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Displacement and stress distribution of the maxillofacial complex during maxillary protraction using palatal plates: A three-dimensional finite element analysis

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Objective: The purpose of this study was to analyze initial displacement and stress distribution of the maxillofacial complex during dentoskeletal maxillary protraction with various appliance designs placed on the palatal region by using three-dimensional finite element analysis. Methods: Six models of maxillary protraction were developed: conventional facemask (Type A), facemask with dentoskeletal hybrid anchorage (Type B), facemask with a palatal plate (Type C), intraoral traction using a Class III palatal plate (Type D), facemask with a palatal plate combined with rapid maxillary expansion (RME; Type E), and Class III palatal plate intraoral traction with RME (Type F). In Types A, B, C, and D, maxillary protraction alone was performed, whereas in Types E and F, transverse expansion was performed simultaneously with maxillary protraction. Results: Type C displayed the greatest amount of anterior dentoskeletal displacement in the sagittal plane. Types A and B resulted in similar amounts of anterior displacement of all the maxillofacial landmarks. Type D showed little movement, but Type E with expansion and the palatal plate displayed a larger range of movement of the maxillofacial landmarks in all directions. Conclusions: The palatal plate served as an effective skeletal anchor for use with the facemask in maxillary protraction. In contrast, the intraoral use of Class III palatal plates showed minimal skeletal and dental effects in maxillary protraction. In addition, palatal expansion with the protraction force showed minimal effect on the forward movement of the maxillary complex.

Abstract

Objective: The purpose of this study was to analyze initial displacement and stress distribution of the maxillofacial complex during dentoskeletal maxillary protraction with various appliance designs placed on the palatal region by using three-dimensional finite element analysis. Methods: Six models of maxillary protraction were developed: conventional facemask (Type A), facemask with dentoskeletal hybrid anchorage (Type B), facemask with a palatal plate (Type C), intraoral traction using a Class III palatal plate (Type D), facemask with a palatal plate combined with rapid maxillary expansion (RME; Type E), and Class III palatal plate intraoral traction with RME (Type F). In Types A, B, C, and D, maxillary protraction alone was performed, whereas in Types E and F, transverse expansion was performed simultaneously with maxillary protraction. Results: Type C displayed the greatest amount of anterior dentoskeletal displacement in the sagittal plane. Types A and B resulted in similar amounts of anterior displacement of all the maxillofacial landmarks. Type D showed little movement, but Type E with expansion and the palatal plate displayed a larger range of movement of the maxillofacial landmarks in all directions. Conclusions: The palatal plate served as an effective skeletal anchor for use with the facemask in maxillary protraction. In contrast, the intraoral use of Class III palatal plates showed minimal skeletal and dental effects in maxillary protraction. In addition, palatal expansion with the protraction force showed minimal effect on the forward movement of the maxillary complex.

참고문헌 (31)

  1. Baik HS, "Clinical results of the maxillary protraction in Korean children", Am J Orthod Dentofacial Orthop, 108, pp.583~592 (1995)[DOI]
  2. Kim JH, "The effectiveness of protraction face mask therapy: a meta-analysis", Am J Orthod Dentofacial Orthop, 115, pp.675~685 (1999)[DOI]
  3. Singer SL, "Osseointegrated implants as an adjunct to facemask therapy: a case report", Angle Orthod, 70, pp.253~262 (2000)
  4. Hong H, "Use of onplants as stable anchorage for facemask treatment: a case report", Angle Orthod, 75, pp.453~460 (2005)
  5. Kircelli BH, "Midfacial protraction with skeletally anchored face mask therapy: a novel approach and preliminary results", Am J Orthod Dentofacial Orthop, 133, pp.440~449 (2008)[DOI]
  6. Baek SH, "New treatment modality for maxillary hypoplasia in cleft patients. Protraction facemask with miniplate anchorage", Angle Orthod, 80, pp.783~791 (2010)[DOI]
  7. Lee NK, "Stress and displacement between maxillary protraction with miniplates placed at the infrazygomatic crest and the lateral nasal wall: a 3-dimensional finite element analysis", Am J Orthod Dentofacial Orthop, 141, pp.345~351 (2012)[DOI]
  8. Han S, "Evaluation of palatal bone density in adults and adolescents for application of skeletal anchorage devices", Angle Orthod, 82, pp.625~631 (2012)[DOI]
  9. Ryu JH, "Palatal bone thickness compared with cone-beam computed tomography in adolescents and adults for mini-implant placement", Am J Orthod Dentofacial Orthop, 142, pp.207~212 (2012)[DOI]
  10. Trang Vu, "Evaluation of the palatal soft tissue thickness by cone-beam computed tomography", 대한치과교정학회지, 42(6), pp.291~296 (2012), 대한치과교정학회
  11. Lee SM, "Palatal soft tissue thickness at different ages using an ultrasonic device", J Clin Pediatr Dent, 36, pp.405~409 (2012)[DOI]
  12. 국윤아, "New approach of maxillary protraction using modified C-palatal plates in Class III patients", 대한치과교정학회지, 45(4), pp.209~214 (2015), 대한치과교정학회
  13. Kim KY, "Displacement and stress distribution of the maxillofacial complex during maxillary protraction with buccal versus palatal plates: finite element analysis", Eur J Orthod, 37, pp.275~283 (2015)[DOI]
  14. Kook YA, "Sagittal correction of adolescent patients with modified palatal anchorage plate appliances", Am J Orthod Dentofacial Orthop, 148, pp.674~684 (2015)[DOI]
  15. Yu HS, "Threedimensional finite-element analysis of maxillary protraction with and without rapid palatal expansion", Eur J Orthod, 29, pp.118~125 (2007)[DOI]
  16. Park JH, "Displacement and stress distribution by different boneborne palatal expanders with facemask: A 3-dimensional finite element analysis", Am J Orthod Dentofacial Orthop, 151, pp.105~117 (2017)[DOI]
  17. Erkmen E, "Three-dimensional finite element analysis used to compare methods of fixation after sagittal split ramus osteotomy: setback surgery-posterior loading", Br J Oral Maxillofac Surg, 43, pp.97~104 (2005)[DOI]
  18. Mahoney E, "The hardness and modulus of elasticity of primary molar teeth: an ultra-micro-indentation study", J Dent, 28, pp.589~594 (2000)[DOI]
  19. Rees JS, "Elastic modulus of the periodontal ligament", Biomaterials, 18, pp.995~999 (1997)[DOI]
  20. Farnsworth D, "Cortical bone thickness at common miniscrew implant placement sites", Am J Orthod Dentofacial Orthop, 139, pp.495~503 (2011)[DOI]
  21. Kronfeld R, "Histologic study of the influence of function on the human periodontal membrane", J Am Dent Assoc, 18, pp.1242~1274 (1931)
  22. Fricke-Zech S, "Measurement of the midpalatal suture width", Angle Orthod, 82, pp.145~150 (2012)[DOI]
  23. Kook YA, "Design improvements in the modified C-palatal plate for molar distalization", J Clin Orthod, 47, pp.241~248 (2013)
  24. Gautam P, "Stress and displacement patterns in the craniofacial skeleton with rapid maxillary expansion: a finite element method study", Am J Orthod Dentofacial Orthop, 132, pp.5.e1~5.e11 (2007)
  25. Ngan PW, "Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction", Semin Orthod, 3, pp.255~264 (1997)[DOI]
  26. Vaughn GA, "The effects of maxillary protraction therapy with or without rapid palatal expansion: a prospective, randomized clinical trial", Am J Orthod Dentofacial Orthop, 128, pp.299~309 (2005)[DOI]
  27. Cevidanes L, "Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion", Angle Orthod, 80, pp.799~806 (2010)[DOI]
  28. Hino CT, "Three-dimensional analysis of maxillary changes associated with facemask and rapid maxillary expansion compared with bone anchored maxillary protraction", Am J Orthod Dentofacial Orthop, 144, pp.705~714 (2013)[DOI]
  29. Elnagar MH, "Comparative evaluation of 2 skeletally anchored maxillary protraction protocols", Am J Orthod Dentofacial Orthop, 150, pp.751~762 (2016)[DOI]
  30. Gautam P, "Skeletal response to maxillary protraction with and without maxillary expansion: a finite element study", Am J Orthod Dentofacial Orthop, 135, pp.723~728 (2009)[DOI]
  31. Lee HK, "Stress distribution and displacement by different bone-borne palatal expanders with microimplants: a three-dimensional finite-element analysis", Eur J Orthod, 36, pp.531~540 (2014)[DOI]

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