Instructor, School of Dentistry, National Taiwan University, Taipei, Taiwan.
Associate professor, School of Dentistry, National Taiwan University, Taipei, Taiwan.
Am J Orthod Dentofacial Orthop. 2012 Mar;141(3):279-288. doi: 10.1016/j.ajodo.2011.09.008.
The primary stability of a mini-implant is critical, since most orthodontic mini-implant failures occur at an early stage. As orthodontic mini-implants have restrictions in diameter and length, an optimal design of the shape is important for sufficient primary stability. The purpose of this study was to investigate the influence of various mini-implants design factors, including thread depth, degree of taper, and taper length on insertion torque, pullout strength, stiffness, and screw displacement before failure.
Finite element analyses were conducted first for identification of optimal design parameters. Four types of mini-implants with different design parameters were then custom manufactured and tested mechanically. All mechanical tests were performed in artificial bone with homogenous density to remove the variability associated with bone.
Finite element results showed that, for mini-implants with a fixed external diameter of 2 mm, a thread length of 9.82 mm, and a pitch of 0.75 mm, those with greater thread depths, smaller taper degrees, and shorter taper lengths generated higher maximum stresses on the bone and thread elements. These mini-implants also had larger relative displacements. Maximum pullout resistance was attained with a core/external diameter ratio of 0.68. All mechanical results were compatible with the findings in the finite element analyses.
Modification of the mini-implant design can substantially affect the mechanical properties. The finite element method is an effective tool to identify optimal design parameters and allow for improved mini-implant designs.
微型种植体的初期稳定性至关重要,因为大多数正畸微型种植体的失败都发生在早期。由于正畸微型种植体在直径和长度上受到限制,因此形状的最佳设计对于足够的初期稳定性很重要。本研究的目的是研究各种微型种植体设计因素(包括螺纹深度、锥度和锥度长度)对植入扭矩、拔出强度、刚度和失效前螺钉位移的影响。
首先进行有限元分析以确定最佳设计参数。然后定制并机械测试了具有不同设计参数的四种类型的微型种植体。所有机械测试均在具有均匀密度的人工骨中进行,以消除与骨相关的可变性。
有限元结果表明,对于固定外径为 2 毫米、螺纹长度为 9.82 毫米、螺距为 0.75 毫米的微型种植体,具有较大螺纹深度、较小锥度和较短锥度的微型种植体在骨和螺纹元素上产生更高的最大应力。这些微型种植体也具有更大的相对位移。最大拔出阻力出现在芯/外径比为 0.68 时。所有机械结果都与有限元分析的结果一致。
微型种植体设计的修改可以极大地影响机械性能。有限元法是一种有效的工具,可以确定最佳设计参数并允许改进微型种植体设计。