Xuan Tang, Mengjie Wang, Xueqin Hu, Leilei Zheng, Chongshi Yang
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The effects of palatal anchorage device on molar distalization with clear aligner: Three-dimensional finite element analysis.
Introduction: This study aimed to analyze the biomechanical effects of the combined use of clear aligner and palatal anchorage devices (transpalatal arch [TPA], combination of TPA and microimplant [MI]) during maxillary molar distalization.
Methods: Three-dimensional finite element models were established to simulate molar distalization, incorporating 7 configurations: Without-TPA, TPA-no-MI, TPA-with-MI1, TPA-with-MI2, TPA-with-MI3, TPA-with-MI4, and TPA-with-MI5. The 3-dimensional displacements of upper teeth and von Mises stress distribution in the periodontal ligament were evaluated.
Results: The use of palatal anchorage devices enhanced the anchorage of anterior teeth and improved molar distalization. The efficacy of anchorage enhancement is related to the relative position of MI and the center of resistance of the maxillary dentition.
Conclusions: TPA placed on the first premolars effectively reinforces anterior anchorage during molar distalization with clear aligner. The combination of TPA and palatal MI can strengthen anterior tooth anchorage further.
期刊介绍：
Published for more than 100 years, the American Journal of Orthodontics and Dentofacial Orthopedics remains the leading orthodontic resource. It is the official publication of the American Association of Orthodontists, its constituent societies, the American Board of Orthodontics, and the College of Diplomates of the American Board of Orthodontics. Each month its readers have access to original peer-reviewed articles that examine all phases of orthodontic treatment. Illustrated throughout, the publication includes tables, color photographs, and statistical data. Coverage includes successful diagnostic procedures, imaging techniques, bracket and archwire materials, extraction and impaction concerns, orthognathic surgery, TMJ disorders, removable appliances, and adult therapy.
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