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Comparison of one versus two maxillary molars distalization with iPanda: a finite element analysis

Authors
  • Sujaritwanid, Kamontip1
  • Suzuki, Boonsiva1
  • Suzuki, Eduardo Yugo1
  • 1 Bangkokthonburi University, 16/10 Leabklongtaweewatana Rd., Taweewatana District, Bangkok, 10170, Thailand , Bangkok (Thailand)
Type
Published Article
Journal
Progress in Orthodontics
Publisher
Springer Berlin Heidelberg
Publication Date
May 03, 2021
Volume
22
Issue
1
Identifiers
DOI: 10.1186/s40510-021-00356-6
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundThe purpose of this study was to compare the stress distribution and displacement patterns of the one versus two maxillary molars distalization with iPanda and to evaluate the biomechanical effect of distalization on the iPanda using the finite element method.MethodsThe finite element models of a maxillary arch with complete dentition, periodontal ligament, palatal and alveolar bone, and an iPanda connected to a pair of midpalatal miniscrews were created. Two models were created to simulate maxillary molar distalization. In the first model, the iPanda was connected to the second molar to simulate a single molar distalization. In the second model, the iPanda was connected to the first molar to simulate “en-masse” first and second molar distalization. A varying force from 50 to 200 g was applied. The stress distribution and displacement patterns were analyzed.ResultsFor one molar, the stress was concentrated at the furcation and along the distal surface in all roots with a large amount of distalization and distobuccal crown tipping. For two molars, the stress in the first molar was 10 times higher than in the second molar with a great tendency for buccal tipping and a minimal amount of distalization. Moreover, the stress concentration on the distal miniscrew was six times higher than in the mesial miniscrew with an extrusive and intrusive vector, respectively.ConclusionsIndividual molar distalization provides the most effective stress distribution and displacement patterns with reduced force levels. In contrast, the en-masse distalization of two molars results in increased force levels with undesirable effects in the transverse and vertical direction.

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