ArticleProgress in orthodontics2023
Biomechanical effects of different staging and attachment designs in maxillary molar distalization with clear aligner: a finite element study.
Article in Progress in orthodontics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 30 citations in OpenAlex.
- Effect of power arm length and attachment configuration on maxillary molar mesialization with clear aligners: a finite element analysis.BMC oral health · 2026Article
- Biomechanical effects of varying intrusion-to-retraction ratios on anterior tooth displacement during extraction space closure with clear aligners: an iterative finite element analysis.The Saudi dental journal · 2026Article
- Comparative effects of temporary anchorage devices combined with various auxiliary attachments on maxillary molar mesialization with clear aligners: a finite element analysis.BMC oral health · 2026Article
- Effects of attachment designs on clear aligner tooth movement: A finite element analysis.PloS one · 2026Article
- Effect of different attachment configurations and skeletal anchorage force application points on canines during distalization of maxillary second molars with clear aligners: a finite element study.Dental press journal of orthodontics · 2026Article
- Biomechanical effect of combined use of mini-screws and aligners in preventing uncontrolled tipping of the incisor and mesial tipping of the molar: a three-dimensional finite element study.Progress in orthodontics · 2025Article
- Iterative finite element analysis of clear aligner-induced bodily canine movement under alveolar bone loss conditions.Korean journal of orthodontics · 2025Article
- Properties enhancements of clear aligners after the laser surface texturing modification on thermoplastic polyurethane.Clinical oral investigations · 2025Article
- Biomechanical effects of attachment designs in maxillary first molar mesialization with clear aligners: a finite element study.Progress in orthodontics · 2025Article
- Finite element analysis of the impact of different traction anchorage locations on maxillary molar distalization with clear aligners and implant screws.BMC oral health · 2025Article
- Influence of periodontal ligament heights on sequential and simultaneous maxillary molar distalization using clear aligners.Pakistan journal of medical sciences · 2025Article
- Mesiodistal angulation change of the maxillary lateral incisor in the extraction treatment by clear aligner- a retrospective cone-beam computed tomography study.BMC oral health · 2025Article
- Three-dimensional finite element analysis of teeth displacement patterns under four anchorage designs for maxillary molar distalization using clear aligners: a real-case based simulation study.BMC oral health · 2025Article
- 3D comparative analysis of designed versus achieved maxillary teeth movements and influencing factors following first premolar extraction with invisalign: a new digital root model.Progress in orthodontics · 2025Article
- Effects of maxillary molar distalization using clear aligners during the mixed dentition and early permanent dentition with 3 types of Class II traction: a three-dimensional finite element analysis.BMC oral health · 2025Article
- The effect of canine lingual attachments during maxillary arch distalization with clear aligner: a 4D finite element analysis and in vitro simulator study.BMC oral health · 2025Article
- Biomechanical effects of periodontal status on molar sequential distalization with clear aligners: a finite element study.Progress in orthodontics · 2025Article
- Expert consensus on the clinical strategies for orthodontic treatment with clear aligners.International journal of oral science · 2025Review
- Impact of Molar Distalization with Clear Aligners on Periodontal Ligament Stress and Root Resorption Risk: A Systematic Review of 3D Finite Element Analysis Studies.Dentistry journal · 2025Review
- The Critical Influence of Wire Diameter and Bending for Orthodontic Wire Integration-New Insights for Maxillary Movements (In Vitro Study).Dentistry journal · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn the present study, the effects of distalizations of one and two molars with different step distances and attachment designs have been analyzed.
methodsA 3D finite element analysis model has been developed in order to determine the tendency of tooth displacement and stress distribution with clear aligner treatment.
resultsUnder the condition of single-molar distalization, when the step distance was set to 0.25 mm, the total displacement was 0.086 mm for central incisors, 0.080 mm for lateral incisors, 0.084 mm for canines, 0.102 mm for the first premolar and 0.076 mm for the second premolar. The von Mises stress of roots and the principal stress of the periodontal ligament was slightly lower than in the control group when the step distance was set to 0.130 mm. Under the condition of two-molar distalization, when the step distance was set to 0.130 mm, the total displacements for central incisors, lateral incisors and canines as well as both the first and second maxillary molars were basically the same as with a distance of 0.250 mm for one-molar distalization. In addition, when the step distance was 0.130 mm with two-molar distalization, the rotation center of the first and second molar was closer to the apex of the root indicating that the smaller step distance led to more bodily movement during the two-molar distalization. However, displacement tendencies of the first molar and the second molar were basically the same whether horizontal or vertical rectangular attachments were added.
conclusionsA step distance of moving two molars to 0.130 mm can achieve the same reaction force on the anterior teeth as moving one molar 0.250 mm without effects on horizontal or vertical rectangular attachments. CLINICAL RELEVANCE: Our results provide a theoretical basis and guidance for simultaneously moving two molars backward in clinical practice using a clear aligner.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.