Effects of different distalization directions and methods on maxillary total distalization with clear aligners: a finite element study. 2023

Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim

OBJECTIVE To analyze the effects of maxillary tooth distalization by clear aligner (CA) treatment with variations in the angular direction of the distalization force, presence of attachments, and force-application method used. METHODS A finite element model containing alveolar bone, dentition, and periodontal ligament was constructed. Analytical model groups were as follows: (1) distalization with buttons (without attachments), (2) buttons on canines (with attachments), (3) precision cuts on the canines (without attachments), and (4) precision cuts on the canines (with attachments). A distalization force of 1.5 N was applied to the button or precision cut at -30°, -20°, -10°, 0°, 10°, 20°, and 30° to the occlusal plane. RESULTS As the direction of force approached +30°, the dentition inclined posteriorly. The posterior movement pattern was significantly influenced by the presence of an attachment and the direction of force, rather than the area where the force was applied. Distal inclination was dramatically reduced with attachments. A disengagement or deformation of the CA may reduce the distalization efficiency of the dentition or move the dentition in an inappropriate direction. CONCLUSIONS Attachments for efficient distalization by the CA are necessary. The use of miniscrews in the direction of force parallel to the occlusal plane is more advantageous than the use of Class II elastics. Due to CA deformation, distalization with the button on the canines can be more effective for distal movement of the maxillary dentition.

UI MeSH Term Description Entries

Related Publications

Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
November 2023, Korean journal of orthodontics,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
April 2023, Computer methods in biomechanics and biomedical engineering,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
March 2024, Computer methods in biomechanics and biomedical engineering,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
September 2023, BMC oral health,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
December 2023, Progress in orthodontics,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
January 2024, European journal of orthodontics,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
June 2023, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
December 2023, Bioengineering (Basel, Switzerland),
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
June 2020, Scientific reports,
Kyoung-Ho Kwak, and Sewoong Oh, and Youn-Kyung Choi, and Sung-Hun Kim, and Seong-Sik Kim, and Soo-Byung Park, and Yong-Il Kim
January 2023, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics,
Copied contents to your clipboard!