Journal
PROGRESS IN ORTHODONTICS
Volume 20, Issue -, Pages -Publisher
SPRINGEROPEN
DOI: 10.1186/s40510-018-0255-8
Keywords
Sliding mechanics; Miniscrew; Extraction space closure; Archwire; Finite element method
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BackgroundSliding mechanics with miniscrews is recently used for extraction space closure. The purpose of this study was to elucidate how and why the archwire size affects long-term tooth movement in miniscrew sliding mechanics.MethodsLong-term orthodontic tooth movements were simulated based on a remodeling law of the alveolar bone by using a finite element method, in which the bracket rotated freely within a clearance gap (a play) of the archwire-bracket slot. The archwire size was changed to 0.021, 0.018, and 0.016in. for the 0.022-in. bracket.ResultLingual crown tipping and extrusion of the incisors increased with decreasing the archwire size. Movements of the posterior teeth were approximately the same irrespective of archwire size.ConclusionsWhen decreasing the archwire size, a play of the archwire-bracket slot, as well as the elastic deformation of the archwire, resulted in lingual tipping of the incisors. This tipping led to extrusion of the incisors.
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