Keywords
rapid maxillary expansion
intact skull
palate cleft
finite element method
HYRAX device
stress-strain state
intact skull
palate cleft
finite element method
HYRAX device
stress-strain state
How to Cite
Bosiakov, S., Vinokurova, A., Slavashevich, I., Grichnyuk, D., & Stachowicz, F. (1). Effect of hyrax screw localization on cranium response during rapid maxillary expansion. Advances in Mechanical and Materials Engineering, 34(295 (2), 157-168. https://doi.org/10.7862/rm.2017.13
Abstract
Rapid maxillary expansion is employed for the treatment of cross-bite and deficiency of transversal dimension of the maxilla in patients with and without cleft of palate and lip. The aim of this study is the finite-element analysis of stresses and displacements of skull, with and without unilateral cleft, after application of the HYRAX orthodontic device. Three different constructions of the orthodontic Hyrax device with different positions of the screw - in the occlusal horizontal plane, near occlusal horizontal plane and near the palate are considered. Application of the orthodontic device corresponds to the rotation of the screw on one-quarter turn. It is established that the screw position significantly affects the stress patterns in skull and displacements of the cranium with and without unilateral palate cleft. Depending on the construction of the orthodontic appliance, the maxilla halves in the transversal plane are unfolded or the whole skull is entirely rotated in the sagittal plane. The obtained results can be used for designing of orthodontic appliances with the Hyrax screw, as well as for planning of osteotomies during the surgical assistance of the rapid maxillary expansion.
References
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6. Gautam P., Zhao L., Patel P.: Biomechanical response of the maxillofacial skeleton to transpalatal orthopedic force in a unilateral palatal cleft, Angle Orthodontist, 81 (2011) 503-509.
7. Ghoneima A., Abdel-Fattah E., Hartsfield J., El-Bedwehi A., Kamel A., Kulaf K.: Effects of rapid maxillary expansion on the cranial and circummaxillary sutures, American J. Orthodontic Dentofacial Orthopedics, 140 (2011) 510-519.
8. Goldenberg D.C., Goldenberg F.C., Alonso N., Gebrin E.S., Amaral Th. S., Scanavini M.A., Ferreira M.C.: Hyrax appliance opening and pattern of skeletal maxillary expansion after surgically assisted rapid palatal expansion: a computed tomography evaluation, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106 (2008) 812-819.
9. Han U.A., Kim Y., Park J.U. Three-dimensional finite element analysis of stress distribution and displacement of the maxilla following surgically assisted rapid maxillary expansion, J. Cranio-Maxillofacial Surgery, 37 (2009) 145-154.
10. Holberg C., Holberg N., Schwenzer K., Wichelhaus A., Rudzki-Janson I.: Biomechanical analysis of maxillary expansion in CLP patients, Angle Orthodontist, 77 (2007) 280-287.
11. Isaacson R.J., Wood J.L., Ingram A.H.: Forces produced by rapid maxillary expansion, part I and II, Angle Orthodonics, 34 (1964) 256-270.
12. Iseri H., Tekkaya, A.E., Öztan, Ö., Bilgiç, S.: Biomechanical effects of rapid maxillary expansion on the craniofacial skeleton, studied by the finite element method, European J. Orthodontics, 20 (1998) 347-356.
13. Jafari A., Shetty K.S., Kumar M.: Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces-a three dimensional FEM study, Angle Orthodontist, 73 (2003) 12-20.
14. Lee H., Ting K., Nelson M., Sun N., Sung S.-J.: Maxillary expansion in customized finite element method models, American J. Orthodontics Dentofacial Orthopedics, 136 (2009) 367-374.
15. Ludwig B., Baumgaertel S., Zorkun B., Bonitz L., Glasl B., Wilmes B., Lisson J.: Application of a new viscoelastic finite element method model and analysis of miniscrew-supported hybrid hyrax treatment, American J. Orthodontics Dentofacial Orthopedics, 143 (2013) 426-435.
16. McGuinness N.J., McDonald J.P.: Changes in natural head position observed immediately and one year after rapid maxillary expansion, European J. Ortho-
dontics, 28 (2006) 126-134.
17. Pan X., Qian Yu., Yu J., Wang D., Tang Y., Shen G. Biomechanical effects of rapid palatal expansion on the craniofacial skeleton with cleft palate: a three-dimensional finite element analysis, Cleft Palate Craniofacial J., 44 (2007)149-154.
18. Provatidis C., Georgiopoulos B., Kotinas A., McDonald J.P.: On the FEM modeling of craniofacial changes during rapid maxillary expansion, Medical Eng. Physics, 29 (2007) 566-579.
19. Romanyk D.L., Lagravere M.O., Toogood R.W., Major P.W., Carey J. P. Review of maxillary expansion appliance activation methods: engineering and clinical perspectives, J. Dental Biomechanics, 2010. DOI: 10.4061/2010/496906.
20. Sander C., Huffmeier S., Sander F.M., Sander F.G.: Initial results regarding force exertion during rapid maxillary expansion in children, J. Orofacial Orthopedics, 67 (2006) 19-26.
21. Tanne K., Sakuda M.: Biomechanical and clinical changes of the craniofacial complex from orthopedic maxillary protraction, Angle Orthodontist, 61 (1991) 145-152.
22. Wang D., Cheng L., Wang Ch., Qian Yu., Pan X.: Biomechanical analysis of rapid maxillary expansion in the UCLP patient, Medical Eng. Physics, 31 (2009) 409-417.
2. Bosiakov S., Vinokurova A., Dosta A.: Biomechanical effects of maxillary expansion in cross-bite patients during orthodontic treatment with Hyrax system, In: V. Mityushev, M. Ruzhansky (Eds.), Current Trends in Analysis and Its Applications. Birkhäuser Mathematics, XVI (2015) 793-802.
3. Bosiakov S., Vinakurava A., Dosta A.: Deformations at the craniofacial complex depending on the HYRAX device design, ZN PRz Mechanika, 32 (2015) 5-15.
4. Chaconas S.J., Caputo A.A.: Observation of orthopedic force distribution produced by maxillary orthodontic appliances, American J. Orthodontics, 82 (1982) 492-501.
5. Chuah C., Mehra P.: Bilateral lingual anesthesia following surgically assisted rapid palatal expansion: report of a case, J. Oral Maxillofacial Surg.., 63 (2005) 416-418.
6. Gautam P., Zhao L., Patel P.: Biomechanical response of the maxillofacial skeleton to transpalatal orthopedic force in a unilateral palatal cleft, Angle Orthodontist, 81 (2011) 503-509.
7. Ghoneima A., Abdel-Fattah E., Hartsfield J., El-Bedwehi A., Kamel A., Kulaf K.: Effects of rapid maxillary expansion on the cranial and circummaxillary sutures, American J. Orthodontic Dentofacial Orthopedics, 140 (2011) 510-519.
8. Goldenberg D.C., Goldenberg F.C., Alonso N., Gebrin E.S., Amaral Th. S., Scanavini M.A., Ferreira M.C.: Hyrax appliance opening and pattern of skeletal maxillary expansion after surgically assisted rapid palatal expansion: a computed tomography evaluation, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106 (2008) 812-819.
9. Han U.A., Kim Y., Park J.U. Three-dimensional finite element analysis of stress distribution and displacement of the maxilla following surgically assisted rapid maxillary expansion, J. Cranio-Maxillofacial Surgery, 37 (2009) 145-154.
10. Holberg C., Holberg N., Schwenzer K., Wichelhaus A., Rudzki-Janson I.: Biomechanical analysis of maxillary expansion in CLP patients, Angle Orthodontist, 77 (2007) 280-287.
11. Isaacson R.J., Wood J.L., Ingram A.H.: Forces produced by rapid maxillary expansion, part I and II, Angle Orthodonics, 34 (1964) 256-270.
12. Iseri H., Tekkaya, A.E., Öztan, Ö., Bilgiç, S.: Biomechanical effects of rapid maxillary expansion on the craniofacial skeleton, studied by the finite element method, European J. Orthodontics, 20 (1998) 347-356.
13. Jafari A., Shetty K.S., Kumar M.: Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces-a three dimensional FEM study, Angle Orthodontist, 73 (2003) 12-20.
14. Lee H., Ting K., Nelson M., Sun N., Sung S.-J.: Maxillary expansion in customized finite element method models, American J. Orthodontics Dentofacial Orthopedics, 136 (2009) 367-374.
15. Ludwig B., Baumgaertel S., Zorkun B., Bonitz L., Glasl B., Wilmes B., Lisson J.: Application of a new viscoelastic finite element method model and analysis of miniscrew-supported hybrid hyrax treatment, American J. Orthodontics Dentofacial Orthopedics, 143 (2013) 426-435.
16. McGuinness N.J., McDonald J.P.: Changes in natural head position observed immediately and one year after rapid maxillary expansion, European J. Ortho-
dontics, 28 (2006) 126-134.
17. Pan X., Qian Yu., Yu J., Wang D., Tang Y., Shen G. Biomechanical effects of rapid palatal expansion on the craniofacial skeleton with cleft palate: a three-dimensional finite element analysis, Cleft Palate Craniofacial J., 44 (2007)149-154.
18. Provatidis C., Georgiopoulos B., Kotinas A., McDonald J.P.: On the FEM modeling of craniofacial changes during rapid maxillary expansion, Medical Eng. Physics, 29 (2007) 566-579.
19. Romanyk D.L., Lagravere M.O., Toogood R.W., Major P.W., Carey J. P. Review of maxillary expansion appliance activation methods: engineering and clinical perspectives, J. Dental Biomechanics, 2010. DOI: 10.4061/2010/496906.
20. Sander C., Huffmeier S., Sander F.M., Sander F.G.: Initial results regarding force exertion during rapid maxillary expansion in children, J. Orofacial Orthopedics, 67 (2006) 19-26.
21. Tanne K., Sakuda M.: Biomechanical and clinical changes of the craniofacial complex from orthopedic maxillary protraction, Angle Orthodontist, 61 (1991) 145-152.
22. Wang D., Cheng L., Wang Ch., Qian Yu., Pan X.: Biomechanical analysis of rapid maxillary expansion in the UCLP patient, Medical Eng. Physics, 31 (2009) 409-417.