Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method

Introduction: premolar extraction is an alternative for the treatment of class II malocclusion. A change in biomechanics can generate alterations in the Temporomandibular Joint (TMJ), which produces greater dental wear and the appearance of joint dysfunctions. The objective was to assess the effort...

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Main Authors: Sandra Patricia Castaño-Duque, Alejandra Hoyos-Daza, Angela María Vargas-Romero, Luis Eduardo Luna-Ángel
Format: Article
Language:English
Published: Universidad de Antioquia 2021-06-01
Series:Revista Facultad de Odontología Universidad de Antioquia
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/odont/article/view/343749/20805556
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author Sandra Patricia Castaño-Duque
Alejandra Hoyos-Daza
Angela María Vargas-Romero
Luis Eduardo Luna-Ángel
author_facet Sandra Patricia Castaño-Duque
Alejandra Hoyos-Daza
Angela María Vargas-Romero
Luis Eduardo Luna-Ángel
author_sort Sandra Patricia Castaño-Duque
collection DOAJ
description Introduction: premolar extraction is an alternative for the treatment of class II malocclusion. A change in biomechanics can generate alterations in the Temporomandibular Joint (TMJ), which produces greater dental wear and the appearance of joint dysfunctions. The objective was to assess the effort concentration in the TMJ by means of finite element analysis in class II malocclusions treated with premolar extraction and orthodontics. Method: two 3D simulation models each with bone structures of the 2 jaws, complete dentition and disc in the TMJ. One corresponds to the patient without recurrence (WR) treated with extraction of first premolars and orthodontics, where class I dental stability is maintained. The other model with recurrence (R) treated with extraction of first premolars and orthodontics, increased overjet and overbite and canine class II; the load was applied to the mandibular ramus. Results: loads of 900N triplicated on all structures compared to 300N in both models. However, there were considerable differences between the left and right glenoid cavities in the WR model, at 300N of 19.9 MPa and 900N at 59.3 MPa. Most tensions of the disc occur in the lateral part. Conclusions: due to the asymmetry in the TMJ structures, the stresses and stress concentration differ between the right and left sides in the two models.
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spelling doaj.art-92c9609ccced47d0b0a3fc080933372c2024-08-20T20:08:41ZengUniversidad de AntioquiaRevista Facultad de Odontología Universidad de Antioquia0121-246X2145-76702021-06-01331698210.17533/udea.rfo.v33n1a6Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element methodSandra Patricia Castaño-Duque0https://orcid.org/0000-0003-2687-7065Alejandra Hoyos-Daza1https://orcid.org/0000-0003-4888-2148Angela María Vargas-Romero2https://orcid.org/0000-0002-2972-5019Luis Eduardo Luna-Ángel3https://orcid.org/0000-0003-2204-3506Universidad El BosqueUniversidad El BosqueUniversidad El BosqueUniversidad El Bosque Introduction: premolar extraction is an alternative for the treatment of class II malocclusion. A change in biomechanics can generate alterations in the Temporomandibular Joint (TMJ), which produces greater dental wear and the appearance of joint dysfunctions. The objective was to assess the effort concentration in the TMJ by means of finite element analysis in class II malocclusions treated with premolar extraction and orthodontics. Method: two 3D simulation models each with bone structures of the 2 jaws, complete dentition and disc in the TMJ. One corresponds to the patient without recurrence (WR) treated with extraction of first premolars and orthodontics, where class I dental stability is maintained. The other model with recurrence (R) treated with extraction of first premolars and orthodontics, increased overjet and overbite and canine class II; the load was applied to the mandibular ramus. Results: loads of 900N triplicated on all structures compared to 300N in both models. However, there were considerable differences between the left and right glenoid cavities in the WR model, at 300N of 19.9 MPa and 900N at 59.3 MPa. Most tensions of the disc occur in the lateral part. Conclusions: due to the asymmetry in the TMJ structures, the stresses and stress concentration differ between the right and left sides in the two models.https://revistas.udea.edu.co/index.php/odont/article/view/343749/20805556dental extractionmalocclusionclass ii of angletemporomandibular jointdiscpremolarfinite alement analysisexodoncia dentalmaloclusiónclase ii de anglearticulación temporomandibularanálisis de elementos finitos
spellingShingle Sandra Patricia Castaño-Duque
Alejandra Hoyos-Daza
Angela María Vargas-Romero
Luis Eduardo Luna-Ángel
Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
Revista Facultad de Odontología Universidad de Antioquia
dental extraction
malocclusion
class ii of angle
temporomandibular joint
disc
premolar
finite alement analysis
exodoncia dental
maloclusión
clase ii de angle
articulación temporomandibular
análisis de elementos finitos
title Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
title_full Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
title_fullStr Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
title_full_unstemmed Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
title_short Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
title_sort strain generated in the tmj with class ii malocclusions treated with extraction of premolars and orthodontics analysis with the finite element method
topic dental extraction
malocclusion
class ii of angle
temporomandibular joint
disc
premolar
finite alement analysis
exodoncia dental
maloclusión
clase ii de angle
articulación temporomandibular
análisis de elementos finitos
url https://revistas.udea.edu.co/index.php/odont/article/view/343749/20805556
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