scholarly journals Biomechanical Analysis of the Forces Exerted during Different Occlusion Conditions following Bilateral Sagittal Split Osteotomy Treatment for Mandibular Deficiency

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Yuan-Han Chang ◽  
Man-Yee Chan ◽  
Jui-Ting Hsu ◽  
Han-Yu Hsiao ◽  
Kuo-Chih Su
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
High Stress ◽  
Biomechanical Analysis ◽  
Von Mises Stress ◽  
Intermaxillary Fixation ◽  
Element Analysis ◽  
Sagittal Split Osteotomy ◽  
Bilateral Sagittal Split Osteotomy ◽  
External Forces

The bilateral sagittal split osteotomy (BSSO) technique is commonly used to correct mandibular deficiency. If the patient is exposed to excessive external forces after the procedure, occlusal changes or nonunion may occur. However, previous studies only focused on single external forces on the mandible and did not conduct relevant research on the forces exerted by different occlusion conditions. The main purpose of this study was to use finite element analysis methods to determine the biomechanics of four common occlusion conditions after BSSO surgical treatment. This study constructed a finite element analysis computer model of a miniplate implanted in the lower jaw. The structure of the model consisted of the mandible, miniplate, and screws. In addition, external forces were applied to the superficial masseter, deep masseter, medial pterygoid, anterior temporalis, middle temporalis, and posterior temporalis muscles to simulate the incisal clench, intercuspal position (ICP), right unilateral molar clench (RMOL), and right group function occlusion conditions. Subsequently, this study observed the effects of these conditions on the miniplate, screws, and mandible, including the von Mises stress values. The results showed that all of the different occlusion conditions that this study evaluated placed high stress on the miniplate. In the ICP and RMOL occlusion conditions, the overall mandibular structure experienced very high stress. The screw on the proximal segment near the bone gap experienced high stress, as did the screw on the buccal side. According to the present analysis, although the data were not directly obtained from clinical practice, the finite element analysis could evaluate the trend of results under different external forces. The result of this study recommended that patients without intermaxillary fixation avoid the ICP and RMOL occlusion conditions. It can be used as a pilot study in the future for providing clinicians more information on the biomechanics of implantation.

scholarly journals The Influence of Pelvic Tilt on Stress Distribution in the Acetabulum: Finite Element Analysis

2020 ◽  
Author(s):  
Kazuhiro Hasegawa ◽  
Tamon Kabata ◽  
Yoshitomo Kajino ◽  
Daisuke Inoue ◽  
Jiro Sakamoto ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Stress Distribution ◽  
Hip Joint ◽  
Tilt Angle ◽  
Pelvic Tilt ◽  
Biomechanical Analysis ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Von Mises

Abstract Background Finite element analysis (FEA) has been previously applied for the biomechanical analysis of acetabular dysplasia and osteotomy. However, until now, there have been little reports on the use of FEA to evaluate the effects of pelvic tilt on stress distribution in the acetabulum. Methods We used the Mechanical Finder Ver. 7.0 (RCCM, Inc., Japan) to construct finite element models based on 3D-CT data of patients, and designed dysplasia, borderline, and normal pelvic models. For analysis, body weight was placed on the sacrum and the load of the flexor muscles of the hip joint was placed on the ilium. The pelvic tilt was based on the anterior pelvic plane, and the pelvic tilt angles were -20°, 0°, and 20°. The load of the flexor muscle of the hip joint was calculated using the moment arm equation.Results All three models showed the highest values of von Mises stress in the -20° pelvic tilt angle, and the lowest in the 20° angle. Stress distribution concentrated in the load-bearing area. The maximum values of von Mises stress in the borderline at pelvic tilt angles of -20° was 3.5Mpa, and in the dysplasia at pelvic tilt angles of 0° was 3.1Mpa. Conclusions The pelvic tilt angle of -20° of the borderline model showed equal maximum values of von Mises stress than the dysplasia model of pelvic tilt angle of 0°, indicating that pelvic retroversion of -20° in borderline is a risk factor for osteoarthritis of the hip joints, similar to dysplasia.

scholarly journals Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a metaphyseal anchoring short and standard stem in native biomechanical femora. Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted metaphyseal anchoring SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, the metaphyseal anchoring SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for metaphyseal anchoring SHA stems and might be able to translate in a better bone preservation.

scholarly journals Short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora.Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution.Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally.Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

scholarly journals Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Shuang G. Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a metaphyseal anchoring short and standard stem in native biomechanical femora. Methods The subject specific finite element models of biomechanical femora, one native and two with implanted metaphyseal anchoring SHA (Metha, B. Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusions Both, short and standard THA, cause unloading of the proximal femur. However, the metaphyseal anchoring SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load patterns implicate a reduced stress shielding proximally for metaphyseal anchoring SHA stems and might be able to translate in a better bone preservation.

scholarly journals The influence of pelvic tilt on stress distribution in the acetabulum: finite element analysis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kazuhiro Hasegawa ◽  
Tamon Kabata ◽  
Yoshitomo Kajino ◽  
Daisuke Inoue ◽  
Jiro Sakamoto ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Stress Distribution ◽  
Hip Joint ◽  
Tilt Angle ◽  
Pelvic Tilt ◽  
Biomechanical Analysis ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Von Mises

Abstract Background Finite element analysis (FEA) has been previously applied for the biomechanical analysis of acetabular dysplasia and osteotomy. However, until now, there have been little reports on the use of FEA to evaluate the effects of pelvic tilt on stress distribution in the acetabulum. Methods We used the Mechanical Finder Ver. 7.0 (RCCM, Inc., Japan) to construct finite element models based on 3D-CT data of patients, and designed dysplasia, borderline, and normal pelvic models. For analysis, body weight was placed on the sacrum and the load of the flexor muscles of the hip joint was placed on the ilium. The pelvic tilt was based on the anterior pelvic plane, and the pelvic tilt angles were -20°, 0°, and 20°. The load of the flexor muscle of the hip joint was calculated using the moment arm equation. Results All three models showed the highest values of von Mises stress in the -20° pelvic tilt angle, and the lowest in the 20° angle. Stress distribution concentrated in the load-bearing area. The maximum values of von Mises stress in the borderline at pelvic tilt angles of -20° was 3.5Mpa, and in the dysplasia at pelvic tilt angles of 0° was 3.1Mpa. Conclusions The pelvic tilt angle of -20° of the borderline model showed equal maximum values of von Mises stress than the dysplasia model of pelvic tilt angle of 0°, indicating that pelvic retroversion of -20° in borderline is a risk factor for osteoarthritis of the hip joints, similar to dysplasia.

scholarly journals Short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora. Methods The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusion Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

scholarly journals Short Stem Hip Arthroplasty Provides a More Physiological Load Transfer: a Comparative Finite Element Analysis Study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora.Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution.Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally.Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

scholarly journals To Evaluate the Influence of Implant Length on Stress Distribution of Osseointegrated Implant: A Three-Dimensional Finite Element Analysis: An In Vitro Study

2018 ◽  
Vol 6 (02/03) ◽  
pp. 097-105
Author(s):  
Neha Jindal ◽  
Manjit Kumar ◽  
Shailesh Jain ◽  
Navjot Kaur ◽  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Stress Distribution ◽  
Biomechanical Analysis ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Von Mises ◽  
The Impact ◽  
Implant Length ◽  
Nonsignificant Decrease

AbstractFinite element analysis is a technique for obtaining a solution to a complex mechanical problem by dividing the problem domain into a collection of much smaller and simpler domains (elements) in which the field variables can be interpolated with the use of shape functions. An overall approximated solution to the original problem is determined based on variational principles. Finite element analysis can provide a nondestructive system for quantifying stresses generated at the various interfaces of similar or dissimilar material. The finite element method also allows the study of the internal state of stress of components as well as stress patterns in two or more dissimilar materials adjacent to each other without affecting their independent behavior. This method is therefore ideally suitable for the biomechanical analysis of orthopedic, cardiovascular, and dental structures. In this study, implants of different length were numerically analyzed using bone-implant models developed from computed tomography-generated images of the mandible with osseointegrated implants. The impact of various lengths on stress distribution was examined using implants with a length of 8, 10, and 13 mm in mandibular first molar region under axial load of 100 N and buccolingual load of 50 N. All materials were assumed to be linearly elastic and isotropic. The Statistical Package for the Social Sciences software package was used for statistical analysis. Maximum von Mises stresses were located around the implant neck. It was demonstrated that there was statistically nonsignificant decrease in von Mises stress as the implant length increased. Within the limitations of this study, there was statistically nonsignificant decrease in von Mises stress as the implant length increased.

scholarly journals 3D Finite Element Analysis of Rotary Instruments in Root Canal Dentine with Different Elastic Moduli

2021 ◽  
Vol 11 (6) ◽  
pp. 2547 ◽  
Author(s):  
Carlo Prati ◽  
João Paulo Mendes Tribst ◽  
Amanda Maria de Oliveira Dal Piva ◽  
Alexandre Luiz Souto Borges ◽  
Maurizio Ventre ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Root Canal ◽  
Elastic Moduli ◽  
Reaction Force ◽  
Von Mises Stress ◽  
Elastic Behavior ◽  
Element Analysis ◽  
Heat Treated ◽  
Von Mises

The aim of the present investigation was to calculate the stress distribution generated in the root dentine canal during mechanical rotation of five different NiTi endodontic instruments by means of a finite element analysis (FEA). Two conventional alloy NiTi instruments F360 25/04 and F6 Skytaper 25/06, in comparison to three heat treated alloys NiTI Hyflex CM 25/04, Protaper Next 25/06 and One Curve 25/06 were considered and analyzed. The instruments’ flexibility (reaction force) and geometrical features (cross section, conicity) were previously investigated. For each instrument, dentine root canals with two different elastic moduli(18 and 42 GPa) were simulated with defined apical ratios. Ten different CAD instrument models were created and their mechanical behaviors were analyzed by a 3D-FEA. Static structural analyses were performed with a non-failure condition, since a linear elastic behavior was assumed for all components. All the instruments generated a stress area concentration in correspondence to the root canal curvature at approx. 7 mm from the apex. The maximum values were found when instruments were analyzed in the highest elastic modulus dentine canal. Strain and von Mises stress patterns showed a higher concentration in the first part of curved radius of all the instruments. Conventional Ni-Ti endodontic instruments demonstrated higher stress magnitudes, regardless of the conicity of 4% and 6%, and they showed the highest von Mises stress values in sound, as well as in mineralized dentine canals. Heat-treated endodontic instruments with higher flexibility values showed a reduced stress concentration map. Hyflex CM 25/04 displayed the lowest von Mises stress values of, respectively, 35.73 and 44.30 GPa for sound and mineralized dentine. The mechanical behavior of all rotary endodontic instruments was influenced by the different elastic moduli and by the dentine canal rigidity.

Sign in / Sign up

Export Citation Format

Share Document