Bone stress and strain modification in diastema closure: 3D analysis using finite element method.
The aim of this study was to analyse the stress and strain distribution in the alveolar bone between two central incisors in the process of diastema closure with a constant force. A 3-dimensional computer modeling based on finite element techniques was used for this purpose. A model of an anterior segment of the mandible containing cortical bone, spongy bone, gingivae, PDL and two central incisors with a bracket in the labial surface of each tooth were designed. The von Mises stress and strain was evaluated in alveolar bone along a path of nodes defined in a cresto-apical direction in the midline between two teeth. It was observed that stress and strain of alveolar bone increased in midline with a constant force to close the diastema regardless of the type of movement in gradual steps of diastema closure, however the stress was higher in the tipping movement than the bodily so it can be suggested that a protocol of force system modification should be introduced to compensate for the stress and strain changes caused by the reduced distance to avoid the unwanted stress alteration during the diastema closure.
Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: gueramya@tums.ac.ir.
Allahyar
A
Geramy
Department of Orthodontics, Saint Joseph University, Beirut, Lebanon.
Joseph
J
Bouserhal
Orthodontics - Plaza Bilbao 2-2̊, San Sebastian, Spain.
Domingo
D
Martin
Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran.
Pedram
P
Baghaeian
D000539:Alveolar Process / Q000502:physiology*; D001696:Biomechanical Phenomena; D000071556:Cancellous Bone / Q000502:physiology; D003198:Computer Simulation; D000071538:Cortical Bone / Q000502:physiology; D003970:Diastema / Q000628:therapy*; D055119:Elastic Modulus; D020342:Finite Element Analysis; D005881:Gingiva / Q000502:physiology; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007180:Incisor / Q000502:physiology; D008334:Mandible / Q000502:physiology*; D008954:Models, Biological; D016910:Orthodontic Brackets; D019516:Orthodontic Space Closure / Q000379:methods*; D010513:Periodontal Ligament / Q000502:physiology; D013314:Stress, Mechanical; D019227:Tooth Apex / Q000502:physiology
Bodily movement; Bone strain; Bone stress; Finite element method; Orthodontic tooth movement; Tipping movement