Finite element-based force/moment-driven simulation of orthodontic tooth movement

Efficacy of microchips and 3D sensors for orthodontic force measurement: A systematic review of in vitro studies

OBJECTIVE

To evaluate the efficacy of microchips and 3D microsensors in the measurement of orthodontic forces.

METHODS

Through September 2023, comprehensive searches were conducted on PubMed/MEDLINE, SCOPUS and SCIELO without restrictions.

RESULTS

After removing duplicate entries and applying the eligibility criteria, 23 studies were included for analysis. All the studies were conducted in vitro, and slightly more than half of them were centred on evaluating orthodontic forces exerted by aligners. Eight utilized microchips as measurement tools, while the remaining studies made use of 3D microsensors for their assessments. In the context of fixed appliances, key findings included a high level of agreement in 3-dimensional orthodontic force detection between simulation results and actual applied forces. Incorporating critical force-moment combinations during smart bracket calibration reduced measurement errors for most components. Translational tooth movement revealed a moment-to-force ratio, aligning with the bracket's centre of resistance. The primary findings in relation to aligners revealed several significant factors affecting the forces exerted by them. Notably, the foil thickness and staging were found to have a considerable impact on these forces, with optimal force transmission occurring at a layer height of 150 μm. Furthermore, the type of material used in 3D-printing aligners influenced the force levels, with attachments proving effective in generating extrusive forces. Deliberate adjustments in aligner thickness were observed to alter the forces and moments generated.

CONCLUSIONS

Microchips and 3D sensors provide precise and quantitative measurements of orthodontic forces in in vitro studies, enabling accurate monitoring and control of tooth movement.

Biomechanical analysis of reinstating buccally flared maxillary 2nd molars using 3D printing anchorage supports: a 3D finite element study

The buccally flared maxillary 2nd molar has certain consequences on oral function and health. However, existing methods have some degree of disadvantages, such as invasion, complexity and side effects. The objectives of this study were to design anchorage systems to correct buccally flared maxillary 2nd molars and analyze their biomechanical effects by 3-dimensional (3D) finite element analysis. Finite element (FE) models of the 3D tanspalatal arches (TPAs) and 3D splints with different thicknesses and force points were constructed. The stress distribution on teeth, the hydrostatic pressure on periodontal ligaments and the initial displacement of teeth were analyzed. A total of 18 FE models were constructed and analyzed. The stress concentrated on a single anchorage tooth, and the hydrostatic pressure and initial displacement of the anchorage tooth were greater than those of the malposed 2nd molar in the 3D splint anchorage system. The stress spread on all anchorage teeth and the hydrostatic pressure and initial displacement of the anchorage tooth were less than those of the malposed 2nd molar in the 3D TPA anchorage system. Theoretically, the 3D TPA was better than the 3D splint as an anchorage to correct the buccally flared 2nd molar. A combination of 0.8 mm of thickness and mesial force point provided the optimal conditions for the 3D TPA. Further clinical studies should be conducted to verify the effects of 3D appliances.

EFFECTS OF THE INSERTION OF AN ARCHWIRE THIN-WALLED SLEEVE IN ACCELERATING THE CANINE’S TRANSLATION

In sliding mechanics, resistance to sliding (RS), including friction, binding, and notching, generated at a wire-bracket interface has a bearing on the force transmitted to the teeth and further influences the biomechanical behavior associated with tooth movement efficiency. Objective: This study aimed to propose and verify the insertion of a rectangular thin-walled sleeve between an archwire and a bracket to minimize the resistance effect on the biomechanical behavior of tooth movement by using the finite element (FE) method. Material and methods: A 3D FE solid model was constructed and composed of mandibular dentitions, including the surrounding tooth-supporting structures and fixed self-ligating appliances. The translation of the left mandibular canine was simulated (0.1[Formula: see text]mm and 0.3[Formula: see text]mm) from the labial side to the lingual side with or without the thin-walled sleeve by using eight kinds of archwires with various dimensions and cross-sections by FE methods. Results: FE analysis indicated that the canine’s maximum initial displacement and the highest periodontal ligament (PDL) von Mises stress were mainly influenced by the orthodontic wire and the insertion of the thin-walled sleeve. Without the thin-walled sleeve, rectangular archwires could initiate a more optimal tissue response than round archwires. However, the insertion of the thin-walled sleeve between the small round archwire and the bracket significantly presented the most optimal biological responses in all of the cases. Conclusion: FE results revealed that the insertion of a thin-walled sleeve in a small round archwire and a bracket could have a positive influence on final tooth movement.

Comparison of gunshot entrance morphologies caused by .40-caliber Smith & Wesson, .380-caliber, and 9-mm Luger bullets: a finite element analysis study

Firearms can cause fatal wounds, which can be identified by traces on or around the body. However, there are cases where neither the bullet nor gun is found at the crime scene. Ballistic research involving finite element models can reproduce computational biomechanical conditions, without compromising bioethics, as they involve no direct tests on animals or humans. This study aims to compare the morphologies of gunshot entrance holes caused by.40-caliber Smith & Wesson (S&W), .380-caliber, and 9×19-mm Luger bullets. A fully metal-jacketed.40 S&W projectile, a fully metal-jacketed.380 projectile, and a fully metal-jacketed 9×19-mm Luger projectile were computationally fired at the glabellar region of the finite element model from a distance of 10 cm, at perpendicular incidence. The results show different morphologies in the entrance holes produced by the three bullets, using the same skull at the same shot distance. The results and traits of the entrance holes are discussed. Finite element models allow feasible computational ballistic research, which may be useful to forensic experts when comparing and analyzing data related to gunshot wounds in the forehead.