Two different methods for vertical mandibular third molar extraction:A finite element analysis
10.13591/j.cnki.kqyx.2025.11.006
- VernacularTitle:两种不同方法拔除下颌垂直第三磨牙的三维有限元分析
- Author:
Jingyi LIU
1
;
Yuchi ZHU
1
;
Shengjun YANG
1
;
Yuan SI
1
;
Dongmiao WANG
1
Author Information
1. 南京医科大学附属口腔医院口腔颌面外科,江苏南京(210029);口腔疾病研究与防治国家级重点实验室培育建设点,江苏南京(210029);江苏省口腔转化医学工程研究中心,江苏南京(210029)
- Publication Type:Journal Article
- Keywords:
finite element analysis;
mandibular third molar;
biomechanics
- From:
STOMATOLOGY
2025;45(11):832-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the biomechanical characteristics of small-angle rotation force versus traditional buccal-lingual force in the extraction of vertically impacted mandibular third molars with single conical roots by a three-dimensional finite element analysis.Methods A patient with a vertical mandibular third molar featuring a conical single root was selected.Spiral CT data were acquired and three-dimensional finite element analysis models were constructed using software including MIMICS,Geomagic Wrap,and Solidworks.ANSYS was utilized to simulate both the small-angle rotation and buccal-lingual forces for tooth extraction.Comparative an-alyses of the biomechanical characteristics of these two forces were conducted by measuring Von-Mises stress and strain distribution.Results In the small-anglerotation force,high-stress and strain areas of tooth,periodontal ligament,and alveolar bone were predomi-nantly concentrated at the cervical region and the upper half of the root,with a more uniform distribution and a broader horizontal diffu-sion range compared to the vertical diffusion range.In the buccal-lingual force,high-stress and strain areas were primarily located at the cervical region and the lower half of the root,particularly at the apical area,with a broader vertical diffusion range compared to the hor-izontal diffusion range.The lingual cortical plate and alveolar bone experienced significantly lower stress in the small-angle rotation force than that in the buccal-lingual force.The overall stress values within the periodontal ligament were markedly higher in the small-angle rotation force,with a more uniform distribution.Conclusion The small-angle rotation force is more likely to tear the periodontal liga-ment and reduce trauma associated with tooth extraction compared to the buccal-lingual force in surgical extraction of vertically impacted mandibular third molars with single conical roots.
