scholarly journals Finite Element Analysis of Patient-Specific Condyle Fracture Plates: A Preliminary Study

2015 ◽  
Vol 8 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Peter Aquilina ◽  
William C. H. Parr ◽  
Uphar Chamoli ◽  
Stephen Wroe

Various patterns of internal fixation of mandibular condyle fractures have been proposed in the literature. This study investigates the stability of two patient-specific implants (PSIs) for the open reduction and internal fixation of a subcondylar fracture of the mandible. A subcondylar fracture of a mandible was simulated by a series of finite element models. These models contained approximately 1.2 million elements, were heterogeneous in bone material properties, and also modeled the muscles of mastication. Models were run assuming linear elasticity and isotropic material properties for bone. The stability and von Mises stresses of the simulated condylar fracture reduced with each of the PSIs were compared. The most stable of the plate configurations examined was PSI 1, which had comparable mechanical performance to a single 2.0 mm straight four-hole plate.

2014 ◽  
Vol 7 (3) ◽  
pp. 218-223 ◽  
Author(s):  
Peter Aquilina ◽  
William C.H. Parr ◽  
Uphar Chamoli ◽  
Stephen Wroe ◽  
Philip Clausen

The most stable pattern of internal fixation for mandibular condyle fractures is an area of ongoing discussion. This study investigates the stability of three patterns of plate fixation using readily available, commercially pure titanium implants. Finite element models of a simulated mandibular condyle fracture were constructed. The completed models were heterogeneous in bone material properties, contained approximately 1.2 million elements and incorporated simulated jaw adducting musculature. Models were run assuming linear elasticity and isotropic material properties for bone. No human subjects were involved in this investigation. The stability of the simulated condylar fracture reduced with the different implant configurations, and the von Mises stresses of a 1.5-mm X-shaped plate, a 1.5-mm rectangular plate, and a 1.5-mm square plate (all Synthes (Synthes GmbH, Zuchwil, Switzerland) were compared. The 1.5-mm X plate was the most stable of the three 1.5-mm profile plate configurations examined and had comparable mechanical performance to a single 2.0-mm straight four-hole plate. This study does not support the use of rectangular or square plate patterns in the open reduction and internal fixation of mandibular condyle fractures. It does provide some support for the use of a 1.5-mm X plate to reduce condylar fractures in selected clinical cases.


2013 ◽  
Vol 773-774 ◽  
pp. 9-17
Author(s):  
Fardin Nematzadeh ◽  
Sayed Khatiboleslam Sadrnezhaad ◽  
A.H. Kokabi ◽  
M. Razani ◽  
A.H. Mohagheghi

Stent placement has been a main approach to treat gastrointestinal diseases during past decade. Nitinol superelastic stents have been considered as a solution to such difficulties as restenosis after implantation, low twisting ability, inadequate radial mechanical strength and inappropriate dynamic behaviors associated with the ducts. In this paper, effects of Aftemperatures on mechanical performance of z-shaped Nitinol wire stent under crimping test for clinical applications are investigated by finite element simulation. Having 60% crimping and high radial resistive strength, favorable superelastic behaviors are attained at Aftemperature of 22°C. The performance of the stent is seen to be drastically different with a mere change of 1° in the segments angle.


2015 ◽  
Vol 15 (02) ◽  
pp. 1540032 ◽  
Author(s):  
EROL CANSIZ ◽  
SUZAN CANSEL DOGRU ◽  
YUNUS ZIYA ARSLAN

In this paper, comparative evaluation of the mechanical properties of resorbable and titanium miniplates, which are used for the fixation of the mandibular condyle fractures, was carried out using finite element analysis (FEA). To do so, first two-dimensional (2D) computed tomography (CT) images of mandibles recorded from 10 adult patients were converted into three-dimensional (3D) solid body models. Then these models were transferred to the finite element software. In the finite element stage of the study, a condyle fracture was created onto the mandible and double-titanium and double-resorbable miniplates were separately fixed to the mandible surface such that the fractured sites to be firmly attached. Stress distribution over the plates and interfragmentary displacements between adjacent surfaces, which stem from the clenching force applying to the mandible, were calculated using FEA. It was observed from the results that maximum tensile stresses occurred in the titanium miniplates were significantly higher than those obtained from resorbable miniplates (p < 0.01). Higher maximum displacements between fractured surfaces were observed in the case of resorbable plate systems (p < 0.01). Maximum stress and displacement values obtained from both titanium and resorbable plate systems were under clinically acceptable limits. According to results, resorbable plates showed a similar reliability with titanium miniplates in terms of withstanding various stress and strain deformations.


2018 ◽  
Vol 18 (02) ◽  
pp. 1830002 ◽  
Author(s):  
SUZAN CANSEL DOGRU ◽  
EROL CANSIZ ◽  
YUNUS ZIYA ARSLAN

Finite element method (FEM) is preferred to carry out mechanical analyses for many complex biomechanical structures. For most of the biomechanical models such as oral and maxillofacial structures or patient-specific dental instruments, including nonlinearities, complicated geometries, complex material properties, or loading/boundary conditions, it is not possible to accomplish an analytical solution. The FEM is the most widely used numerical approach for such cases and found a wide range of application fields for investigating the biomechanical characteristics of oral and maxillofacial structures that are exposed to external forces or torques. The numerical results such as stress or strain distributions obtained from finite element analysis (FEA) enable dental researchers to evaluate the bone tissues subjected to the implant or prosthesis fixation from the viewpoint of (i) mechanical strength, (ii) material properties, (iii) geometry and dimensions, (iv) structural properties, (v) loading or boundary conditions, and (vi) quantity of implants or prostheses. This review paper evaluates the process of the FEA of the oral and maxillofacial structures step by step as followings: (i) a general perspective on the techniques for creating oral and maxillofacial models, (ii) definitions of material properties assigned to oral and maxillofacial tissues and related dental materials, (iii) definitions of contact types between tissue and dental instruments, (iv) details on loading and boundary conditions, and (v) meshing process.


2013 ◽  
Vol 51 (4) ◽  
pp. 326-331 ◽  
Author(s):  
Peter Aquilina ◽  
Uphar Chamoli ◽  
William C.H. Parr ◽  
Philip D. Clausen ◽  
Stephen Wroe

2021 ◽  
Vol 11 (9) ◽  
pp. 3770
Author(s):  
Monica Tatarciuc ◽  
George Alexandru Maftei ◽  
Anca Vitalariu ◽  
Ionut Luchian ◽  
Ioana Martu ◽  
...  

Inlay-retained dental bridges can be a viable minimally invasive alternative when patients reject the idea of implant therapy or conventional retained full-coverage fixed dental prostheses, which require more tooth preparation. Inlay-retained dental bridges are indicated in patients with good oral hygiene, low susceptibility to caries, and a minimum coronal tooth height of 5 mm. The present study aims to evaluate, through the finite element method (FEM), the stability of these types of dental bridges and the stresses on the supporting teeth, under the action of masticatory forces. The analysis revealed the distribution of the load on the bridge elements and on the retainers, highlighting the areas of maximum pressure. The results of our study demonstrate that the stress determined by the loading force cannot cause damage to the prosthetic device or to abutment teeth. Thus, it can be considered an optimal economical solution for treating class III Kennedy edentation in young patients or as a provisional pre-implant rehabilitation option. However, special attention must be paid to its design, especially in the connection area between the bridge elements, because the connectors and the retainers represent the weakest parts.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Saurabhi Samant ◽  
Wei Wu ◽  
Shijia Zhao ◽  
Behram Khan ◽  
Mohammadali Sharzehee ◽  
...  

AbstractLeft main (LM) coronary artery bifurcation stenting is a challenging topic due to the distinct anatomy and wall structure of LM. In this work, we investigated computationally and experimentally the mechanical performance of a novel everolimus-eluting stent (SYNERGY MEGATRON) purpose-built for interventions to large proximal coronary segments, including LM. MEGATRON stent has been purposefully designed to sustain its structural integrity at higher expansion diameters and to provide optimal lumen coverage. Four patient-specific LM geometries were 3D reconstructed and stented computationally with finite element analysis in a well-validated computational stent simulation platform under different homogeneous and heterogeneous plaque conditions. Four different everolimus-eluting stent designs (9-peak prototype MEGATRON, 10-peak prototype MEGATRON, 12-peak MEGATRON, and SYNERGY) were deployed computationally in all bifurcation geometries at three different diameters (i.e., 3.5, 4.5, and 5.0 mm). The stent designs were also expanded experimentally from 3.5 to 5.0 mm (blind analysis). Stent morphometric and biomechanical indices were calculated in the computational and experimental studies. In the computational studies the 12-peak MEGATRON exhibited significantly greater expansion, better scaffolding, smaller vessel prolapse, and greater radial strength (expressed as normalized hoop force) than the 9-peak MEGATRON, 10-peak MEGATRON, or SYNERGY (p < 0.05). Larger stent expansion diameters had significantly better radial strength and worse scaffolding than smaller stent diameters (p < 0.001). Computational stenting showed comparable scaffolding and radial strength with experimental stenting. 12-peak MEGATRON exhibited better mechanical performance than the 9-peak MEGATRON, 10-peak MEGATRON, or SYNERGY. Patient-specific computational LM stenting simulations can accurately reproduce experimental stent testing, providing an attractive framework for cost- and time-effective stent research and development.


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