[Three-dimensional finite element analysis for different directions distraction at midface].
OBJECTIVE
To investigate the biomechanical changes with different directions distraction at midface.


METHODS
An anteriorly directed 500 g force was applied to the floor of apertura piriforms in different directions to the occlusal plane. Three-dimensional finite element analysis was used to evaluate the biomechanical change of craniofacial complex.


RESULTS
As the force direction was moved downward, the sagittal distraction length of the craniofacial complex decreased and vertical movement changed from upward to downward. The craniofacial complex was moved anteriorly when the downward force was applied about 20-30 degrees to the occlusal plane. The forces could generate the uniform stress distribution in the craniofacial sutures and avoid counterclockwise rotation of the maxilla.


CONCLUSIONS
The craniofacial complex can be effectively distracted anteriorly when the downward force is applied to the floor of aperture piriforms in direction of 20-30 degrees to the occlusal plane.
Hou
Min
M
Department of Orthognathic Surgery, Tianjin Stomatological Hospital, Tianjin 300041, China.
Liu
Chun-ming
CM
Zhang
Hai-zhong
HZ
Liang
Li-ming
LM
Gao
Quan-wen
QW
D001696:Biomechanical Phenomena; D017076:Computer-Aided Design; D003393:Cranial Sutures; D020342:Finite Element Analysis; D006801:Humans; D008334:Mandible / Q000502:physiology* / Q000601:surgery*