Biomechanical Investigation of Orthodontic Treatment Planning Based on Orthodontic Force Measurement and Finite Element Method Before Implementation: A Case Study

Overview

Journal Technol Health Care

Publisher Sage Publications

Specialties Biomedical Engineering
Biotechnology
Health Services

Date 2018 May 16

PMID 29758960

Citations 1

Authors

Jianlei Wu

Yunfeng Liu

Jianxing Zhang

Wei Peng

Xianfeng Jiang

Affiliations

Soon will be listed here.

Abstract

Background: Orthodontic treatment planning (OTP) is primarily depended on clinical experiences of orthodontists at present, while equivocal OTP would increase the possibility of treatment failure.

Objective: The objective was to investigate a methodology for quantitatively evaluating OTP, using theoretical analyses, orthodontic forces measurement (OFM) and finite element method (FEM).

Methods: An OTP was theoretically designed based on a clinical case and forces on incisors in OTP were measured on a specialized platform. Further, FEM simulations were performed on the designed OTP and control group. At last, an 18-month tracking was carried out to observe treatment effects of the designed OTP.

Results: The moving tendencies of incisors were in keeping with ideal treatment from the designed OTP through FEM; the maximal hydrostatic stress and logarithmic strain in periodontal ligament (PDL) decreased by 26.81% and 32.60% compared to the control group. Clinical feedback indicated that a controllable correction of incisors was realized after 18 months, which was in accord with the FEM result and root/bone resorption by reason of stress/strain reduction on PDL did not occur.

Conclusions: Biomechanical responses of periodontium can be quantitatively estimated using OTM and FEM. This study provided an alternative technological mean for the predictability and optimization of clinical OTP.

Citing Articles

Accuracy evaluation and clinical realization of digital interproximal enamel reduction for orthodontics: a case study.

You J, Zhou X, Xia X, Zhang J, Liu Y Biomed Eng Online. 2025; 24(1):1.

PMID: 39815221 PMC: 11737072. DOI: 10.1186/s12938-025-01329-0.

The effects of different types of periodontal ligament material models on stresses computed using finite element models.

Wang D, Akbari A, Jiang F, Liu Y, Chen J Am J Orthod Dentofacial Orthop. 2022; 162(6):e328-e336.

PMID: 36307342 PMC: 9722581. DOI: 10.1016/j.ajodo.2022.09.008.

References

Cacciafesta V, Sfondrini M, Ricciardi A, Scribante A, Klersy C, Auricchio F . Evaluation of friction of stainless steel and esthetic self-ligating brackets in various bracket-archwire combinations. Am J Orthod Dentofacial Orthop. 2003; 124(4):395-402. DOI: 10.1016/s0889-5406(03)00504-3. View

Mittal N, Xia Z, Chen J, Stewart K, Liu S . Three-dimensional quantification of pretorqued nickel-titanium wires in edgewise and prescription brackets. Angle Orthod. 2012; 83(3):484-90. PMC: 8763072. DOI: 10.2319/062812-532.1. View

Kannabiran P, Thirukonda G, Mahendra L . The crown angulations and inclinations in Dravidian population with normal occlusion. Indian J Dent Res. 2012; 23(1):53-8. DOI: 10.4103/0970-9290.99039. View

Lim S, Kim M, Kang S . Genioplasty using a simple CAD/CAM (computer-aided design and computer-aided manufacturing) surgical guide. Maxillofac Plast Reconstr Surg. 2015; 37(1):44. PMC: 4656692. DOI: 10.1186/s40902-015-0044-y. View

Cai Y, Yang X, He B, Yao J . Finite element method analysis of the periodontal ligament in mandibular canine movement with transparent tooth correction treatment. BMC Oral Health. 2015; 15:106. PMC: 4559922. DOI: 10.1186/s12903-015-0091-x. View

Ammar H, Ngan P, Crout R, Mucino V, Mukdadi O . Three-dimensional modeling and finite element analysis in treatment planning for orthodontic tooth movement. Am J Orthod Dentofacial Orthop. 2011; 139(1):e59-71. DOI: 10.1016/j.ajodo.2010.09.020. View

Mengoni M, Ponthot J, Boman R . Mesh management methods in finite element simulations of orthodontic tooth movement. Med Eng Phys. 2015; 38(2):140-7. DOI: 10.1016/j.medengphy.2015.11.005. View

Hohmann A, Wolfram U, Geiger M, Boryor A, Kober C, Sander C . Correspondences of hydrostatic pressure in periodontal ligament with regions of root resorption: a clinical and a finite element study of the same human teeth. Comput Methods Programs Biomed. 2008; 93(2):155-61. DOI: 10.1016/j.cmpb.2008.09.004. View

Badawi H, Toogood R, Carey J, Heo G, Major P . Three-dimensional orthodontic force measurements. Am J Orthod Dentofacial Orthop. 2009; 136(4):518-28. DOI: 10.1016/j.ajodo.2009.02.025. View

10.

Qian Y, Fan Y, Liu Z, Zhang M . Numerical simulation of tooth movement in a therapy period. Clin Biomech (Bristol). 2007; 23 Suppl 1:S48-52. DOI: 10.1016/j.clinbiomech.2007.08.023. View

11.

Chaudhry A, Sidhu M, Chaudhary G, Grover S, Chaudhry N, Kaushik A . Evaluation of stress changes in the mandible with a fixed functional appliance: a finite element study. Am J Orthod Dentofacial Orthop. 2015; 147(2):226-34. DOI: 10.1016/j.ajodo.2014.09.020. View

12.

Hemanth M, Deoli S, Raghuveer H, Rani M, Hegde C, Vedavathi B . Stress Induced in the Periodontal Ligament under Orthodontic Loading (Part I): A Finite Element Method Study Using Linear Analysis. J Int Oral Health. 2015; 7(8):129-33. PMC: 4588778. View

13.

Liao Z, Chen J, Li W, Darendeliler M, Swain M, Li Q . Biomechanical investigation into the role of the periodontal ligament in optimising orthodontic force: a finite element case study. Arch Oral Biol. 2016; 66:98-107. DOI: 10.1016/j.archoralbio.2016.02.012. View

14.

Choy K, Pae E, Park Y, Kim K, Burstone C . Effect of root and bone morphology on the stress distribution in the periodontal ligament. Am J Orthod Dentofacial Orthop. 2000; 117(1):98-105. DOI: 10.1016/s0889-5406(00)70254-x. View

15.

Fuck L, Drescher D . Force systems in the initial phase of orthodontic treatment -- a comparison of different leveling arch wires. J Orofac Orthop. 2006; 67(1):6-18. DOI: 10.1007/s00056-006-0521-0. View

16.

Toms S, Eberhardt A . A nonlinear finite element analysis of the periodontal ligament under orthodontic tooth loading. Am J Orthod Dentofacial Orthop. 2003; 123(6):657-65. DOI: 10.1016/s0889-5406(03)00164-1. View

17.

Reimann S, Bourauel C, Weber A, Dirk C, Lietz T . Friction behavior of ceramic injection-molded (CIM) brackets. J Orofac Orthop. 2016; 77(4):262-71. DOI: 10.1007/s00056-016-0030-8. View

18.

Poleti M, Fernandes T, Paiz C, Rubira-Bullen I, Capelozza A . Pixel value analysis for detection of simulated early external root resorption. Braz Oral Res. 2014; 28. DOI: 10.1590/1807-3107bor-2014.vol28.0045. View

19.

Mencattelli M, Donati E, Cultrone M, Stefanini C . Novel universal system for 3-dimensional orthodontic force-moment measurements and its clinical use. Am J Orthod Dentofacial Orthop. 2015; 148(1):174-83. DOI: 10.1016/j.ajodo.2015.01.028. View

20.

Chen J, Bulucea I, Katona T, Ofner S . Complete orthodontic load systems on teeth in a continuous full archwire: the role of triangular loop position. Am J Orthod Dentofacial Orthop. 2007; 132(2):143.e1-8. DOI: 10.1016/j.ajodo.2006.10.016. View