Dual-section versus conventional archwire for en-masse retraction of anterior teeth with direct skeletal anchorage: a finite element analysis

BMC Oral Health

Daniele Cantarella¹  Lorena Karanxha¹  Massimo Del Fabbro²  Noriaki Yoshida³  Ryo Hamanaka³  Giuseppe Siciliani⁴  Luca Lombardo⁴ 

[1] Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Commenda 10, Milan, Italy;Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Commenda 10, Milan, Italy;Dental Clinic, IRCCS Orthopedic Institute Galeazzi, Via Riccardo Galeazzi 4, Milan, Italy;Department of Orthodontics and Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, 852-8588, Nagasaki, Japan;Postgraduate School of Orthodontics, Ferrara University, Via Luigi Borsari 46, Ferrara, Italy;

关键词: FEM;    Finite element method;    Digital simulation;    Archwire;    Tooth movement;    Skeletal anchorage;   

DOI  :  10.1186/s12903-021-01443-0

来源: Springer

【 摘 要 】

BackgroundThe aim of this study is to compare the biomechanical effects of the conventional 0.019 × 0.025-in stainless steel archwire with the dual-section archwire when en-masse retraction is performed with sliding mechanics and skeletal anchorage.MethodsModels of maxillary dentition equipped with the 0.019 × 0.025-in archwire and the dual-section archwire, whose anterior portion is 0.021 × 0.025-in and posterior portion is 0.018 × 0.025-in were constructed. Then, long-term tooth movement during en-masse retraction was simulated using the finite element method. Power arms of 8, 10, 12 and 14 mm length were employed to control anterior torque, and retraction forces of 2 N were applied with a direct skeletal anchorage.ResultsFor achieving bodily movement of the incisors, power arms longer than 14 mm were required for the 0.019 × 0.025-in archwire, while between 8 and 10 mm for the dual-section archwire. The longer the power arms, the greater the counter-clockwise rotation of the occlusal plane was produced. Frictional resistance generated between the archwire and brackets and tubes on the posterior teeth was smaller than 5% of the retraction force of 2 N.ConclusionsThe use of dual-section archwire might bring some biomechanical advantages as it allows to apply retraction force at a considerable lower height, and with a reduced occlusal plane rotation, compared to the conventional archwire. Clinical studies are needed to confirm the present results.

【 授权许可】

CC BY