Computational modelling of the fossa component fixation associated with alloplastic total temporomandibular joint replacements.

The alloplastic total temporomandibular joint (TMJ) replacement is a complex surgical approach to end-stage TMJ disorders. The fixation of TMJ prostheses remains a critical issue for implant design and performance. For the fossa component, it is generally considered to use fixation screws to achieve tripod stability. However, the fossa may still come loose, and the mechanism remains unknown. A computational framework, consisting of a musculoskeletal model for calculating muscle and TMJ forces, and a finite element model for the fossa fixation simulation, was developed. A polyethylene (PE) fossa with stock prosthesis design was analyzed to predict contact pressures at the fixation interfaces, and stresses/strains in the fossa implant and bone during the static loading of normal chewing bite and maximum-force bite. The predicted maximum von Mises stresses were 33 MPa and 44 MPa for the bone, 13 MPa and 28 MPa for the PE fossa, and 131 MPa and 244 MPa for the screws, for the normal and maximum bites, respectively; the peak minimum principal strain was in the range of -2514 ∼ -3545 µÎµ for the bone. The results show that the sufficient initial mechanical strength of the fossa component fixation can be established using the screws in combination with bone support. The functional loads applied through the prosthetic TMJ bearing can be largely transferred to supporting bone without causing high level stresses. Tightening fixation screws with a pretension of 100 N can reduce transverse load to the screws and help prevent screw loosening. Further research is recommended to accurately quantify the transverse load and its influence on screw loosening during dynamic loading, and the frictional properties at the bone-implant interface.

Preparation of Nanoscale Urushiol/PAN Films to Evaluate Their Acid Resistance and Protection of Functional PVP Films.

Different amounts of urushiol were added to a fixed amount of polyacrylonitrile (PAN) to make nanoscale urushiol/PAN films by the electrospinning method. Electrospinning solutions were prepared by using dimethylformamide (DMF) as the solvent. Nanoscale urushiol/PAN films and conductive Poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate)(PEDOT:PSS)/polyvinyl pyrrolidone (PVP) films were prepared by electrospinning. In order to prepare an electrospun sandwich nanoscale film, urushiol/PAN films were deposited as both the top and bottom layers and PEDOT:PSS/PVP film as the inner layer. When the PAN to urushiol ratio was 7:5, the fiber diameter ranged between 150 nm and 200 nm. The single-layer urushiol/PAN film could not be etched after being immersed into 60%, 80%, and 100% sulfuric acid (H2SO4) for 30 min, which indicated the improved acid resistance of the PAN film. The urushiol/PAN film was used to fabricate the sandwich nanoscale films. When the sandwich film was immersed into 80% and 100% H2SO4 solutions for 30 min, the structure remained intact, and the conductive PVP film retained its original properties. Thus, the working environment tolerability of the functional PVP film was increased.