Finite element analysis of low-profile reconstruction plates for atrophic mandibles: a comparison of novel 3D grid and conventional plate designs

被引:1
作者
Guerra, Raphael Capelli [1 ]
Borim Pulino, Bianca de Fatima [2 ]
Salomao Junior, Vitor Floriano [3 ]
Pereira, Rodrigo dos Santos [4 ]
Thieringer, Florian M. [5 ]
Sacco, Roberto [6 ]
Sader, Robert [7 ]
Vieira, Eduardo Hochuli [8 ]
机构
[1] Sao Paulo State Univ Araraquara UNESP, Sao Paulo Metodista Univ, Hosp Sirio Libanes, Res & Educ Inst,DASA Leforte Group, Sao Paulo, Brazil
[2] Sao Paulo State Univ Aracatuba, Sao Paulo Metodista Univ, Hosp Sirio Libanes, Res & Educ Inst,DASA Leforte Group, Praca Francisco Manuel, 72, BR-01541020 Sao Paulo, Brazil
[3] Univ Ctr, Claretian, Rio Claro, Brazil
[4] UNIGRANRIO, Rio De Janeiro, Brazil
[5] Univ Hosp Basel, Basel, Switzerland
[6] Univ Manchester, Sch Med Sci, Oral Surg Dept, Div Dent, London, England
[7] Goethe Univ Frankfurt, Klinikum Johann Wolfgang Goethe, Frankfurt, Hessen, Germany
[8] Sao Paulo State Univ, Hosp Sirio Libanes, Res & Educ Inst, DASA Leforte Group, Araraquara, Brazil
来源
ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG | 2024年 / 28卷 / 02期
关键词
Mandible; Mandible fixation technique; Edentulous mandible; Finite element analysis; Mandibular reconstructions; MANDIBULAR RECONSTRUCTION; BIOMECHANICAL ANALYSIS; FIXATION; ADVANCEMENT; MANAGEMENT; FRACTURES; STABILITY; IMPLANTS; MODEL;
D O I
10.1007/s10006-023-01173-3
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
ObjectivesThis study aimed to compare the reconstruction with type 2.4 and three-dimensional (3D) grid plates relating the areas of weakness to anatomical regions of force incidence in atrophic mandibles with and without segmentation using finite element analysis (FEA).Materials and methodsStrength and force quality in the mandible were also determined. The atrophic mandible models with and without segmentation were divided into four groups, and the behavior of each plate was analyzed using finite element analysis. In the atrophic mandible without segmentation using the type 2.4 reconstruction plate, the highest stress concentration in the plate was observed in the posterior region of the mandibular body and in the grid type 3D reconstruction plate was observed in the mandibular angle.ResultsIn the segmented atrophic mandible with the 2.4 reconstruction plate, higher stress concentration was observed in the mandibular segment defect. Analysis of the 3D grid-like reconstruction plate revealed that the geometry of the plate conferred greater stiffness to the assembly, as the most significant stress concentration was observed at the mandibular angle.ConclusionThe width of the plate design may influence the strength, not the thickness.
引用
收藏
页码:595 / 603
页数:9
相关论文
共 30 条
[21]   Which plate results in better stability after segmental mandibular resection and fibula free flap reconstruction? Biomechanical analysis [J].
Park, Si-Myung ;
Lee, Jung-Woo ;
Noh, Gunwoo .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, 2018, 126 (05) :380-389
[22]  
Piffko J, 2003, Mund Kiefer Gesichtschir, V7, P1
[23]   Fracture of mandibular reconstruction plates used after tumor resection [J].
Shibahara, T ;
Noma, H ;
Furuya, Y ;
Takaki, R .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2002, 60 (02) :182-185
[24]   A three-dimensional study of bending and torsion moments for different fracture sites in the mandible: an in vitro study [J].
Tams, J ;
vanLoon, JP ;
Otten, E ;
Rozema, FR ;
Bos, RRM .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1997, 26 (05) :383-388
[25]   A three-dimensional computer model of the human mandible in two simulated standard trauma situations [J].
Torreira, MG ;
Fernández, JR .
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2004, 32 (05) :303-307
[26]   Comparative Finite Element Analysis of the Biomechanical Stability of 2.0 Fixation Plates in Atrophic Mandibular Fractures [J].
Vajgel, Andre ;
Camargo, Igor Batista ;
Willmersdorf, Ramiro Brito ;
de Melo, Tiago Menezes ;
Laureano Filho, Jose Rodrigues ;
de Holanda Vasconcellos, Ricardo Jose .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2013, 71 (02) :335-342
[27]   Predictive factors for premature loss of Martin 2.7 mandibular reconstruction plates [J].
van der Rijt, E. E. M. ;
Noorlag, R. ;
Koole, R. ;
Abbink, J. H. ;
Rosenberg, A. J. W. P. .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2015, 53 (02) :121-125
[28]   Treatment of atrophic mandibular fractures based on the degree of atrophy - Experience with different plating [J].
Wittwer, G ;
Adeyemo, WL ;
Turbani, D ;
Ploder, O .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2006, 64 (02) :230-234
[29]   Review of biomechanical models used in studying the biomechanics of reconstructed mandibles [J].
Wong, R. C. W. ;
Tideman, H. ;
Merkx, M. A. W. ;
Jansen, J. ;
Goh, S. M. ;
Liao, K. .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 40 (04) :393-400
[30]   The fatigue simulation analysis of customized implanted titanium plate for human mandible bone reconstruction [J].
Wu, Wenzheng ;
Zhang, Lei ;
Zhao, Ji ;
Qu, Xingtian ;
Zhao, Di ;
Zhang, Yu ;
Wang, Wanshan .
MECHATRONICS AND APPLIED MECHANICS II, PTS 1 AND 2, 2013, 300-301 :1067-+