Advances in biomechanics and applications

Techno-Press (테크노프레스)
권호 표지
DOI QR코드

DOI QR Code

The influence of disc wear on the behavior of the temporomandibular joint: a finite element analysis in a specific case

  • Duarte, Ricardo J. (DTEMA, Department of Mechanical Engineering, University of Aveiro) ;
  • Ramos, Antonio (DTEMA, Department of Mechanical Engineering, University of Aveiro) ;
  • Mesnard, Michel (Universite de Bordeaux, Institut de Mecanique et d'Ingenierie, CNRS UMR 5295)
  • Received : 2013.10.02
  • Accepted : 2014.06.27
  • Published : 2014.09.25
⟨ Previous Next ⟩

Abstract

The aim of this study was to evaluate the influence of disc thickness on the normal behavior of the temporomandibular joint. Based on a specific patient case, CT scan images showing accentuated wear in the right disc were reconstructed and the geometrical and finite element model of the temporomandibular joint structures (cranium, mandible, articular cartilages and articular discs) was developed. The loads applied in this study were referent to the five most relevant muscular forces acting on the temporomandibular joint during daily tasks such as talking or eating. We observed that the left side structures of the temporomandibular joint (cranium, mandible and articular disc) were the most affected as a consequence of the wear on the opposite articular disc (right side). From these results, it was possible to evaluate the differences in the two sides of the joint and understand how a damaged articular disc influences the behavior of this joint and the possible consequences that can arise without treatment.

Keywords

Acknowledgement

Supported by : University of Bordeaux

References

  1. Arabshahi, Z., Kashani, J., Abdul Kadir, M.R., and Azari, A. (2011), "Influence of Thickness and Contact Surface Geometry of Condylar Stem of TMJ Implant on Its Stability", Phys. Procedia, 22, 414-419. https://doi.org/10.1016/j.phpro.2011.11.065
  2. Beek, M., Koolstra, J.H., van Ruijven, L.J., and van Eijden, T.M. (2000), "Three-dimensional finite element analysis of the human temporomandibular joint disc", J. Biomech., 33(3), 307-316. https://doi.org/10.1016/S0021-9290(99)00168-2
  3. Boryor, A., Geiger, M., Hohmann, A., Wunderlich, A., Sander, C., Martin Sander, F., and Sander, F,G. (2008), "Stress distribution and displacement analysis during an intermaxillary disjunction--a three-dimensional FEM study of a human skull", J. Biomech., 41(2), 376-382. https://doi.org/10.1016/j.jbiomech.2007.08.016
  4. Bujtar, P., Sandor, G.K., Bojtos, A., Szucs, A., and Barabas, J. (2010), "Finite element analysis of the human mandible at 3 different stages of life", Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 110(3), 301-309. https://doi.org/10.1016/j.tripleo.2010.01.025
  5. Chase, D.C., Hudson, J.W., Gerard, D.A., Russell, R., Chambers, K., Curry, J.R., Latta, J.E., and Christensen, R,W. (1995), "The Christensen prosthesis. A retrospective clinical study", Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 80(3), 273-278. https://doi.org/10.1016/S1079-2104(05)80382-8
  6. Chowdhury, A.R., Kashi, A., and Saha, S. (2011), "A comparison of stress distributions for different surgical procedures, screw dimensions and orientations for a Temporomandibular joint implant", J. Biomech., 44(14), 2584-2587. https://doi.org/10.1016/j.jbiomech.2011.06.002
  7. Completo, A., Duarte, R., Fonseca, F., Simoes, J.A., Ramos, A., and Relvas, C. (2013), "Biomechanical evaluation of different reconstructive techniques of proximal tibia in revision total knee arthroplasty: An in-vitro and finite element analysis", Clin. Biomech. (Bristol, Avon), 28(3), 291-298. https://doi.org/10.1016/j.clinbiomech.2012.12.009
  8. Guarda-Nardini, L., Manfredini, D., and Ferronato, G. (2008), "Temporomandibular joint total replacement prosthesis: current knowledge and considerations for the future", Int. J. Oral Maxillofac. Surg., 37(2), 103-110. https://doi.org/10.1016/j.ijom.2007.09.175
  9. Hsu, J.T., Huang, H.L., Tsai, M.T., Fuh, L.J., and Tu, M.G. (2011), "Effect of screw fixation on temporomandibular joint condylar prosthesis", J. Oral Maxillofac. Surg., 69(5), 1320-1328. https://doi.org/10.1016/j.joms.2010.05.074
  10. Limbert, G., van Lierde, C., Muraru, O.L., Walboomers, X.F., Frank, M., Hansson, S., Middleton, J., and Jaecques, S. (2010), "Trabecular bone strains around a dental implant and associated micromotions--a micro-CT-based three-dimensional finite element study", J. Biomech., 43(7), 1251-1261. https://doi.org/10.1016/j.jbiomech.2010.01.003
  11. Perez del Palomar, A., and Doblare, M. (2006), "The effect of collagen reinforcement in the behaviour of the temporomandibular joint disc", J. Biomech., 39(6), 1075-1085. https://doi.org/10.1016/j.jbiomech.2005.02.009
  12. Perez del Palomar, A., and Doblare, M. (2007), "An accurate simulation model of anteriorly displaced TMJ discs with and without reduction", Med. Eng. Phys., 29(2), 216-226. https://doi.org/10.1016/j.medengphy.2006.02.009
  13. Perez del Palomar, A., and Doblare, M. (2008), "Dynamic 3D FE modelling of the human temporomandibular joint during whiplash", Med. Eng. Phys., 30(6), 700-709. https://doi.org/10.1016/j.medengphy.2007.07.009
  14. Ramos, A., Completo, A., Relvas, C., Mesnard, M., and Simoes, J.A. (2011), "Straight, semi-anatomic and anatomic TMJ implants: the influence of condylar geometry and bone fixation screws", J. Craniomaxillofac. Surg., 39(5), 343-350. https://doi.org/10.1016/j.jcms.2010.07.006
  15. Ramos, A., Mesnard, M., Relvas, C., Completo, A., and Simoes, J.A., (2014), "Theoretical assessment of an intramedullary condylar component versus screw fixation for the condylar component of a hemiarthroplasty alloplastic TMJ replacement system", J. Craniomaxillofac. Surg., 42(2), 169-174. https://doi.org/10.1016/j.jcms.2013.04.007
  16. Roberts, W.E., Huja, S., Roberts, J.A. (2004), "Bone modeling: biomechanics, molecular mechanisms, and clinical perspectives", Semin. Orthod., 10(2), 123-161. https://doi.org/10.1053/j.sodo.2004.01.003
  17. Speculand, B., Hensher, R., and Powell, D. (2000), "Total prosthetic replacement of the TMJ: experience with two systems 1988-1997", Br. J. Oral Maxillofac. Surg., 38(4), 360-369. https://doi.org/10.1054/bjom.2000.0338
  18. Tanaka, E., del Pozo, R., Tanaka, M., Asai, D., Hirose, M., Iwabe, T., and Tanne, K. (2004), "Three-dimensional finite element analysis of human temporomandibular joint with and without disc displacement during jaw opening", Med. Eng. Phys., 26(6), 503-511. https://doi.org/10.1016/j.medengphy.2004.03.001
  19. Westesson, P.L., Bronstein, S.L., Liedberg, J. (1986), "Temporomandibular joint: correlation between single-contrast videoarthrography and postmortem morphology", Radiology, 160(3), 767-771. https://doi.org/10.1148/radiology.160.3.3737916

Cited by

  1. Biomechanical impact of the porous-fibrous tissue behaviour in the temporomandibular joint movements. An in silico approach vol.120, pp.None, 2014, https://doi.org/10.1016/j.jmbbm.2021.104542