Strain generated in the TMJ with class II malocclusions, treated with extraction of premolars and orthodontics: analysis with the finite element method
DOI:
https://doi.org/10.17533/udea.rfo.v33n1a6Keywords:
Dental extraction, Malocclusion, Class II of Angle, Temporomandibular joint, Disc, Premolar, Finite alement analysisAbstract
Introduction: premolar extraction is an alternative for the treatment of class II malocclusion. A change in biomechanics can generate alterations in the Temporomandibular Joint (TMJ), which produces greater dental wear and the appearance of joint dysfunctions. The objective was to assess the effort concentration in the TMJ by means of finite element analysis in class II malocclusions treated with premolar extraction and orthodontics. Method: two 3D simulation models each with bone structures of the 2 jaws, complete dentition and disc in the TMJ. One corresponds to the patient without recurrence (WR) treated with extraction of first premolars and orthodontics, where class I dental stability is maintained. The other model with recurrence (R) treated with extraction of first premolars and orthodontics, increased overjet and overbite and canine class II; the load was applied to the mandibular ramus. Results: loads of 900N triplicated on all structures compared to 300N in both models. However, there were considerable differences between the left and right glenoid cavities in the WR model, at 300N of 19.9 MPa and 900N at 59.3 MPa. Most tensions of the disc occur in the lateral part. Conclusions: due to the asymmetry in the TMJ structures, the stresses and stress concentration differ between the right and left sides in the two models.
Downloads
References
Mohlin BO, Derweduwen K, Pilley R, Kingdon A, Shaw WC, Kenealy P. Malocclusion and temporomandibular disorder: a comparison of adolescents with moderate to severe dysfunction with those without signs and symptoms of temporomandibular disorder their further development to 30 years of age. Angle Orthod. 2004; 74(3): 319-27. DOI: https://doi.org/10.1043/0003-3219(2004)074%3C0319:matdco%3E2.0.co;2
Manns-Freese AE, Biotti-Picaño JL. Manual práctico de oclusión dentaria. 2da ed. Venezuela: Amolca; 2006.
Seben MP, Valarelli FP, Freitas KMS, Cançado RH, Neto ACB. Cephalometric changes in Class II division 1 patients treated with two maxillary premolars extraction. Dental Press J Orthod. 2013; 18(4): 61–9.
García-Fajardo C, Cacho-Casado A, Fonte-Trigo A, Pérez-Varela JC. La oclusión como factor etiopatológico en los trastornos temporomandibulares. RCOE. 2007; 12(1-2): 37-47.
Ortiz M, Lugo V. Maloclusión clase II división 1: etiopatogenia, características clínicas y alternativa de tratamiento con un configurador reverso sostenido II (CRS II). Revista Latinoamericana de Ortodoncia y Odontopediatría. 2006.
Luecke PE 3rd, Johnston LE Jr. The effect of maxillary first premolar extraction and incisor retraction on mandibular position: testing the central dogma of “functional orthodontics”. Am J Orthod Dentofacial Orthop. 1992; 101(1): 4-12. DOI: https://doi.org/10.1016/0889-5406(92)70075-l
Gianelly AA, Hughes HM, Wohlgemuth P, Gildea G. Condylar position and extraction treatment. Am J Orthod Dentofacial Orthop. 1988; 93(3): 428-32. DOI: https://doi.org/10.1016/s0889-5406(88)80004-0
Ortega ACBA, Pozza DH, Rodrigues LLFR, Guimarães AS. Relationship between orthodontics and temporomandibular disorders: a prospective study. J Oral Facial Pain Headache. 2016; 30(2): 134-8. DOI: https://doi.org/10.11607/ofph.1574
Witzig JW, Spahl TJ. The clinical management of basic maxillofacial orthopedic appliances. United States: PSG Publishing; 1987.
Stanković S, Vlajković S, Bošković M, Radenković G, Antić V, Jevremović D. Morphological and biomechanical features of the temporomandibular joint disc: an overview of recent findings. Arch Oral Biol. 2013; 58(10): 1475-82. DOI: https://doi.org/10.101 /j.archoralbio.2013.06.014
Kogawa EM, Calderon PS, Laurus JRP, Araujo CRP, Conti PCR. Evaluation of maximal bite force in temporomandibular disorders patients. J Oral Rehabil. 2006; 33(8): 559-65. DOI: https://doi.org/10.1111/j.1365-2842.2006.01619.x
Maniewicz-Wins SM, Antonarakis GS, Kiliaridis S. Predictive factors of sagittal stability after treatment of Class II malocclusions. Angle Orthod. 2016; 86(6): 1033-41. DOI: https://doi.org/10.2319/052415-350.1
Balanzategui-Colina S, De La Cruz-Vigo S, De la cruz-Pérez J. Recidiva en ortodoncia: el apiñamiento anteroinferior postratamiento. Científica Dent. 2007; 4(2): 145–51.
Escobar-Parada LH. Estabilidad a largo plazo del tratamiento de ortodoncia. Madrid: Maxillaries; 2015.
Al Yami EA, Kuijpers-Jagtman AM, van ‘t Hof MA. Stability of orthodontic treatment outcome: follow-up until 10 years postretention. Am J Orthod Dentofacial Orthop. 1999; 115(3): 300–4. DOI: https://doi.org/10.1016/s0889-5406(99)70333-1
Wheeler TT, Mc Gorray SP, Dolce C, Taylor MG, King GJ. Effectiveness of early treatment of Class II malocclusion. Am J Orthod Dentofacial Orthop. 2002; 121(1): 9-17. DOI: https://doi.org/10.1067/mod.2002.120159
Janson G, Araki J, Camardella LT. Posttreatment stability in class II nonextraction and maxillary premolar extraction protocols. Orthodontics (Chic). 2012; 13(1): 12-21.
Pereira-Cenci T, Pereira LJ, Cenci MS, Bonachela WC, Del Bel Cury AA. Maximal bite force and its association with temporomandibular disorders. Braz Dent J. 2007; 18(1): 65-8. DOI: https://doi.org/10.1590/s0103-64402007000100014
Bakke M. Bite force and occlusion. Semin Orthod. 2018; 12(2):120–6. DOI: http://dx.doi.org/10.1053/j.sodo.2006.01.005
Pérez- del Palomar A, Cegoñino J, López-Arranz J, de Vicente JL, Doblaré M. Simulación por elementos finitos de la articulación temporomandibular. Biomecánica. 2003; 11: 10–22.
Merdji A, Bachir-Bouiadjra B, Achour T, Feng ZO, Serier B, Ould-Chikh B. Stress analysis in dental prosthesis. Computational Materials Science. 2010; 49(1): 126-33. DOI: http://dx.doi.org/10.1016%2Fj.commatsci.2010.04.035
Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I et al. Anatomy of the temporomandibular joint. Semin Ultrasound CT MR. 2007;28(3): 170-83. DOI: https://doi.org/10.1053/j.sult.2007.02.002
Nickel JC, Iwasaki LR, Gonzalez YM, Gallo LM, Yao H. Mechanobehavior and ontogenesis of the temporomandibular joint. J Dent Res. 2018; 97(11): 1185-92. DOI: https://doi.org/10.1177/0022034518786469
Teng SY, Xu YH. Biomechanical properties and collagen fiber orientation of TMJ discs in dogs: part 1. Gross anatomy and collagen fiber orientation of the discs. J Craniomandibular Disord. Facial Oral Pain. 1991; 5(1): 28-34.
Beatty MW, Bruno MJ, Iwasaki LR, Nickel JC. Strain rate dependent orthotropic properties of pristine and impulsively loaded porcine temporomandibular joint disk. J Biomed Mater Res. 2001; 57(1): 25-34. DOI: https://doi.org/10.1002/1097-4636(200110)57:1%3C25::aid-jbm1137%3E3.0.co;2-h
Lai L, Huang C, Zhou F, Xia F, Xiong G. Finite elements analysis of the temporomandibular joint disc in patients with intra-articular disorders. BMC Oral Health. 2020; 2(1): 93. DOI: https://doi.org/10.1186/s12903-020-01074-x
Nickel JC, Iwasaki LR, Beatty MW, Marx DB. Laboratory stresses and tractional forces on the TMJ disc surface. J Dent Res. 2004; 83(8): 650–4. DOI: https://doi.org/10.1177/154405910408300813
Quijano-Blanco Y. Anatomía clínica de la articulación temporomandibular (ATM). Morfolia. 2011; 3(4): 24-33.
Alonso AA, Albertini JS, Bechelli AH. Oclusión y diagnóstico en rehabilitación oral. Buenos Aires: Bogotá Editorial Médica Panamericana; 2005.
Okeson J. Tratamiento de Oclusión y afecciones temporomandibulares. 6ª ed. Barcelona: Elsevier Mosby: 2008.
Singh M, Detamore MS. Biomechanical properties of the mandibular condylar cartilage and their relevance to the TMJ disc. J Biomech. 2009; 42(4): 405-17. DOI: https://doi.org/10.1016/j.jbiomech.2008.12.012
Ingawalé S, Goswami T. Temporomandibular joint: disorders, treatments, and biomechanics. Ann Biomed Eng. 2009; 37(5): 976-96. DOI: https://doi.org/10.1007/s10439-009-9659-4
Pramanik F, Firman RN, Sam B. Difference of temporomandibular joint condyle with and without clicking using digital panoramic radiograph. Padjajaran Journal of Dentistry. 2017; 29(2): 153-8.
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
