Skip to main content

Computer Aided Engineering of Auxiliary Elements for Enhanced Orthodontic Appliances

  • Chapter
  • First Online:

Part of the book series: Lecture Notes in Mechanical Engineering ((LNME))

Abstract

Orthodontic treatments based on removable thermoplastic aligners are becoming quite common in clinical practice. However, there is no technical literature explaining how the loads are transferred from the thermoformed aligner to the patient dentition. Moreover, the role of auxiliary elements used in combination with the aligner, such as attachments and divots, still needs to be thoroughly explained. This paper is focused on the development of a Finite Element (FE) model to be used in the design process of shape attributes of orthodontic aligners. Geometrical models of a maxillary dental arch, including crown and root shapes, were created by combining optical scanning and Cone Beam Computed Tomography (CBCT). Finite Element Analysis (FEA) was used to compare five different aligner’s configurations for the same tooth orthodontic tipping movement (rotation around the tooth’s center of resistance). The different scenarios were analyzed by comparing the moment along the mesio-distal direction of the tooth and the resulting moment-to-force ratio (M:F) delivered to the tooth on the plane of interest. Results evidenced the influence of the aligner’s configuration on the effectiveness of the planned orthodontic movement.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Kesling H.D. Coordinating the predetermined pattern and tooth positioner with conventional treatment. American journal of orthodontics and oral surgery, 1946, 32, pp. 285-293.

    Google Scholar 

  2. Hahn W., Engelke B., Jung K., Dathe H., Fialka-Fricke J., Kubein-Meesenburg D., and Sadat-Khonsari R. Initial forces and moments delivered by removable thermoplastic appliances during rotation of an upper central incisor. Angle Orthodontist, 2010, 80(2), pp. 239-246.

    Google Scholar 

  3. Elkholy F., Panchaphongsaphak T., Kilic F., Schmidt F., and Lapatki B.G. Forces and moments delivered by PET-G aligners to an upper central incisor for labial and palatal translation. Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2015, 76(6), pp. 460-475.

    Google Scholar 

  4. Barone S., Paoli A., Razionale A.V., and Savignano R. Computer aided modelling to simulate the biomechanical behaviour of customised orthodontic removable appliances. International Journal on Interactive Design and Manufacturing (IJIDeM), 2014. doi:10.1007/s12008-014-0246-zpp. 1-14.

  5. Martorelli M., Gerbino S., Giudice M., and Ausiello P. A comparison between customized clear and removable orthodontic appliances manufactured using RP and CNC techniques. Dental Materials, 2013, 29(2), pp. E1-E10.

    Google Scholar 

  6. 6.Barone S., Paoli A., Razionale A.V., and Savignano R. Design of customised orthodontic devices by digital imaging and CAD/FEM modelling. in BIOIMAGING 2016 - 3rd International Conference on Bioimaging, Proceedings; Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016,2016,pp. 44-54,

    Google Scholar 

  7. Farah J.W., Craig R.G., and Sikarskie D.L. Photoelastic and finite element stress analysis of a restored axisymmetric first molar. Journal of Biomechanics, 1973, 6(5), pp. 511-520.

    Google Scholar 

  8. Barone S., Paoli A., and Razionale A.V. CT segmentation of dental shapes by anatomy-driven reformation imaging and B-spline modelling. International Journal for Numerical Methods in Biomedical Engineering, 2016, 32(6), e02747, doi: 10.1002/cnm.2747.

  9. Dorow C., Schneider J., and Sander F.G. Finite element simulation of in-vivo tooth mobility in comparison with experimental results. Journal of Mechanics in Medicine and Biology, 2003, 03(01), pp. 79-94.

    Google Scholar 

  10. Ryokawa H., Miyazaki Y., Fujishima A., Miyazaki T., and Maki K. The mechanical properties of dental thermoplastic materials in a simulated intraoral environment. Orthodontic Waves, 2006, 65(2), pp. 64-72.

    Google Scholar 

  11. Di Angelo L., Di Stefano P., Bernardi S., and Continenza M.A. A new computational method for automatic dental measurement: The case of maxillary central incisor. Comput Biol Med, 2016, 70, pp. 202-209.

    Google Scholar 

  12. Fill T.S., Toogood R.W., Major P.W., and Carey J.P. Analytically determined mechanical properties of, and models for the periodontal ligament: Critical review of literature. Journal of Biomechanics, 2012, 45(1), pp. 9-16.

    Google Scholar 

  13. Poppe M., Bourauel C., and Jager A. Determination of the elasticity parameters of the human periodontal ligament and the location of the center of resistance of single-rooted teeth a study of autopsy specimens and their conversion into finite element models. Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2002, 63(5), pp. 358-370.

    Google Scholar 

  14. Su M.Z., Chang H.H., Chiang Y.C., Cheng J.H., Fuh L.J., Wang C.Y., and Lin C.P. Modeling viscoelastic behavior of periodontal ligament with nonlinear finite element analysis. Journal of Dental Sciences, 2013, 8(2), pp. 121-128.

    Google Scholar 

  15. Smith R.J. and Burstone C.J. Mechanics of tooth movement. American Journal of Orthodontics and Dentofacial Orthopedics, 1984, 85(4), pp. 294-307.

    Google Scholar 

  16. Viecilli R.F., Budiman A., and Burstone C.J. Axes of resistance for tooth movement: does the center of resistance exist in 3-dimensional space? American Journal of Orthodontics and Dentofacial Orthopedics, 2013, 143(2), pp. 163-172.

    Google Scholar 

  17. 17.Savignano R., Viecilli R.F., Paoli A., Razionale A.V., and Barone S. Nonlinear Dependancy of Tooth Movement on Force System Directions. American Journal of Orthodontics and Dentofacial Orthopedics, 2016, 149(6), pp. 838-846.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roberto SAVIGNANO .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

SAVIGNANO, R., BARONE, S., PAOLI, A., RAZIONALE, A.V. (2017). Computer Aided Engineering of Auxiliary Elements for Enhanced Orthodontic Appliances. In: Eynard, B., Nigrelli, V., Oliveri, S., Peris-Fajarnes, G., Rizzuti, S. (eds) Advances on Mechanics, Design Engineering and Manufacturing . Lecture Notes in Mechanical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-319-45781-9_41

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-45781-9_41

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-45780-2

  • Online ISBN: 978-3-319-45781-9

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics