Stress distribution in the temporomandibular joint after mandibular protraction: a three-dimensional finite element study

To evaluate the stress patterns in temporomandibular joint (TMJ) during mandibular protraction at different horizontal advancements with constant vertical height in a construction bite using a three-dimensional finite element method. A three-dimensional computer-aided model was developed from the ma...

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Veröffentlicht in:The Angle orthodontist 2015-03, Vol.85 (2), p.196-205
Hauptverfasser: Shrivastava, Abhinav, Hazarey, Pushpa V, Kharbanda, Om P, Gupta, Anurag
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container_issue 2
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container_title The Angle orthodontist
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creator Shrivastava, Abhinav
Hazarey, Pushpa V
Kharbanda, Om P
Gupta, Anurag
description To evaluate the stress patterns in temporomandibular joint (TMJ) during mandibular protraction at different horizontal advancements with constant vertical height in a construction bite using a three-dimensional finite element method. A three-dimensional computer-aided model was developed from the magnetic resonance imaging (MRI) of a growing boy (age 12 years) using MIMICS software (version 7.0, Materialise, Leuven, Belgium). Stresses with constant vertical opening of 5 mm changing the sagittal advancements from 0 mm to 5 mm and 7.5 mm were recorded. Differences in magnitude and pattern of stresses were compared. The tensile stresses in the posterosuperior aspect of the condylar head and on the posterior aspect of the glenoid fossa migrated posteriorly with increased bite advancements. The location of tensile stresses changed in the condylar head and fossa on mandibular protraction of 5 mm to 7 mm. This study indicates that larger horizontal advancements of construction bites may not be favorable for tissues of TMJ. Clinical application necessitates study on an animal model.
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subjects Biomechanical Phenomena
Child
Computer Simulation
Computer-Aided Design
Dentistry
Finite Element Analysis
Humans
Image Processing, Computer-Assisted - methods
Imaging, Three-Dimensional - methods
Magnetic Resonance Imaging - methods
Male
Malocclusion, Angle Class II - therapy
Mandibular Advancement - methods
Mandibular Condyle - anatomy & histology
Mandibular Condyle - physiology
Models, Biological
Original
Orthodontic Appliances, Functional
Retrognathia - therapy
Stress, Mechanical
Temporal Bone - anatomy & histology
Temporal Bone - physiology
Temporomandibular Joint - physiology
Temporomandibular Joint Disc - anatomy & histology
Temporomandibular Joint Disc - physiology
Vertical Dimension
title Stress distribution in the temporomandibular joint after mandibular protraction: a three-dimensional finite element study
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