Evaluation of Finite Element Analysis Studies Related to Maxillary Protraction with Facemask

Year 2022, , 73 - 78, 31.08.2022

Başak Arslan , Cumhur Tuncer

https://doi.org/10.51122/neudentj.2022.45

Abstract

Skeletal Class 3 malocclusions are challenging orthodontic problems that require particular treatment plannings and long term follow-ups. Face mask appliance, which is used for treatment of skeletal Class 3 malocclusions due to maxillary deficiency, has been frequently used in jaw orthopedics with various modifications for many years. Extraoral part of face mask appliance is connected to teeth by intraoral anchorage units with various designs, protraction direction, magnitude and angles which are very significant factors affecting the treatment results. At this point, finite element analysis method can combine engineering with medicine by providing the effects of appliances in craniofacial region, stress and displacement values that may occur as a result of treatments. In order to find the best maxillary protraction protocol without any side effects, several finite element method studies can be found on literature. In this study, previously published finite element analysis method studies on the treatment of maxillary protraction related to face mask were compiled and evaluated.

Keywords

Finite element analysis, Face mask, maxillary protraction

Yüz Maskesi ile Maksiller Protraksiyon Üzerine Yapılmış Sonlu Elemanlar Analiz Çalışmalarının Değerlendirilmesi

Abstract

İskeletsel Sınıf 3 maloklüzyonlar, özel tedavi planlamaları ve uzun süreli takipler gerektiren zorlu ortodontik problemlerdir. Maksillanın gelişim yetersizliğine bağlı olarak gelişen iskeletsel Sınıf 3 maloklüzyonların tedavisinde kullanılan yüz maskesi apareyi, çeşitli modifikasyonlarla çene ortopedisi alanında uzun yıllardır sıklıkla kullanılmaktadır. Yüz maskesi apareyinin ağız dışı kısmı, ağız içi ankraj üniteleriyle dişlere ve kemik yapılara bağlanır ve bu ünitelerin tasarımları, protraksiyon kuvvetinin uygulama yönü, açısı, kuvvet büyüklüğü gibi faktörler tedavi sonuçlarını etkileyen önemli parametrelerdir. Bu noktada sonlu elemanlar analiz yöntemi, apareylerin kraniyofasiyal bölgedeki etkilerini, tedaviler sonucunda oluşabilecek stres ve yer değiştirme değerlerini sağlayarak mühendisliği tıp ile birleştirebilmektedir. Herhangi bir yan etki oluşturmadan, uygulanabilecek en iyi maksiller protraksiyon protokolünü tespit etme amacıyla yapılmış sonlu elemanlar analiz çalışmaları literatürde bulunmaktadır. Bu çalışmada ise, yüz maskesine bağlı maksiller protraksiyonun tedavisi ile ilgili daha önce yayınlanmış sonlu elemanlar analiz yöntemi çalışmaları derlenmiş ve değerlendirilmiştir.

Keywords

Sonlu elemanlar analizi, yüz maskesi, maksiller protraksiyon

References

• Delaire J. Maxillary development revisited: relevance to the orthopaedic treatment of Class III malocclusions. European Journal of Orthodontics. 1997;19(3):289-311.
• Cozzani G. Extraoral traction and Class III treatment. American Journal of Orthodontics. 1981;80(6):638-50.
• Orton H, Noar J, Smith A. The customized facemask. Journal of clinical orthodontics: JCO. 1992;26(4):230-5.
• Yüksel S, Üçem TT, Keykubat A. Early and late facemask therapy. The European Journal of Orthodontics. 2001;23(5):559-68.
• Enacar A, Giray B, Pehlivanoglu M, Iplikcioglu H. Facemask therapy with rigid anchorage in a patient with maxillary hypoplasia and severe oligodontia. American Journal of Orthodontics and Dentofacial Orthopedics. 2003;123(5):571-7.
• Kircelli BH, Pektas ZÖ. Midfacial protraction with skeletally anchored face mask therapy: a novel approach and preliminary results. American Journal of Orthodontics and Dentofacial Orthopedics. 2008;133(3):440-9.
• Şar Ç, Arman-Özçırpıcı A, Uçkan S, Yazıcı AC. Comparative evaluation of maxillary protraction with or without skeletal anchorage. American Journal of Orthodontics and Dentofacial Orthopedics. 2011;139(5):636-49.
• Lee N-K, Yang I-H, Baek S-H. The short-term treatment effects of face mask therapy in Class III patients based on the anchorage device: miniplates vs rapid maxillary expansion. The Angle Orthodontist. 2012;82(5):846-52.
• Tanne K, Hiraga J, Kakiuchi K, Yamagata Y, Sakuda M. 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(3):200-7.
• Itoh T, Chaconas S, Caputo A, Matyas J. Photoelastic effects of maxillary protraction on the craniofacial complex. American Journal of Orthodontics. 1985;88(2):117-24.
• Ngan PW, Hagg U, Yiu C, Wei SH, editors. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Seminars in orthodontics; 1997: Elsevier.
• Keles A, Tokmak EÇ, Erverdi N, Nanda R. Effect of varying the force direction on maxillary orthopedic protraction. The Angle Orthodontist. 2002;72(5):387-96.
• Ko J-S, Kim J-C. Effects of maxillary protraction on the displacement of the maxilla. The Korean Journal of Orthodontics. 1995;25(5):543-56.
• Hyun H-Y, Cha K-S, Chung D-H. Biomechanical Effects of Facial Mask according to Direction of Forces on the Craniofacial Complex: A Finite Element Study. Journal of Dental Rehabilitation and Applied Science. 2007;23(4):359-71.
• Oh K-c, Cha K-S, Chung D-h. Finite Element Analysis of Stress Distribution in using Face Mask according to Traction Point. Journal of Dental Rehabilitation and Applied Science. 2009;25(2):171-81.
• Dong R, Wang X, Zhang W, Li J, Zheng D, Zhang J. Three-dimensional finite element analysis of different reactive force direction of maxillary protraction on temporomandibular joint. Zhonghua kou qiang yi xue za zhi= Zhonghua kouqiang yixue zazhi= Chinese journal of stomatology. 2013;48(12):740-4.
• Xu-xia W, Rui D, Yun C. A three-dimensional finite element study on the reaction of different force values generated from maxillary protraction appliance. Shanghai Journal of Stomatology. 2013;22(5):498.
• Zou M, Lin W. A three-dimensional finite element study on the influence of different protraction force on cranio-maxillary complex. Shanghai kou qiang yi xue= Shanghai journal of stomatology. 2011;20(1):88-92.
• Gazzani F, Pavoni C, Giancotti A, Cozza P, Lione R. Facemask performance during maxillary protraction: a finite element analysis (FEA) evaluation of load and stress distribution on Delaire facemask. Prog Orthod. 2018;19(1):21.
• Holberg C, Mahaini L, Rudzki I. Analysis of sutural strain in maxillary protraction therapy. Angle Orthod. 2007;77(4):586-94.
• Yan X, He W, Lin T, Liu J, Bai X, Yan G, et al. Three-dimensional finite element analysis of the craniomaxillary complex during maxillary protraction with bone anchorage vs conventional dental anchorage. Am J Orthod Dentofacial Orthop. 2013;143(2):197-205.
• Beril Demir Karamanli HK, Armağan Fatih Karamanli. Evaluation of the Effects of the Dental and Skeletal Anchored Face Mask Therapies on the Craniofacial System by Using Nonlinear Finite Element Analysis. APOS Trends in Orthodontics. 2017;7:267-72.
• Hou M, Liu C, Zhang H, Liang L, Gao Q. Three-dimensional finite element analysis of craniofacial skeleton protraction at medium position. Zhonghua zheng xing wai ke za zhi= Zhonghua zhengxing waike zazhi= Chinese journal of plastic surgery. 2007;23(4):281-3.
• Lee N-K, Baek S-H. Stress and displacement between maxillary protraction with miniplates placed at the infrazygomatic crest and the lateral nasal wall: a 3-dimensional finite element analysis. American journal of orthodontics and dentofacial orthopedics. 2012;141(3):345-51.
• Buyukcavus MH, Kale B. Effects of different types of maxillary protraction on maxilla with finite element analysis. J Pak Med Assoc. 2021;71(3):877-82.
• Kim KY, Bayome M, Park JH, Kim KB, Mo S-S, Kook Y-A. Displacement and stress distribution of the maxillofacial complex during maxillary protraction with buccal versus palatal plates: finite element analysis. European journal of orthodontics. 2015;37(3):275-83.
• Ebisawa T, Katada H, Sueishi K, Nishii Y. Biomechanical evaluation of maxillary protraction with an orthodontic anchor screw: a three-dimensional finite element analysis. Orthodontic Waves. 2021;80(3):149-60.
• Liu C, Zhu X, Zhang X. Three-dimensional finite element analysis of maxillary protraction with labiolingual arches and implants. Am J Orthod Dentofacial Orthop. 2015;148(3):466-78.
• Chang L, Xianchun Z, Xing Z, Jingfang G, Guanqun T. Three-dimensional finite-element analysis of maxillary protraction based on labiolingual appliance. West China Journal of Stomatology. 2013;31(5).
• Wang Y-C, Chang PM, Liou EJ-W. Opening of circumaxillary sutures by alternate rapid maxillary expansions and constrictions. The Angle Orthodontist. 2009;79(2):230-4.
• Bell RA. A review of maxillary expansion in relation to rate of expansion and patient's age. American journal of orthodontics. 1982;81(1):32-7.
• Turley PK. Managing the developing Class III malocclusion with palatal expansion and facemask therapy. American Journal of Orthodontics and Dentofacial Orthopedics. 2002;122(4):349-52.
• Kim J-H, Viana MA, Graber TM, Omerza FF, BeGole EA. The effectiveness of protraction face mask therapy: a meta-analysis. American Journal of Orthodontics and Dentofacial Orthopedics. 1999;115(6):675-85.
• Tortop T, Keykubat A, Yuksel S. Facemask therapy with and without expansion. American Journal of Orthodontics and Dentofacial Orthopedics. 2007;132(4):467-74.
• Tanaka OM, Saga AY, Pithon MM, Argenta MA. Stresses in the midpalatal suture in the maxillary protraction therapy: a 3D finite element analysis. Prog Orthod. 2016;17:8.
• Yu HS, Baik HS, Sung SJ, Kim KD, Cho YS. Three-dimensional finite-element analysis of maxillary protraction with and without rapid palatal expansion. Eur J Orthod. 2007;29(2):118-25.
• Gautam P, Valiathan A, Adhikari R. Maxillary protraction with and without maxillary expansion: a finite element analysis of sutural stresses. American journal of orthodontics and dentofacial orthopedics. 2009;136(3):361-6.
• Gautam P, Valiathan A, Adhikari R. Skeletal response to maxillary protraction with and without maxillary expansion: a finite element study. Am J Orthod Dentofacial Orthop. 2009;135(6):723-8.
• Ozdemir S, Goymen M. A finite element analysis of the effects of different skeletal protraction and expansion methods used in class III malocclusion treatment. Medicine Science. 2018;7(4):898-904.
• Suresh S, Sundareswaran S, Sathyanadhan S. Effect of microimplant assisted rapid palatal expansion on bone-anchored maxillary protraction: A finite element analysis. Am J Orthod Dentofacial Orthop. 2021;(160)4:5.