Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis

Purpose: The objective of this study was to evaluate and compare the biomechanical differences between clear aligner and fixed appliance in the traction of labially impacted canines based on 3D finite element analysis.Methods: A series of patient-oriented finite element models were constructed, incl...

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Main Authors: Qian Xia, Yao He, Lurong Jia, Chunjuan Wang, Weixu Wang, Chao Wang, Jinlin Song, Yubo Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2022.1004223/full
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author Qian Xia
Qian Xia
Qian Xia
Yao He
Yao He
Yao He
Lurong Jia
Lurong Jia
Lurong Jia
Chunjuan Wang
Chunjuan Wang
Chunjuan Wang
Weixu Wang
Weixu Wang
Weixu Wang
Chao Wang
Chao Wang
Jinlin Song
Jinlin Song
Jinlin Song
Yubo Fan
author_facet Qian Xia
Qian Xia
Qian Xia
Yao He
Yao He
Yao He
Lurong Jia
Lurong Jia
Lurong Jia
Chunjuan Wang
Chunjuan Wang
Chunjuan Wang
Weixu Wang
Weixu Wang
Weixu Wang
Chao Wang
Chao Wang
Jinlin Song
Jinlin Song
Jinlin Song
Yubo Fan
author_sort Qian Xia
collection DOAJ
description Purpose: The objective of this study was to evaluate and compare the biomechanical differences between clear aligner and fixed appliance in the traction of labially impacted canines based on 3D finite element analysis.Methods: A series of patient-oriented finite element models were constructed, including a maxillary dentition with a right labially canine, maxilla, periodontal ligaments, traction attachments, and clear aligners. The two most common clinical scenarios were investigated: Scenario A: impacted canine (distal) and Scenario B: impacted canine (mesial). For each clinical scenario, three traction models with clear aligners and one fixed appliance model were established.Results: In all four models, the impacted canines exhibited similar initial displacement tendencies of mesially rotated in Scenario A and distally rotated in Scenario B, and with small differences in periodontal ligament stress magnitude. However, the sum of the periodontal ligament stresses of the anchorage teeth in the clear aligner mode was in the range of 56.28–76.21 kPa and in the fixed appliance mode was in the range of 6.61–7.22 kPa. The maximum value of initial displacement of the anchorage teeth in the clear aligner mode was in the range of 13.71–19.72 μm, while in the fixed appliance mode was 3.10–3.92 μm.Conclusion: For impacted canines, clear aligner mode and fixed appliance mode have little difference in biomechanical effect. However, the anchorage teeth in the clear aligner mode endure higher stress and show a more pronounced displacement tendency. In addition, the biomechanical effects of different clear aligner traction models are various but not obvious.
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spelling doaj.art-2ac13a1dc6b14ac49138159ab24bfd4e2022-12-22T04:29:23ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-10-011010.3389/fbioe.2022.10042231004223Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysisQian Xia0Qian Xia1Qian Xia2Yao He3Yao He4Yao He5Lurong Jia6Lurong Jia7Lurong Jia8Chunjuan Wang9Chunjuan Wang10Chunjuan Wang11Weixu Wang12Weixu Wang13Weixu Wang14Chao Wang15Chao Wang16Jinlin Song17Jinlin Song18Jinlin Song19Yubo Fan20Stomatological Hospital of Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, ChinaChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, ChinaChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, ChinaChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, ChinaChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, ChinaChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, School of Engineering Medicine, Beihang University, Beijing, ChinaStomatological Hospital of Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, ChinaChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, School of Engineering Medicine, Beihang University, Beijing, ChinaPurpose: The objective of this study was to evaluate and compare the biomechanical differences between clear aligner and fixed appliance in the traction of labially impacted canines based on 3D finite element analysis.Methods: A series of patient-oriented finite element models were constructed, including a maxillary dentition with a right labially canine, maxilla, periodontal ligaments, traction attachments, and clear aligners. The two most common clinical scenarios were investigated: Scenario A: impacted canine (distal) and Scenario B: impacted canine (mesial). For each clinical scenario, three traction models with clear aligners and one fixed appliance model were established.Results: In all four models, the impacted canines exhibited similar initial displacement tendencies of mesially rotated in Scenario A and distally rotated in Scenario B, and with small differences in periodontal ligament stress magnitude. However, the sum of the periodontal ligament stresses of the anchorage teeth in the clear aligner mode was in the range of 56.28–76.21 kPa and in the fixed appliance mode was in the range of 6.61–7.22 kPa. The maximum value of initial displacement of the anchorage teeth in the clear aligner mode was in the range of 13.71–19.72 μm, while in the fixed appliance mode was 3.10–3.92 μm.Conclusion: For impacted canines, clear aligner mode and fixed appliance mode have little difference in biomechanical effect. However, the anchorage teeth in the clear aligner mode endure higher stress and show a more pronounced displacement tendency. In addition, the biomechanical effects of different clear aligner traction models are various but not obvious.https://www.frontiersin.org/articles/10.3389/fbioe.2022.1004223/fulllabially impacted caninefinite element analysis3D printedbiomechanicsclear aligner
spellingShingle Qian Xia
Qian Xia
Qian Xia
Yao He
Yao He
Yao He
Lurong Jia
Lurong Jia
Lurong Jia
Chunjuan Wang
Chunjuan Wang
Chunjuan Wang
Weixu Wang
Weixu Wang
Weixu Wang
Chao Wang
Chao Wang
Jinlin Song
Jinlin Song
Jinlin Song
Yubo Fan
Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis
Frontiers in Bioengineering and Biotechnology
labially impacted canine
finite element analysis
3D printed
biomechanics
clear aligner
title Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis
title_full Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis
title_fullStr Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis
title_full_unstemmed Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis
title_short Assessment of labially impacted canines traction mode with clear aligners vs. fixed appliance: A comparative study based on 3D finite element analysis
title_sort assessment of labially impacted canines traction mode with clear aligners vs fixed appliance a comparative study based on 3d finite element analysis
topic labially impacted canine
finite element analysis
3D printed
biomechanics
clear aligner
url https://www.frontiersin.org/articles/10.3389/fbioe.2022.1004223/full
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