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    Understanding Forces and Moments 2 12

    UNDERSTANDING

    FORCES AND MOMENTS2

    For some reason, the terms forces and moments do not always

    seem to be thoroughly understood. It is true that the English

    language seems to suffer over a period of time, but in the area of

    mechanics it is important to understand exactly what each term

    means and to use these terms properly. The terminology whichfollows will be used in a practical manner. There are exacting

    definitions that may be confusing to many while there are

    descriptions that may convey a practical meaning to most

    clinicians.

    Orthodontic clinicians know from

    personal experience that a specific

    force system does not necessarilyproduce the same response for

    different patients. Nothing in life

    happens without a reason. Force

    magnitude can be very significant.

    as stated in Figure 2-1.

    Figure 2-1

    With an intrusion arch molars might erupt and/or incisors may

    intrude. Bicuspids are more likely to undergo an equal and

    opposite rotational response with powerchain elastics. These

    responses are illustrated in Figures 2-2 thru 2-4.

    FORCE SYSTEMS

    Thesame force system may produce avariable response.

    Force magnitude is a significant factor.

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    Understanding Forces and Moments 2 13

    Molars may

    erupt.

    Forces may produce

    variable response.

    Forces may produce

    variable response.

    Incisors may

    intrude

    Teeth may rotate

    Forces may produce

    variable response.

    Figure 2-2 Figure 2-3 Figure 2-4

    The following illustrations may help to clarify some of the

    misconceptions that are present in the orthodontic profession.

    TRANSLATION

    When a force acts through the Center of

    Resistance or Center of Mass, only bodily

    movement takes place.

    FORCES (MxA)

    Forces act in astraight line.

    Forces consist of apush or pull.

    Figure 2-5 Figure 2-6

    In Figure 2-5, a force is applied through the center of mass, aterm used in reference to a free body such as a golf ball or

    baseball. When the same force is applied through the center of

    an attached body - such as a tooth - the term used is center of

    resistance. This is nothing new to the orthodontist, but building

    blocks will slowly be established so that confusion does not

    arise later when discussing biomechanics.

    The definition of a force could properly be defined as MxA

    (Mass times Acceleration), but what meaning would this have

    for the clinical orthodontist? If we describe rather than define a

    force, it can be seen in Figure 2-6 that a force acts in a straight

    line and may consist of a push or pull.

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    Understanding Forces and Moments 2 14

    Retracting cuspids with an open coil spring does not result in

    forces acting in a curve. If wepush from the lingual surface of a

    tooth with a lingual arch, or pull from the buccal surface of a

    tooth with an archwire, the force acts in a straight line as itpasses through the tooth.

    Figure 2-7 demonstrates this by using descriptions rather than

    definitions which so often confuse the issue. Depending on

    exactly where these forces act, moments may or may not be

    produced. This will be discussed later during the subject of

    forces and moments.

    Push fromthe lingual

    Pullfromthe buccal

    Forces act in

    astraight line

    not a curve1

    2 3

    Figure 2-7

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    Understanding Forces and Moments 2 15

    MOMENTS (FxD)

    Moments are produced as a

    result of forces actingaway

    from the Center of Resistanceor Center of Mass.

    ROTATIONThe product offorce x distance produces

    the moment on the body.

    Therefore, 1/2 the force x twice thedistance produces the same moment as

    1/2 the distance x twice the force.

    Figure 2-8 Figure 2-9

    When a force acts on a body, but away from the center of

    resistance (or center of mass), there is a perpendicular distanceestablished between the applied force and the center of the

    object as shown in Figure 2-8. It is the product of this distance

    and the force that produces a moment. In other words, if either

    the force or the distance doubles, the moment produced would

    double. This is significant because in Figure 2-9 it can be seen

    that different force magnitudes can produce the same moment.

    If one force is half the magnitude of the other, but acting attwice the distance, the moments in each case will be equal. This

    is important to recognize in orthodontic treatment as it affords

    the opportunity to produce desirable moments without the

    disadvantage of high force magnitudes, particularly in the

    vertical plane of space where vertical dimension of the patient

    might be compromised.

    Personal experience in our lives can be of great help in

    recognizing forces and moments produced in orthodontic tooth

    movement. Most of us have probably played the game ofpool -

    often referred to as billiards - sometime in our lives or at least

    observed it being played by others. It is quite popular on TV.

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    Understanding Forces and Moments 2 16

    So, lets take a look at the game

    ofpool and see how it may be

    of help in learning. For those

    who may not be aware, the ballin question is known as the cue-

    ball and is the white one seen in

    Figure 2-10. Keep this in mind

    so as not to become confused

    Figure 2-10 with conservation of momentum

    which involves the other balls. The following examples are

    those we have experienced or can experience in our daily lives.

    Visualize thecrown of

    a tooth as acue-ball

    Cue Stick

    This represents the Pointof Force Application

    The Cue Stick represents the

    force that will be applied to the

    brackets and tubes of the teeth.

    Figure 2-11 Figure 2-12

    The first step involved is to visualize the crown of the tooth as a

    cue-ball as seen in Figure 2-11. The next step will be to identify

    the point of force application shown in Figure 2-12 . The cue

    stick used in the game of pool will represent the source of the

    applied force. The next question is: In what direction will the

    cue-ball move and how will it rotate? Keep in mind that the

    rotation will be clockwise or counterclockwise in pool this is

    referred to as left or rightEnglish. Naturally, the ball will roll

    down the table due to friction, but disregard this rotation.

    For those

    who are

    unaware,

    the cue-ball

    is the white

    ball.

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    Understanding Forces and Moments 2 17

    CUE-BALL CONCEPT

    1. A force applied through thecenter of abody will cause the body to move in astraight line and in the same direction

    as the applied force.

    2. A force appliedaway from the center ofa body will cause the body to move insame previous direction, but rotation willalso occur as a result of the momentcreated by the line of force acting at aperpendicular distance to the center ofthe body.

    Figure 2-13 Figure 2-14

    There are three possible

    movements that may occur, just

    as in the real world oforthodontics. The first movement

    we observe is pure translation as

    seen in Figure 2-13. The force

    has been applied through the

    center of the bodies shown.

    Figure 2-15

    Translation and rotation may occur as shown in Figure 2-14where the force has been applied away from the center of the

    body as illustrated. The moment in such a case is referred to as

    the moment of a force.

    Figure 2-15 shows equal and opposite forces (known as a

    couple) being applied and producing pure rotation.. The moment

    in such a case is referred to as the moment of a couple. A pure

    moment always acts around the center of resistance. Regardlessof the where the equal and opposite forces are applied, the body

    will undergo pure rotation around the center of resistance.

    Lets see where this concept applies at the clinical level.

    3. Equal and opposite forces applied on a

    body in the same plane of space and

    parallel to each other (Couple) will

    produce a pure moment causing the body

    to rotate only.

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    Understanding Forces and Moments 2 18

    Translation

    The result of the

    applied force is a

    moment and a

    force at the centerof resistance.

    Center bend

    producing equal

    & opposite

    moments to those

    already present. This is anEquivalent Force System.

    Figure 2-16

    In Figure 2-16 upper left, forces have been applied at the crownlevel resulting in tipping moments. The force system is always

    shown at the center of resistance. Remember that a force

    applied away from the center of a body will cause the body to

    move in the direction of the applied force and rotate because of

    the perpendicular distance. With the addition of a center (gable)

    bend shown in the lower part of the illustration, moments

    opposite to the tipping moments are created thereby eliminating

    tipping moments measured at the center of resistance.The resultis that only pure forces remain as seen on the right in Figure 2-

    16. This is referred to as an equivalent force system. Remember

    the so-called powerarms that were introduced to the profession

    in order to create a translatory force through the center of

    resistance? Where are they now? Does this tell you how

    successful or unsuccessful the results have been?

    A clinical example of the above application is seen in Figure 2-

    17. Tipping moments are eliminated by equal and opposite

    moments resulting from a center bend. As will be explained

    later, all archwire bends are done intraorally and activated 45

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    Understanding Forces and Moments 2 19

    degrees. All adjustments for

    increasing or decreasing

    moments for the proper force

    system are created byadjusting whatever closing

    mechanism is in use, such as

    coil springs or powerchain.

    In Figure 2-18, tipping the

    Figure 2-17 incisors together would not

    be acceptable. The placement

    of a center bend into the wireproduces moments which

    then result in bodily

    movement as a result of

    eliminating the tipping

    moments produced by the

    closing mechanism which

    could be coil springs orpowerchain elastics.

    Figure 2-18

    Translation and Rotation

    Figures 2-19 and 2-20 demonstrate that a force applied away

    from the center of a body will cause the body to translate and

    rotate. Looking at a rotated bicuspid with space mesial to the

    tooth, it can be seen that applying a mesial force at the bicuspid

    bracket will produce the necessary force and moment. This

    obviously simple approach is intended only to illustrate the cue-

    ball concept regarding translation and rotation.

    A closing force at the brackets

    producestipping moments

    eliminated by Center Bends.

    Tipping Moments

    Eliminating the

    Tipping Moments

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    Understanding Forces and Moments 2 20

    Figure 2-19 Figure 2-20

    C.C.

    Translation & Rotation Required

    Translation & Rotation Required

    Figure 2-21 Figure 2-22

    Figure 2-21 and Figure 2-22 demonstrate the same concept

    beautifully as will be seen later when wire/bracket relationshipsare discussed. For now however, simply keep in mind that by

    excluding the second bicuspid brackets from the archwire, an

    off-center bend has been created without the need to remove the

    wire. In a full appliance the toe-in bend at the molar would

    actually be a center bend when related to the adjacent molar tube

    and bicuspid bracket on each side. By not engaging the wire

    into the second bicuspid bracket an off-center bend has beencreated. Do you remember the rules for off-center bends? An

    off-center bend contains a long and a short section. The short

    section points opposite to the forceproduced thereby indicating

    a buccal force on the molar. The toe-in bend (short section) also

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    Understanding Forces and Moments 2 21

    produces a rotational moment. This approach allows both

    correction of the molar rotations and crossbites simultaneously

    without removal of the archwire or use of crossbite elastics.

    This is only one of many similar approaches that can minimizechairside time for the orthodontist as well as providing a variety

    of noncompliant and exciting approaches not taught in school.

    This might be a good time to mention that in over 46 years of

    practice - thus far - never has the author used a crossbite elastic,

    transpalatal arch, lingual arch, or any other type of lingual

    attachments. Why not? Because there are so many alternative

    and noncompliant approaches that do not require this. Manyother types of laboratory appliances which are commonly used

    today can also be avoided. This will be discussed in the

    upcoming chapters.

    Pure Rotation

    The final cue-ball concept relating to pure rotation - moment of acouple - can now be illustrated. Remember that equal and

    opposite forces produce a couple.

    Surgical

    Exposure

    Moment of a couple(Pure Rotation)

    Figure 2-23 Figure 2-24

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    Understanding Forces and Moments 2 22

    Following surgical exposure seen in Figure 2-23, elastics were

    utilized to create equal and opposite forces (couple) once the

    cuspid was brought into alignment (Figure 2-24). The lingual

    bracket had been placed at the time of exposure as no othersurface of the tooth was available for bonding. Simply adding a

    labial bracket later afforded the opportunity to provide a couple.

    PURE

    ROTATION

    Applied

    Couple

    Couple

    Required

    Figure 2-25 Figure 2-26

    Although there is no difficulty in treating the above rotation with

    another approach, Figure 2-25 demonstrates the application of a

    couple in providing the correction seen in Figure 2-26.

    Figure 2-27 will provide the

    final example for pure rotation.

    Following space closure, center

    bends have been placed to

    provide for equal and opposite

    moments at each bracket in

    order to parallel the roots.

    Figure 2-27

    While discussing forces and moments, we should look at the

    effect of vertical forces acting through the molar tubes.

    Undesirable consequences often occur as a result. Figure 2-28

    Remember to

    visualize the crownas a Cue-Ball

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    Understanding Forces and Moments 2 23

    shows that intrusive forces may cause buccal displacement of

    molars due to buccal crown moments produced.

    Intrusive force

    producesbuccal

    crown moment.

    Extrusive force

    produces lingual

    crown moment.

    IMPORTANT!

    Intrusive force

    producesbuccal

    crown moment.

    As the upper molars are widened,the

    curve of Monson increases and no longer

    harmonizes with the curve of Wilson.

    Figure 2-28 Figure 2-29

    In the lower part of the same illustration, it is seen that an

    eruptive force acting through the molar tube produces exactly

    the opposite moment and therefore possible lingual

    displacement of molars. These undesirable responses may or

    may not occur. Steep cusps and brachycephalic individuals with

    strong musculature are only some of the factors which may playa role. When such undesirable movements do occur, an easy

    solution is provided by the utilization ofmolar control bends to

    be discussed later.

    In Figure 2-29, it can be seen that buccal displacement of the

    molars may also result in an increase in the curve of Monson

    an important functional curve involved in axial loading. It isthis type of occurrence that contributes so much to instability

    and the increase in permanent retention seen today.

    Since functional curves are an important part of orthodontic

    treatment, this topic will be discussed now.

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    Understanding Forces and Moments 2 24

    Functional Curves

    Figure 2-30 Figure 2-31

    Three important functional curves are shown in Figure 2-30. In

    Figure 2-31, it can be clearly seen that excellent axial loading is

    achieved in #1, as the curves of Monson and Wilson nicely

    coincide. However, in #2 there is an excessive curve of Monson

    while in #3 there is a reverse curve of Wilson. In the latter two

    cases there is a loss of axial loading which is apparent. These

    discrepancies can very easily result from vertical forces acting

    through the molars tubes as shown earlier. It has been shownthat eruptive forces through molar tubes create lingual crown

    moments while intrusive forces acting through molar tubes

    result in buccal crown moments.

    The following illustrations will show the potential buccal and

    lingual displacements that may occur as a result of vertical

    forces acting through the molar tubes. If the second molars havenot yet erupted and the first molars are displaced without the

    orthodontist being aware of such displacement, then upon

    second molar eruption it may mistakenly be assumed that

    second molars are at fault. As a result, treating to the first molar

    width may then result in a faulty curve of Monson or Wilson.

    The long axis should

    lieparallel to the

    Internal Pterygoidresulting inaxial

    loading (stability).

    Curve of Monson

    2

    1

    Curve of Wilson

    3

    These curves

    can be helpfulin determining

    which arch is

    involved and to

    what degree.

    Spee

    Monson

    Wilson

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    Understanding Forces and Moments 2 25

    Figure 2-32 Figure 2-33

    In Figure 2-32 #1, the eruptiveforce has caused the first

    molars to move lingually as

    observed in #2. In #3, the

    second molars have now

    erupted. It remains important

    to know which of the molars

    are out of position. In Figure

    2-33 the same series of eventsFigure 2-34 has occurred with first molars

    moving buccally due to intrusive forces acting through the

    molars. It can be observed that second molar eruption may

    create the illusion that they have erupted too far to the lingual. In

    Figure 2-34 it can be seen that casual observation could easily

    lead one to believe the first molars are normal in width with

    second molars being the problem.

    The above movements make it important for the clinician to

    include the functional curves of Monson and Wilson in

    observing treatment progress. A failure to harmonize these

    Buccal

    Crown

    Displacement

    Original Molar Width

    Change in Molar Width

    2nd Molar

    Width is

    Normal

    1

    2 3

    Lingual

    Crown

    Displacement

    1

    3

    Original Molar Width

    Change in Molar Width

    2nd Molar

    Width is

    Normal

    2

    Second Molars are in normal transverse dimension.

    Second Molars are in

    normal position.

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    Understanding Forces and Moments 2 26

    curves may result in functional problems involving axial loading

    and leading to later instability.

    This concludes the chapter regardingforces and moments. Whatmay have appeared to be quite elementary at this point will

    prove to be highly important in applying fundamental mechanics

    in everyday treatment.

    Most of what is contained in this book has not been taught as

    part of an orthodontic curriculum. By understanding the

    contents presented there will be many opportunities to treat

    patients in a unique manner regarding the applied mechanics. Inaddition it will be discovered that there are many approaches

    available that will lessen the need for patient cooperation

    without the need for appliances that displace lower incisors

    because of the undesirable reciprocal effects when treating

    opposing arches with interarch appliances. You are about to

    discover many ways of providing intra-arch solutions for many

    malocclusions that will help to avoid placing appliances onopposing arches which may be normal and require no change.

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    Understanding Forces and Moments 2 27

    THE SHORT STORY

    Forces and moments have been discussed in a manner somewhat

    different than presented in the usual literature. Rather than

    defining forces, they have been described. Description has

    meaning to the practicing orthodontist whereas definitions

    sometime seem to separate the academic nature of mechanics

    from the reality of application to the patient.

    It has been pointed out that force systems for the patient producevariable responses. Molars may erupt for one patient but not

    another simply because of force magnitude. Other movements

    such as reciprocal first and second bicuspid rotations tend to be

    quite similar. It has been stressed that force systems must be

    predicted and understood in order to effectively utilize them for

    patient treatment. For many, biomechanics may seem like an

    academic adventure because of unexpected responses. Differenttypes of responses have been demonstrated with the so-called

    cue-ball concept and clinical examples illustrated. If the

    orthodontist can begin to associate tooth movement with what

    has been experienced in life, such association may gradually

    lead to applications in orthodontic treatment.

    Finally, the functional curves of occlusion have been presented.

    It has been shown that the curves of Monson and Wilson should

    be harmonized for axial loading during occlusion. Such

    harmony contributes to stability. The forces causing a lack of

    harmony have been presented and the clinician made aware of

    their importance in observing functional curves.

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    Understanding Forces and Moments 2 28

    SUGGESTED READINGS

    Smith RJ, Burstone CJ. Mechanics of tooth movement. Am J Orthod

    1984;85:294-307.

    Dawson PE. Evaluation, diagnosis, and treatment of occlusal problems.

    St. Louis: CV Mosby, 1989;85-91.

    Mulligan TF. Common sense mechnics. 2. Forces and moments. J Clin

    Orthod 1979;13:676-683.