Three-dimensional finite element analysis on the effects of maxillary protraction with an individual titanium plate at multiple directions and locations.

IF 2.6 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Korean Journal of Orthodontics Pub Date : 2024-03-25 Epub Date: 2024-02-14 DOI:10.4041/kjod23.217
Fan Wang, Qiao Chang, Shuran Liang, Yuxing Bai
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引用次数: 0

Abstract

Objective: : A three-dimensional-printed individual titanium plate was applied for maxillary protraction to eliminate side effects and obtain the maximum skeletal effect. This study aimed to explore the stress distribution characteristics of sutures during maxillary protraction using individual titanium plates in various directions and locations.

Methods: : A protraction force of 500 g per side was applied at forward and downward angles between 0° and 60° with respect to the Frankfort horizontal plane, after which the titanium plate was moved 2 and 4 mm upward and downward, respectively. Changes in sutures with multiple protraction directions and various miniplate heights were quantified to analyze their impact on the maxillofacial bone.

Results: : Protraction angle of 0-30° with respect to the Frankfort horizontal plane exhibited a tendency for counterclockwise rotation in the maxilla. At a 40° protraction angle, translational motion was observed in the maxilla, whereas protraction angles of 50-60° tended to induce clockwise rotation in the maxilla. Enhanced protraction efficiency at the lower edge of the pyriform aperture was associated with increased height of individual titanium plates.

Conclusions: : Various protraction directions are suitable for patients with different types of vertical bone surfaces. Furthermore, when the titanium plate was positioned lower, the protraction force exhibited an increase.

对使用单个钛板在多个方向和位置进行上颌骨牵引的效果进行三维有限元分析。
目的: :应用三维打印的单个钛板进行上颌牵引,以消除副作用并获得最大的骨骼效果。本研究旨在探讨使用单个钛板在不同方向和位置进行上颌牵引时缝线的应力分布特征:方法:在与法兰克福水平面成 0° 和 60° 之间的向前和向下角度施加每侧 500 g 的牵引力,然后将钛板分别向上和向下移动 2 毫米和 4 毫米。对不同牵引方向和不同微型板高度下的缝线变化进行量化,以分析其对颌面骨的影响:相对于法兰克福水平面的 0-30° 牵引角显示了上颌骨逆时针旋转的趋势。当牵引角为40°时,上颌骨出现平移运动,而牵引角为50-60°时,上颌骨倾向于顺时针旋转。梨状孔下缘牵引效率的提高与单个钛板高度的增加有关:不同的牵引方向适用于不同类型垂直骨面的患者。此外,钛板位置越低,牵引力越大。
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来源期刊
Korean Journal of Orthodontics
Korean Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.50
自引率
10.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.
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