The ideal insertion angle after immediate loading in Jeil, Storm, and Thunder miniscrews: A 3D-FEM study.

OBJECTIVE: The miniscrew is effectively used to provide additional anchorage for orthodontic purposes. The aim of this study was to identify an optimal insertion angle for Jeil, Storm, and Thunder miniscrews on stress distribution at the bone miniscrew interface. MATERIALS AND METHODS: To perform 3-dimensional finite element model analysis, a 3-dimensional model with a bone block was constructed with type D2 of bone quality, and with miniscrews of Storm, Thunder, Jeil, with the diameter of 2, 1.5. 1.6mm and length 15.9, 12.4, 14.4mm respectively. The miniscrews were inserted at 15 degrees 30 degrees , 45 degrees , 60 degrees , 75 degrees and 90 degrees to the bone surface. A simulated horizontal orthodontic force of 200 gram was applied to the centre of the miniscrews head in all models, and stress distribution and its magnitude were evaluated with a 3-dimensional finite element analysis program. RESULTS: In the cancellous bone, minimum stress was found at placement angles of 90 degrees for Jeil and Storm, which was 0.37 and 0.39MPa respectively, and 15 degrees for Thunder, which was 0.85MPa. The maximum von Mises stresses in the cancellous bone for Jeil was at 60 degrees , which was 0.92MPa, and for Thunder at 90 degrees , which was 1.3MPa. CONCLUSION: Each miniscrew has an ideal insertion angle, optimal insertion positions were found within 90 degrees for Jeil and for Storm but 15 degrees for Thunder. Clinical significance 3-dimensional finite element analysis confirmed that each miniscrew has an ideal insertion angle according to its characteristics.