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Korean J Orthod.  2012 Aug;42(4):159-168. 10.4041/kjod.2012.42.4.159.

Three-dimensional finite element analysis of the deformation of the human mandible: a preliminary study from the perspective of orthodontic mini-implant stability

Affiliations
  • 1Division of Orthodontics, Department of Dentistry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ssjmail@amc.seoul.kr
  • 2Division of Prosthodontics, Department of Dentistry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 3Department of Orthodontics, College of Dentistry, Yonsei University, Seoul, Korea.

Abstract


OBJECTIVE
The aims of this study were to investigate mandibular deformation under clenching and to estimate its effect on the stability of orthodontic mini-implants (OMI).
METHODS
Three finite element models were constructed using computed tomography (CT) images of 3 adults with different mandibular plane angles (A, low; B, average; and C, high). An OMI was placed between #45 and #46 in each model. Mandibular deformation under premolar and molar clenching was simulated. Comparisons were made between peri-orthodontic mini-implant compressive strain (POMI-CSTN) under clenching and orthodontic traction forces (150 g and 200 g).
RESULTS
Three models with different mandibular plane angles demonstrated different functional deformation characteristics. The compressive strains around the OMI were distributed mesiodistally rather than occlusogingivally. In model A, the maximum POMI-CSTN under clenching was observed at the mesial aspect of #46 (1,401.75 microstrain [microE]), and similar maximum POMI-CSTN was observed under a traction force of 150 g (1,415 microE).
CONCLUSIONS
The maximum POMI-CSTN developed by clenching failed to exceed the normally allowed compressive cortical bone strains; however, additional orthodontic traction force to the OMI may increase POMI-CSTN to compromise OMI stability.

Keyword

Orthodontic mini-implant; Stability; Neuromuscular force; Anatomy; Finite element method

MeSH Terms

Adult
Bicuspid
Finite Element Analysis
Humans
Molar
Sprains and Strains
Traction
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