{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:31:23Z","timestamp":1759336283901,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This finite element analysis (FEA) aimed to assess the stress distribution in the mandible and fixation system with various directions of the intermaxillary fixation (IMF) using mini\u2010implants (MIs) and elastics following mandibular advancement with a bilateral sagittal split ramus osteotomy (BSSRO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A total of nine mandibular advancement models were set according to the position of the MIs (1.6\u2009mm in diameter, 8\u2009mm in length) and direction of the IMF elastics (1\/4 inch, 5\u2009oz). Major and minor principal stresses in the cortical and cancellous bones, von Mises stresses in the fixation system (miniplate and monocortical screws), and bending angles of the miniplate were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compressive and tensile stress distributions in the mandible and von Mises stress distributions in the fixation system were greater in models with a Class III IMF elastic direction and a higher IMF elastic force than in models with a Class II IMF elastic direction and a lower IMF elastic force. The bending angle of the miniplate was negligible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stress distributions in the bone and fixation system varied depending on the direction, amount of force, and position of IMF elastics and MIs. Conclusively, IMF elastics in the Class II direction with minimal load in the area close to the osteotomy site should be recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12698","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T07:29:11Z","timestamp":1690442951000},"page":"102-109","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A finite element analysis of stress distribution with various directions of intermaxillary fixation using orthodontic mini\u2010implants and elastics following mandibular advancement with a bilateral sagittal split ramus osteotomy"],"prefix":"10.1111","volume":"27","author":[{"given":"Mi\u2010Young","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthodontics Seoul National University Gwan\u2010ak Dental Hospital  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3134-6878","authenticated-orcid":false,"given":"Jae Hyun","family":"Park","sequence":"additional","affiliation":[{"name":"Postgraduate Orthodontic Program, Arizona School of Dentistry and Oral Health A.T. Still University  Mesa Arizona USA"},{"name":"Graduate School of Dentistry Kyung Hee University  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung\u2010Jin","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, GangNam CHA Hospital CHA University School of Medicine  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na\u2010Young","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, School of Dentistry University of Wonkwang, Wonkwang Dental Research Institute  Iksan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4594-6409","authenticated-orcid":false,"given":"Jong\u2010Moon","family":"Chae","sequence":"additional","affiliation":[{"name":"Postgraduate Orthodontic Program, Arizona School of Dentistry and Oral Health A.T. 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