PMID- 33972141 OWN - NLM STAT- MEDLINE DCOM- 20210803 LR - 20210803 IS - 1097-6752 (Electronic) IS - 0889-5406 (Linking) VI - 160 IP - 2 DP - 2021 Aug TI - Biomechanical analysis for total distalization of the maxillary dentition: A finite element study. PG - 259-265 LID - S0889-5406(21)00252-3 [pii] LID - 10.1016/j.ajodo.2020.04.029 [doi] AB - INTRODUCTION: This study aimed to identify the tooth movement patterns relative to various force angulations (FAs) when distalizing the total maxillary dentition. METHODS: Long-term orthodontic movement of the maxillary dentition was simulated by accumulating the initial displacement of teeth produced by elastic deflection of the periodontal ligament using a finite element analysis. Distalization forces of 3 N were applied to the archwire between the maxillary canine and first premolar at 5 different FAs (-30 degrees , -15 degrees , 0 degrees , 15 degrees , and 30 degrees ) to the occlusal plane. RESULTS: Maxillary incisors and molars showed lingual and distal tipping at all FAs, respectively. At a force angulation of 30 degrees , almost bodily distalization of the total maxillary dentition occurred, but incisors showed considerable lingual tipping because of the effect of clearance gap (0.003-in, 0.022 x 0.025-in bracket slot, 0.019 x 0.025-in archwire) and elastic deflection of the archwire. Medial displacement of the maxillary anterior teeth occurred because of lingual tipping during distalization. The occlusal plane rotated clockwise at all FAs because of extrusion of the maxillary incisors and intrusion of the maxillary second molars, and the amounts decreased as FA increased. CONCLUSIONS: Tooth movement patterns during distalization of the total maxillary dentition were recognized. With an understanding of the mechanics, a proper treatment plan can be established. CI - Copyright (c) 2021 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved. FAU - Kawamura, Jun AU - Kawamura J AD - Private practice, Gifu, Japan. FAU - Park, Jae Hyun AU - Park JH AD - Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A. T. Still University, Mesa, Ariz, Graduate School of Dentistry, Kyung Hee University, Seoul, South Korea. FAU - Kojima, Yukio AU - Kojima Y AD - Private practice, Nagoya, Japan. FAU - Tamaya, Naohiko AU - Tamaya N AD - Private practice, Fukui, Japan. FAU - Kook, Yoon-Ah AU - Kook YA AD - Department of Orthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea. FAU - Kyung, Hee-Moon AU - Kyung HM AD - Department of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, South Korea. FAU - Chae, Jong-Moon AU - Chae JM AD - Department of Orthodontics, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute, Iksan, South Korea, Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A. T. Still University, Mesa, Ariz. Electronic address: jongmoon@wku.ac.kr. LA - eng PT - Journal Article DEP - 20210508 PL - United States TA - Am J Orthod Dentofacial Orthop JT - American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics JID - 8610224 SB - IM MH - *Dentition MH - Finite Element Analysis MH - Incisor MH - *Maxilla MH - Tooth Movement Techniques EDAT- 2021/05/12 06:00 MHDA- 2021/08/04 06:00 CRDT- 2021/05/11 05:52 PHST- 2020/02/01 00:00 [received] PHST- 2020/03/01 00:00 [revised] PHST- 2020/04/01 00:00 [accepted] PHST- 2021/05/12 06:00 [pubmed] PHST- 2021/08/04 06:00 [medline] PHST- 2021/05/11 05:52 [entrez] AID - S0889-5406(21)00252-3 [pii] AID - 10.1016/j.ajodo.2020.04.029 [doi] PST - ppublish SO - Am J Orthod Dentofacial Orthop. 2021 Aug;160(2):259-265. doi: 10.1016/j.ajodo.2020.04.029. Epub 2021 May 8.