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Biomechanical analysis of asymmetric mesio-distal molar positions loaded by a symmetric cervical headgear

Wybrane pełne teksty z tego czasopisma
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: The plane 2d model and 3d finite element model of the headgear attached to two molars with different mesio-distal location are studied to show the asymmetric mechanical effects produced by symmetrically loaded headgear. In daily dental practice the asymmetrical location of molars is usually ignored. Methods: Six 3D finite element models of a symmetric cervical headgear were designed in SolidWorks 2011. The models showed symmetric molar position (model 1), 0.5 to 2 mm of anterior-posterior molar difference (models 2-5) and a significant asymmetry with 10 mm of difference in the locations (model 6). The head gear was loaded with 3N of force applied at the cervical headgear. The forces and moments produced on terminal molars are assessed. Results: It is shown the difference between the forces acting at the longer and shorter outer arms of the headgear increases with increase in the distance. The significant numeric difference in the forces has been found: from 0.0082 N (model 1) to 0.0324 N (model 5) and 0.146 N (model 6). These small forces may produce unplanned distal tipping and rotation of the molars around their vertical axes. The most important funding was found as a clockwise yaw moment in the system when is viewed superio-inferiorly. The yaw moment has been computed between -0.646 N•mm (model 1) and -1.945 N•mm (model 5). Conclusions: Therefore even small asymmetry in location of molars loaded by a symmetric cervical headgear will produce undesirable move-ment and rotation of the teeth that must be taken into account before applying the treatment.
Rocznik
Strony
97--106
Opis fizyczny
Bibliogr. 25 poz., rys.,wykr.
Twórcy
autor
  • Interdisciplinary center for mathematical and computational modelling, Warsaw University
autor
  • Tehran University of Medical Sciences, Dentistry Research Institute, Department of Orthodontics, Tehran, Iran
autor
  • Kharkov National Polytechnical University, Faculty of Mechanical Engineering, Ukraine
Bibliografia
  • [1] ARMSTRONG M.M. Controlling the magnitude, direction, and duration of the extra oral force, Am. J. Orthod., 1971, 59, 217‒243.
  • [2] BONDEMARK L., KARLSON I. Extraoral vs intraoral appliance for distal movement of maxillary first molar: a randomized controlled trial, Angle Orthod., 2005, 75, 699‒706.
  • [3] BROSH T., PORTAL S., SARNE O., VARDIMON A.D. Unequal outer and inner bow configurations: comparing 2 asymmetric head-gear systems, Am. J. Orthod. Dentofacial Orthop., 2005, 128, 68‒75.
  • [4] CONTASTI G.A., LEGAN H.L. Biomechanical guidelines for the headgear application, J. Clin. Orthop., 1982, 16, 308‒312.
  • [5] GERAMY A. Cervical head gearforce system: 3D analysis using finite element method Journal of Dentistry, Shiraz Univ. of Medical Sci., 2000, 2, 21‒30.
  • [6] GERAMY A., HASSANPOUR M., EMADIAN R.E. Asymmetric outer bow length and cervical headgear force system: 3D analysis using finite element method, Journal of dentistry, Tehran University of Medical Sciences, 2015, 12, 216‒225.
  • [7] GERAMY A., KIZILOVA N., TEREKHOV L. Finite element method (FEM) analysis of the force systems produced by asymmetric inner head gear bows, Austr. Orthod. J., 2011, 27, 125‒131.
  • [8] GERAMY A., MORTEZAI O., ESMAILY M., DARVISHPOUR H. Unilateral outer bow expanded cervical headgear force system: 3D analysis using finite element method, J. Dentistry, Tehran University of Medical Sciences, 2015, 12, 271‒280.
  • [9] GODT A., KALWITZKI M., GOZ G. Effects of cervical head gear on overbite against the background of existing growth pattern. A retrospective analysis of study casts, Angle Orthod., 2007, 77, 42‒46.
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  • [11] GRABER T.M. Extra oral force-Facts and Falacies, Am. J. Orthod., 1955, 41, 490‒505.
  • [12] GREENSPAN R.A. Reference charts for controlled extra oral force application to the maxillary molars, Am. J. Orthod., 1970, 58, 486‒491.
  • [13] HAACK D.C., Weinstein S. The mechanics of centric and eccentric cervical traction. Am. J. Orthod., 1958, 44, 346‒357.
  • [14] HAYDER S., UNER O. Comparison of Jones Jig molar distalization appliance with extraoral traction, Am. J. Orthod. Dentofacial Orthop., 2000, 117, 49‒53.
  • [15] HERSHEY H.G., HOUGHTON C.W., BURSTONE C.J. Unilateral face bows: A theoretical and laboratory analysis, Am. J. Orthod. Dentofacial Orthop., 1981, 79, 229‒249.
  • [16] JACOBSON A. A key to the understanding of extra oral forces, Am. J. Orthod., 1979, 75, 361‒386.
  • [17] KUBEIN-MEESENBURG D., JAGER A., BORMANN V. Kloehn headgear force analysis, J. Clin. Orthod., 1984, 18, 882‒890.
  • [18] MARCOTTE M.R. Biomechanics in orthodontics, B.C.Decker Inc., Toronto, 1990.
  • [19] NIKOLAI R.J. Bioengineering analysis of orthodontic mechanics, Lea &Febiger, Philadelphia, 1985.
  • [20] OOSTHUIZEN L., DIJKMAN J.F.P., EVAN W.G. A mechanical appraisal of the Kloehn extra oral assembly, Am. J. Orthod., 1973, 43, 221‒232.
  • [21] SANDUSKY W.C. Cephalometric evaluation of the effects of the Kloehn type of cervical traction used as an auxiliary with the edge-wise mechanism following Tweed’s principle for correction of class II div.1 malocclusion, Am. J. Orthod., 1965, 51, 262‒287.
  • [22] SQUEFF L.R., RUELLAS A.C., PENEDO N.D., et al. Asymmetric headgear for differential molar movement: a study using finite ele-ment analysis, J Orthod., 2009, 36, 145‒151.
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Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-6535366e-0002-44a1-af54-6edc9a2bea13
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