Where is the center of resistance of a maxillary first molar? A 3-dimensional finite element analysis.

Introduction: The center of resistance (C) is regarded as the fundamental reference point for predictable tooth movement. Accurate estimation can greatly enhance the efficiency of orthodontic tooth movement. Only a handful of studies have evaluated the C of a maxillary first molar; however, most had a low sample size (in single digits), used idealized models, or involved 2-dimensional analysis.

A Finite Element Approach for Locating the Center of Resistance of Maxillary Teeth.

The center of resistance (CRES) is regarded as the fundamental reference point for predictable tooth movement. The methods used to estimate the CRES of teeth range from traditional radiographic and physical measurements to in vitro analysis on models or cadaver specimens. Techniques involving finite element analysis of high-dose micro-CT scans of models and single teeth have shown a lot of promise, but little has been done with newer, low-dose, and low resolution cone beam computed tomography (CBCT) images.