This paper is part of a larger study that aims to evaluate the biomechanical behaviour of mandibular bone and periodontal splinting systems subjected to different occlusal forces by means of electric resistive tensometry (ERT). The research was based on the following premise: the degree of bone resorption and periodontal type of splint influence the deformation of the mandibular bone. The study was conducted in two stages: first, the validation of the mandibular dental arch model, which is the subject of the present article, and second, the evaluation of mandibular bone strain in case of different types of bone loss and periodontal splints, which is the subject of a second article.
The study aimed to determine the prevalence of dental midline deviation in an orthodontic group of patients.The study was performed on 384 orthodontic patients (164 boys and 220 girls), between 6-23 years old. The data collected from orthodontic records were analysed according to the gender, age stages, environments areas, type of dentition and Angle Classes of malocclusions. All analyses were carried out using the SPSS. In the studied group the prevalence of dental midline deviation was 20.70%. The prevalence of dental midline deviation was increased in girls (12.24%), in patients over 12 years old (8.35%), from urban areas (14.32%), with mixed dentition (11.45%) and with Class I (11.20%) and II division 1 (6.25%) malocclusions. We founded statistically significant high correlations between dental midline deviation and age stages (p=0.028), type of dentition (p=0.001) and Angle classes of malocclusions (p=0.006). The dental midline deviation, commonly encountered in orthodontic practice, must be accurately diagnosed from the beginning of the treatment because the symmetry of the midlines is an essential criterion in achieving the aesthetic and functional objectives of the orthodontic treatment.
Simulating the biomechanical behavior of a reconstruction using the finite element analysis method is a modern method necessary before the practical stage of a research, thus enabling the precise shaping of certain trajectories in the approach of certain directions of practical applicability, as well as obtaining final results with relevant data (results coupled with experimental models that reiterate the clinical situation that will be later analyzed).
This paper is the second part of a study regarding the biomechanical behaviour of mandibular bone in the context of different periodontal splinting systems, occlusal forces and load distributions. Electric resistive tensometry method was used to measure the strains developed in mandibular bone replica. The tests were carried out on six mandibular acrylic models, each with 8 natural teeth. The experimental groups were defined corresponding to the bone condition and splint type: normal height bone; bone resorption without splint; bone resorption and wire-composite splint; bone resorption and polyethylene fiber-reinforced composite splint. Each sample was subjected to three similar loading cycles, the force being applied successively on four incisors, two central incisors and canines, and the specific deformation values were read for four loading forces: 30 N, 50 N, 100 N and 150 N. In case of bone loss, the bone deformations are up to 110%. Periodontal splinting redistribute forces, reducing incisors bone strains associated with a slight increase in canine bone strains.
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