Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa

Rapid palatal expansion is an orthodontic procedure widely used to correct the maxillary arch. However, its outcome is significantly influenced by factors that show a high degree of variability amongst patients. The traditional treatment methodology is based on an intuitive and heuristic treatment a...

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Main Authors: Kelly Goeckner, Venkatram Pepakayala, Jeanne Nervina, Yogesh Gianchandani, Sunil Kapila
Format: Article
Language:English
Published: MDPI AG 2016-04-01
Series:Micromachines
Subjects:
Online Access:http://www.mdpi.com/2072-666X/7/4/64
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author Kelly Goeckner
Venkatram Pepakayala
Jeanne Nervina
Yogesh Gianchandani
Sunil Kapila
author_facet Kelly Goeckner
Venkatram Pepakayala
Jeanne Nervina
Yogesh Gianchandani
Sunil Kapila
author_sort Kelly Goeckner
collection DOAJ
description Rapid palatal expansion is an orthodontic procedure widely used to correct the maxillary arch. However, its outcome is significantly influenced by factors that show a high degree of variability amongst patients. The traditional treatment methodology is based on an intuitive and heuristic treatment approach because the forces applied in the three dimensions are indeterminate. To enable optimal and individualized treatment, it is essential to measure the three-dimensional (3D) forces and displacements created by the expander. This paper proposes a method for performing these 3D measurements using a single embedded strain sensor, combining experimental measurements of strain in the palatal expander with 3D finite element analysis (FEA). The method is demonstrated using the maxillary jaw from a freshly euthanized pig (Sus scrofa) and a hyrax-design rapid palatal expander (RPE) appliance with integrated strain gage. The strain gage measurements are recorded using a computer interface, following which the expansion forces and extent of expansion are estimated by FEA. A total activation of 2.0 mm results in peak total force of about 100 N—almost entirely along the direction of expansion. The results also indicate that more than 85% of the input activation is immediately transferred to the palate and/or teeth. These studies demonstrate a method for assessing and individualizing expansion magnitudes and forces during orthopedic expansion of the maxilla. This provides the basis for further development of smart orthodontic appliances that provide real-time readouts of forces and movements, which will allow personalized, optimal treatment.
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spelling doaj.art-a84de1f80517407b9bc5d62d76c9adb22022-12-22T01:35:11ZengMDPI AGMicromachines2072-666X2016-04-01746410.3390/mi7040064mi7040064Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofaKelly Goeckner0Venkatram Pepakayala1Jeanne Nervina2Yogesh Gianchandani3Sunil Kapila4Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USACenter for Wireless Integrated MicroSensing and Systems, Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI 48109, USADepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USACenter for Wireless Integrated MicroSensing and Systems, Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI 48109, USADepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USARapid palatal expansion is an orthodontic procedure widely used to correct the maxillary arch. However, its outcome is significantly influenced by factors that show a high degree of variability amongst patients. The traditional treatment methodology is based on an intuitive and heuristic treatment approach because the forces applied in the three dimensions are indeterminate. To enable optimal and individualized treatment, it is essential to measure the three-dimensional (3D) forces and displacements created by the expander. This paper proposes a method for performing these 3D measurements using a single embedded strain sensor, combining experimental measurements of strain in the palatal expander with 3D finite element analysis (FEA). The method is demonstrated using the maxillary jaw from a freshly euthanized pig (Sus scrofa) and a hyrax-design rapid palatal expander (RPE) appliance with integrated strain gage. The strain gage measurements are recorded using a computer interface, following which the expansion forces and extent of expansion are estimated by FEA. A total activation of 2.0 mm results in peak total force of about 100 N—almost entirely along the direction of expansion. The results also indicate that more than 85% of the input activation is immediately transferred to the palate and/or teeth. These studies demonstrate a method for assessing and individualizing expansion magnitudes and forces during orthopedic expansion of the maxilla. This provides the basis for further development of smart orthodontic appliances that provide real-time readouts of forces and movements, which will allow personalized, optimal treatment.http://www.mdpi.com/2072-666X/7/4/64dentalforce measurementmaxillary expansionstrain sensing
spellingShingle Kelly Goeckner
Venkatram Pepakayala
Jeanne Nervina
Yogesh Gianchandani
Sunil Kapila
Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa
Micromachines
dental
force measurement
maxillary expansion
strain sensing
title Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa
title_full Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa
title_fullStr Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa
title_full_unstemmed Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa
title_short Three-Dimensional Force Measurements During Rapid Palatal Expansion in Sus scrofa
title_sort three dimensional force measurements during rapid palatal expansion in sus scrofa
topic dental
force measurement
maxillary expansion
strain sensing
url http://www.mdpi.com/2072-666X/7/4/64
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