title: Surface strain distribution of orthodontic miniscrews under load.
abstract: BACKGROUND
  Our objective was to investigate surface strain around orthodontic miniscrews under different orthodontic loading conditions in simulated supporting bone.
  
  
  METHODS
  Thirty miniscrews with lengths of 6, 8, and 10 mm were embedded into customized composite analog bone models. All miniscrews were inserted into the simulated test bone 6 mm deep and loaded with the same force of 200 cN, creating different tipping moments at the peri-implant bone surface. A digital image correlation technique was used to measure the resulting surface strain around the orthodontic miniscrews.
  
  
  RESULTS
  Changing the tipping moments is directly related to the strain generated at the bone surface close to the miniscrews, with greater moments creating greater maximum principal strains.
  
  
  CONCLUSIONS
  Within the limitations of this model, it can be stated that greater tipping moments of miniscrews create greater maximum principal strain values, which have the potential to increase bone turnover around the implant. Hence, miniscrews farther from the bone surface should be loaded with less force, whereas miniscrews loaded closer to the bone surface may sustain higher forces.
authors: Resident, Department of Orthodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio.
authors: Prapaporn
authors: P
authors: Shantavasinkul
authors: Professor, Orthopaedic Bioengineering Laboratories, Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.
authors: Ozan
authors: O
authors: Akkus
authors: Professor and residency director, Department of Orthodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio.
authors: J Martin
authors: JM
authors: Palomo
authors: Clinical associate professor, Department of Orthodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio. Electronic address: dr.b@us-ortho.com.
authors: Sebastian
authors: S
authors: Baumgaertel
mesh_terms: D001696:Biomechanical Phenomena; D001732:Bite Force; D001863:Bone Screws; D003198:Computer Simulation; D006801:Humans; D066298:In Vitro Techniques; D003765:Models, Dental; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation* / Q000379:methods; D033081:Shear Strength; D013223:Statistics as Topic; D016474:Weight-Bearing