ArticleEuropean journal of orthodontics2024
Biomechanical analysis of miniscrew-assisted molar distalization with clear aligners: a three-dimensional finite element study.
Article in European journal of orthodontics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- The effect of an indirect anchorage reinforcement device on maxillary anterior intrusion with clear aligners: a three-dimensional finite element analysis and exploratory clinical validation.Progress in orthodontics · 2026Article
- Bone-Screw-Force Interactions in Palatal Orthodontic Mini-Implants: A Scoping Review and Decision Framework for Primary Stability and Biomechanically Driven Site Selection.Journal of functional biomaterials · 2026Review
- 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
- Tooth rotational control with varying attachment configurations in clear aligners under compromised periodontal ligament support: a finite element study.BMC oral health · 2026Article
- Biomechanical Applications of Finite Element Analysis in Orthodontics: A Scoping Review of Force Distribution, Tooth Movement, and Mechanical Performance.Dentistry journal · 2026Review
- Biomechanical effects of attachment position and pressure ridge design on maxillary arch expansion with clear aligners: a finite element analysis.Progress in orthodontics · 2026Article
- Clinical Soft Tissue Adaptation to Biomechanical Modulation with the Bone Protection System (BPS): A Two-Case Report in Thin-Biotype Patients.Journal of clinical medicine · 2026Article
- Three-dimensional finite element analysis of bracketless clear aligner expansion with different buccal bone plate thicknesses.American journal of translational research · 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
- Effect of varying anchorage force intensity on upper molar distalization using clear aligners: a finite element study.Dental press journal of orthodontics · 2026Article
- Efficacy of posterior teeth mesialization with invisalign in moderate anchorage cases.BMC oral health · 2025Article
- Iterative finite element analysis of clear aligner-induced bodily canine movement under alveolar bone loss conditions.Korean journal of orthodontics · 2025Article
- Factors influencing fenestration and dehiscence in the anterior teeth after clear aligner treatment: a multicenter retrospective 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
- Designing a Finite Element Model to Determine the Different Fixation Positions of Tracheal Catheters in the Oral Cavity for Minimizing the Risk of Oral Mucosal Pressure Injury: Comparison Study.JMIR bioinformatics and biotechnology · 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
- Biomechanical effects of clear aligners with different distal coverage designs combined with Class II elastic traction for maxillary first molar distalization: a finite element study.BMC oral health · 2025Article
- Article
- Temporary Anchorage Devices in Clear Aligner Therapy: A Systematic Review.Bioengineering (Basel, Switzerland) · 2025Review
- 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
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND/
objectivesTo compare the biomechanical characteristics of maxillary molar distalization with clear aligners in conjunction with three types of miniscrew anchorage. MATERIALS/
methodsThree-dimensional (3D) finite element models of maxillary molar distalization with clear aligners and three types of miniscrew anchorage were established, including (A) control group, (B) direct buccal miniscrew anchorage group, (C) direct palatal miniscrew anchorage group, and (D) indirect buccal miniscrew anchorage group. The 3D displacement of maxillary teeth and the principal stress (maximum tensile and compressive stress) on the root and periodontal ligament (PDL) during molar distalization were recorded.
resultsThe tooth displacement pattern during maxillary molar distalization in the four groups showed similarities, including labial tipping of anterior teeth, mesial and buccal tipping of premolars, and distal and buccal tipping of molars, but with varying magnitudes. Group C exhibited the greatest molar distalization, with the first molar achieving 0.1334 mm of crown distalization. Group D demonstrated a notable buccal crown movement (0.0682 mm) and intrusion (0.0316 mm) of the first premolar. Compared to Groups A and B, Groups C and D showed less labial crown tipping of the central incisor. Group B showed the greatest amount of maxillary incisor intrusion (central incisor: 0.0145 mm, lateral incisor: 0.0094 mm). Moreover, Groups C and D displayed significantly lower levels of compressive and tensile stress in the roots and PDL of the maxillary central and lateral incisors. LIMITATION: Molar distalization is a dynamic process involving sequential tooth movement stages; however, our research primarily examined the tooth movement patterns in the initial aligner. CONCLUSIONS/IMPLICATIONS: The use of miniscrew anchorage, especially direct palatal miniscrew anchorage, may enhance the treatment efficacy of maxillary molar distalization with clear aligners, leading to increased molar distalization, reduced mesial movement of premolars, and minimized labial tipping of anterior teeth.
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