1. Efficient Design of a Clear Aligner Attachment to Induce Bodily Tooth Movement in Orthodontic Treatment Using Finite Element Analysis
- Author
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Bongju Kim, Won-Hyeon Kim, Emmanuel Eghan-Acquah, Bu-Kyu Lee, Kyungjae Hong, and Jong-Ho Lee
- Subjects
Technology ,Computer science ,medicine.medical_treatment ,finite element analysis ,Crown (dentistry) ,Article ,stomatognathic system ,General attachment ,stress distribution ,medicine ,General Materials Science ,Maxillary central incisor ,Displacement (orthopedic surgery) ,central incisor ,overhanging attachment ,Orthodontics ,Microscopy ,QC120-168.85 ,Adult patients ,orthodontics treatment ,QH201-278.5 ,Tooth surface ,Engineering (General). Civil engineering (General) ,attachments ,Finite element method ,TK1-9971 ,stomatognathic diseases ,Descriptive and experimental mechanics ,Tooth movement ,Electrical engineering. Electronics. Nuclear engineering ,TA1-2040 ,clear aligner - Abstract
Clear aligner technology has become the preferred choice of orthodontic treatment for malocclusions for most adult patients due to their esthetic appeal and comfortability. However, limitations exist for aligner technology, such as corrections involving complex force systems. Composite attachments on the tooth surface are intended to enable active control of tooth movements. However, unintended tooth movements still occur. In this study, we present an effective attachment design of an attachment that can efficiently induce tooth movement by comparing and analyzing the movement and rotation of teeth between a general attachment and an overhanging attachment. The 3D finite element modes were constructed from CBCT data and used to analyze the distal displacement of the central incisor using 0.5- and 0.75-mm-thick aligners without an attachment, and with general and overhanging attachments. The results show that the aligner with the overhanging attachment can effectively reduce crown tipping and prevent axial rotation for an intended distal displacement of the central incisor. In all models, an aligner with or without attachments was not capable of preventing the lingual inclination of the tooth.
- Published
- 2021