Stress Distribution following Rapid Maxillary Expansion using Different Finite Element Model according to Hounsfield Unit Value in CT Image

CT상의 HU 수치에 따른 유한요소모델을 이용한 RME 사용에 따른 응력분포에 대한 연구

  • Yoon, Byung-Sun (Department of Orthodontic Dentistry, Graduate School, Dankook University) ;
  • Cha, Kyung-Suk (Department of Orthodontic Dentistry, Graduate School, Dankook University) ;
  • Chung, Dong-Hwa (Department of Orthodontic Dentistry, Graduate School, Dankook University)
  • 윤병선 (단국대학교 치과대학 교정학 교실) ;
  • 차경석 (단국대학교 치과대학 교정학 교실) ;
  • 정동화 (단국대학교 치과대학 교정학 교실)
  • Published : 2007.12.30

Abstract

With rising prevalency of mouth breathing children caused by developing civilization and increasing pollution, there are many maxillary transverse discrepancy patients with undergrowth of maxilla. For improving this, maxillary mid-palatal suture splitting was often performed. The purpose of this study was to analyse the stress distribution on the craniofacial suture and cranium after rapid maxillary expansion by finite element model. The boy(13Y6M) was chosen for taking computed-tomography for finite element model. Three-dimensional model of maxilla, first premolar, first molar, buccal and lingual part of rapid maxillary expansion were constructed. 1. The alveolar bone adjacent to the first molar and the first premolar that was affected directly by rapid maxillary expansion was displaced laterally approximately 4.04mm at maximum. The force decreased toward anterior region and frontal alveolar bone displaced laterally about 3.18mm. 2. A forward maximum displacement was exhibited at zygomatic process middle region. 3. At maximum, maxillary median part experienced 0.973mm downward repositioning and 0.65mm upward repositioning at lateral alveolar bone. 4. Von mises stress was observed the largest stress distribution around teeth and zygomatic buttress. 5. The largest tensile force was observed around alveolar bone of teeth, while compression force was observed at zygomatic buttress.

Keywords

References

  1. Angell. The permenant or Adult teeth. San Fran Med Press 1860;20-30:145-50
  2. Schroeder BG. Der normale Biss im leptoprosopen and chamae prosopen Gesichtsschadel, etc. Des 5th intern kong berlin: 185-90
  3. Mela, B. Uber Spring der Gaurnennah. Fortschr Orthodontik 1933;3:155-62
  4. Krebs AA. Rapid maxillary expansion of midpalatal suture by fixed appliance. An implant study over a 7 year period. Transactions of European Orthodontic Society; 141-142
  5. Krebs A. Expansion of the midpalatal suture studied by means of metallic implants. Eur Orthodon Soc Rep 1958;34:163-71
  6. Krebs A. Expansion of the midpalatal suture studied by means of metallic implants. Acta Odontol Scand 1959;17:491-501 https://doi.org/10.3109/00016355908993936
  7. Biederman W. An hygienic appliance for rapid expansion. J pract Orthod 1968;2:67-70
  8. Korkhaus G. Discussion of Report: A review of orthodontic research. Int Dent J 1953;3:356
  9. Isaacson RJ, Ingram AH. Force produced by rapid maxillary expansion Part 1. Design of the force measuring system. Angle Orthod 1964;34:256-60
  10. Isaacson RJ, Ingram AH Force produced by rapid maxillary expansion Part 2. Force present during treatment. Angle Orthod 1964; 34 : 261-70
  11. Hass AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthod 1961;31:73-90
  12. Hass AJ. Palatal expansion: Just the beginning of dentofacial orthopedics. Am J Orthod 1970;57: 219-55 https://doi.org/10.1016/0002-9416(70)90241-1
  13. Dubravko P, Dalibor V. Mechanical reactions of facial skeleton to maxillary expansion determined by laser holography. Am J Orthod 1984:498-507
  14. Montgometry W, Vig PS, Staab EV, Matteson SR. Computed Tomography: A Three-dimension study of the nasal air way. Am J Orthod 1979;76:363-75 https://doi.org/10.1016/0002-9416(79)90223-9
  15. Hass AJ. The treatment of maxillary deficiency by opening the mid-palatal suture. Angle Orthod 1965;35:200-17
  16. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970;58:41-66 https://doi.org/10.1016/0002-9416(70)90127-2
  17. Kudlick EM. A Study utilizing direct human skulls as models to determine how bones of the craniofacial complex are displaced under the influence of midpalatal expansion. Rucherford. Newjersey 1973
  18. Chaconas SJ., Capto AA. Observation of orthopedic force distribution produced by maxillary orthodontic appliances. Am J Orthod 1982:492-501
  19. Kim JY, Son BH. Finite element analysis about influences that affected by Reverse Headgear in maxilla. Kor J Orthod 1985;15:7-21
  20. Lee YI, Cha KS, Joo JW, Lee JW. The finite element study about stress distribution according to the degree of tip back of Multiple Edgewise Arch Wire. Kor J Orthod 2000;30:127-42
  21. Tanne K, Hiraga J, Kakiuchi K et al. Biomechanical effect of anteriorly directed extraoral forces on the craniofacial complex: a study using the finite element method. Am J Orthod Dentofacial Orthop 1989;95: 200-7 https://doi.org/10.1016/0889-5406(89)90050-4
  22. Tanne K, Miyasaka J, Yamagata Y et al. Three-dimensional model of the human craniofacial skeleton: method and preliminary results using finite element analysis. J Biomed Eng 1988;10(3):246-52 https://doi.org/10.1016/0141-5425(88)90006-4
  23. Iseri H, Tekkaya AE, Oztan O, Bilgic S. Biomechanical effects of rapid maxillary expansion on the craniofacial skeleton, studied by the finite element method. Eur J Orthod. 1998;20:347-56 https://doi.org/10.1093/ejo/20.4.347
  24. Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces-a three-dimensional FEM study. Angle Orthod 2003;73:12-20
  25. Holberg F. Effects of rapid maxillary expansion on the cranial base-an FEM-analysis. J Orofac Orthop 2005;66:54-66 https://doi.org/10.1007/s00056-005-0439-y
  26. Miyasaka HJ, Tanne K, Nakamura S. Finite element analysis for stresses in the craniofacial sutures produced by maxillary protraction forces applied at the upper canines. Br J Orthod 1994;21:343-48 https://doi.org/10.1179/bjo.21.4.343
  27. Cattanneo PM, Dalstra M, Frich LH. A Three dimensional finite element model from Computed Tomography data: a semi-automated method: Proc Instn Mech Engrs 215: 203-13
  28. Cattanneo PM, Dalstra M, Birte M. The transfer of occlusal forces through the maxillary molars: a finite element study. Am J Orthod 2003;123:367-73 https://doi.org/10.1067/mod.2003.73
  29. Esses SI, Lotz Js, Heyes WC. Biomechanical properties of the proximal femur determined in vitro by single energy quantitative computed tomography. J Bone Mine Res 1989;4:715-21
  30. Harp JR, Aronson J, Holis M. Non invasive determination of bone stiffness for distraction osteogenesis by computed tomography scans. Clin Orthop 1994;301:42-8
  31. Cho BJ, Son BH. stress distribution and displacement in maxilla after RME: Finite element study. Kor J Orthod 1985;15:43-54
  32. Bjork A, Skieller V. Growth in width of the maxilla by implant method. Scand J Plast Reconstr Surg 1974;8:26-33 https://doi.org/10.3109/02844317409084367
  33. Bishara S, Staley RN. Maxillary expansion: Clinical implication. Am J Orthod 1987;91:3-14 https://doi.org/10.1016/0889-5406(87)90202-2
  34. Timms DJ. A study of basal movement with rapid maxillary expansion. Am J Orthod 1980;500-7
  35. Cleall JF, Bayne D, Posen J, Subtelny JD. Expansion of the midpalatal suture in the monkey. Angle Orthod 1965;35:23-35
  36. Davis WM, Kronman JH. Anatomical changes induced by spliting of the midpalatal suture. Angle Orthod 1969;39:126-32
  37. Memikoglu TUT. Iseri H. Effects of a bonded rapid maxillary expansion appliance during orthodontic treatment. Angle Orthod 1999;69:251-56
  38. Memikoglu TUT. Iseri H. Three dimensional dentofacial changes with bonded and banded rapid maxillary expansion appliance. European J Orthod 1994;16:342
  39. Bell RA, Lecomte EJ. The effect of maxillary expansion using a quardhelix appliance during the deciduous and mixed dentition. Am J Orthod 1981;79:152-61 https://doi.org/10.1016/0002-9416(81)90313-4
  40. Fried KH. Palate-Tongue reliability. Angle Orthod 1971;61:308-23
  41. Doruk C, Bicakci AA, BAsciftici FA et al. A Comparison of the effects of rapid maxillary expansion and Fan type rapid maxillary expansion on dentofacial structure. Angle Orthod 2004;74:184-94
  42. Kennedy JW, Bell WH. Osteotomy as an adjust to rapid maxillary expansion. Am J Orthod 1976;70:123-37 https://doi.org/10.1016/S0002-9416(76)90313-4