Evaluation of the effect of attachments on torque control of palatally positioned maxillary lateral teeth with clear aligners: Finite element analysis.
Nurver Karsli, Irmak Ocak, Sevil Gökcek, Ömür Polat Özsoy
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引用次数: 0
Abstract
Objective: The effect of different attachment positions on torque control during the labialization of maxillary lateral incisors with clear aligners was evaluated using finite element analysis.
Methods: Anatomical data acquired through cone-beam computed tomography, combined with the design of 0.625-mm-thick aligners and horizontal attachments, were integrated into the software. Six distinct simulations were generated: (1) attachment-free, (2) labial attachment placed gingivally, (3) labial attachment placed mid-crown, (4) labial attachment placed incisally, (5) palatal attachment, and (6) attachment placed labially and palatally. The evaluation was performed using a default aligner activation of 0.25 mm.
Results: The crown of the lateral incisor demonstrated labial movement, while the root exhibited palatal movement in all models. Group 6 showed the lowest crown and root displacements on both axes, whereas the attachment-free group exhibited the greatest crown movement. The aligner experienced maximum deformation at the incisal edge, with deformation progressively decreasing towards the gingival region. Group 6 demonstrated the least deformation of all groups. The Von Mises stresses in the periodontal ligament (PDL) were most pronounced at the gingival level, with higher values on the palatal side than on the labial side.
Conclusions: The use of attachments, particularly the combination of labial and palatal attachments, enables a more precise labialization process, helping to reduce tipping. Increasing crown movement of the lateral incisor elevates stress within the PDL, with the highest stress observed in the palatal region at the gingival level.
期刊介绍:
The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches.
The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.