Three-dimensional finite element analysis on En mass intrusion and retraction of maxillary anterior teeth with J-hook headgear / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the biomechanics of J-hook headgear in En mass intrusion and retraction of maxillary anterior teeth and provide guidance for clinical treatment.</p><p><b>METHODS</b>A three-dimensional finite element model of maxillary teeth, periodontium, straight wire appliance and maxillary bone was established in ANSYS 14.0. En mass retraction of anterior teeth with force of 1.5 N through J-hook headgear was stimulated. Force was applied mesial to lateral incisor in group A and distal to lateral incisor in group B. The force direction was 30° to the sagittal plane and 20° to 60° to the occlusal plane. Force direction to the occlusal plane was changed every 5° and 18 cases were calculated. Displacement of upper anterior teeth and stress distribution in the periodontium were analyzed.</p><p><b>RESULTS</b>As the degrees of force direction to the occlusal plane increased, the moving pattern of upper anterior teeth changed from clockwise rotation (lingual movement with intrusion) to bodily retraction and intrusion, and counter- clockwise rotation (intrusion with labial movement). With the force direction of 35° to occlusal plane applied mesial to lateral incisor or force direction of 45° to the occlusal plane applied distal to lateral incisor, bodily movement of upper anterior teeth without rotation was achieved.</p><p><b>CONCLUSIONS</b>Placement of J-hook mesial to lateral incisor enable orthodontists to maintain better en mass intrusion and retraction of upper anterior teeth. The direction of J-hook should be adjusted according to individual condition and treatment objective.</p>

Effect of the depth and angle of the reverse-curve arch wires on the perpendicular force exerted to teeth / 实用口腔医学杂志

Objective:To analyze the perpendicular force on each tooth produced by the reverse-curve arch wires of various angles and depths using the method of 3-D finite element (3-D FEM) analysis. Methods:3-D FEM models of lower teeth, periodontal ligaments and alveolar bone as well as the 0.46 mm?0.64 mm inch stainless steel reverse-curve arch wires with different angles and depths were developed with the ANSYS finite element software, and the displacements of deformation of the reverse-curve arch wires were established on the models. Results:A ideal 3-D FEM was construct,including 2 709 elements and 1 969 nodes. The depth and angle of the reverse-curve arch wires produced obvious effect on the force exerted to teeth, and they could alter both the strength and the direction of the force. The force was mainly loaded on the canines, the second premolars and the molars, while less loaded on the incisors. Affected by the reverse-curve arch wires, the perpendicular force on the incisors were brought intrusively and on the molars were brought intrusively and distal upright; however, the canines and the bicuspids, in the perpendicular direction, moved along with the transformation of the angle and depth of the reverse-curve arch wires. When the angle of reverse-curve arch wires was fixed, the intrusive force on the incisors and molars was increased along with the increase of depth of the reverse-curve arch wires. Perpendicularly, the canines underwent a process from extrusion to intrusion, while the bicuspids were from intrusion to extrusion. When the depth of reverse-curve arch wires was fixed, the intrusive force on the incisors and molars was increased along with the increase of angle of the reverse-curve arch wires. The canines underwent a process from intrusion to extrusion.Conclusion:The variation of the angle and depth of the reverse-curve arch wires may produce evident effect on the force exerted to teeth.