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Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi

Yıl 2020, Cilt: 37 Sayı: 2, 48 - 53, 01.05.2020
https://doi.org/10.17214/gaziaot.657363

Öz

Amaç: Araştırmanın amacı, ortodontide özellikle yüksek açılı vakalarda uygulanan ağız dışı aygıtlardan biri olan vertikal çeneliğin temporomandibular eklem (TME) üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile değerlendirilmesidir.
Gereç ve Yöntem: Vertikal çeneliğin TME’de oluşturduğu stres miktar ve dağılımının belirlenmesinde ön açık kapanışı olan ve olmayan iki farklı bireye ilişkin iki ayrı üç boyutlu geometrik model oluşturuldu (Sırasıyla Model I ve Model II). Dijital görüntülerden geometrik modellerin ağ yapısı oluşturularak stres miktar ve dağılımının hesaplanması işlemi ise ABAQUS bilgisayar programı kullanılarak yapıldı.
Bulgular: 5 N`luk ortopedik kuvvet uygulayan vertikal çenelik apareyinin Model I ve Model II’deki TME’de oluşturduğu stres miktar ve dağılımında farklılıklar tespit edildi. Model I ve Model II’e ait dişlerde saptanmış olan en yüksek stres miktarını mandibular kondil bölgesi izlemektedir. Model I ve Model II’deki mandibular kondil bölgesinde tespit edilen en yüksek stres miktarları sırasıyla 5.64 MPa, 1.38 MPa’dır. Model I ve Model II’e ait mandibular kondilde tespit edilen yüksek stres bölgelerinin lokalizasyonunda da farklılıklar tespit edildi. Model I’e ait mandibular kondil başında stres üst arka bölgede lokalize, Model II’de üst ön bölgede lokalize oldu.
Sonuç: Klinisyenler ön açık kapanışa sahip bireylerde kullanılan standart ortopedik kuvvetlerin TME üzerindeki olası patolojik etkileri konusunda dikkatli olmalıdır.

Destekleyen Kurum

Gazi Üniversitesi Bilimsel Araştırma Projeleri Birimi

Proje Numarası

03/2007-4

Kaynakça

  • Işcan HN, Dincer M, Gultan A, Meral O, Taner-Sarisoy L. Effects of vertical chincap therapy on the mandibular morphology in open-bite patients. Am J Orthod Dentofacial Orthop 2002;122:506-11.
  • Pedrin F, Almeida MR, Almeida RR, Almeida-Pedrin RR, Torres F. A prospective study of the treatment effects of a removable appliance with palatal crib combined with high-pull chincup therapy in anterior open-bite patients. Am J Orthod Dentofacial Orthop 2006;129:418-23.
  • Nielsen HJ, Bakke M, Blixencrone-Moller T. Functional and orthodontic treatment of a patient with an open bite craniomandibular disorder. Tandlaegebladet 1991;95:877-81.
  • Sankey WL, Buschang PH, English J, Owen AH 3rd. Early treatment of vertical skeletal dysplasia: the hyperdivergent phenotype. Am J Orthod Dentofacial Orthop 2000;118:317-27.
  • Galletto L, Urbaniak J, Subtelny JD. Adult anterior open bite. Am J Orthod Dentofacial Orthop 1990;97:522-6.
  • Nahoum HI. Anterior open-bite: a cephalometric analysis and suggested treatment procedures. Am J Orthod 1975;67:513-21.
  • Graber TM, Vig KL, Vanarsdall RL. Orthodontics: Current Principles and Techniques. 4th ed.St. Louis, MO: Mosby Elsevier, 2005.
  • Dung DJ, Smith RJ. Cephalometric and clinical diagnoses of open bite tendency. Am J Orthod Dentofacial Orthop 1988;94:484-90.
  • Faulkner KG, Gluer CC, Majumdar S, Lang P, Engelke K, Genant HK. Noninvasive measurements of bone mass, structure, and strength: current methods and experimental techniques. Am J Roentgenol 1991;157:1229-37.
  • Alba A, Chaconas SJ, Caputo AA, Emıson W. Stress Distribution Under High-pull Extraoral Chin Cup Traction, A photoelastic study. The Angle Orthodontist 1982;52:69-78.
  • Davidovitch Z, Krishnan V. Role of basic bioligical sciences in clinical orthodontics: A case series. Am J Orthod Dentofacial Orthop 2009;135:222-31.
  • Lespessailles E, Chappard C, Bonnet N, Benhamou CL. Imaging techniques for evaluating bone microarchitecture. Joint Bone Spine 2006;73:254-61.
  • Schudy FF. The Rotation of the Mandible Resulting from Growth: Its Implications in Orthodontic Treatment. Angle Orthod 1965;35:36-50.
  • Trouten JC, Enlow DH, Rabine M, Phelps AE, Swedlow D. Morphologic factors in open bite and deep bite. Angle Orthod 1983;53:192-211.
  • Eskitaşçıoğlu G, Yurdukoru B. Diş Hekimliğinde Sonlu Elemanlar Stres Analiz Yöntemi. AÜ Diş Hek Fak Derg 1995;22:201-5.
  • Ngan P, Fields HW. Open bite: a review of etiology and management. Pediatr Dent 1997;19:91-8.
  • Lentini-Oliveira D, Carvalho FR, Qingsong Y, Junjie L, Saconato H, Machado MA, et al. Orthodontic and orthopaedic treatment for anterior open bite in children. Cochrane Database Syst Rev 2007:CD005515.
  • English JD. Early treatment of skeletal open bite malocclusions. Am J Orthod Dentofacial Orthop 2002;121:563-5.
  • Cozza P, Mucedero M, Baccetti T, Franchi L. Early orthodontic treatment of skeletal open-bite malocclusion: a systematic review. Angle Orthod 2005;75:707-13.
  • Haas AJ. A biological approach to diagnosis, mechanics and treatment of vertical dysplasia. Angle Orthod 1980;50:279-300.
  • Huang GJ. Long-Term Stability of Anterior Open-BiteTherapy: A Review. Semin Orthod 2002;8:162-72.
  • Arat M, Iseri H. Orthodontic and orthopaedic approach in the treatment of skeletal open bite. Eur J Orthod 1992;14:207-15.
  • Ng WQ, Neill J. Evidence for early oral feeding of patients after elective open colorectal surgery: a literature review. J Clin Nurs 2006;15:696-709.
  • Buschang PH, Sankey W, English JD. Early Treatment of Hyperdivergent Open-Bite Malocclusions. Semin Orthod 2002;8:130-40.
  • Tanne K, Sakuda M, Burstone CJ. Three-dimensional finite element analysis for stress in the periodontal tissue by orthodontic forces. Am J Orthod Dentofacial Orthop 1987;92:499-505.
  • Tanne K, Sakuda M. Biomechanical and clinical changes of the craniofacial complex from orthopedic maxillary protraction. Angle Orthod 1991;61:145-52.
  • Hartono N, Soegiharto BM, Widayati R. The difference of stress distribution of maxillary expansion using rapid maxillary expander (RME) and maxillary skeletal expander (MSE)—a finite element analysis. Progress in Orthodontics 2018; 19:33.
  • Ulusoy Ç, Doğan M. A new method for the treatment of unilateral posterior cross-bite: a three dimensional finite element stress analysis study. Progress in Orthodontics 2018; 19:31.
  • Ammoury MJ, Mustapha S, DechowPC, Ghafari JG. Two distalization methods compared in a novel patient-specific finite element analysis. Am J Orthod Dentofacial Orthop 2019;156:326-36.
  • Chae JM, Park JH, Kojima Y, Tai K, Kook YO, Kyung HM. Biomechanical analysis for total distalization of the mandibular dentition: A finite element study. Am J Orthod Dentofacial Orthop 2019;155:388-97.
  • Park CS, Yu HS, Cha JY, Mo SS, Lee KJ, Effect of archwire stiffness and friction on maxillary posterior segment displacement during anterior segment retraction: A three dimensional finite element analysis. Korean J Orthod 2019;49:393-403.
  • Uysal C, Baloş Tuncer B, Tuncer C. Maxillary posterior intrusion with corticotomy-assisted approaches with zygomatic anchorage-a finite element stress analysis. Progress in Orthodontics 2019; 20:8.

An investigation of the biomechanical effects of vertical chin cup on mandibular condyle and ramus in those with and without anterior openbite: a finite element method

Yıl 2020, Cilt: 37 Sayı: 2, 48 - 53, 01.05.2020
https://doi.org/10.17214/gaziaot.657363

Öz

Objective: To evaluate the biomechanical effects of vertical chin cup, an extraoral device especially used in patients with high-angle malocclusion, on temporomandibular joint (TMJ) in those with and without anterior open bite using finite element method.
Materials and Method: Two different three-dimensional geometric models (Models I and II) were created for two subjects with or without anterior open bite (Models I and II, respectively) in order to determine the amount and distribution of the stresses created by vertical chin cup on the TMJ. ABAQUS software was used to calculate the amount and distribution of the stresses by forming mesh structure of the geometric models from digital images.
Results: There were differences in the amount and distribution of the stresses on the TMJ in Models I and II created by vertical chin cup with an orthopedic force of 5 N. Mandibular condylar region follows the highest amount of stress tension found in the teeth of Models I and II. The highest amount of stress detected in the mandibular condylar area in Models I and II were 5.64 and 1.38 MPa, respectively. There were differences in the localization of high stress zones found in the mandibular condyle of Models I and II. The stress at the mandibular condylar head of Model I was localized in the upper posterior region whereas it was localized in the upper front region in Model II.
Conclusion: Clinicians should be aware of the possible pathological effects of standart orthopedic forces on TMJ in subjects with anterior open bite.

Proje Numarası

03/2007-4

Kaynakça

  • Işcan HN, Dincer M, Gultan A, Meral O, Taner-Sarisoy L. Effects of vertical chincap therapy on the mandibular morphology in open-bite patients. Am J Orthod Dentofacial Orthop 2002;122:506-11.
  • Pedrin F, Almeida MR, Almeida RR, Almeida-Pedrin RR, Torres F. A prospective study of the treatment effects of a removable appliance with palatal crib combined with high-pull chincup therapy in anterior open-bite patients. Am J Orthod Dentofacial Orthop 2006;129:418-23.
  • Nielsen HJ, Bakke M, Blixencrone-Moller T. Functional and orthodontic treatment of a patient with an open bite craniomandibular disorder. Tandlaegebladet 1991;95:877-81.
  • Sankey WL, Buschang PH, English J, Owen AH 3rd. Early treatment of vertical skeletal dysplasia: the hyperdivergent phenotype. Am J Orthod Dentofacial Orthop 2000;118:317-27.
  • Galletto L, Urbaniak J, Subtelny JD. Adult anterior open bite. Am J Orthod Dentofacial Orthop 1990;97:522-6.
  • Nahoum HI. Anterior open-bite: a cephalometric analysis and suggested treatment procedures. Am J Orthod 1975;67:513-21.
  • Graber TM, Vig KL, Vanarsdall RL. Orthodontics: Current Principles and Techniques. 4th ed.St. Louis, MO: Mosby Elsevier, 2005.
  • Dung DJ, Smith RJ. Cephalometric and clinical diagnoses of open bite tendency. Am J Orthod Dentofacial Orthop 1988;94:484-90.
  • Faulkner KG, Gluer CC, Majumdar S, Lang P, Engelke K, Genant HK. Noninvasive measurements of bone mass, structure, and strength: current methods and experimental techniques. Am J Roentgenol 1991;157:1229-37.
  • Alba A, Chaconas SJ, Caputo AA, Emıson W. Stress Distribution Under High-pull Extraoral Chin Cup Traction, A photoelastic study. The Angle Orthodontist 1982;52:69-78.
  • Davidovitch Z, Krishnan V. Role of basic bioligical sciences in clinical orthodontics: A case series. Am J Orthod Dentofacial Orthop 2009;135:222-31.
  • Lespessailles E, Chappard C, Bonnet N, Benhamou CL. Imaging techniques for evaluating bone microarchitecture. Joint Bone Spine 2006;73:254-61.
  • Schudy FF. The Rotation of the Mandible Resulting from Growth: Its Implications in Orthodontic Treatment. Angle Orthod 1965;35:36-50.
  • Trouten JC, Enlow DH, Rabine M, Phelps AE, Swedlow D. Morphologic factors in open bite and deep bite. Angle Orthod 1983;53:192-211.
  • Eskitaşçıoğlu G, Yurdukoru B. Diş Hekimliğinde Sonlu Elemanlar Stres Analiz Yöntemi. AÜ Diş Hek Fak Derg 1995;22:201-5.
  • Ngan P, Fields HW. Open bite: a review of etiology and management. Pediatr Dent 1997;19:91-8.
  • Lentini-Oliveira D, Carvalho FR, Qingsong Y, Junjie L, Saconato H, Machado MA, et al. Orthodontic and orthopaedic treatment for anterior open bite in children. Cochrane Database Syst Rev 2007:CD005515.
  • English JD. Early treatment of skeletal open bite malocclusions. Am J Orthod Dentofacial Orthop 2002;121:563-5.
  • Cozza P, Mucedero M, Baccetti T, Franchi L. Early orthodontic treatment of skeletal open-bite malocclusion: a systematic review. Angle Orthod 2005;75:707-13.
  • Haas AJ. A biological approach to diagnosis, mechanics and treatment of vertical dysplasia. Angle Orthod 1980;50:279-300.
  • Huang GJ. Long-Term Stability of Anterior Open-BiteTherapy: A Review. Semin Orthod 2002;8:162-72.
  • Arat M, Iseri H. Orthodontic and orthopaedic approach in the treatment of skeletal open bite. Eur J Orthod 1992;14:207-15.
  • Ng WQ, Neill J. Evidence for early oral feeding of patients after elective open colorectal surgery: a literature review. J Clin Nurs 2006;15:696-709.
  • Buschang PH, Sankey W, English JD. Early Treatment of Hyperdivergent Open-Bite Malocclusions. Semin Orthod 2002;8:130-40.
  • Tanne K, Sakuda M, Burstone CJ. Three-dimensional finite element analysis for stress in the periodontal tissue by orthodontic forces. Am J Orthod Dentofacial Orthop 1987;92:499-505.
  • Tanne K, Sakuda M. Biomechanical and clinical changes of the craniofacial complex from orthopedic maxillary protraction. Angle Orthod 1991;61:145-52.
  • Hartono N, Soegiharto BM, Widayati R. The difference of stress distribution of maxillary expansion using rapid maxillary expander (RME) and maxillary skeletal expander (MSE)—a finite element analysis. Progress in Orthodontics 2018; 19:33.
  • Ulusoy Ç, Doğan M. A new method for the treatment of unilateral posterior cross-bite: a three dimensional finite element stress analysis study. Progress in Orthodontics 2018; 19:31.
  • Ammoury MJ, Mustapha S, DechowPC, Ghafari JG. Two distalization methods compared in a novel patient-specific finite element analysis. Am J Orthod Dentofacial Orthop 2019;156:326-36.
  • Chae JM, Park JH, Kojima Y, Tai K, Kook YO, Kyung HM. Biomechanical analysis for total distalization of the mandibular dentition: A finite element study. Am J Orthod Dentofacial Orthop 2019;155:388-97.
  • Park CS, Yu HS, Cha JY, Mo SS, Lee KJ, Effect of archwire stiffness and friction on maxillary posterior segment displacement during anterior segment retraction: A three dimensional finite element analysis. Korean J Orthod 2019;49:393-403.
  • Uysal C, Baloş Tuncer B, Tuncer C. Maxillary posterior intrusion with corticotomy-assisted approaches with zygomatic anchorage-a finite element stress analysis. Progress in Orthodontics 2019; 20:8.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Özgün Araştırma Makalesi
Yazarlar

Özer Alkan 0000-0001-8712-7175

Sevil Akkaya

Proje Numarası 03/2007-4
Yayımlanma Tarihi 1 Mayıs 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 37 Sayı: 2

Kaynak Göster

APA Alkan, Ö., & Akkaya, S. (2020). Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi. Acta Odontologica Turcica, 37(2), 48-53. https://doi.org/10.17214/gaziaot.657363
AMA Alkan Ö, Akkaya S. Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi. Acta Odontol Turc. Mayıs 2020;37(2):48-53. doi:10.17214/gaziaot.657363
Chicago Alkan, Özer, ve Sevil Akkaya. “Vertikal çeneliğin Mandibular Kondil Ve Ramus üzerindeki Biyomekanik Etkilerinin ön açık kapanışı Olan Ve Olmayan Bireylerde Sonlu Elemanlar Metodu Ile Incelenmesi”. Acta Odontologica Turcica 37, sy. 2 (Mayıs 2020): 48-53. https://doi.org/10.17214/gaziaot.657363.
EndNote Alkan Ö, Akkaya S (01 Mayıs 2020) Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi. Acta Odontologica Turcica 37 2 48–53.
IEEE Ö. Alkan ve S. Akkaya, “Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi”, Acta Odontol Turc, c. 37, sy. 2, ss. 48–53, 2020, doi: 10.17214/gaziaot.657363.
ISNAD Alkan, Özer - Akkaya, Sevil. “Vertikal çeneliğin Mandibular Kondil Ve Ramus üzerindeki Biyomekanik Etkilerinin ön açık kapanışı Olan Ve Olmayan Bireylerde Sonlu Elemanlar Metodu Ile Incelenmesi”. Acta Odontologica Turcica 37/2 (Mayıs 2020), 48-53. https://doi.org/10.17214/gaziaot.657363.
JAMA Alkan Ö, Akkaya S. Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi. Acta Odontol Turc. 2020;37:48–53.
MLA Alkan, Özer ve Sevil Akkaya. “Vertikal çeneliğin Mandibular Kondil Ve Ramus üzerindeki Biyomekanik Etkilerinin ön açık kapanışı Olan Ve Olmayan Bireylerde Sonlu Elemanlar Metodu Ile Incelenmesi”. Acta Odontologica Turcica, c. 37, sy. 2, 2020, ss. 48-53, doi:10.17214/gaziaot.657363.
Vancouver Alkan Ö, Akkaya S. Vertikal çeneliğin mandibular kondil ve ramus üzerindeki biyomekanik etkilerinin ön açık kapanışı olan ve olmayan bireylerde sonlu elemanlar metodu ile incelenmesi. Acta Odontol Turc. 2020;37(2):48-53.