Safe rebuilding of the periodontal loss an experimental study

Abstract

Abstract. This study aimed at the simulation of bone tissue remodeling within a bone defect with the utilization of the finite element method (FEM), enabling -via elaborated application -objective evaluation of orthodontic forces which positively influence periodontium in vivo. The initial position of each bracket on the passive archwire was registered, and then a geometrical and discretemodel of the appliance was created automatically. Assessment of the dental scans obtained using cone beam computed tomography (CBCT) allowed evaluation of the range of bracket displacement: from the initial position to the final one achieved on the active archwire. Those displacements established terminal conditions in the finite element analysis, enabling calculation of orthodontic force levels. An individual design of a tooth with periodontal ligaments and the periodontal defect subsequently loaded with the determined forces allowed simulation of bone remodeling according to Carters adaptation process. Mainly, the bone apposition processes took place in the central part of the periodontal defect, in proximity of the alveolar ridge. However, FEM application in the analysis of bone tissue regeneration within bone defects enables precise evaluation of the achieved changes, therefore allows determination of orthodontic forces positively influencing periodontium in vivo.