Biomechanical behavior of an alveolar graft under maxillary therapies
Cleft lip and palate is a congenital defect that affects the oral cavity. Depending on its severity, alveolar graft surgery and maxillary orthopedic therapies must be carried out as a part of the treatment. It is widely accepted that the therapies should be performed before grafting. Nevertheless, s...
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| Veröffentlicht in: | Biomechanics and modeling in mechanobiology 2021-08, Vol.20 (4), p.1519-1532 |
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| description | Cleft lip and palate is a congenital defect that affects the oral cavity. Depending on its severity, alveolar graft surgery and maxillary orthopedic therapies must be carried out as a part of the treatment. It is widely accepted that the therapies should be performed before grafting. Nevertheless, some authors have suggested that mechanical stimuli such as those from the maxillary therapies could improve the success rate of the graft. The aim of this study is to computationally determine the effect of maxillary therapies loads on the biomechanical response of an alveolar graft with different degrees of ossification. We also explore how the transverse width of the cleft affects the graft behavior and compare results with a non-cleft skull. Results suggest that stresses increase within the graft as it ossifies and are greater if maxillary expansion therapy is applied. This has consequences in the bone remodeling processes that are necessary for the graft osseointegration. Maxillary orthopedic therapies after graft surgery could be considered as a part of the treatment since they seem to act as a positive extra stimulus that can benefit the graft. |
| doi_str_mv | 10.1007/s10237-021-01460-6 |
| format | Article |
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M. ; Talma, E. ; Romanyk, D. L. ; Las Casas, E. B. ; Guerrero-Vargas, J. A. ; Garzon-Alvarado, D. A.</creator><creatorcontrib>Velez-Muriel, S. M. ; Talma, E. ; Romanyk, D. L. ; Las Casas, E. B. ; Guerrero-Vargas, J. A. ; Garzon-Alvarado, D. A.</creatorcontrib><description>Cleft lip and palate is a congenital defect that affects the oral cavity. Depending on its severity, alveolar graft surgery and maxillary orthopedic therapies must be carried out as a part of the treatment. It is widely accepted that the therapies should be performed before grafting. Nevertheless, some authors have suggested that mechanical stimuli such as those from the maxillary therapies could improve the success rate of the graft. The aim of this study is to computationally determine the effect of maxillary therapies loads on the biomechanical response of an alveolar graft with different degrees of ossification. We also explore how the transverse width of the cleft affects the graft behavior and compare results with a non-cleft skull. Results suggest that stresses increase within the graft as it ossifies and are greater if maxillary expansion therapy is applied. This has consequences in the bone remodeling processes that are necessary for the graft osseointegration. Maxillary orthopedic therapies after graft surgery could be considered as a part of the treatment since they seem to act as a positive extra stimulus that can benefit the graft.</description><identifier>ISSN: 1617-7959</identifier><identifier>EISSN: 1617-7940</identifier><identifier>DOI: 10.1007/s10237-021-01460-6</identifier><identifier>PMID: 33893875</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Biological and Medical Physics ; Biomechanical Phenomena ; Biomechanics ; Biomedical Engineering and Bioengineering ; Biophysics ; Bone grafts ; Bone remodeling ; Bone Transplantation ; Child ; Cleft Lip - surgery ; Cleft lip/palate ; Cleft Palate - surgery ; Congenital defects ; Engineering ; Female ; Finite Element Analysis ; Grafting ; Humans ; Maxilla ; Maxilla - surgery ; Maxilla - transplantation ; Mechanical stimuli ; Oral cavity ; Original Paper ; Orthopedics ; Osseointegration ; Ossification ; Palatal Expansion Technique ; Palate, Hard ; Pressure ; Stress, Mechanical ; Surgery ; Theoretical and Applied Mechanics</subject><ispartof>Biomechanics and modeling in mechanobiology, 2021-08, Vol.20 (4), p.1519-1532</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-bf91842482319a303bf988405f5dbb5bf139c2b58f23372c29d8ee54edaf76d23</cites><orcidid>0000-0002-6723-6590</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10237-021-01460-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10237-021-01460-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33893875$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Velez-Muriel, S. M.</creatorcontrib><creatorcontrib>Talma, E.</creatorcontrib><creatorcontrib>Romanyk, D. L.</creatorcontrib><creatorcontrib>Las Casas, E. B.</creatorcontrib><creatorcontrib>Guerrero-Vargas, J. A.</creatorcontrib><creatorcontrib>Garzon-Alvarado, D. A.</creatorcontrib><title>Biomechanical behavior of an alveolar graft under maxillary therapies</title><title>Biomechanics and modeling in mechanobiology</title><addtitle>Biomech Model Mechanobiol</addtitle><addtitle>Biomech Model Mechanobiol</addtitle><description>Cleft lip and palate is a congenital defect that affects the oral cavity. Depending on its severity, alveolar graft surgery and maxillary orthopedic therapies must be carried out as a part of the treatment. It is widely accepted that the therapies should be performed before grafting. Nevertheless, some authors have suggested that mechanical stimuli such as those from the maxillary therapies could improve the success rate of the graft. The aim of this study is to computationally determine the effect of maxillary therapies loads on the biomechanical response of an alveolar graft with different degrees of ossification. We also explore how the transverse width of the cleft affects the graft behavior and compare results with a non-cleft skull. Results suggest that stresses increase within the graft as it ossifies and are greater if maxillary expansion therapy is applied. This has consequences in the bone remodeling processes that are necessary for the graft osseointegration. Maxillary orthopedic therapies after graft surgery could be considered as a part of the treatment since they seem to act as a positive extra stimulus that can benefit the graft.</description><subject>Biological and Medical Physics</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biophysics</subject><subject>Bone grafts</subject><subject>Bone remodeling</subject><subject>Bone Transplantation</subject><subject>Child</subject><subject>Cleft Lip - surgery</subject><subject>Cleft lip/palate</subject><subject>Cleft Palate - surgery</subject><subject>Congenital defects</subject><subject>Engineering</subject><subject>Female</subject><subject>Finite Element Analysis</subject><subject>Grafting</subject><subject>Humans</subject><subject>Maxilla</subject><subject>Maxilla - surgery</subject><subject>Maxilla - transplantation</subject><subject>Mechanical stimuli</subject><subject>Oral cavity</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osseointegration</subject><subject>Ossification</subject><subject>Palatal Expansion Technique</subject><subject>Palate, Hard</subject><subject>Pressure</subject><subject>Stress, Mechanical</subject><subject>Surgery</subject><subject>Theoretical and Applied Mechanics</subject><issn>1617-7959</issn><issn>1617-7940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kM9PwyAUx4nRuDn9BzyYJl68VIEHLRx1mT8SEy96JrSFrUtbJqyL_vcyO2fiwRMvjw9f3vsgdE7wNcE4vwkEU8hTTEmKCctwmh2gMclInuaS4cN9zeUInYSwxJhiEHCMRgBCgsj5GM3uateacqG7utRNUpiF3tTOJ84mukt0szGu0T6Ze23XSd9Vxiet_qib2PxM1gvj9ao24RQdWd0Ec7Y7J-jtfvY6fUyfXx6eprfPaQk0W6eFlUQwygQFIjVgiA0hGOaWV0XBC0tAlrTgwlKAnJZUVsIYzkylbZ5VFCboashdeffem7BWbR1KE6fpjOuDopwIShmWWUQv_6BL1_suThcpzggw4DhSdKBK70LwxqqVr9u4myJYbSWrQbKKktW3ZLWNvthF90Vrqv2TH6sRgAEI8aqbG__79z-xXysxhio</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Velez-Muriel, S. 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M. ; Talma, E. ; Romanyk, D. L. ; Las Casas, E. B. ; Guerrero-Vargas, J. A. ; Garzon-Alvarado, D. 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M.</au><au>Talma, E.</au><au>Romanyk, D. L.</au><au>Las Casas, E. B.</au><au>Guerrero-Vargas, J. A.</au><au>Garzon-Alvarado, D. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biomechanical behavior of an alveolar graft under maxillary therapies</atitle><jtitle>Biomechanics and modeling in mechanobiology</jtitle><stitle>Biomech Model Mechanobiol</stitle><addtitle>Biomech Model Mechanobiol</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>20</volume><issue>4</issue><spage>1519</spage><epage>1532</epage><pages>1519-1532</pages><issn>1617-7959</issn><eissn>1617-7940</eissn><abstract>Cleft lip and palate is a congenital defect that affects the oral cavity. Depending on its severity, alveolar graft surgery and maxillary orthopedic therapies must be carried out as a part of the treatment. It is widely accepted that the therapies should be performed before grafting. Nevertheless, some authors have suggested that mechanical stimuli such as those from the maxillary therapies could improve the success rate of the graft. The aim of this study is to computationally determine the effect of maxillary therapies loads on the biomechanical response of an alveolar graft with different degrees of ossification. We also explore how the transverse width of the cleft affects the graft behavior and compare results with a non-cleft skull. Results suggest that stresses increase within the graft as it ossifies and are greater if maxillary expansion therapy is applied. This has consequences in the bone remodeling processes that are necessary for the graft osseointegration. Maxillary orthopedic therapies after graft surgery could be considered as a part of the treatment since they seem to act as a positive extra stimulus that can benefit the graft.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33893875</pmid><doi>10.1007/s10237-021-01460-6</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-6723-6590</orcidid></addata></record> |
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| subjects | Biological and Medical Physics Biomechanical Phenomena Biomechanics Biomedical Engineering and Bioengineering Biophysics Bone grafts Bone remodeling Bone Transplantation Child Cleft Lip - surgery Cleft lip/palate Cleft Palate - surgery Congenital defects Engineering Female Finite Element Analysis Grafting Humans Maxilla Maxilla - surgery Maxilla - transplantation Mechanical stimuli Oral cavity Original Paper Orthopedics Osseointegration Ossification Palatal Expansion Technique Palate, Hard Pressure Stress, Mechanical Surgery Theoretical and Applied Mechanics |
| title | Biomechanical behavior of an alveolar graft under maxillary therapies |
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