Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time

The aim of this study was to analyze the biomechanical effects of a conventional molar uprighting spring on a mesially tilted mandibular second molar through a novel iterative finite element (FE) approach in order to estimate clinical treatment duration. A new model was developed utilizing data from...

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Main Authors: Lama A. AlKahlan, Naif A. Bindayel, Abdelhafid M. Mallek, Mohamed Z. Bendjaballah
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/12/6463
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author Lama A. AlKahlan
Naif A. Bindayel
Abdelhafid M. Mallek
Mohamed Z. Bendjaballah
author_facet Lama A. AlKahlan
Naif A. Bindayel
Abdelhafid M. Mallek
Mohamed Z. Bendjaballah
author_sort Lama A. AlKahlan
collection DOAJ
description The aim of this study was to analyze the biomechanical effects of a conventional molar uprighting spring on a mesially tilted mandibular second molar through a novel iterative finite element (FE) approach in order to estimate clinical treatment duration. A new model was developed utilizing data from previous canine retraction experimental studies to aid in correlating each individual FE iteration with its real-time value. Another model consisting of a 30° mesially titled mandibular second molar and a conventional molar uprighting spring was developed to evaluate kinetic and kinematic responses. The iterative FE simulation of the treatment was then carried out. The molar uprighting simulation was completed in 180 iterations, which was equivalent to almost 12 weeks of clinical treatment time. The average stress-normalized bone remodeling velocity was found to be ~0.9 μm/(KPa·day). During the simulation, the spring initially produced a 15 N·mm (∼1530 g·mm) counterclockwise moment responsible for molar uprighting. The mandibular second molar showed 3.75 mm of distal movement, 2.15 mm of vertical extrusion, and a 22° counterclockwise rotation at the end of the treatment. This study provides a foundation for the future estimation of biomechanical responses as a function of treatment time in various orthodontic applications using iterative FE simulations.
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publishDate 2025-06-01
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series Applied Sciences
spelling doaj-art-d9540ef20d0e4cf4a8276f2cdf4d760f2025-08-20T03:27:07ZengMDPI AGApplied Sciences2076-34172025-06-011512646310.3390/app15126463Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment TimeLama A. AlKahlan0Naif A. Bindayel1Abdelhafid M. Mallek2Mohamed Z. Bendjaballah3Department of Pediatric Dentistry and Orthodontics, Division of Orthodontics College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaDepartment of Pediatric Dentistry and Orthodontics, Division of Orthodontics College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaFaculty of Medicine, Djillali Liabès University, Sidi Bel Abbes 22000, AlgeriaBiomedical Technology Department, College of Applied Medical Sciences, King Saud University, Riyadh 12372, Saudi ArabiaThe aim of this study was to analyze the biomechanical effects of a conventional molar uprighting spring on a mesially tilted mandibular second molar through a novel iterative finite element (FE) approach in order to estimate clinical treatment duration. A new model was developed utilizing data from previous canine retraction experimental studies to aid in correlating each individual FE iteration with its real-time value. Another model consisting of a 30° mesially titled mandibular second molar and a conventional molar uprighting spring was developed to evaluate kinetic and kinematic responses. The iterative FE simulation of the treatment was then carried out. The molar uprighting simulation was completed in 180 iterations, which was equivalent to almost 12 weeks of clinical treatment time. The average stress-normalized bone remodeling velocity was found to be ~0.9 μm/(KPa·day). During the simulation, the spring initially produced a 15 N·mm (∼1530 g·mm) counterclockwise moment responsible for molar uprighting. The mandibular second molar showed 3.75 mm of distal movement, 2.15 mm of vertical extrusion, and a 22° counterclockwise rotation at the end of the treatment. This study provides a foundation for the future estimation of biomechanical responses as a function of treatment time in various orthodontic applications using iterative FE simulations.https://www.mdpi.com/2076-3417/15/12/6463mesially tilted molarconventional uprighting springorthodonticsbiomechanicstooth movement ratebone remodeling velocity
spellingShingle Lama A. AlKahlan
Naif A. Bindayel
Abdelhafid M. Mallek
Mohamed Z. Bendjaballah
Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time
Applied Sciences
mesially tilted molar
conventional uprighting spring
orthodontics
biomechanics
tooth movement rate
bone remodeling velocity
title Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time
title_full Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time
title_fullStr Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time
title_full_unstemmed Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time
title_short Extensive Iterative Finite Element Analysis of Molar Uprighting with the Introduction of a Novel Method for Estimating Clinical Treatment Time
title_sort extensive iterative finite element analysis of molar uprighting with the introduction of a novel method for estimating clinical treatment time
topic mesially tilted molar
conventional uprighting spring
orthodontics
biomechanics
tooth movement rate
bone remodeling velocity
url https://www.mdpi.com/2076-3417/15/12/6463
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AT abdelhafidmmallek extensiveiterativefiniteelementanalysisofmolaruprightingwiththeintroductionofanovelmethodforestimatingclinicaltreatmenttime
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