Introduction
The aim of this study was to evaluate the biomechanical effect of rapid maxillary
expansion (RME) on the craniofacial complex by using a three-dimensional finite element
model (FEM) of the craniofacial skeleton. The construction of the three-dimensional FEM
was based on computer tomography (CT) scans of the skull of a 12-year-old male subject.
The CT pictures were digitized and converted to the finite element model by means of a
procedure developed for the present study. The final mesh consisted of 2270 thick shell
elements with 2120 nodes. The mechanical response in terms of displacement and von
Mises stresses was determined by expanding the maxilla up to 5 mm on both sides. Viewed
occlusally, the two halves of the maxilla were separated almost in a parallel manner during
1-, 3-, and 5-mm expansions. The greatest widening was observed in the dento-alveolar
areas, and gradually decreased through the superior structures. The width of the nasal cavity
at the floor of the nose increased markedly. However, the postero-superior part of the nasal
cavity was moved slightly medially. No displacement was observed in the parietal, frontal
and occipital bones. High stress levels were observed in the canine and molar regions of
the maxilla, lateral wall of the inferior nasal cavity, zygomatic and nasal bones, with the
highest stress concentration at the pterygoid plates of the sphenoid bone in the region
close to the cranial base.
SUMMARY
348
IlASKEHT TOHOGRAF 1
10:
0tUl AKPlllAR
S TUllY: iIlDIl
COHT: 0
24-o(C-91
20:05 :03
10
c
Figure 1 Basic steps of generating the finite element
model of the cranium: (a) Sample slices obtained by computer tomography. (b) Geometric lines generated by using
geometric points assigned along the midline of the skull
bone. (c) Geometric surfaces generated from geometric
lines.
H. ISERI ET AL.
349
350
H. ISERI ET AL.
Table 1 Displacementsand stress distributions with5 mm of RME (x, y and z represent displacementsin the
transversal, sagittal and vertical planes, respectively).
Structure under analysis
5
5
4.99
4.99
4.91
4.9
4.8
4.9
4.8
1.4
3.9
3.3
0.6
4.8
4.8
-0.3
1.6
0.3
0.03
0.0001
0.1
-0.002
1.4
1.4
2.1
2.1
2.0
2.1
2.1
1.8
2.1
1.6
1.6
0.7
-0.04
2.1
2.1
0.2
0.04
-1.2
-0.2
-0.05
0.08
-0.02
1.4
0.8
1.2
1.1
0.4
1.1
0.2
0.04
0.01
0.7
0.4
-0.4
-0.2
1.1
0.02
1.1
-0.3
1.1
0.5
0.02
-0.4
0.02
Max.
v. Mises stress
(kg/rum')
0.72
2.09
2.29
18.82
15.72
2.09
0.96
6.20
26.95
73.75
41.25
4.28
0.44
30.79
4.95
12.28
14.06
16.29
2.65
0.07
11.59
0.50
Displacement (mm)
351
~x
z
.y
I
ps
12
1
;0
:3
f+Y
I
f+Y
1
;0
12
I'
12
1
;0
r
I
:'
12
1
1
0
Figure4 (a) Total, (b) transversal, (c) sagittal, and (d) vertical computed displacement field of the skeletal structures in the
craniofacial complex with 5 mm of RME. Red coloured areas represent the structures displaced at least 3 mm.
352
H. ISERI ET AL.
Kglmm
~ 20
15
10
5
0
353
a
0.4
III
0-
::e
EllPresent Study I
D Tanne et al.
.5 0.3
til
til
l-
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0.2
iij
Q.
'u
.5
I--
~
III
::e
0.1
)(
I-
c-
c-
Illl
234
5
678
Reference Points on Superior Ridge of Nasal Fossa
b
0.006
St~1
E
mPresent
E
.5 0.004 -------j DTanne et al.
1
'E
GI
~ 0.002
o
Q.
III
til
~c:
~-0.002
o
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.=- :l
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-30
--
I-~--
f-----
30
60
90
--
-0.004
Force Direction in Degrees
354
H. ISERI ET AL.
Conclusions
Haluk Iseri
Ankara Universitesi
Di~ Hekimligi Fakiiltesi
Ortodonti Anabilim Dah
Besevler
Ankara 06500
Turkey
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