Title
New highlights on effects of rapid palatal expansion on the skull base: a finite element analysis study
Date Issued
01 January 2021
Access level
open access
Resource Type
journal article
Author(s)
Kemmoku D.T.
Noritomi P.Y.
Fernandes L.Q.P.
Capelli Junior J.
Quintão C.
Publisher(s)
Dental Press International
Abstract
Objective: The objective of this study was to evaluate the effect of the rapid palatal expansion (RPE) on the pterygoid process (PP), spheno-occipital synchondrosis (SOS) and sella turcica (ST) in the skull of a patient with transversal maxillary collapse, and identify the distribution of mechanical stresses and displacement, by finite element analysis (FEA). Methods: Cone-beam computed tomography (CBCT) was em-ployed to examine the skull of a patient in this study. The patient was a 13-year-old boy, with Class II skeletal relationship due to transverse atresia and maxillary protrusion. The com-puter-aided design (CAD) geometry of skull was imported into the SimLab v. 13.1 software, to build the finite element mesh. For the simulation, a displacement of 1 mm, 3 mm and 5 mm in a transverse direction was defined at the midpalatal suture, thereby representing the RPE. For the analysis of results, maximum principal stress (MPS) and displacements were evaluated by identifying different nodes, which were represented by the points as per the areas of interest in the study. Results: In MPS, the maximum tensile stress was found at point 2 (366.50 MPa) and point 3 (271.50 Mpa). The maximum compressive stress was found at point 8 (-5.84 Mpa). The higher displacements in the transversal plane and the lateral segment were located at point 1 (2.212 mm), point 2 (0.903 mm) and point 3 (0.238 mm). Conclusions: RPE has a direct effect on PP, SOS and ST in the Class II model skeletal relationship with a transversal maxillary collapse. PP supported a higher tensile stress and displacement.
Volume
26
Issue
6
Language
English
OCDE Knowledge area
Odontología, Cirugía oral, Medicina oral
Subjects
Scopus EID
2-s2.0-85123025132
PubMed ID
Source
Dental Press Journal of Orthodontics
ISSN of the container
21769451
Sponsor(s)
The authors are thanks to “Renato Archer’s 阀nformation Technology Center” (Campinas, São Paulo, Brazil) and Piracicaba Dental School (State University of Campinas, Piracicaba, São Paulo, Brazil) for support. This article was supported in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brazil (CAPES) – [Finance Code 001] and by the Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ).
Sources of information:
Directorio de Producción Científica
Scopus