Finite element analysis of a condylar support prosthesis to replace the temporomandibular joint

Abel, E.W.; Hilgers, André; McLoughlin, P.

doi:10.1016/j.bjoms.2015.01.016

Cited by 32 publications

(8 citation statements)

References 23 publications

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“…There are two types of TMJ TJR: stock (adjusts the prosthesis to the implantation site) and custom (manufacture is personalized in order to find an ideal fit for each case). Customized TMJ TJRs present better subjective and objective results in relation to stock TMJ TJRs, 13 –15 obtaining an improvement in quality of life in up to 85% of cases. The success criteria of Petty W. for total joint replacement coupled to the temporomandibular joint (Table 1), provide a rationale for the manufacture and use of these prostheses.…”

Section: Discussionmentioning

confidence: 99%

Custom-made Total Joint Replacement After Segmental Resection of Recurrent Follicular Ameloblastoma

Alba

Arias

Soto

et al. 2021

Craniomaxillofacial Trauma & Reconstruction Open

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Design: Clinical case report. Objective: To present custom-made total joint replacement as a suitable option after resection of extensive odontogenic tumors. Background: Ameloblastoma is the most common odontogenic tumor. Clinical presentation is characteristic as it presents with a slow growth rate, but highly expansive and recurrent. Ample resection with safety margins is imperative to allow for a functional and predictable reconstruction. Methods: We present the case of a 51-year-old male diagnosed with a recurrent follicular ameloblastoma and was treated with segmental resection and subsequent reconstruction with custom-made total joint replacement. Results: Follow-up at 14 months after surgery showed satisfactory quality of life and proper functionality. Conclusions: Total custom joint replacement is an ideal option after extensive resections involving the articular region.

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Section: Discussionmentioning

confidence: 99%

Custom-made Total Joint Replacement After Segmental Resection of Recurrent Follicular Ameloblastoma

Alba

Arias

Soto

et al. 2021

Craniomaxillofacial Trauma & Reconstruction Open

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“…There have been many reports on finite element analysis of TMJ prosthesis, 9 mainly focusing on the condyle component, [10][11][12][13] whereas only a few reports focused on the analysis of the fossa component. Ramos et al 14…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Evaluation of a Standard Temporomandibular Joint Prosthesis and Screw Arrangement Optimization: A Finite Element Analysis

Zhang

Qin

Abdelrehem

et al. 2023

Journal of Craniofacial Surgery

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Background and Objective: Artificial total joint replacement is an important method of temporomandibular joint (TMJ) reconstruction, which has been advocated for TMJ osteoarthrosis, ankylosis, tumors, and other diseases. We designed one type of standard TMJ prosthesis fit for Chinese patients.This study aimed to explore the biomechanical behavior of the standard TMJ prosthesis using finite element analysis and selects an optimal screw arrangement scheme for clinical application. Materials and Methods: A female volunteer was recruited for a maxillofacial computed tomography scan, then the Hypermesh software was used to establish a finite element model of a mandibular condyle defect repaired with an artificial TMJ prosthesis. An advanced universal finite element program software was used to calculate the stress and deformation under a simulated maximum bite force loading. Also, the forces of screws under different numbers and arrangements were analyzed. Meanwhile, we designed an experiment to verify the calculation model. Results: The average maximum stress of the fossa component of the standard prosthesis model was 19.25 MPa. The average maximum stress of the condyle component was 82.58 MPa, mainly concentrated near the top row hole. The fossa component should be fixed with at least 3 screws, and the optimal number of screws was 4. The condyle component should be fixed with at least 4 screws, and its optimal number was 6. The best scheme of screw arrangement was determined. The results of the verification experiment showed that the analysis was reliable. Conclusions: The stress distribution of the standard TMJ prosthesis is uniform, meanwhile, the number and arrangement of the screws significantly affect the contact force of the screws.

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“…There have been many reports on nite element analysis of TMJ prosthesis ( 9), mainly focusing on the condyle component (10)(11)(12)(13), whereas only few reports focused on the analysis of the fossa component. Ramos et al ( 14) compared a Christensen standard fossa component model with a customized one, with a standard condyle prosthesis in both models.…”

Section: Discussionmentioning

confidence: 99%

Biomechanical evaluation of a new standard temporomandibular joint prosthesis and screw arrangement optimization: A finite element analysis.

Zhang

Qin

Abdelrehem

et al. 2022

Preprint

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Background: Artificial total joint replacement is an important method of temporomandibular joint (TMJ) reconstruction, which has been advocated for TMJ osteoarthrosis, ankylosis, tumors and other diseases. We designed one type of a standard TMJ prosthesis fit for Chinese patients. This study explores the biomechanical behavior of the standard TMJ prosthesis using finite element analysis and selects an optimal screw arrangement scheme for clinical application. Methods: A female volunteer was recruited for a maxillofacial computed tomography (CT) scan, then the Hypermesh software was used to establish a finite element model of a mandibular condyle defect repaired with an artificial TMJ prosthesis. LS-DYNA software was used to calculate the stress and deformation under a simulated maximum bite force loading. Also, the forces of screws under different numbers and arrangements were analyzed. Meanwhile, we designed an experiment to verify the calculation model.Results: The average maximum stress of the fossa component of the standard prosthesis model was 19.25 MPa. The average maximum stress of the condyle component was 82.58 MPa, mainly concentrated near the top row hole. The fossa component should be fixed with at least 3 screws, and the optimal number of screws was 4. The condyle component should be fixed with at least 4 screws, and its optimal number was 6. The best scheme of screw arrangement was determined. The results of the verification experiment showed that the analysis was reliable.Conclusions: The stress distribution of the standard TMJ prosthesis is uniform, meanwhile, the number and arrangement of the screws significantly affect the contact force of the screws.

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Finite element analysis of a condylar support prosthesis to replace the temporomandibular joint

Cited by 32 publications

References 23 publications

Custom-made Total Joint Replacement After Segmental Resection of Recurrent Follicular Ameloblastoma

Custom-made Total Joint Replacement After Segmental Resection of Recurrent Follicular Ameloblastoma

Biomechanical Evaluation of a Standard Temporomandibular Joint Prosthesis and Screw Arrangement Optimization: A Finite Element Analysis

Biomechanical evaluation of a new standard temporomandibular joint prosthesis and screw arrangement optimization: A finite element analysis.

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