Evidence map›Paper›PMID 39049467›Full record

ArticleKorean journal of orthodontics2026

Tricortical versus bicortical anchorage in a double-screw tandem skeletal expander and a single-screw maxillary anchorage rapid palatal expander: A finite element analysis.

Luca Brucculeri, Federica Pellitteri, Alfredo Salvatore Monterossi, Emanuele Paoletto, Giuliano Maino, Luca Lombardo

Abstract read
In one paragraph

Article in Korean journal of orthodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Factors influencing the accuracy of guided palatal miniscrew insertion in young adults : Prospective in vivo study.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Luca BrucculeriPostgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0000-0002-7490-0576
Federica PellitteriPostgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0000-0001-6062-7639
Alfredo Salvatore MonterossiPostgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0009-0003-0725-6914
Emanuele PaolettoPrivate Practice, Thiene, Italy.ORCID https://orcid.org/0009-0005-3527-1948
Giuliano MainoPostgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0000-0002-0823-937X
Luca LombardoPostgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0000-0003-3221-8197

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to employ finite element method (FEM) analysis to compare the differences between bicortical and tricortical anchorage of the posterior miniscrews in a single-screw miniscrew-assisted rapid palatal expansion (MARPE) and a double-screw tandem skeletal expander (TSE) under open and closed suture conditions. Methods: A cone beam computed tomography of the human skull of a 21.5-year-old female was utilized as a model for creating a FEM analysis. Simulations involved the insertion of four palatal miniscrews: two anterior ones with bicortical anchorage and two posterior ones (one with bicortical and another with tricortical anchorage), under open and closed suture conditions in a single-screw MARPE and double-screw TSE, resulting in a total of eight different simulation configurations. Evaluation parameters include total deformation (mm), Von Mises stress (MPa), and strain for each miniscrew body. Results: Tricortical anchorage of the posterior miniscrews provides greater anchorage, higher stress, and deformation on the anterior miniscrews in single-screw MARPE. Tricortical anchorage combined with a double-screw TSE promotes a more even distribution of force and stress on miniscrews under open suture conditions, leading to a parallel midpalatal suture opening along its entire length and height. Conclusions: FEM analysis revealed favorable midpalatal suture opening with equal force distribution and less stress when posterior tricortical anchorage in conjunction with double-screw TSE is applied.

Indexed as

Bicortical anchorageMiniscrew anchorageTandem skeletal expanderTricortical anchorage

Identifiers

PMID39049467
PMCPMC13021318

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.