Evaluation of the Magnitudes of Force and Patterns for the Intrusion of Maxillary First Molar Teeth with Mini-Screw Anchorage, Analyzed Using the Finite Element Method
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Abstract
The purposes of this study were to evaluate the greatest magnitude of force that can be applied in order to initiate the intrusion of maxillary first molar teeth without exceeding the periodontal capillaryvessel blood pressure of 0.0047 MPa and to compare the use of anchorage from either two or three miniscrews to determine the optimal pattern of force for the intrusion of maxillary first molar teeth, using the finite element method. A three-dimensional finite element model was constructed using SolidWorks software. Intrusive force was applied at the middle of the occlusal surface of the maxillary first molar tooth. The finite element model was able to determine the greatest magnitude of force applied by simulation of various force magnitudes. To determine the optimal pattern of force, the different patterns of stress distribution and initial displacements of maxillary first molar teeth between the pattern of intrusion using two and three mini-screws were compared using ABAQUS software. In the pattern of intrusion using two mini-screws, on the buccal side, a mini-screw was placed between the roots of the first and second molar teeth. On the palatal side, a mini-screw was placed between the roots of the second premolar and first molar teeth. In the pattern of intrusion using three mini-screws, two mini-screws were inserted into the maxillary buccal alveolar bone, one between the roots of the second premolar and first molar teeth and the other between the roots of the first and second molar teeth. The third mini-screw, in the mid-palatal suture, supplied the palatal anchorage. In the case of each pattern, the calculated magnitude of forces was applied to each maxillary first molar tooth. Results showed that the greatest magnitude of force for the intrusion of maxillary first molar teeth was 13 grams. It was concluded that the pattern with two miniscrews was the optimal pattern of force for the intrusion of the maxillary first molar because this pattern provided more bodily movement than that with three mini-screws.
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Eliades T, Gioka C. Orthodontic dental intrusion: indications, histological changes, biomechanical principles and possible side effects. Hel Orthod Rev 2003; 6: 129-146.
Profitt W, Fields H, Sarver D. Contemporary orthodontics 5th ed. St. Louis: Mosby; 2013: 296.
Heravi F, Bayani S, Madani AS, Radvar M, Anbiaee N. Intrusion of supra-erupted molars using miniscrews: Clinical success and root resorption. Am J Orthod Dentofacial Orthop 2001; 139(4): S170-S175.
Carrillo R, Rossouw PE, Franco PF, Opperman LA, Buschang PH. Intrusion of multiradicular teeth and related root resorption with mini-screw implant anchorage: A radiographic evaluation. Am J Orthod Dentofacial Orthop 2007; 132(5): 647-655.
Park Y, Lee S, Kim D, Jee S. Intrusion of posterior teeth using mini-screw implants. Am J Orthod Dentofacial Orthop 2003; 123: 690-694.
Umemori M, Sugawara J, Mitani H, Nagasaka H, Kawamura H. Skeletal anchorage system for open-bite correction. Am J Orthod Dentofacial Orthop 1999; 115(2): 166-174.
Ersahan S, Sabuncuoglu FA. Effects of magnitude of intrusive force on pulpal blood flow in maxillary molars. Am J Orthod Dentofacial Orthop 2015; 148(1): 83-89.
Drenker E. Calculating continuous archwire forces. Angle Orthod 1988; 58(1): 59-70.
Greenfield RL. Simultaneous torquing and intrusion auxiliary. J Clin Orthod 1993; 27(6): 305-318.
Erverdi N, Keles A, Nanda R. The Use of skeletal anchorage in open bite treatment: A cephalometric evaluation. Angle Orthod 2004; 74(3): 381-390.
Chang YJ, Wu CB, Wu HY, Kok SH, Chang HF, Chen YJ. Miniscrew anchorage for molar intrusion. J Clin Orthod 2004; 38: 300-325.
Kravitz ND, Kusnoto B, Tsay TP, Hohlt WF. The use of temporary anchorage devices for molar intrusion. J Am Dent Assoc 2007; 138(1): 56-64.
Lee JS. Applications of orthodontic mini-implants 1st ed. Chicago:Quintessence; 2007.
Lin JC, Liou EJ, Yeh CL. Intrusion of overerupted maxillary molars with miniscrew anchorage. J Clin Orthod 2006; 40(6): 378-383.
Telma MA, Mauro HAN, Fernanda CMF, Marcos AVB. Tooth intrusion using mini-implants. Dental Press J Orthod 2008; 13(5): 36-48.
Yao CC, Lee JJ, Chen HY, Chang ZC, Chang HF, Chen YJ. Maxillary molar intrusion with fixed appliances and mini-implant anchorage studied in three dimensions. Angle Orthod 2005; 75(5): 754-760.
Rubin C, Krishnamurthy N, Capilouto E, Yi H. Stress analysis of the human tooth using a three-dimensional finite element model. J Dent Res 1983; 62: 82-86.
Schwarz AM. Tissue changes incident to orthodontic tooth movement. Int J Dent Clin 1932; 18: 331-352.
Deetjen P, Speckmann EJ. Physiologie 5th ed. Baltimore: Elsevier; 1994.
Wheeler RC. A textbook of dental anatomy and physiology 2nd ed. Philadelphia: Saunders; 1950.
Coolidge ED. The Thickness of the Human Periodontal Membrane. J Am Dent Assoc Dent Cosmos 1937; 24(8): 1260-1270.
Tanne K, Sakuda M, Burstone CJ. Three-dimensional finite element analysis for stress in the periodontal tissue by orthodontic forces. Am J Orthod Dentofacial Orthop 1987; 92(6): 499-505.
Yoshida N, Koga Y, Peng CL, Tanaka E, Kobayashi K. In vivo measurement of the elastic modulus of the human periodontal ligament. Med Eng Phys 2001; 23(8): 567-572.
lixiang Z, Huang H, Tang W, Yan B, Wu B. International conference on advances in computational modeling and simulation mechanical responses of periodontal ligament under a realistic orthodontic loading. Procedia Eng 2012; 31: 828-833.
Lee KJ, Joo E, Kim KD, Lee JS, Park YC, Yu HS. Computed tomographic analysis of tooth-bearing alveolar bone for orthodontic miniscrew placement. Am J Orthod Dentofacial Orthop 2009; 135(4): 486-494.
Garib DG, Yatabe MS, Ozawa TO, Silva Filho OGd. Alveolar bone morphology under the perspective of the computed tomography: Defining the biological limits of tooth movement. Dental Press J Orthod 2010; 15: 192-205.
Mohammed N, Noor FKA, Ata'a G. Palatal dimensions in different occlusal relationships. J Bagh Coll Dentistry 2012; 24(1): 116-120.
Cattaneo PM, Dalstra M, Melsen B. The Finite Element Method: a Tool to Study Orthodontic Tooth Movement. J Dent Res 2005; 84(5): 428-433.
Pietrzak G, Curnier A, Botsis J, Scherrer S, Wiskott A, Belser U. A nonlinear elastic model of the periodontal ligament and its numerical calibration for the study of tooth mobility. Comput Methods Biomech Biomed Engin 2002; 5(2): 91-100.
Toms SR, Eberhardt AW. A nonlinear finite element analysis of the periodontal ligament under orthodontic tooth loading. Am J Orthod Dentofacial Orthop 2003; 123(6): 657-665.
Natali AN, Pavan PG, Scarpa C. Numerical analysis of tooth mobility: formulation of a non-linear constitutive law for the periodontal ligament. Dent Mater J 2004; 20(7): 623-629.
Qian L, Todo M, Morita Y, Matsushita Y, Koyano K. Deformation analysis of the periodontium considering the viscoelasticity of the periodontal ligament. Dent Mater J 2009; 25(10): 1285-1292.
Burstone CR. Deep overbite correction by intrusion. Am J Orthod 1977; 72(1): 1-22.
Tasanapanont J, Wattanachai T, Apisariyakul J, Pothacharoen P, Ongchai S, Kongtawelert P, et al. Biochemical and clinical assessments of segmental maxillary posterior tooth intrusion. Int J Dent [Article ID 2689642]. 2017 Feb;2017:[about7p.].Availablefrom:HYPERLINKhttp://doi.org/10.1155/2017/2689642 http://doi.org/10.1155/2017/2689642
Hohmann A, Wolfram U, Geiger M, Boryor A, Sander C, Faltin R, et al. Periodontal ligament hydrostatic pressure with areas of root resorption after application of a continuous torque moment. Angle Orthod 2007; 77(4): 653-659.
Ari-Demirkaya A, Masry MA, Erverdi N. Apical root resorption of maxillary first molars after intrusion with zygomatic skeletal anchorage. Angle Orthod 2005; 75(5): 761-767.
Ohmae M, Saito S, Morohashi T, Seki K, Qu H, Kanomi R, et al. A clinical and histological evaluation of titanium mini-implants as anchors for orthodontic intrusion in the beagle dog. Am J Orthod Dentofacial Orthop 2001; 119(5): 489-497.
Li W, Chen F, Zhang F, Ding W, Ye Q, Shi J, et al. Volumetric measurement of root resorption following molar mini-mcrew implant intrusion using cone beam computed tomography. PLoS One 2013; 8(4): e60962.
Ramirez-Echave JI, Buschang PH, Carrillo R, Rossouw PE, Nagy WW, Opperman LA. Histologic evaluation of root response to intrusion in mandibular teeth in beagle dogs. Am J Orthod Dentofacial Orthop 2011; 139(1): 60-69.
Owman-Moll P, Kurol J, Lundgren D. The effects of a four-fold increased orthodontic force magnitude on tooth movement and root resorptions. An intra-individual study in adolescents. Eur J Orthod 1996; 18(3): 287-294.
Dellinger EL. A histologic and cephalometric investigation of premolar intrusion in the Macaca speciosa monkey. Am J Orthod 1967; 53(5): 325-355.
Gonzales C, Hotokezaka H, Yoshimatsu M, Yozgatian JH, Darendeliler MA, Yoshida N. Force magnitude and duration effects on amount of tooth movement and root resorption in the rat molar. Angle Orthod 2008; 78(3): 502-509.
Bondevik O. Tissue changes in the rat molar periodontium following application of intrusive forces. Eur J Orthod 1980; 2(1): 41-49.
Picanço GV, Freitas KMSd, Cançado RH, Valarelli FP, Picanço PRB, Feijão CP. Predisposing factors to severe external root resorption associated to orthodontic treatment. Dental Press J Orthod 2013; 18: 110-120.
Grenga V, Bovi M. Corticotomy-enhanced intrusion of an overerupted molar using skeletal anchorage and ultrasonic surgery. J Clin Orthod 2013; 47(1): 50-55.
Xun C, Zeng X, Wang X. Microscrew anchorage in skeletal anterior open-bite treatment. The Angle Orthodontist 2007; 77(1): 47-56.
Paccini JVC, Cotrim-Ferreira FA, Ferreira FV, Freitas KMSd, Cançado RH, Valarelli FP. Efficiency of two protocols for maxillary molar intrusion with mini-implants. Dental Press J Orthod 2016; 21: 56-66.