Evaluation of Miniscrew Stability in Posterior Teeth Intrusion—A Three-Dimensional Finite Element Analysis


Khalil K. O. B., TANER R. L., Dinçer K. M., Özdiler O.

Applied Sciences (Switzerland), cilt.16, sa.4, 2026 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 4
  • Basım Tarihi: 2026
  • Doi Numarası: 10.3390/app16041783
  • Dergi Adı: Applied Sciences (Switzerland)
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Compendex, INSPEC, Directory of Open Access Journals
  • Anahtar Kelimeler: FEA, orthodontic mini-implants, posterior intrusion, stress distribution
  • Gazi Üniversitesi Adresli: Evet

Özet

This Finite Element Analysis (FEA) study examined the stability of Polyetheretherketone (PEEK) miniscrews and tissue response in the posterior maxilla under varying angulations. A Cone beam computed tomography (CBCT)-derived three-dimensional model of the fully dentate maxilla was generated, featuring anatomical structures (teeth, periodontal ligament (PDL), alveolar bone) and orthodontic components (brackets, transpalatal arch, archwires). PEEK miniscrews were positioned bilaterally in the regions of the second premolar-first molar and first molar-second molar. A force of 100 g was applied perpendicular to the archwire. Four insertion angulations (45°, 70°, 90°, and 110°) were simulated. FEA revealed a consistent posterior displacement pattern: crowns tipped distally and buccally, while roots moved mesially, with intrusion. The first molar’s PDL peaked at 110°. Cortical bone stress was greatest in molars (1.41 × 105 Pa at 70–110°). Cancellous bone stress peaked under 70° loading in the second molar (1.25 × 105 Pa). PEEK miniscrews exhibited minimal deformation and low interfacial stress, confirming stable anchorage across all angles. Posterior PEEK miniscrews demonstrated excellent stability across all insertion angles, with 70° providing optimal biomechanical efficiency for intrusion. The first molar’s PDL experienced the highest stress concentrations at extreme angles. These findings offer clinical guidance for miniscrew placement to achieve effective intrusion while maintaining tissue safety.