COMPARATIVE STUDY
JOURNAL ARTICLE

Three-dimensional finite element analysis of the craniomaxillary complex during maxillary protraction with bone anchorage vs conventional dental anchorage

Xiulin Yan, Weijun He, Tao Lin, Jun Liu, Xiaofeng Bai, Guangqi Yan, Li Lu
American Journal of Orthodontics and Dentofacial Orthopedics 2013, 143 (2): 197-205
23374926

INTRODUCTION: The aim of this study was to explore the biomechanical effects on the craniomaxillary complex of bone anchorage and dental anchorage during maxillary protraction.

METHODS: We established 2 finite element models. One simulated maxillary protraction with dental anchorage in the maxillary first molars and the other with bone anchorage in the infrazygomatic buttresses of the maxilla. The magnitude of the applied forces was 500 g per side, and the force directions were 0°, 10°, 20°, and 30° forward and downward relative to the occlusal plane.

RESULTS: The finite element model of the craniomaxillary complex could displace in an almost translatory manner when the force direction was about 20° in the bone anchorage model and about 30° in the dental anchorage model. The nodes representing the sutures at the back of the maxilla showed greater stress in the bone anchorage model than in the dental anchorage model in the same force direction. It is the opposite at the front of the maxilla.

CONCLUSIONS: We should determine the direction of applied force according to the anchorage location and skeletal characteristics of patients before maxillary protraction. The dramatic effects of maxillary protraction with bone anchorage can be based on the advantages of bone anchorage, not on the changes in the region of the applied force.

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