본문 바로가기
KERD
논문KCI 등재

A three-dimensional finite element analysis of molar distalization with a palatal plate, pendulum, and headgear according to molar eruption stage

국윤아|Mohamed Bayome|Jae Hyun Park|모성서|Ju-Man Kang|Moonbee Oh|Chong Ook Park
대한치과교정학회 (The Korean Association Of Orthodontists)|2016.09|대한치과교정학회지 (The Korean Journal of Orthodontics)|제46권 제5호|pp. 290-300

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

HeadgearClass IIPalatal plateDistalizing
주제분류치의학

초록

Objective: This study aimed to (1) evaluate the effects of maxillary second and third molar eruption status on the distalization of first molars with a modified palatal anchorage plate (MPAP), and (2) compare the results to the outcomes of the use of a pendulum and that of a headgear using three-dimensional finite element analysis. Methods: Three eruption stages were established: an erupting second molar at the cervical one-third of the first molar root (Stage 1), a fully erupted second molar (Stage 2), and an erupting third molar at the cervical one-third of the second molar root (Stage 3). Retraction forces were applied via three anchorage appliance models: an MPAP with bracket and archwire, a bone-anchored pendulum appliance, and cervical-pull headgear. Results: An MPAP showed greater root movement of the first molar than crown movement, and this was more noticeable in Stages 2 and 3. With the other devices, the first molar showed distal tipping. Transversely, the first molar had mesial-out rotation with headgear and mesial-in rotation with the other devices. Vertically, the first molar was intruded with an MPAP, and extruded with the other appliances. Conclusions: The second molar eruption stage had an effect on molar distalization, but the third molar follicle had no effect. The application of an MPAP may be an effective treatment option for maxillary molar distalization.[Korean J Orthod 2016;46(5):290-300]

Abstract

Objective: This study aimed to (1) evaluate the effects of maxillary second and third molar eruption status on the distalization of first molars with a modified palatal anchorage plate (MPAP), and (2) compare the results to the outcomes of the use of a pendulum and that of a headgear using three-dimensional finite element analysis. Methods: Three eruption stages were established: an erupting second molar at the cervical one-third of the first molar root (Stage 1), a fully erupted second molar (Stage 2), and an erupting third molar at the cervical one-third of the second molar root (Stage 3). Retraction forces were applied via three anchorage appliance models: an MPAP with bracket and archwire, a bone-anchored pendulum appliance, and cervical-pull headgear. Results: An MPAP showed greater root movement of the first molar than crown movement, and this was more noticeable in Stages 2 and 3. With the other devices, the first molar showed distal tipping. Transversely, the first molar had mesial-out rotation with headgear and mesial-in rotation with the other devices. Vertically, the first molar was intruded with an MPAP, and extruded with the other appliances. Conclusions: The second molar eruption stage had an effect on molar distalization, but the third molar follicle had no effect. The application of an MPAP may be an effective treatment option for maxillary molar distalization.[Korean J Orthod 2016;46(5):290-300]

참고문헌 (45)

  1. Gianelly AA, "Distal movement of the maxillary molars", Am J Orthod Dentofacial Orthop, 114, pp.66~72 (1998)
  2. Kinzinger GS, "Efficiency of a pendulum appliance for molar distalization related to second and third molar eruption stage", Am J Orthod Dentofacial Orthop, 125, pp.8~23 (2004)
  3. Karlsson I, "Intraoral maxillary molar distalization", Angle Orthod, 76, pp.923~929 (2006)
  4. Egolf RJ, "Factors associated with orthodontic patient compliance with intraoral elastic and headgear wear", Am J Orthod Dentofacial Orthop, 97, pp.336~348 (1990)
  5. Lima Filho RM, "Longitudinal study of anteroposterior and vertical maxillary changes in skeletal class II patients treated with Kloehn cervical headgear", Angle Orthod, 73, pp.187~193 (2003)
  6. Ghosh J, "Evaluation of an intraoral maxillary molar distalization technique", Am J Orthod Dentofacial Orthop, 110, pp.639~646 (1996)
  7. Byloff FK, "Distal molar movement using the pendulum appliance. Part 1: Clinical and radiological evaluation", Angle Orthod, 67, pp.249~260 (1997)
  8. Byloff FK, "Distal molar movement using the pendulum appliance. Part 2: The effects of maxillary molar root uprighting bends", Angle Orthod, 67, pp.261~270 (1997)
  9. Bussick TJ, "Dentoalveolar and skeletal changes associated with the pendulum appliance", Am J Orthod Dentofacial Orthop, 117, pp.333~343 (2000)
  10. Polat-Ozsoy O, "Pendulum appliances with 2 anchorage designs: conventional anchorage vs bone anchorage", Am J Orthod Dentofacial Orthop, 133, pp.339.e9~339.e17 (2008)
  11. Byloff FK, "An implant to eliminate anchorage loss during molar distalization:a case report involving the Graz implant-supported pendulum", Int J Adult Orthodon Orthognath Surg, 15, pp.129~137 (2000)
  12. Kircelli BH, "Maxillary molar distalization with a bone-anchored pendulum appliance", Angle Orthod, 76, pp.650~659 (2006)
  13. Papadopoulos MA, "Orthodontic treatment of Class II malocclusion with miniscrew implants", Am J Orthod Dentofacial Orthop, 134, pp.604~605 (2008)
  14. Kinzinger GS, "Efficiency of a skeletonized distal jet appliance supported by miniscrew anchorage for noncompliance maxillary molar distalization", Am J Orthod Dentofacial Orthop, 136, pp.578~586 (2009)
  15. Kaya B, "Palatal implant versus zygoma plate anchorage for distalization of maxillary posterior teeth", Eur J Orthod, 35, pp.507~514 (2013)
  16. Jungkil Lee, "Effectiveness of en-masse retraction using midpalatal miniscrews and a modified transpalatal arch: Treatment duration and dentoskeletal changes", 대한치과교정학회지, 44(2), pp.88~95 (2014), 대한치과교정학회
  17. Nishimura M, "Nonextraction treatment with temporary skeletal anchorage devices to correct a Class II Division 2 malocclusion with excessive gingival display", Am J Orthod Dentofacial Orthop, 145, pp.85~94 (2014)
  18. Kook YA, "Treatment effects of a modified palatal anchorage plate for distalization evaluated with cone-beam computed tomography", Am J Orthod Dentofacial Orthop, 146, pp.47~54 (2014)
  19. Sa'aed NL, "Skeletal and dental effects of molar distalization using a modified palatal anchorage plate in adolescents", Angle Orthod, 85, pp.657~664 (2015)
  20. Yu IJ, "Comparison of tooth displacement between buccal mini-implants and palatal plate anchorage for molar distalization: a finite element study", Eur J Orthod, 36, pp.394~402 (2014)
  21. Joseph AA, "An evaluation of the pendulum distalizing appliance", Semin Orthod, 6, pp.129~135 (2000)
  22. Flores-Mir C, "Efficiency of molar distalization associated with second and third molar eruption stage", Angle Orthod, 83, pp.735~742 (2013)
  23. Farnsworth D, "Cortical bone thickness at common miniscrew implant placement sites", Am J Orthod Dentofacial Orthop, 139, pp.495~503 (2011)
  24. Tanne K, "Biomechanical effect of anteriorly directed extraoral forces on the craniofacial complex: a study using the finite element method", Am J Orthod Dentofacial Orthop, 95, pp.200~207 (1989)
  25. Yu HS, "Threedimensional finite-element analysis of maxillary protraction with and without rapid palatal expansion", Eur J Orthod, 29, pp.118~125 (2007)
  26. Sarrafpour B, "Tooth eruption results from bone remodelling driven by bite forces sensed by soft tissue dental follicles: a finite element analysis", PLoS One, 8, pp.e58803~ (2013)
  27. Teuscher U, "An appraisal of growth and reaction to extraoral anchorage. Simulation of orthodonticorthopedic results", Am J Orthod, 89, pp.113~121 (1986)
  28. 정광모, "상악 치아군의 저항중심의 위치에 관한 3차원 유한요소 해석", 대한치과교정학회지, 39(2), pp.83~94 (2009), 대한치과교정학회
  29. Eui-Hyang Sung, "Distalization pattern of whole maxillary dentition according to force application points", 대한치과교정학회지, 45(1), pp.20~28 (2015), 대한치과교정학회
  30. Fudalej P, "Are orthodontic distalizers reinforced with the temporary skeletal anchorage devices effective?", Am J Orthod Dentofacial Orthop, 139, pp.722~729 (2011)
  31. Smith RJ, "Mechanics of tooth movement", Am J Orthod, 85, pp.294~307 (1984)
  32. Gelgör IE, "Intraosseous screw-supported upper molar distalization", Angle Orthod, 74, pp.838~850 (2004)
  33. Oosthuizen L, "A mechanical appraisal of the Kloehn extraoral assembly", Angle Orthod, 43, pp.221~232 (1973)
  34. Reimann S, "Numerical and clinical study of the biomechanical behaviour of teeth under orthodontic loading using a headgear appliance", Med Eng Phys, 31, pp.539~546 (2009)
  35. Kook YA, "Space regaining with modified palatal anchorage plates", J Clin Orthod, 49, pp.587~595 (2015)
  36. Kook YA, "Sagittal correction of adolescent patients with modified palatal anchorage plate appliances", Am J Orthod Dentofacial Orthop, 148, pp.674~684 (2015)
  37. Kook YA, "Correction of severe bimaxillary protrusion with first premolar extractions and total arch distalization with palatal anchorage plates", Am J Orthod Dentofacial Orthop, 148, pp.310~320 (2015)
  38. Baccetti T, "Comparison of 2comprehensive Class II treatment protocols including the bonded Herbst and headgear appliances: a double-blind study of consecutively treated patients at puberty", Am J Orthod Dentofacial Orthop, 135, pp.698~699 (2009)
  39. Shpack N, "Long-and short-term effects of headgear traction with and without the maxillary second molars", Am J Orthod Dentofacial Orthop, 146, pp.467~476 (2014)
  40. Lima Filho RM, "Longterm maxillary changes in patients with skeletal Class II malocclusion treated with slow and rapid palatal expansion", Am J Orthod Dentofacial Orthop, 134, pp.383~388 (2008)
  41. Varlik SK, "The effects of cervical headgear with an expanded inner bow in the permanent dentition", Eur J Orthod, 30, pp.425~430 (2008)
  42. Freitas MR, "Cephalometric evaluation of Class II malocclusion treatment with cervical headgear and mandibular fixed appliances", Eur J Orthod, 30, pp.477~482 (2008)
  43. Alberto Caprioglio, "Comparative evaluation of molar distalization therapy using pendulum and distal screw appliances", 대한치과교정학회지, 45(4), pp.171~179 (2015), 대한치과교정학회
  44. Angelieri F, "Comparison of the effects produced by headgear and pendulum appliances followed by fixed orthodontic treatment", Eur J Orthod, 30, pp.572~579 (2008)
  45. Patel MP, "Comparative cephalometric study of Class II malocclusion treatment with Pendulum and Jones jig appliances followed by fixed corrective orthodontics", Dental Press J Orthod, 18, pp.58~64 (2013)

이 간행물의 다른 논문 (7건)

ReadeR’s foRum김창현pp. 267-268Sphenoid bone changes in rapid maxillary expansion assessed with cone-beam computed tomographyManuel O. Lagravère, Lucas S. Stepankopp. 269-279Three-dimensional evaluation of tooth movement in Class II malocclusions treated without extraction by orthodontic mini-implant anchorageDler Ali, Kyung-Hwa Kang, Seung-Hwan Koo, Sang-Cheol Kim, Hnd Mohammedpp. 280-289Evaluation of stability after pre-orthodontic orthognathic surgery using cone-beam computed tomography: A comparison with conventional treatmentHye-Rim Ann, Young-Soo Jung, 백형선, 이기준pp. 301-309The effects of alveolar bone loss and miniscrew position on initial tooth displacement during intrusion of the maxillary anterior teeth: Finite element analysisSun-Mi Cho, Sang-Jin Sung, 유형석, 황충주, 최성환pp. 310-322
원문 보기