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J Med Dent Sci 2004; 51: 59–65 Original Article Dynamic analysis for clarifying occlusal force transmission during orthodontic archwire application: difference between ISW and stainless steel wire K. Iramaneerat, M. Hisano and K. Soma Orthodontic Science, Department of Orofacial Development and Function, Division of Oral Health Science, Graduate School, Tokyo Medical and Dental University. The purpose of our study was to utilize the dynamic finite element analysis to clarify the difference between Improved Super-elastic Ti-Ni alloy Wire (ISW) and Stainless Steel Wire (SSW) on occlusal force transmission during orthodontic treatment. ABAQUS/Standard was used to analyze three finite models over a 30-ms period: ISW, SSW, and wireless models; which consisting of premolar, molar, periodontal ligament (PDL), and alveolar bone. Wire model was established by beam element. A Joint C, which exhibits viscoelasticity to buffer occlusal force, was applied between the wire and bracket. The load was applied on the occlusal surface. At load withdrawal point, the average amounts of von Mises stress on PDL in three models were of the same value. However as time progressed, the stress in wireless model became higher than ISW and SSW models. In contrast, as time progressed further, the stress in SSW model became higher than the other two models and maintained its higher level until the end of analysis. Results showed that high damping capacity of ISW had an ability to buffer the transmission of occlusal force to the PDL. Besides, the dynamic analysis demonstrated an advantage to investigate the stress alterative response between Corresponding Author: K. Iramaneerat Orthodontic Science, Department of Orofacial Development and Function, Division of Oral Health Science, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. Business phone: +81-3-5803-5530 Fax: +81-3-5803-5530 E-mail address: [email protected] Received November 7; Accepted December 19, 2003 models versus time period. Key words: ISW, occlusal force, damping capacity, dynamic analysis, Von Mises stress Introduction An Improved Super-elastic Ti-Ni alloy Wire (ISW) has been developed with unique characteristics that offer significant potential for orthodontic appliances. ISW exhibits a shape memory property and a super-elasticity property, and recently its damping properties have been highlighted. An experimental investigation of the damping capacity of ISW in comparison with stainless steel wire (SSW) showed that the damping curve of ISW abruptly decreased while the damping curve of SSW gradually decreased.1 This experiment suggested that in clinical applications the damping capacity of ISW would be able to buffer the occlusal impact force transmitted to the tooth and supporting structures. In vivo, it is difficult to investigate the biomechanical response of teeth and surrounding tissues when occlusal forces are loaded on the teeth under orthodontic treatment. Therefore, the finite element method was chosen in our study, even though there are various other methods. Because this technique has an advantage to study the biomechanical response of the internal structures and has been effectively used to calculate the structures with complicated shapes and different materials. Furthermore, the dynamic finite element method makes it possible to analytically apply various forces at any point over any calculation time period. 60 K. IRAMANEERAT, M. HISANO and K. SOMA J Med Dent Sci morphology.2 The PDL thickness was assumed to be 0.25 mm around the root. Three types of model were established for comparative investigation: ISW applied, SSW applied, and wireless models (Figure 1). The wireless model was used as a control model. The purpose of this study was to utilize the dynamic finite element analysis to clarify the difference between ISW and SSW on occlusal force transmission to periodontal tissue (PDL) during orthodontic treatment. An influence of the damping capacity of ISW in comparison with SSW on PDL was observed, when teeth were subjected to occlusal force, associated with vibration on the wire in time period. Bracket and wire models The bracket models consisting of 14 elements and 42 nodes were fixed by sharing the same nodes with the teeth. One-dimensional beam elements consisting of 12 elements and 13 nodes were used to assemble the wire model. The size of applied wire in this study was 0.016×0.022 inches. Materials and Methods Tooth, PDL, and alveolar bone models A three-dimensional finite element model consisting of left mandibular second premolar, first molar, PDL, and alveolar bone, was constructed with 7,346 solid elements and 14,414 nodes, based on the anatomical Connection between bracket and wire models To represent the damping capacity of the wire, the connection between bracket and wire was constructed Buccal view a Wireless model Wire applied model Wire Distal Mesial Mesial Distal Bracket Periodontal ligament Alveolar bone Periodontal ligament Alveolar bone b Bracket Lateral view Wire Joint C element Spring element Dashpot element Fig. 1. a: On the left panel was an illustration of wire applied model; left mandibular second premolar and first molar with brackets and wire on the buccal surface, on the right panel was an illustration of wireless model; no wire and bracket application on the teeth, b: Illustration described the composition of wire applied model, joint C element was assembled between wire and bracket, which composed of dashpot and spring. DYNAMIC ANALYSIS ON OCCLUSAL FORCE TRANSMISSION IN ORTHODONTIC TREATMENT by a joint C element, which composed of linear spring and dashpot elements. The damping capacity of joint C was derived from the dashpot portion, which had a mechanism providing viscous energy dissipation property.3 Accordingly, joint C was assembled with six degrees of freedom on each tooth. The schematic described joint C model is shown in Figure1b. Dynamic analysis ABAQUS/Standard Ver. 6.3 (HKS, INC., Rhode Ireland, USA) was utilized for the dynamic finite element calculation, and FEMAP Ver 6.0 (Enterprise Software Products, INC., California, USA) was used to conduct pre- and post-processing of the models. The physical properties of the components in the model were considered to be isotropic and elastic materials, which were applicable since the material 4,5 parameters were based on their macro-behavior. The tooth was simplified as a homogeneous material.5 The Young’s modulus, Poisson’s ratio, and density of the components in the model, based on previous studies,6-13 are listed in Table 1. The boundary condition was set as fixed constraint on the basal portion of alveolar bone. Assuming one cycle of mastication, the loading condition of static force was applied on the occlusal surfaces of the teeth supposedly as an occlusal force, and the dynamic analytical calculation was performed over 30-ms time period. The loads, 30 N for premolar and 100 N for molar,14 were applied parallel to the long axis of the tooth models (the Z-axis), from time 0-5 ms (t0 - t5). Vibration on the wire was generated from occlusal load on the occlusal surface. To determine the coefficient of joint C corresponding to results from the wire-damping test that was reported in previous study,1 the reproduction of wire finite element model was performed. The analysis results of the ISW and SSW models are demonstrated in Figure 2a and 2b respectively. The damping coefficient of joint C in ISW and SSW applied models were 0.023 and 61 0.0085 Ns/ m, respectively, with the spring stiffness as 3.0×106 N/ m in both models. Stress on the PDL surface The von Mises stress on the PDL surface was observed. These data were extracted every 1 ms in 25ms analysis period (t5 - t30). For a better understanding, the results of the average stresses on the PDL in the models were compared quantitatively in 3 divided periods: (1) time t5 defined as the “load withdrawal point”; (2) interval t6-t8 defined as the “initial phase”; and (3) interval t8-t30 defined as the “late phase”. The statistical significant differences of stresses on elements between ISW applied, SSW applied, and wireless models were assessed with t-test by using SPSS statistical software (V.11.0 for Windows, SPSS Inc, Chicago, I11). a Displacement ( ) b Displacement ( ) ISW t (ms) SSW Table 1. Mechanical properties of the components in the model used in the present study were based on previous studies.6-13 t (ms) Fig. 2. a: A displacement graph showing the damping capacity of ISW finite element model, b: A displacement graph showing the damping capacity of SSW finite element model. 62 K. IRAMANEERAT, M. HISANO and K. SOMA J Med Dent Sci on the PDL compared between three models at time t6 are demonstrated in Figure 4a. Results Stress on the PDL surface 1. Total data in time period Figure 3a and 3b show the average amounts of stress on the entire PDL surface of premolar and molar respectively in wireless, ISW applied, and SSW applied models, extracted every 1 ms in 30-ms period of analysis from t5 to t30. As time progressed after t5, the amounts of stress on premolar and molar decreased in all models, however, the stress values were different on each extracted investigation point in time period. 4. Late phase (t8-t30) In the late phase, the average amount of stress in SSW applied model increased higher than that in the wireless and ISW applied models and maintained this higher level until t30. Since t10, our results showed that the average amounts of stress in the ISW applied model were not significantly different from those of the wireless model, t-test at P<0.05. The difference of average amounts of stress between ISW applied and wireless models was within the ranges of 0 to ±0.009 MPa on premolar and within the ranges of 0 to ±0.02 MPa on molar. At t15, the middle time point of the analysis period, the average amount of stress in SSW applied model was higher than the other two models. The average amounts of stress on the PDL compared between three models at time t15 are shown in Figure 4b. 2. Load withdrawal point (t5) The amounts of von Mises stress on PDL surface in ISW applied, SSW applied, and wireless models were of similar value. 3. Initial phase (t6-t8) In the initial phase, the average amount of stress in wireless model was higher than in the ISW applied and SSW applied models. The average amounts of stress b a Premolar Stress (MPa) Molar Stress (MPa) 0.7 0.7 Wireless model ISW model SSW model 0.6 0.6 0.5 0.5 0.4 0.4 0.3 0.3 0.2 0.2 0.1 0.1 0 5 10 15 20 Wireless model ISW model SSW model 0 25 30 5 10 15 20 25 t (ms) Initial phase (t6-t8) Load withdrawal point (t5) Late phase (t8-t30) Initial phase (t6-t8) Load withdrawal point (t5) 30 t (ms) Late phase (t8-t30) Fig. 3. a: Graph illustrated the average amounts of stress on the PDL of premolar in wireless, ISW, and SSW applied models from t5 to t30, b: Graph illustrated the average amounts of stress on the PDL of molar in wireless, ISW, and SSW applied models from t5 to t30. Both graphs were separated into three periods; load withdrawal point (t5), initial phase (t6-t8), and late phase (t8-t30). DYNAMIC ANALYSIS ON OCCLUSAL FORCE TRANSMISSION IN ORTHODONTIC TREATMENT Stress (MPa) Time t6 * * * * * * * P < 0.05 ISW model Wireless model Time t15 Stress (MPa) SSW model * * * * * P < 0.05 Wireless model ISW model SSW model Fig. 4. a: Graph demonstrated the average amounts of stress on the PDL of premolar and molar at time t6 (t-test at P < 0.05), b: Graph demonstrated the average amounts of stress on the PDL of premolar and molar at time t15 (t-test at P < 0.05). Discussion Stress transmission versus time period At load withdrawal point (t5), the von Mises stress on the PDL in ISW applied, SSW applied, and wireless models, were of similar value. However, during the initial phase (t6-t8), the average amounts of stress in wireless model were the highest, followed by ISW applied model and lowest in SSW applied model. This result was probably caused by the wire application on the buccal surface. It implied that the attached wire had an ability to absorb the occlusal force. Moreover, the influence from the stiffness of the wire caused the teeth in the wire applied model to return earlier to their original position and hence the amount of tooth displacement from the original position was of a lesser degree than in the wireless model. This caused the pattern of occlusal load transmission to the PDL to differ and the stress on the PDL was affected consequently. Furthermore, since the SSW was stiffer than the ISW, the average amount of stress on the PDL in the SSW applied model was found to be lesser than in the ISW 63 applied model. At the end of the initial phase, the average stress in all three models reached the same level. This implied that the stiffness of the wire became of less influence, while, alternatively, the remaining vibration on the wire, which was created by the occlusal load, started to show a more obvious influence to the stress alterative response on the PDL. In the late phase (t8-t30), the stress in SSW applied model turned out to be higher than the other two models. This implied that the remaining vibration on the SSW, due to its lower damping capacity, affected the stress alterative response on the PDL in the model. The ISW with higher damping capacity exhibited higher competence to buffer the transmission of force to the PDL. This result implied that in a clinical situation, different types of wire will result in differences in stress concentration in the PDL area and may therefore affect the incidence of root resorption during orthodontic movement. As there are many other contributing factors to the incidence of root resorption, our result may be one of relative factors of those aspects. Comparing ISW applied and wireless models since t10 until t30, the average amount of stress in the ISW applied model had a narrow difference range to the stress in the wireless model. This suggested that the ISW had a damping capacity to buffer the force transmission to the PDL. As a result, the stress pattern on PDL in the ISW applied model had a minute difference from that of the wireless model. This result corresponded to the previous study.15,16 They stated that the transmitted pulse through Ti-Ni alloy would be depressed, as compared with those through titanium and stainless steel which suggested that the loading stress to adjacent tissues could be decreased with the use of Ti-Ni alloy as component material in an implant system. The stress-decreasing patterns from t5 to t30 in Figure 3a and 3b, on premolar and molar respectively, were in wave-liked pattern that decreased from the higher stress level to almost 0 MPa at the end of analysis, which showed similar patterns to the previous study.17 Besides, the stress-decreasing pattern of premolar was different from the pattern of molar, which implied that the tooth configuration also affected the stress-decreasing pattern. The joint C elements were utilized in this study in order to generate and demonstrate the damping capacity of two types of wires. The joint C element provided the node on the wire to displace and rotate slightly with respect to the node on the bracket. The simplifi- 64 K. IRAMANEERAT, M. HISANO and K. SOMA cation of the connection between bracket and wire models was achieved, otherwise, the three-dimensional movement of the wire in the bracket slot space, which is a complicated movement, should be considered together in the model construction. In this study, only one time of static load supposedly as one stroke of mastication was applied on the occlusal surface. However in human body, several strokes of mastication continuously take place; therefore, the stress-decreasing pattern and the alteration of an amount of stress should be different, which is an interesting aspect to be investigated in the future study. When lighter forces are transmitted to the roots of the teeth, there is less patient discomfort and root resorption.18 The high damping capacity of ISW could contribute to previously mentioned properties. Therefore, in clinical application, the wire selection should be considered carefully, in order to use appropriate wire that will minimize unsatisfactory consequence in the orthodontic treatment. Advantage of dynamic analysis There are various static finite element studies performed to investigate the stress levels induced in the periodontal tissue by orthodontic forces. However, the use of dynamic finite element technique to evaluate the stress pattern was rarely performed. In this study, the dynamic finite element method provided a mathematical model that allowed quantification of the stress on the PDL over consecutive 30-ms period. In addition, the amount of stress in wireless model was different from those of ISW and SSW applied models as time progressed. These results implied that the application of dynamic finite element analysis had an advantage to clarify the difference of stress alterative response on the PDL against the occlusal force in progressed time period of these three models. The limitation of this study involved the approximations of material behaviors and tissue geometry. The tooth model was simplified as homogeneous, and the complicated modeling of the internal tooth structure was considered unnecessary. Further investigation in the condition that the teeth are crowded and activated by the wire during orthodontic treatment should be studied in the future. wireless, ISW applied and SSW applied models, the results showed that high damping capacity of ISW had an ability to buffer the transmission of occlusal force to the PDL. Furthermore, the dynamic analysis demonstrated its advantage over static analysis in clarifying the difference of stress alterative response in three models. Acknowledgments The authors would like to thank Dr. Kazuo Takakuda from Institute of Biomaterials and Bioengineering at Tokyo Medical and Dental University for his suggestions and helpful discussions toward this work. This study was financially supported by Grants-in-Aid for Scientific Research (14370688) from the Ministry of Education, Culture, Sports, Science and Technology of Japan. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Conclusion 11. 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