Evaluation of the effects of miniscrew incorporation in palatal expanders for young adults using finite element analysis
성의향, 최성환, 김희진, 유형석, 박영철, 이기준,
소속 상세정보
성의향 ( Seong Eui-Hyang ) - Yonsei University College of Dentistry Department of Orthodontics
최성환 ( Choi Sung-Hwan ) - Yonsei University College of Dentistry Department of Orthodontics
김희진 ( Kim Hee-Jin ) - Yonsei University College of Dentistry Department of Oral Biology
유형석 ( Yu Hyung-Seog ) - Yonsei University College of Dentistry Department of Orthodontics
박영철 ( Park Young-Chel ) - Yonsei University College of Dentistry Department of Orthodontics
이기준 ( Lee Kee-Joon ) - Yonsei University College of Dentistry Department of Orthodontics
Abstract
Objective: The aim of this study was to evaluate the stress distribution and displacement of various craniofacial structures after nonsurgical rapid palatal expansion (RPE) with conventional (C-RPE), bone-borne (B-RPE), and miniscrew-assisted (MARPE) expanders for young adults using three-dimensional finite element analysis (3D FEA).
Methods: Conventional, bone-borne, and miniscrew-assisted palatal expanders were designed to simulate expansion in a 3D FE model created from a 20-year-old human dry skull. Stress distribution and the displacement pattern for each circumaxillary suture and anchor tooth were calculated.
Results: The results showed that C-RPE induced the greatest stress along the frontal process of the maxilla and around the anchor teeth, followed by the suture area, whereas B-RPE generated the greatest stress around the miniscrew, although the area was limited within the suture. Compared with the other appliances, MARPE caused relatively even stress distribution, decreased the stress on the buccal plate of the anchor teeth, and reduced tipping of the anchor teeth.
Conclusions: The findings of this study suggest that the incorporation of miniscrews in RPE devices may contribute to force delivery to the sutures and a decrease in excessive stress on the buccal plate. Thus, MARPE may serve as an effective modality for the nonsurgical treatment of transverse maxillary deficiency in young adults.
키워드
MARPE; Finite element analysis; Circumaxillary sutures; Buccal plate
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