Influence of the hyrax expander screw position on displacement and stress distribution in teeth: A study with finite elements.

This study aimed to simulate the different positions of the hyrax appliance expander screw and evaluate tooth displacement and the stress distribution standard on the periodontal ligament using the finite element method. Part of the maxilla with anchorage teeth, periodontal ligament, midpalatal suture, and the hyrax appliance was modeled, and finite element method models were created to simulate 6 different screw positions. There were 2 vertical positions at distances of 20 mm and 15 mm from the occlusal plane. Another position was anteroposterior, the center of the screw placed between and equidistant from the mesial face of the first molar and the distal face of the first premolar, aligned to the center of the crown of the first molar, with the anterior edge of the screw aligned to the distal face of the first molar. A 1 mm activation of the expander screw was simulated. The displacement (total, vertical, and buccolingual) and the stress distribution on the periodontal ligament of supporting teeth in each model were registered. The model simulating the expander screw in a more occlusal and anterior position presented higher displacement values and higher stress concentration, followed by the model with the screw in a more posterior but same vertical position. With the exception of the first premolar, the teeth presented cervical-apical displacement in the vestibular face and apical-cervical displacement in palatal faces. This displacement is compatible with the vestibular inclination associated with the activation of the expander screw. The first premolar presented an atypical tendency for the mesial and lingual displacement of the vestibular surface and counterclockwise rotation. The supporting teeth presented a tendency for vestibular crown displacement and lingual root displacement associated with compression areas in the vestibular-cervical region and tensile strength in the linguoapical region. Placing the expander screw in a more occlusal and anterior position generated more mechanical stress transfer, resulting in greater dental displacement.

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