Effect of thread depth and thread pitch on the primary stability of miniscrews receiving a torque load

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie(2021)

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摘要
Purpose We have been developing a new type of miniscrew to specifically withstand orthodontic torque load. This study aimed to investigate the effect of thread depth and thread pitch on the primary stability of these miniscrews if stressed with torque load. Methods Finite element analysis (FEA) was used to evaluate the primary stability of the miniscrews. For thread depth analysis, the thread depth was set to 0.1–0.4 mm to construct 7 models. For thread pitch analysis, the thread pitch was set to 0.4–1.0 mm to construct another 7 models. A torque load of 6 Nmm was applied to the miniscrew, and the other parameters were kept constant for the analyses. Maximum equivalent stress (Max EQV) of cortical bone and maximum displacement of the miniscrews (Max DM) were the indicators for primary stability of the miniscrew in the 14 models. Results In the thread depth analysis, Max DM increased as the miniscrew thread depth increased, while Max EQV was smallest in model 3 (thread depth = 0.2, Max EQV = 8.91 MPa). In the pitch analysis, with an increase of the thread pitch, Max DM generally exhibited a trend to increase, while Max EQV of cortical bone showed a general trend to decrease. Conclusion Considering the data of Max DM and Max EQV, the most appropriate thread depth and thread pitch of the miniscrews in our model was 0.2 and 0.7 mm, respectively. This knowledge may effectively improve the primary stability of newly developed miniscrews.
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关键词
Three-dimensional finite element analysis, Miniscrew anchorage failure, Implant stability, Bone stress analysis, Orthodontic treatment, Dreidimensionale Finite-Elemente-Analyse, Versagen der Minischraubenverankerung, Implantatstabilität, Analyse der Knochenspannung , Kieferorthopädische Behandlung
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