Effects of different designs of orthodontic clear aligners on the maxillary central incisors in the tooth extraction cases: a biomechanical study

作者全名："Meng, Xuehuan; Wang, Chunjuan; Xu, Wenjie; Wang, Rui; Zheng, Leilei; Wang, Chao; Aversa, Raffaella; Fan, Yubo"

作者地址："[Meng, Xuehuan; Wang, Chunjuan; Xu, Wenjie; Wang, Rui; Zheng, Leilei] Stomatol Hosp Chongqing Med Univ, 426 Songshibei Rd, Chongqing 401147, Peoples R China; [Meng, Xuehuan; Wang, Chunjuan; Xu, Wenjie; Zheng, Leilei] Chongqing Key Lab Oral Dis & Biomed Sci, 426 Songshibei Rd, Chongqing 401147, Peoples R China; [Meng, Xuehuan; Wang, Chunjuan; Xu, Wenjie; Zheng, Leilei] Chongqing Municipal Key Lab Oral Biomed Engn Highe, 426 Songshibei Rd, Chongqing 401147, Peoples R China; [Wang, Chao; Fan, Yubo] Beihang Univ, Beijing Adv Innovat Ctr Biomed Engn, Sch Biol Sci & Med Engn, Sch Engn Med, 37 Xueyuan Rd, Beijing 100083, Peoples R China; [Aversa, Raffaella] Univ Campania, Adv Mat Lab, Luigi Vanvitelli, Caserta, Italy"

通信作者："Zheng, LL (通讯作者)，Stomatol Hosp Chongqing Med Univ, 426 Songshibei Rd, Chongqing 401147, Peoples R China.; Zheng, LL (通讯作者)，Chongqing Key Lab Oral Dis & Biomed Sci, 426 Songshibei Rd, Chongqing 401147, Peoples R China.; Zheng, LL (通讯作者)，Chongqing Municipal Key Lab Oral Biomed Engn Highe, 426 Songshibei Rd, Chongqing 401147, Peoples R China.; Wang, C (通讯作者)，Beihang Univ, Beijing Adv Innovat Ctr Biomed Engn, Sch Biol Sci & Med Engn, Sch Engn Med, 37 Xueyuan Rd, Beijing 100083, Peoples R China."

来源：BMC ORAL HEALTH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001015301700002

JCR分区：Q1

影响因子：2.6

年份：2023

卷号：23

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Clear aligner; Extraction case; Power ridge; Finite Element Method; Biomechanics

摘要："BackgroundControlling the 3D movement of central incisors during tooth extraction cases with clear aligners is important but challenging in invisible orthodontic treatment. This study aimed to explore the biomechanical effects of central incisors in tooth extraction cases with clear aligners under different power ridge design schemes and propose appropriate advice for orthodontic clinic.MethodsA series of Finite Element models was constructed to simulate anterior teeth retraction or no retraction with different power ridge designs. These models all consisted of maxillary dentition with extracted first premolars, alveolar bone, periodontal ligaments and clear aligner. And the biomechanical effects were analysed and compared in each model.ResultsFor the model of anterior teeth retraction without power ridge and for the model of anterior teeth no retraction with a single power ridge, the central incisors exhibited crown lingual inclination and relative extrusion. For the model of anterior teeth no retraction with double power ridges, the central incisors tended to have crown labial inclination and relative intrusion. For the model of anterior tooth retraction with double power ridges, the central incisors exhibited a similar trend to the first kind of model, but as the depth of the power ridge increased, there was a gradual decrease in crown retraction value and an increase in crown extrusion value. The simulated results showed that von-Mises stress concentration was observed in the cervical and apical regions of the periodontal ligaments of the central incisors. The clear aligner connection areas of adjacent teeth and power ridge areas also exhibited von-Mises stress concentration and the addition of power ridge caused the clear aligner to spread out on the labial and lingual sides.ConclusionsThe central incisors are prone to losing torque and extruding in tooth extraction cases. Double power ridges have a certain root torque effect when there are no auxiliary designs, but they still cannot rescue tooth inclination during tooth retraction period. For tooth translation, it may be a better clinical procedure to change the one-step aligner design to two-step process: tilting retraction and root control."

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