Customized surgical template fabrication under biomechanical consideration by integrating CBCT image, CAD system and finite element analysis
Source abstract
Abstract
This study developed a customized surgical template under mechanical consideration for molar intrusion. Two finite element (FE) models were analyzed for the primary stability under 100 gf traction forces with one mini-screw inserted at the buccal side in horizontal and another in palatal side with two optional positions at 60° (P60) or 15° (P15) angles with inclination toward the molar occlusal surface. The surgical template was generated using rapid prototyping (RP) printing for the clinical application based on improved primarily stability model. The surrounding bone strains for models P15 and P60 were far lower than the bone remodeling critical value. Model P60 presented much lower micro-motion in the screw/bone interface and the screw head displacement than those values in model P15. Using FE analysis for biomechanical evaluation and combining with CT image, image superimposed method and CAD technique can fabricate accuracy/security customized surgical template for mini-screws with better primary stability.
Source: openalex_inverted_index · Quality: baseline
Research context
OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Dental Implant Techniques and Outcomes · Dental Radiography and Imaging
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
School of Dentistry, China Medical University
Department of Biomedical Engineering, National Yang-Ming University
References (43)
Show source-provided references
1. 1) Baumgaertel S. Temporary skeletal anchorage devices: the case for miniscrews. Am J Orthod Dentofacial Orthop 2014; 145: 558-564.10.1016/j.ajodo.2014.03.009 ↗
2. 2) Telma Martins de A, Mauro Henrique AN, Fernanda Catharino MF, Marcos Alan VB. Tooth intrusion using mini-implants. Dental Press J Orthod 2008; 5: 36-48.
3. 3) Araujo TM, Nascimento MHA, Bezerra F, Sobral MC. Ancoragem esqueletica em Ortodontia com miniimplantes. R Dental Press Ortodon Ortop Facial 2006; 42: 126-156.10.1590/S1415-54192006000400014 ↗
4. 4) Bae SM, Kyung HM. Mandibular molar intrusion with miniscrew anchorage. J Clin Orthod 2006; 40: 107-108.
5. 5) Lin JC, Liou EJ, Yeh CL, Evans CA. A comparative evaluation of current orthodontic miniscrew systems. World J Orthod 2007; 8: 136-144.
6. 6) Kravitz ND, Kusnoto B. Risks and complications of orthodontic miniscrews. Am J Orthod Dentofacial Orthop 2007; 131: s43-s51.10.1016/j.ajodo.2006.04.027 ↗
7. 7) Lee JH, Choo H, Kim SH, Chung KR, Giannuzzi LA, Ngan P. Replacing a failed mini-implant with a miniplate to prevent interruption during orthodontic treatment. Am J Orthod Dentofacial Orthop 2011; 139 : 849-857.10.1016/j.ajodo.2009.08.032 ↗
8. 8) Lin YS, Yu JH, Chang YZ, Lin CL. Biomechanical evaluation of an orthodontic miniimplant used with revolving (translation and rotation) temporary anchorage device by finite element analysis and experimental testing. Implant Dent 2013; 22: 77-82.10.1097/ID.0b013e318278a768 ↗
9. 9) Sawada K, Nakahara K, Matsunaga S, Abe S, Ide Y. Evaluation of cortical bone thickness and root proximity at maxillary interradicular sites for mini-implant placement. Clin Oral Implants Res 2013; A100: 1-7.10.1111/j.1600-0501.2011.02354.x ↗
10. 10) Motoyoshi M, Hirabayashi M, Uemura M, Shimizu N. Recommended placement torque when tightening an orthodontic mini-implant. Clin Oral Implants Res 2006; 17: 109-114.10.1111/j.1600-0501.2005.01211.x ↗
11. 11) Ottoni JM, Oliveira ZF, Mansini R, Cabral AM. Correlation between placement torque and survival of single-tooth implants. Int J Oral Maxillofac Implants 2005; 20: 769-776.
12. 12) Zhao L, Xu Z, Yang Z, Wei X, Tang T, Zhao Z. Orthodontic mini-implant stability in different healing times before loading: a microscopic computerized tomographic and biomechanical analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 196-202.10.1016/j.tripleo.2009.03.023 ↗
13. 13) Schouman T, Murcier G, Goudot P. The key to accuracy of zygoma repositioning: Suitability of the SynpliciTi customized guide-plates. J Craniomaxillofac Surg 2015; 43: 1942-1947.10.1016/j.jcms.2014.12.014 ↗
14. 14) Romeo A, Esteves M, García V, Bermúdez J. Movement evaluation of overerupted upper molars with absolute anchorage: an in- vitro study. Med Oral Patol Oral Cir Bucal 2010; 15: 930-935.10.4317/medoral.15.e930 ↗
15. 15) Liu H, Liu DX, Wang G, Wang CL, Zhao Z. Accuracy of surgical positioning of orthodontic miniscrews with a computer-aided design and manufacturing template. Am J Orthod Dentofacial Orthop 2010; 728: 1-10.10.1016/j.ajodo.2009.12.025 ↗
16. 16) Suzuki EY, Suzuki B. Accuracy of miniscrew implant placement with a 3-dimensional surgical guide. J Oral Maxillofac Surg 2008; 66: 1245-1252.10.1016/j.joms.2007.08.047 ↗
17. 17) Kitai N, Yasuda Y, Takada K. A stent fabricated on a selectively colored stereolithographic model for placement of orthodontic mini-implants. Int J Adult Orthod Orthognath Surg 2002; 17: 264-266.
18. 18) Morea C, Dominguez GC, Wuo Ado V, Tortamano A. Surgical guide for optimal positioning of mini-implants. J Clin Orthod 2005; 39: 317-321.
19. 19) Cousley RR, Parberry DJ. Surgical stents for accurate miniscrew insertion. J Clin Orthod 2006; 40: 412-417.
20. 20) Martin W, Heffernan M, Ruskin J. Template fabrication for a midpalatal orthodontic implant: Technical note. Int J Oral Maxillofac Implants 2002; 17: 720-722.
21. 21) Bae MJ, Kim JY, Park JT, Cha JY, Kim HJ, Yu HS, Hwang CJ. Accuracy of miniscrew surgical guide assessed from cone beam computed tomography and digital models. Am J Orthod Dentofacial Orthop 2013; 143: 893-901.10.1016/j.ajodo.2013.02.018 ↗
22. 22) Sarment DP, Sukovic P, Clinthorne N. Accuracy of implant placement with a stereolithographic surgical guide. Int J Oral Maxillofac Implants 2003; 571: 7-18.
23. 23) Ruppin J, Popovic A, Strauss M, Spüntrup E, Steiner A, Stoll C.Evaluation of the accuracy of three different computer-aided surgery systems in dental implantology: optical tracking vs. stereolithographic splint systems. Clin Oral Implants Res 2008; 7: 709-716.
24. 24) Rudolph H, Luthardt RG, Walter MH. Computer-aided analysis of the influence of digitizing and surfacing on the accuracy in dental CAD/CAM technology. Comput Biol Med 2007; 37: 579-587.10.1016/j.compbiomed.2006.05.006 ↗
25. 25) Friberg B, Sennerby L, Meredith N. A comparison between cutting torque and resonance frequency measurements of maxillary implants: a 20-month clinical study. Int J Oral Maxillofac Surg 1999; 28: 297-303.10.1016/S0901-5027(99)80163-5 ↗
26. 26) Wilmes B, Su YY, Drescher D. Insertion angle impact on primary stability of orthodontic mini-implants. Angle Orthod 2008; 78: 1065-1070.10.2319/100707-484.1 ↗
27. 27) Miyamoto I, Tsuboi Y, Wada E, Suwa H, Iizuka T. Influence of cortical bone thickness and implant length on implant stability at the time of surgery-clinical, prospective, biomechanical, and imaging study. Bone 2005; 37: 776-780.10.1016/j.bone.2005.06.019 ↗
28. 28) Katranji A, Misch K, Wang HL. Cortical bone thickness in dentate and edentulous human cadavers. J Periodontol 2007; 78: 874-878.10.1902/jop.2007.060342 ↗
29. 29) Asmussen E, Peutzfeldt A, Sahafi A. Finite element analysis of stresses in endodontically treated dowel restored teeth. J Prosthet Dent 2005; 94: 321- 329.10.1016/j.prosdent.2005.07.003 ↗
30. 30) Lin CL, Chang YH, Cheng MH. Evaluation of a reinforced slot design for CEREC system to restore extensively compromised premolars. J Dent 2006; 34: 211-219.10.1016/j.jdent.2005.05.009 ↗
31. 31) Barink M, Van der Mark PC, Fennis WM, Kuijs RH, Kreulen CM, Verdonschot N. A three-dimensional finite element model of the polymerization process in dental restorations. Biomaterials 2003; 24: 1427-1435.10.1016/S0142-9612(02)00529-X ↗
32. 32) Poggio PM, Incorvati C, Velo S, Carano A. ‘‘Safe zones’’: a guide for miniscrew positioning in the maxillary and mandibular arch. Angle Orthod 2006; 76: 191-197.
33. 33) Ohtani T, Kusumoto N, Wakabayashi K, Yamada S, Nakamura T, Kumazawa Y, Yatani H, Sohmura T. Application of haptic device to implant dentistry —accuracy verification of drilling into a pig bone. Dent Mater J 2009; 28: 75-81.10.4012/dmj.28.75 ↗
34. 34) Choi JY, Choi JH, Kim NK, Kim Y, Lee JK, Kim MK, Lee JH, Kim MJ. Analysis of errors in medical rapid prototyping models. Int J Oral Maxillofac Surg 2002; 31: 23-32.10.1054/ijom.2000.0135 ↗
35. 35) Park HS. An anatomical study using CT images for the implantation of micro-implants. Korean J Orthod 2002; 32: 435-441.
36. 36) Carano A, Velo S, Incorvati C, Poggio P. Clinical applications of the mini-screw-anchorage-system (M.A.S.) in the maxillary alveolar bone. Prog Orthod 2004; 5: 212-235.
37. 37) Frost HM. Wolff’s Law and bone’s structural adaptations to mechanical usage: an overview for clinicians. Angle Orthod 1994; 64: 175-188.
38. 38) Cehreli M, Sahin S, Akca K. Role of mechanical environment and implant design on bone tissue differentiation: current knowledge and future contexts. J Dent 2004; 32: 123-132.10.1016/j.jdent.2003.09.003 ↗
39. 39) Chang SH, Lin CL, Hsue SS, Lin YS, Huang SR. Biomechanical analysis of the effects of implant diameter and bone quality in short implants placed in the atrophic posterior maxilla. Med Eng Phys 2012; 34: 153-160.10.1016/j.medengphy.2011.07.005 ↗
40. 40) Mellal A, Wiskott HW, Botsis J, Scherrer SS, Belser UC. Stimulating effect of implant loading on surrounding bone. Comparison of three numerical models and validation by in vivo data. Clin Oral Implants Res 2004; 15: 239-248.10.1111/j.1600-0501.2004.01000.x ↗
41. 41) Abreu CW, Nishioka RS, Balducci I, Consani RL. Straight and offset implant placement under axial and nonaxial loads in implant-supported prostheses: Strain gauge analysis. J Prosthodont 2012; 21: 535-539.10.1111/j.1532-849X.2012.00871.x ↗
42. 42) Baek SH, Cha HS, Cha JY, Moon YS, Sung SJ. Three-dimensional finite element analysis of the deformation of the human mandible: a preliminary study from the perspective of orthodontic mini-implant stability. Korean J Orthod 2012; 42: 159-168.10.4041/kjod.2012.42.4.159 ↗
43. 43) Szmukler-Moncler S, Salama S, Reingewirtz Y, Dubruille JH. Timing of loading and effect of micro-motion on bone-implant interface. J Biomed Mater Res 1998; 43: 192-203.10.1002/(SICI)1097-4636(199822)43:2<192::AID-JBM14>3.0.CO;2-K ↗