Effects of bilateral sagittal split ramus osteotomy and bimaxillary osteotomies on stress distribution of temporomandibular joints in patients with maxillofacial deformity under asymmetric occlusions.
Finite element method
Maxillofacial deformity
Temporomandibular disorders
Temporomandibular joint
Journal
Medical & biological engineering & computing
ISSN: 1741-0444
Titre abrégé: Med Biol Eng Comput
Pays: United States
ID NLM: 7704869
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
22
08
2022
accepted:
18
01
2023
medline:
15
5
2023
pubmed:
2
2
2023
entrez:
1
2
2023
Statut:
ppublish
Résumé
Bilateral sagittal split ramus osteotomy (BSSRO) and bimaxillary osteotomies (BSSRO plus Lefort1 osteotomy) are representative surgeries to solve maxillofacial deformity. It is important to understand the biomechanical impact of the surgeries on the temporomandibular joint (TMJ). The purpose of this study is to compare the stress variations of the patients before and after the two surgeries. Twenty-four patients with maxillofacial deformities and 14 asymptomatic subjects were recruited to be the preoperative group and control group in this study. Ten patients were performed BSSRO and other 14 underwent bimaxillary osteotomies. Finite element models of the preoperative, postoperative, and control groups were established according to the CBCT data of the subjects. The muscle forces of the left and right unilateral occlusion were applied on the models. And the contact was used to simulate the interaction within the TMJs and between the maxillary and mandibular teeth. Under the asymmetric occlusion, bimaxillary osteotomies were found to be superior to BSSRO in the stress distributions of the TMJs. The magnitude of the asymmetric stresses was strongly correlated with the TMD symptoms in the patients. And the stress variation of the postoperative TMJs was the cause of the improvement or aggravation of the TMD symptoms.
Identifiants
pubmed: 36723783
doi: 10.1007/s11517-023-02785-3
pii: 10.1007/s11517-023-02785-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1427-1437Subventions
Organisme : National Natural Science Foundation of China
ID : 12202298
Organisme : National Natural Science Foundation of China
ID : 31670963
Organisme : Strategic cooperation project between Sichuan University and Yibin municipal people's goverment
ID : 2019CDYB-16
Organisme : Strategic cooperation project between Sichuan University and Yibin municipal people's government
ID : 2020CDYB-8
Informations de copyright
© 2023. International Federation for Medical and Biological Engineering.
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