Maxillary molar distalization treated with clear aligners combined with mini-implants and angel button using different traction force: a finite element study
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Updated: Aug 6, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
Published on: February 23, 2024
Jiayu Cui1, Chengliang Yao1, Zheyuan Zhang1
1Department of Orthodontics, School of Stomatology, Stomatological Hospital, Shanxi Medical University, Shanxi, China.
Objectives:
To evaluate the biomechanical system of molar distalization with clear aligner therapy (CAT) combined with angel button using interradicular mini-implants (IRMIs) with varying elastic forces.
Materials And Methods:
FE models including maxilla, complete maxillary dentition, periodontal ligaments (PDL), composite attachments, mini-implants (MI), and dedicated orthodontic aligner, were constructed. Three groups were created in accordance with the sagittal position of MI. Elastic forces (0 N,1 N,1.5 N,2 N) were applied.
Results:
CAT without elastics caused labial tipping and intrusion of the anterior teeth. Initial labial tipping and the von Mises stress of the maxillary anterior teeth decreased as the elastic forces increased.

