Comparison of Two Types of Patient Specific Implants (PSI) and Quad Zygoma Implant (QZI) for Rehabilitation of Post-COVID Maxillary Mucormycosis Defect (PCMMD): Finite Element Analysis

Introduction The residual post-COVID maxillary mucormycosis defect (PCMMD) were extensive, due to unilateral or bilateral maxillectomies. The Goal of rehabilitation of PCMMD is to deliver a prosthetically driven reconstruction. FEA was to evaluate the biomechanical response of PSI struts (PSI 1), PS...

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Veröffentlicht in:Journal of maxillofacial and oral surgery 2023-09, Vol.22 (3), p.688-694
Hauptverfasser: Manekar, Varsha Sunil, Datarkar, Abhay N., Ghormode, Ashlesha, Daware, Surendra, Pandilwar, Prashant, Sapkal, Pranav
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container_issue 3
container_start_page 688
container_title Journal of maxillofacial and oral surgery
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creator Manekar, Varsha Sunil
Datarkar, Abhay N.
Ghormode, Ashlesha
Daware, Surendra
Pandilwar, Prashant
Sapkal, Pranav
description Introduction The residual post-COVID maxillary mucormycosis defect (PCMMD) were extensive, due to unilateral or bilateral maxillectomies. The Goal of rehabilitation of PCMMD is to deliver a prosthetically driven reconstruction. FEA was to evaluate the biomechanical response of PSI struts (PSI 1), PSI Screw retained (PSI 2) and QZI to masticatory load on virtual simulation to improve accuracy and enhance the design. Aim To validate and compare the Biomechanical benefit of the PSI struts, PSI Screw retained, QZI in a case of rehabilitation of post-COVID maxillary mucormycosis defect (PCMMD) by FEA study. Methodology The result of stress to masticatory load on virtual simulation for (1) Maximum and minimum stress (Von Mises stress); (2) the Displacement (in three positions) and (3) the Deformation (Plastic strain) was compared on virtual simulation for PSI 1 and PSI 2 and QZI. Conclusion The FEA and comparative evaluation of PSI 1, PSI 2 and QZI showed a good resistance to displacement. The stress and strain values are low and acceptable. In comparison QZI shows more stress in the anterior region.
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The Goal of rehabilitation of PCMMD is to deliver a prosthetically driven reconstruction. FEA was to evaluate the biomechanical response of PSI struts (PSI 1), PSI Screw retained (PSI 2) and QZI to masticatory load on virtual simulation to improve accuracy and enhance the design. Aim To validate and compare the Biomechanical benefit of the PSI struts, PSI Screw retained, QZI in a case of rehabilitation of post-COVID maxillary mucormycosis defect (PCMMD) by FEA study. Methodology The result of stress to masticatory load on virtual simulation for (1) Maximum and minimum stress (Von Mises stress); (2) the Displacement (in three positions) and (3) the Deformation (Plastic strain) was compared on virtual simulation for PSI 1 and PSI 2 and QZI. Conclusion The FEA and comparative evaluation of PSI 1, PSI 2 and QZI showed a good resistance to displacement. The stress and strain values are low and acceptable. In comparison QZI shows more stress in the anterior region.</description><identifier>ISSN: 0972-8279</identifier><identifier>EISSN: 0974-942X</identifier><identifier>DOI: 10.1007/s12663-023-01950-3</identifier><identifier>PMID: 37534346</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Biomechanics ; Defects ; Dental implants ; Dentistry ; Design ; Finite element analysis ; Fungal infections ; Medicine ; Medicine &amp; Public Health ; Oral and Maxillofacial Surgery ; Original ; Original Article ; Otorhinolaryngology ; Plastic Surgery ; Prostheses ; Rehabilitation ; Simulation ; Software</subject><ispartof>Journal of maxillofacial and oral surgery, 2023-09, Vol.22 (3), p.688-694</ispartof><rights>The Association of Oral and Maxillofacial Surgeons of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-6af86c7737fb4c967b1c57433c44d76d4e94e830911ffa8a0a9c105879dfcb3c3</citedby><cites>FETCH-LOGICAL-c475t-6af86c7737fb4c967b1c57433c44d76d4e94e830911ffa8a0a9c105879dfcb3c3</cites><orcidid>0000-0002-7838-4089 ; 0000-0002-7019-8329 ; 0000-0001-9576-6014 ; 0000-0003-1975-8199</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390377/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2920433344?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,21390,21391,27926,27927,33532,33533,33746,33747,41490,42559,43661,43807,51321,53793,53795,64387,64389,64391,72471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37534346$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manekar, Varsha Sunil</creatorcontrib><creatorcontrib>Datarkar, Abhay N.</creatorcontrib><creatorcontrib>Ghormode, Ashlesha</creatorcontrib><creatorcontrib>Daware, Surendra</creatorcontrib><creatorcontrib>Pandilwar, Prashant</creatorcontrib><creatorcontrib>Sapkal, Pranav</creatorcontrib><title>Comparison of Two Types of Patient Specific Implants (PSI) and Quad Zygoma Implant (QZI) for Rehabilitation of Post-COVID Maxillary Mucormycosis Defect (PCMMD): Finite Element Analysis</title><title>Journal of maxillofacial and oral surgery</title><addtitle>J. Maxillofac. Oral Surg</addtitle><addtitle>J Maxillofac Oral Surg</addtitle><description>Introduction The residual post-COVID maxillary mucormycosis defect (PCMMD) were extensive, due to unilateral or bilateral maxillectomies. The Goal of rehabilitation of PCMMD is to deliver a prosthetically driven reconstruction. FEA was to evaluate the biomechanical response of PSI struts (PSI 1), PSI Screw retained (PSI 2) and QZI to masticatory load on virtual simulation to improve accuracy and enhance the design. Aim To validate and compare the Biomechanical benefit of the PSI struts, PSI Screw retained, QZI in a case of rehabilitation of post-COVID maxillary mucormycosis defect (PCMMD) by FEA study. Methodology The result of stress to masticatory load on virtual simulation for (1) Maximum and minimum stress (Von Mises stress); (2) the Displacement (in three positions) and (3) the Deformation (Plastic strain) was compared on virtual simulation for PSI 1 and PSI 2 and QZI. Conclusion The FEA and comparative evaluation of PSI 1, PSI 2 and QZI showed a good resistance to displacement. The stress and strain values are low and acceptable. 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Maxillofac. Oral Surg</stitle><addtitle>J Maxillofac Oral Surg</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>22</volume><issue>3</issue><spage>688</spage><epage>694</epage><pages>688-694</pages><issn>0972-8279</issn><eissn>0974-942X</eissn><abstract>Introduction The residual post-COVID maxillary mucormycosis defect (PCMMD) were extensive, due to unilateral or bilateral maxillectomies. The Goal of rehabilitation of PCMMD is to deliver a prosthetically driven reconstruction. FEA was to evaluate the biomechanical response of PSI struts (PSI 1), PSI Screw retained (PSI 2) and QZI to masticatory load on virtual simulation to improve accuracy and enhance the design. Aim To validate and compare the Biomechanical benefit of the PSI struts, PSI Screw retained, QZI in a case of rehabilitation of post-COVID maxillary mucormycosis defect (PCMMD) by FEA study. 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subjects Biomechanics
Defects
Dental implants
Dentistry
Design
Finite element analysis
Fungal infections
Medicine
Medicine & Public Health
Oral and Maxillofacial Surgery
Original
Original Article
Otorhinolaryngology
Plastic Surgery
Prostheses
Rehabilitation
Simulation
Software
title Comparison of Two Types of Patient Specific Implants (PSI) and Quad Zygoma Implant (QZI) for Rehabilitation of Post-COVID Maxillary Mucormycosis Defect (PCMMD): Finite Element Analysis
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