Finite element analysis of reconstruction plates in mandibular defects
Análise por meio de elementos finitos de placas de reconstrução em defeitos mandibulares
Palavras-chave:
Computer-assisted image processing, Mandible, Maxillomandibular neoplasmsResumo
Segmental defects in the mandibular bone can occur after local trauma, infection, or surgical resection. Several reconstructive possibilities are currently available, and temporary stabilization of bone segments with reconstruction plates is commonly used when immediate bone reconstruction is not possible. However, little attention has been paid to the biomechanical aspects involved in this approach, and studies conducted with biomodels face the difficulty of simulating the muscular forces involved. The use of Finite Element Analysis allows for the mathematical evaluation of structures in a controlled environment, applying forces at any point and/or direction, assessing material deformation, as well as the tension applied to them. Thus, the aim of this study was to evaluate reconstruction plates used on segmental defects through mathematical analysis using finite elements. After simulation, lower stress values were found on thicker plates, suggesting greater resistance to fracture. Conversely, significantly increased stress values on the screws were present in thicker plates.
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Referências
Archangelo CM, Rocha EP, Pereira JA, et al. Periodontal ligament influence on the stress distribution in a removable partial denture supported by implant: a finite element analysis. 2012; 20(3): 362-8.
Arden RL, Rachel JD, Marks SC, Dang K. Volume-length impact of lateral jaw resections on complication rates. Arch Otolaryngol Neck Surg. 1999; 125(1): 68.
Baggi L, Pastore S, Di Girolamo M, Vairo G. Implant-bone load transfer mechanisms in complete-arch prostheses supported by four implants: A three-dimensional finite element approach. J Prosthet Dent. 2013; 109(1): 9-21.
Bak M, Jacobson AS, Buchbinder D, Urken ML. Contemporary reconstruction of the mandible. Oral Oncol. 2010; 46(2): 71-6.
Bidez MW, Misch CE. Force transfer in implant dentistry: basic concepts and principles. J Oral Implantol. 1992; 18(3): 264-74.
Brunski JB. Biomechanical factors affecting the bone-dental implant interface. Clin Mater. 1992; 10(3): 153-201.
Choi AH, Conway RC. Three-dimensional modelling and finite element analysis of the human mandible during clenching. 2005; (1): 42-8.
Disher MJ, Esclamado RM, Sullivan MJ. Indications for the AO plate with a myocutaneous flap instead of revascularised tissue transfer for mandibular reconstruction. Laryngoscope. 1993; 103(11): 1264-1268.
Doty JM, Pienkowski D, Goltz M, Haug RH, Valentino J, Arosarena OA. Biomechanical evaluation of fixation techniques for bridging segmental mandibular defects. Arch Otolaryngol Head Neck Surg. 2004; 130(12): 1388-92.
Foster RD, Anthony JP, Sharma A, Pogrel MA. Vascularized bone flaps versus non-vascularised bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head Neck. 1999; 21(1): 66-71.
Geng J-P, Tan KBC, Liu G-R. Application of finite element analysis in implant dentistry: A review of the literature. J Prosthet Dent. 2001; 85(6): 585-98.
Goh BT, Lee S, Tideman H, Stoelinga PJW. Mandibular reconstruction in adults: a review. Int J Oral Maxillofac Surg. 2008; 37(7): 597-605.
Hidalgo DA, Pusic AL. Free-flap mandibular reconstruction: a 10-year follow-up study. Plast Reconstr Surg. 2002; 110(2): 438-51.
Hoard MA, Bill TJ, Campbell RL. Reduction in morbidity after iliac crest bone harvesting: the concept of pre-emptive analgesia. J Craniofac Surg. 1998; 9(5): 448-51.
Irish JC, Gullane PJ, Gilbert RW, Brown DH, Birt BD, Boyd JB. Primary mandibular reconstruction with the titanium hollow screw reconstruction plate: Evaluation of 51 cases. Plast Reconstr Surg. 1995 Jul;96(1):93-9.
Jedrusik-Pawłowska M, Kromka-Szydek M, Katra M, Niedzielska I. Mandibular reconstruction - Biomechanical strength analysis (FEM) based on a retrospective clinical analysis of selected patients. Acta Bioeng Biomech. 2013; 15(2): 23-31.
Kim MR, Donoff RB. Critical analysis of mandibular reconstruction using AO reconstruction plates. J Oral Maxillofac Surg. 1992; 50(11): 1152-7.
Kimura A, Nagasao T, Kaneko T, Tamaki T, Miyamoto J, Nakajima T. Adaquate fixation of plates for stability during mandibular reconstruction. J Cranio-Maxillofacial Surg. 2006; 34(4): 193-200.
Korioth TWP, Hannam AG. Deformation of the human mandible during simulated tooth clenching. J Dent Res. 1994; 73(1): 56-66.
Kucukguven MB, Akkocaoğlu M. Finite element analysis of stress distribution on reconstructed mandibular models for autogenous bone grafts. Technol Health Care. 2020;28(3):249-258.
Lin T-S, Tsai F-D, Chen C-Y, Lin L-W. Factorial analysis of variables affecting bone stress adjacent to the orthodontic anchorage mini-implant with finite element analysis. Am J Orthod Dentofac Orthop. 2013; 143(2): 182-9.
Lindqvist C, Söderholm A-L, Laine P, Paatsama J. Rigid reconstruction plates for immediate reconstruction following mandibular resection for malignant tumours. J Oral Maxillofac Surg. 1992; 50(11): 1158-63.
Markwardt J, Pfeifer G, Eckelt U, Reitemeier B. Analysis of complications after reconstruction of bone defects involving complete mandibular resection using finite element modelling. Onkologie. 2007 Mar;30(3):121-6.
Martola M, Lindqvist C, Hänninen H, Al-Sukhun J. Fracture of titanium plates used for mandibular reconstruction following ablative tumour surgery. J Biomed Mater Res Part B Appl Biomater. 2007; 80(2): 345-52.
Nagasao T, Kobayashi M, Tsuchiya Y, Kaneko T, Nakajima T. Finite element analysis of the stresses around endosseous implants in various reconstructed mandibular models. J Cranio-Maxillofacial Surg. 2002; 30(3): 170-7.
Onoda S, Kimata Y, Yamada K, et al. Prevention points for plate exposure in the mandibular reconstruction. J Cranio-Maxillofacial Surg. 2012; 40: 310-4.
Park SM, Lee D, Lee JW, Kim Y, Kim L, Noh G. Stability of the permanently bent plates used in mandibular reconstructive surgery. In: Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS. 2016; (1): 2198-201.
Shibahara T, Noma H, Furuya Y, Takaki R. Fracture of mandibular reconstruction plates used after tumour resection. J Oral Maxillofac Surg. 2002; 60(2): 182-5.
Spencer KR, Sizeland A, Taylor GI, Wiesenfeld D. The use of titanium mandibular reconstruction plates in patients with oral cancer. Int J Oral Maxillofac Surg. agosto de 1999; 28(4): 288-90.
Stringhini DJ, Sommerfeld R, Uetanabaro LC, et al. Resistance and stress finite element analysis of different types of fixation for mandibular orthognathic surgery. Braz Dent J. 2016; 27(3): 284-91.
Tang C-B, Liu S-Y, Zhou G-X, et al. Nonlinear finite element analysis of three implant–abutment interface designs. Int J Oral Sci. 2012; 4(2): 101-8.
Urken ML, Buchbinder D, Weinberg H, et al. Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient. Laryngoscope. 1991; 101(9): 935-950.
Vajgel A, Camargo IB, Willmersdorf RB, De Melo TM, Filho JRL, De Holanda Vasconcellos RJ. Comparative finite element analysis of the biomechanical stability of 2,0 fixation plates in atrophic mandibular fractures. J Oral Maxillofac Surg. 2013; 71(2): 335-42.
Winter W, Krafft T, Steinmann P, Karl M. Quality of alveolar bone — Structure-dependent material properties and design of a novel measurement technique. J Mech Behav Biomed Mater. 2011; 4(4): 541-8.
Wong RCW, Tideman H, Kin L, Merkx MAW. Biomechanics of mandibular reconstruction: a review. Int J Oral Maxillofac Surg. 2010; 39(4): 313-9.
Yi Z, Jian-Guo Z, Guang-Yan Y, Ling L, Fu-Yun Z, Guo-Cheng Z. Reconstruction plates to bridge mandibular defects: a clinical and experimental investigation in biomechanical aspects. Int J Oral Maxillofac Surg. 1999; 28(6): 445-50.