL,
AMRAVATI
2. INTRODUCTION
• Every body continues in it’s state of rest or of uniform
motion in a straight line, unless it is compelled to
change that state by forces impressed upon it ( Sir
Isaac Newton) – and teeth are no exception.
• Mechanics – defined as that branch of engineering
science that describes the effect of force on a body.
3. FORCE
• Force can be defined as an act upon a
body that changes or tends to change
the state of rest or of uniform motion
of that body.
• Force is vector, having definite
magnitude, a specific direction and a
point of application.
• f =ma. ( unit is newton or gram
millimeter/second2)
• In clinical practice it is either a push
4. • Resultant force
• Multiple forces can be combined
to form a resultant force by
vector addition.
• Determined by the law of
parallelogram of vectors by
connecting the vectors ‘ head to
tail’ while maintaining the length
and direction of the line of
5. STRESS AND STRAIN
• Stress is the force applied per unit area / external
force acting upon a body.
• Strain is the internal distortion per unit area.
• Strain can be expressed in the form of a change in
either the external dimension or internal energy of the
body.
• Stress and strain are inter-related terms.
6. COUPLE
• Couple is a pair of concentrated forces having equal
magnitude and opposite direction with parallel but non-
collinear line of action.
Or
• Couple is two parallel forces of equal magnitude but
opposite in direction.
• Couple = force x distance. ( unit is grams milimeter)
7. • A couple when acting upon a body brings about pure
rotation around the center of resistance.
• A couple exerts no net force on the center of resistance
because the two forces that comprise it are opposite in
direction and cancel each other.
• Couple acts to rotate, tip, or torque the Tooth around the
center of resistance.
• Moment of couple is the rotational tendency of the couple.
8. Couple – two forces of
same magnitude, parallel
to each other and acting
in opposite direction.
Clinical application of a
couple in treatment of
rotations.
9. • Engaging a wire
in an angulated
bracket slot
results in a
couple that helps
in uprighting a
• Engaging A
rectangular wire
into a slot
produces a couple
that is used in
producing the
required torque.
• Couples are
applied by
engaging a
wire in an
edge wise
bracket Slot.
10. CENTER OF RESISTANCE
• Every body or free object behaves as if it’s mass is
concentrated at a single point on which it can be
perfectly balanced.
• For physical calculation, this point can be taken as the
point where the whole body weight is concentrated and
can be termed center of gravity or mass.
11. • Center of resistance of tooth can be
defined as that point on the tooth
when a single force is passed
through it, would bring about it’s
translation along the lie of action of
the force.
12. • Center of resistance of tooth is
constant.
• In a single rooted tooth it lies between
one third and of one half of the root,
apical to the alveolar crease
• While in a multi-rooted tooth the center
of resistance lies between the roots, 1-
2 mm apical to the furcation.
• The center of resistance exists for -
single tooth, units of tooth, the entire
dental Arch and the jaws.
13. FACTOR WHICH CAN CHANGE THE
POSITION OF THE CENTER OF RESISTANCE
-
• Root length- longer the root, the
center of resistance will be placed
more apically.
• Alveolar bone height – if the
alveolar crest is higher, the center
of resistance will be placed more
coronally.
14. MOMENT
• Moment can be defined as the measure of rotational
potential of a force with respect to a specific axis.
• Moment not only produce a linear motion but also
produce rotation.
• Moment = Magnitude of force x distance
• Unit is gram millimeters.
15. • There are two variables that
determine the moment of
force – the magnitude of force
and the distance from the
center of resistance.
• Either one of these two
variables can be manipulated
to produce the desired force
systems.
16. CENTER OF ROTATION
• Center of rotation is a point, about which a body
appears to have rotated, as determined from it’s initial
and final positions.
• Center of rotation is a variable point and changes
according to the type of tooth movement.
• In case of controlled crown tipping, the center of
rotation – at the root apex.
• In case of perfect translation – at infinity.
17. CENTER OF ROTATION
• At root apex –
during
controlled
tipping.
• At incisal edge
– during
torquing.
• Outside root –
during
Intrusion &
extrusion.
• At away from
root apex –
during
uncontrolled
tipping.
18. TYPE OF TOOTH MOVEMENT
• The prime motive of orthodontic treatment is to move
the teeth into more favourable and corrected
positions.
• Variety of tooth movement in all the 3 planes –
sagittal, coronal, and transverse.
• Tooth movement within oral cavity can be listed –
1. Tipping. 2. Bodily movement
3. Intrusion 4. Extrusion
5. Torquing 6. Uprighting
19. TIPPING
• Tipping is a simple type of tooth movement
• where a single force is applied to the crown
• Tipping force results in Movement of the crown in the
direction of the force and the root in the opposite
direction.
• Tipping can be of two type –
1.Controlled Tipping
2.Uncontrolled tipping
20. CONTROLLED TIPPING
• It occurs when a tooth tips about a
center of rotation at its apex.
• There is a lingual movement of the
crown with minimal movement of
the root in labial direction.
21. UNCONTROLLED TIPPING
• It describes the movement of a tooth
that occurs about a center of rotation
apical to and very close to the center
of resistance.
• It is characterized by the crown
moving in one direction while the root
moves in the opposite direction.
22. BODILY MOVEMENT
• If the line of action of an applied
force passes through the center
of resistance of a tooth.
• All the points on the tooth will
move an equal distance in the
same direction signifying a bodily
displacement or translation.
23. INTRUSION AND EXTRUSION
• Intrusion is the bodily
displacement of a tooth
along it’s long axis in an
apical direction.
• Extrusion is the bodily
displacement of a tooth
along it’s long axis in an
occlusal direction.
25. TORQUEING
• Torqueing can be
considered as a reverse
tipping characterized by
lingual movement of the
root.
26. UPRIGHTING
• During orthodontic treatment, the
crowns of certain teeth will be
tipped in a mesio-distal direction
with the roots tipped in the opposite
way.
• Tipping these roots back to get a
parallel orientation is termed
uprightng
27. •Tooth movements can be classified basically
into three:
1. Pure translation
2. Pure rotation
3. Generalized rotation.
28. PURE TRANSLATION
• Occurs when all points on the tooth move an equal
distance in the same direction.
• This is brought about when the line of action of an
applied force passes through the center of resistance
of a tooth.
• Pure translation of three types :
1.Intrusion
2.Extrusion
3.Bodily movement ( mesio- distal, labio- lingual)
29. PURE ROTATION
• A displacement of the body, produced by a couple,
characterized by the center of rotation coinciding with
the center of resistance i.e. the movement of points of
the tooth along the area of a circle, with the center of
resistance being the centre of the circle.
• Pure rotations can be divided into 2 types:
1.Transverse rotation
2.Long axis rotation
30. 1.Transverse rotation – Those tooth
displacements during which the
long – axis orientation changes e.g.
Tipping and torquing.
2.Long – axis rotation – Here the
angulation of the long – axis is not
altered. E.g. Rotation of tooth
around it’s Long axis.
3.Generalized rotation- . Any
movement that is not pure
translation or rotation can be
described as a combination of both
translation and rotation. E.g. Seen
31. TYPES OF FORCES
• As is well stated by the pioneers in the subject, if
malocclusion is the disease in orthodontics, force is
definitely it’s medicine.
• It is therefore very important for the clinician to use
his knowledge and experience in determining the
type, amount and direction of force required to bring
about efficient treatment results.
• Based on the duration of application –
1.Continuous force
2.Intermittent force
33. CONTINUOUS
FORCE
• It is an active orthodontic force
that decrease little in Magnitude
between appointment periods. E.g.
Light wire appliance.
• For an appliance to deliver
continuous force, the appliance
components should be highly
flexible and the activation must be
done to a relatively low force level.
• This is because continuous forces
are expected To bring about direct
34. INTERMITTENT FORCE
• It is an active orthodontic
force that decays to zero
magnitude or nearly so prior
to the next appointment. E.g.
Removable active plates.
35. • The appliance components should have high stiffness
and the initial activation should be twice the Expected
corresponding soft – tissue deformation. Due to a
relatively high activation, a greater force is exerted on
the teeth.
• lead to undermining resorption and corresponding
tooth movement.
• Once the tooth has moved, the force will decay
considerably so that repair of the necrosed soft tissue
and resumption of blood supply occurs within the
periodontium.
36. INTERRUPTED FORCE
• It is an orthodontic or orthopedic
force that is inactive for intervals
of time between appointments.
37. For an interrupted force to be delivered, the pre-
requisites include:
1.It should deliver heavy forces.
2.There should not be any force decay.
3.There should be a specific magnitude-time pattern for
pattern for example, 200-300 gms of force 10-14 hours
a day.
4.The inactive period of each day must be sufficient to
keep the periodontal ligament healthy over the total
period of time of use of the appliance.
38. • Thinking in the normal way, it might occur to us that a
continuous force may bring about a continuous
movement or an increased force may lead to an
Increased tooth movement.
• It often exhibits, cyclic, long-term magnitude-time
pattern. E.g. Force exerted by an extra- oral appliance
worn only at night.
• But these assumption are far from reality both In the
clinical and cellular context.
• The rate of tooth movement is highly dependent upon the
complex biologic responses to the various types of forces
that are yet to be clearly understood.