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Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis

Introduction Space closure by molar protraction has always been a challenge in orthodontic treatment due to larger root surface area which requires additional anchorage. Ideally, there should be little or no tipping. However, the protraction forces, being occlusal and buccal to the centre of resista...

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Autores principales: Ahmed, Nausheer, Megalan, Priya, Suryavanshi, Shraddha, Sidiqha, Nishat, Neelakantappa, Kiran Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825417/
https://www.ncbi.nlm.nih.gov/pubmed/31723515
http://dx.doi.org/10.7759/cureus.5756
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author Ahmed, Nausheer
Megalan, Priya
Suryavanshi, Shraddha
Sidiqha, Nishat
Neelakantappa, Kiran Kumar
author_facet Ahmed, Nausheer
Megalan, Priya
Suryavanshi, Shraddha
Sidiqha, Nishat
Neelakantappa, Kiran Kumar
author_sort Ahmed, Nausheer
collection PubMed
description Introduction Space closure by molar protraction has always been a challenge in orthodontic treatment due to larger root surface area which requires additional anchorage. Ideally, there should be little or no tipping. However, the protraction forces, being occlusal and buccal to the centre of resistance (CR) of the tooth, cause tipping and rotations. Aim The aim of the study was to assess the effect of bracket slot and archwire dimensions on posterior tooth movement during space closure in sliding mechanics and evaluate the length of power arm to bring about translatory movement of teeth using three-dimensional finite element analysis. Materials and methods A model of the maxillary teeth was created and converted to a finite element format through a meshing software, Hypermesh. Two three-dimensional models, each with a combination of 0.017”× 0.022” archwire in 0.018” slot (model 1) and 0.019”×0.025” archwire in 0.022” slot (model 2), were generated. Power arms of different lengths were attached to the first molar. Miniscrew was inserted between the canine and first premolar. Results In model one, the power arm of 10-mm height provided controlled tooth movement than the one with 6 mm height, and in model two, power arms of both 6-mm and 10-mm height produced controlled tooth movement. Conclusions As the force was raised apically from the slot, more translation was observed. Power arm of 6-mm height can be used due to anatomic limitation of the vestibule.
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spelling pubmed-68254172019-11-13 Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis Ahmed, Nausheer Megalan, Priya Suryavanshi, Shraddha Sidiqha, Nishat Neelakantappa, Kiran Kumar Cureus Dentistry Introduction Space closure by molar protraction has always been a challenge in orthodontic treatment due to larger root surface area which requires additional anchorage. Ideally, there should be little or no tipping. However, the protraction forces, being occlusal and buccal to the centre of resistance (CR) of the tooth, cause tipping and rotations. Aim The aim of the study was to assess the effect of bracket slot and archwire dimensions on posterior tooth movement during space closure in sliding mechanics and evaluate the length of power arm to bring about translatory movement of teeth using three-dimensional finite element analysis. Materials and methods A model of the maxillary teeth was created and converted to a finite element format through a meshing software, Hypermesh. Two three-dimensional models, each with a combination of 0.017”× 0.022” archwire in 0.018” slot (model 1) and 0.019”×0.025” archwire in 0.022” slot (model 2), were generated. Power arms of different lengths were attached to the first molar. Miniscrew was inserted between the canine and first premolar. Results In model one, the power arm of 10-mm height provided controlled tooth movement than the one with 6 mm height, and in model two, power arms of both 6-mm and 10-mm height produced controlled tooth movement. Conclusions As the force was raised apically from the slot, more translation was observed. Power arm of 6-mm height can be used due to anatomic limitation of the vestibule. Cureus 2019-09-25 /pmc/articles/PMC6825417/ /pubmed/31723515 http://dx.doi.org/10.7759/cureus.5756 Text en Copyright © 2019, Ahmed et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dentistry
Ahmed, Nausheer
Megalan, Priya
Suryavanshi, Shraddha
Sidiqha, Nishat
Neelakantappa, Kiran Kumar
Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis
title Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis
title_full Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis
title_fullStr Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis
title_full_unstemmed Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis
title_short Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis
title_sort effect of bracket slot and archwire dimension on posterior tooth movement in sliding mechanics: a three-dimensional finite element analysis
topic Dentistry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825417/
https://www.ncbi.nlm.nih.gov/pubmed/31723515
http://dx.doi.org/10.7759/cureus.5756
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