Stress Distribution Evaluation of the Periodontal Ligament in the Maxillary Canine for Retraction by Different Alveolar Corticotomy Techniques: A Three-dimensional Finite Element Analysis

2016 ◽  
Vol 17 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Ariel Adriano Reyes Pacheco ◽  
Armando Yukio Saga ◽  
Key Fonseca de Lima ◽  
Victor Nissen Paese

ABSTRACT Aim By using the finite element method (FEM), this study aimed to evaluate the effect of different corticotomy formats on the distribution and magnitude of stress on the periodontal ligament (PDL) during retraction of the maxillary canine. Materials and methods A geometric model of the left hemi-jaw was created from computed tomography scan images of a dry human skull and loads were administered during distalization movement of the canine. Three trials were performed: (1) without corticotomy, (2) box-shaped corticotomy and perforations in the cortical bone of the canine (CVC) and (3) CVC and circularshaped corticotomy in the cortical bone of the edentulous space of the first premolar. Results There was no difference in stress distribution among the different corticotomy formats. Conclusion Different corticotomy formats used to accelerate orthodontic tooth movement did not affect stress distribution in the PDL during canine retraction. Clinical significance From a mechanical perspective, the present study showed that the stress distribution on the PDL during canine retraction was similar in all the corticotomy formats. When using the Andrews T2 bracket, the PDL presented the highest levels of stress in the middle third of the PDL, suggesting that the force was near the center of resistance. Also, as bone weakening by corticotomies did not influence stress distribution, the surgical procedure could be simplified to a less aggressive one, focusing more on inflammatory cellular stimulation than on bone resistance. A simpler surgical act could also be performed by most orthodontists in their practices, enhancing postoperative response and reducing patient costs. How to cite this article Pacheco AAR, Saga AY, de Lima KF, Paese VN, Tanaka OM. Stress Distribution Evaluation of the Periodontal Ligament in the Maxillary Canine for Retraction by Different Alveolar Corticotomy Techniques: A Threedimensional Finite Element Analysis. J Contemp Dent Pract 2016;17(1):32-37.

2021 ◽  
Vol 11 (9) ◽  
pp. 3824
Author(s):  
Ioana-Andreea Sioustis ◽  
Mihai Axinte ◽  
Marius Prelipceanu ◽  
Alexandra Martu ◽  
Diana-Cristala Kappenberg-Nitescu ◽  
...  

Finite element analysis studies have been of interest in the field of orthodontics and this is due to the ability to study the stress in the bone, periodontal ligament (PDL), teeth and the displacement in the bone by using this method. Our study aimed to present a method that determines the effect of applying orthodontic forces in bodily direction on a healthy and reduced periodontium and to demonstrate the utility of finite element analysis. Using the cone-beam computed tomography (CBCT) of a patient with a healthy and reduced periodontium, we modeled the geometric construction of the contour of the elements necessary for the study. Afterwards, we applied a force of 1 N and a force of 0.8 N in order to achieve bodily movement and to analyze the stress in the bone, in the periodontal ligament and the absolute displacement. The analysis of the applied forces showed that a minimal ligament thickness is correlated with the highest value of the maximum stress in the PDL and a decreased displacement. This confirms the results obtained in previous clinical practice, confirming the validity of the simulation. During orthodontic tooth movement, the morphology of the teeth and of the periodontium should be taken into account. The effect of orthodontic forces on a particular anatomy could be studied using FEA, a method that provides real data. This is necessary for proper treatment planning and its particularization depends on the patient’s particular situation.


2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Tarcisio José de Arruda Paes Junior ◽  
João Paulo Mendes Tribst ◽  
Amanda Maria de Oliveira Dal Piva ◽  
Viviane Maria Gonçalves de Figueiredo ◽  
Alexandre Luiz Souto Borges ◽  
...  

Purpose: To evaluate the effect of fibromucosa height on the stress distribution and displacement of mandibular total prostheses during posterior unilateral load, posterior bilateral load and anterior guidance using the finite element analysis (FEA). Material and methods: 3D virtual models were made to simulate the stress generated during different mandibular movements in a total prosthesis. The contacts were simulated according to the physiology, being considered perfectly bonded between cortical and medullar bones; and between cortical bone and mucosa. Non-linear frictional contact was used for the total prosthesis base and fibromucosa, allowing the prosthesis to slide over the tissue. The cortical bone base was fixed and the 100 N load was applied as unilateral load, posterior bilateral load and anterior guidance simulation. The required results were for maximum principal stress (MPa), microstrain (mm/mm) and total displacement (mm). The numerical results were converted into colorimetric maps and arranged according to corresponding scales. Results: The stress generated in all situations was directly proportional to the fibromucosa height. The maximum principal stress results demonstrated greater magnitude for anterior guidance, posterior unilateral and posterior bilateral, respectively. Only posterior unilateral load demonstrated an increase in bone microstrain, regardless of the fibromucosa height. Prosthesis displacement was lower under posterior bilateral loading. Conclusion: Posterior bilateral loading is indicated for total prosthesis because it allows lower prosthesis displacement, lower stress concentration at the base of the prosthesis and less bone microstrain.   Keywords Finite element analysis; Occlusion; Total prosthesis.


2012 ◽  
Vol 20 (3) ◽  
pp. 362-368 ◽  
Author(s):  
Carlos Marcelo Archangelo ◽  
Eduardo Passos Rocha ◽  
João Antônio Pereira ◽  
Manoel Martin Junior ◽  
Rodolfo Bruniera Anchieta ◽  
...  

Author(s):  
Suneetha Rao ◽  
Honey Arora ◽  
Shahul Hameed

ABSTRACT Purpose In spite of many advances in the field of prosthetic dentistry, the choice of whether to treat and retain a grossly compromised tooth or to extract and replace with an implant is debatable. Alveolar bone preservation is one of the main criteria to select the treatment option. This is directly affected by the stress generated in the cortical bone under variable loads and is therefore, relevant. Materials and methods Two three-dimensional finite element models were generated in relation to maxillary second premolar using ANSYS software. Model-I was parallel-tapered titanium implant with screw-retained titanium abutment and porcelain fused to metal (PFM) crown. Model-P was fiber post and com- posite resin core with PFM crown. Luting cement was resin cement. Both the models were surrounded by homogeneous and isotropic cortical and cancellous bone, and were subjected to variable loads of 300, 400, and 500 N in axial (0°) and nonaxial (15°, 45°) directions. Results Stress in the cortical bone in megapascal (MPa) in Model-I/Model-P when subjected to variable loads in newtons(N) in axial direction was 300 N - 37.6 MPa/47.3 MPa; 400 N - 50.2 MPa/63.0 MPa; 500 N - 62.7 MPa/63.0 MPa. 15°- 300 N - 68.5 MPa/65.9 MPa; 400 N - 91.3 MPa/87.9 MPa; 500 N - 114.2 MPa/87.9 MPa. 45° - 300 N - 136.3 MPa/88.9 MPa; 400 N - 181.8 MPa/118.5 MPa; 500 N - 227.2 MPa/118.5 MPa. Conclusion Within the limitation of this study, it was concluded that on axial loading, both the treatment modalities showed no significant difference, but on nonaxial loading, the cortical bone in the implant model showed to have considerably higher stress than post core-treated tooth model. Hence, given a choice, this study favors retaining and restoring a compromised tooth with post core and crown rather than extracting and replacing with an implant. How to cite this article Rao S, Arora H, Hameed S. A Three- dimensional Finite Element Analysis of Stress Distribution in the Cortical Bone in Single Tooth Implant and Post Core-treated Tooth subjected to variable Loads. Int J Prosthodont Restor Dent 2017;7(1):8-16.


2009 ◽  
Vol 80 (11) ◽  
pp. 1859-1867 ◽  
Author(s):  
Isis A. Venturini P. Poiate ◽  
Adalberto Bastos de Vasconcellos ◽  
Ronaldo Barcellos de Santana ◽  
Edgard Poiate

2011 ◽  
Vol 2011.17 (0) ◽  
pp. 125-126
Author(s):  
Daigo KOMAZAWA ◽  
Shigeyuki MATSUI ◽  
Yousuke SAKURAI ◽  
Yuichiro OTSUKA ◽  
Manabu KOUHARA ◽  
...  

Prosthesis ◽  
2020 ◽  
Vol 2 (3) ◽  
pp. 225-236 ◽  
Author(s):  
Luigi Paracchini ◽  
Christian Barbieri ◽  
Mattia Redaelli ◽  
Domenico Di Croce ◽  
Corrado Vincenzi ◽  
...  

Dental implant macro- and micro-shape should be designed to maximize the delivery of optimal favorable stresses in the surrounding bone region. The present study aimed to evaluate the stress distribution in cortical and cancellous bone surrounding two models of dental implants with the same diameter and length (4.0 × 11 mm) and different implant/neck design and thread patterns. Sample A was a standard cylindric implant with cylindric neck and V-shaped threads, and sample B was a new conical implant with reverse conical neck and with “nest shape” thread design, optimized for the favorable stress distribution in the peri-implant marginal bone region. Materials and methods: The three-dimensional model was composed of trabecular and cortical bone corresponding to the first premolar mandibular region. The response to static forces on the samples A and B were compared by finite element analysis (FEA) using an axial load of 100 N and an oblique load of 223.6 N (resulting from a vertical load of 100 N and a horizontal load of 200 N). Results: Both samples provided acceptable results under loadings, but the model B implant design showed lower strain values than the model A implant design, especially in cortical bone surrounding the neck region of the implant. Conclusions: Within the limitation of the present study, analyses suggest that the new dental implant design may minimize the transfer of stress to the peri-implant cortical bone.


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