1. A Custom-Made Orthodontic Mini-Implant—Effect of Insertion Angle and Cortical Bone Thickness on Stress Distribution with a Complex In Vitro and In Vivo Biosafety Profile
- Author
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Olivia Andreea Marcu, Casiana Simina Popa, Cristina Dehelean, Horia Calniceanu, Mirela Nicolov, Claudia Watz, Cosmin Sinescu, Adelina Popa, Silviu Brad, Camelia Szuhanek, and Stefana Avram
- Subjects
primary stability ,Materials science ,orthodontic mini-implants ,Insertion angle ,finite element analysis ,02 engineering and technology ,lcsh:Technology ,Article ,Stress (mechanics) ,03 medical and health sciences ,0302 clinical medicine ,In vivo ,Perpendicular ,medicine ,General Materials Science ,HGF ,lcsh:Microscopy ,lcsh:QC120-168.85 ,Tractive force ,lcsh:QH201-278.5 ,HET-CAM assay ,lcsh:T ,insertion angle ,030206 dentistry ,021001 nanoscience & nanotechnology ,in vitro cytotoxicity ,medicine.anatomical_structure ,lcsh:TA1-2040 ,cortical bone thickness ,Maxilla ,lcsh:Descriptive and experimental mechanics ,Cortical bone ,lcsh:Electrical engineering. Electronics. Nuclear engineering ,Implant ,lcsh:Engineering (General). Civil engineering (General) ,0210 nano-technology ,lcsh:TK1-9971 ,Biomedical engineering - Abstract
Background: Orthodontic mini-implant failure is a debatable subject in clinical practice. However, the most important parameter to evaluate the success rate of mini-implant is the primary stability, which is mainly influenced by cortical bone thickness (CBT) and insertion angle. Materials and methods: Three-dimensional finite element models of the maxilla were created and a custom-made, self-drilling, tapered mini-implant was designed. For the pull-out test, 12 simulations were performed, sequentially increasing the thickness of the cortical bone (1, 1.5 and 2 mm) and the insertion angle (30°, 60°, 90°, 120°, ). For the force analysis, 24 simulations were performed using an experimental orthodontic traction force of 2 N both in the horizontal and vertical axis. Results: Insertion angle and CBT have significant impact on force reaction values (p <, 0.05). Cortical bone stress had the lowest value when the mini-implant had a 30°, insertion angle and the highest value when the implant had a 120°, insertion angle, while the CBT was 1 mm. Cortical bone stress had the lowest value with an insertion angle of 90°, and the highest value when the implant was inserted at an angle of 30°, while the CBT was 2 mm independent of the force direction. Regarding the biosafety profile of the mini-implant alloy, the present results reveal that the custom-made mini-implant presents good biocompatibility. Conclusions: When the CBT is reduced, we recommend inclined insertion while, when the CBT is appropriate, perpendicular insertion is advised.
- Published
- 2020
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