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Comparative Evaluation of Effects of Different Corticotomy Designs on Velocity of Upper Canine Retraction: A Finite Element Study

Abstract Purpose: Understanding the effects of different corticotomy designs on the velocity of maxillary canine retraction. Materials and Method: The 3-dimensional model of maxillary dentition was constructed and 3 corticotomy designs were compared with the conventional approach of canine retraction. 4 models were constructed for the present study: 1 with no corticotomy cuts (model 1), 1 with vertical cuts on both buccal and palatal side (model 2), other with cuts only on buccal side (model 3), and 1 with circular holes (model 4). Stress intensity and force distribution were evaluated after applying 150 gm of orthodontic forces on maxillary canine. Results: Models with corticotomy approaches exhibited approximately twice the displacement when compared with conventional noncorticotomy procedure. The stresses were mainly concentrated on the distal side of the canine in all the models. The rate of canine retraction was the highest in model with buccal and palatal corticotomy compared to other designs. Conclusions: Corticotomies help orthodontists to alter the biomechanical responses of dentoalveolar structures during maxillary canine retraction and accelerate tooth movement. Clinically, buccal corticotomy is a better choice for the patients as it is less traumatic and more acceptable to patients.