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Stress and displacement distribution of mandibular condyle advanced with Forsus under different occlusal reconstruction conditions / 医用生物力学
Journal of Medical Biomechanics ; (6): E412-E416, 2010.
Article in Chinese | WPRIM | ID: wpr-803695
ABSTRACT
Objective To analyze changes of stress and displacement distribution of the mandibular condyle under different occlusal reconstruction conditions by using the Forsus, and to provide clinical reference for the application of the Forsus. Method The software Abaqus6.5 was employed to build the 3D finite element model of mandibular condyle for simulation. Under different occlusal reconstruction conditions, the distances of mandibular protraction were 3 mm, 4 mm, 5 mm, 6 mm and 7 mm and the mandibular's opening distances were got as 4 mm, 3.5 mm, 3 mm, 2.5 mm and 2 mm correspondingly. The stress, displacement and rotation trends of mandibula temporomandibular articulation were analyzed and the estimation of occlusal reconstruction contributing to the growth of the condyle was made. Results The 3D model showed that the maximum stress distributed on the mandibular condyloid process, sigmoid incisure of mandible and the posterior neck of condyle area under the five different conditions. With the increase of displacement in mandibular condyle, the stress increased slowly on the sigmoid incisure of mandible and the posterior neck of condyle area, but the stress still kept in the same order of magnitude (30 MPa). The stress distribution of mandibular condyloid process was in a steady state with no obvious stress concentration. The displacement of condyle in horizontal direction increased gradually and forward, and the displacement of condyle in vertical direction also increased gradually but downward. When the mandibular was stretched to the designed reconstructive location, the condyle moved downward. Conclusions The range of physiological occlusal reconstruction will not change the stress distribution trends of the condylar cartilage, even when the mandibular moves forwards in varying degrees. Considering the physiological nature of temporomandibular articulation and the growth of the condyle, when the mandibular retrusion is severe, it would be advisable by subsection protrusion.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Journal of Medical Biomechanics Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Journal of Medical Biomechanics Year: 2010 Type: Article