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Displacement and stress distribution pattern during complete mandibular arch distalization using buccal shelf bone
Parul Priya1, Abhay Kumar Jain2, Raghu Ranjan Prasad1
1Department of Orthodontics and Dentofacial Orthopedics, Hazaribag College of Dental Sciences and Hospital, Hazaribag, Jharkhand, India.
Utilizing buccal shelf screws for mandibular arch distalization, increasing lever arm height reduces stress and enhances bodily tooth movement. This improves predictability in orthodontic treatment outcomes.
Area of Science:
- Orthodontics
- Biomechanical Engineering
- Dental Mechanics
Background:
- Mandibular arch distalization is a common orthodontic procedure.
- Buccal shelf screws offer skeletal anchorage for efficient tooth movement.
Purpose of the Study:
- To evaluate and compare stress and displacement of teeth during mandibular arch distalization using buccal shelf screws.
- To determine the effect of lever arm height on biomechanical outcomes.
Main Methods:
- Three-dimensional finite element models of the mandibular arch were created with varying lever arm heights (0, 3, 6 mm).
- Buccal shelf screws were placed, and orthodontic forces were applied using a stainless-steel archwire and nickel-titanium closed coil springs.
- Tooth displacement and von Mises stress distribution were analyzed using ANSYS software.
Main Results:
- Maximum stress was observed at 0 mm lever arm height.
- Increasing lever arm height reduced stress in the buccal shelf screw and cortical bone.
- A 6 mm lever arm height promoted greater biomechanical bodily movement for molar distalization.
Conclusions:
- Lever arm height significantly influences stress distribution and tooth movement during distalization.
- Optimal lever arm height enhances predictable, bodily movement of the mandibular arch.
- This suggests a direct relationship between anchorage, force application, and overall arch displacement.
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