Effects of clear aligner edentulous space design on distal canine movement: An iterative finite element analysis in cases involving extraction

• 발행기관: 대한치과교정학회
• 저자명: Seung Eun Baek Kiyean Kim Youn-Kyung Choi Sung-Hun Kim Seong-Sik Kim Ki Beom Kim Yong-Il Kim
• 간행물 정보: 『The Korean Journal of Orthodontics』제55권 제3호, 193~201쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2025.05.25

국문 초록

Objective: Using finite element method (FEM) analysis of a clear aligner (CA), this study aimed to investigate the effects of varying the edentulous space on canine distal bodily movement during space closure following maxillary first premolar extraction. Methods: FEM analysis was used to simulate distal canine bodily movement following maxillary first premolar extraction using CAs. Four CA designs for edentulous spaces were compared: no-pontic, full-pontic, halfpontic, and beam. Three-dimensional models of the tooth components and CA were created. The target was set at a 0.25-mm distal canine movement. Long-term tooth movement was simulated using an iterative calculation method. Results: All the groups initially showed crown displacement, distal tipping, and distal rotation. Over time, the movement patterns differed in relation to the design. The no-pontic design exhibited the greatest displacement and tipping. The beam design exhibited the largest initial displacement but showed the lowest displacement and tipping thereafter. Full- and half-pontic designs yielded intermediate results. Significant force reduction was observed immediately after CA application, and was followed by a gradual decrease. The mean tooth-movement achievement rate was approximately 76.7%. Conclusions: The edentulous space design of the CA substantially affected tooth-movement behavior. An iterative simulation is necessary to evaluate longterm tooth-movement patterns. The beam design demonstrated optimal suitability for bodily movement with minimal tipping. For optimal results, additional setup or overcorrection may be necessary.

목차

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

CONCLUSIONS

키워드

Finite element method Extraction space Clear aligner design