A finite element model of the human dentate mandible has been developed to provide a comparison of fixation systems used currently for fracture reduction. Volume domains for cortical bone, cancellous bone, and teeth were created and meshed in ANSYS 8.0 based on IGES curves created from computerized tomography data. A unilateral molar clench was loaded on the model with a fracture gap simulated along the symphysis. Results based on Von Mises stress in cortical and cancellous bone surrounding the screws, and on fracture surface spatial fixation, show some relative differences between different screw-plate systems, yet all were judged to be appropriate in their reduction potential.

1.
Wade
,
A.
, and
Wagner
,
J.
, 2003, “
A Retrospective Review of the Effect of Delayed Versus Acute Treatment of Mandibular Fractures at a University Teaching Hospital
,” Technical Report, University of New Mexico, Albuquerque, NM.
2.
Andersen
,
K. L.
,
Mortensen
,
H. T.
,
Pedersen
,
E. H.
, and
Melsen
,
B.
, 1991, “
Determination of Stress Levels and Profiles in the Periodontal Ligament by Means of an Improved Three-Dimensional Finite Element Model for Various Types of Orthodontic and Natural Force Systems
,”
J. Biomed. Eng.
0141-5425,
13
, pp.
293
303
.
3.
Tanaka
,
E.
,
Tanne
,
K.
, and
Sakuda
,
M.
, 1994, “
A Three Dimensional Finite Element Model of the Mandible Including the TMJ and its Application to Stress Analysis in the TMJ During Clenching
,”
Med. Eng. Phys.
1350-4533,
16
, pp.
316
322
.
4.
Chaudhary
,
N.
,
Lovald
,
S.
,
Wagner
,
J.
,
Khraishi
,
T.
,
Kelly
,
J.
, and
Wood
,
J.
, 2004, “
Modeling of Screw-Plate Systems for Mandibular Fracture Repair
,”
Proceedings of the ASME IMECE2004 Conference
, Bioengineering Division, Paper No. 62256, Anaheim, CA, Nov. 13–19.
5.
Cox
,
T.
,
Kohn
,
M. W.
, and
Impelluso
,
T.
, 2003, “
Computerized Analysis of Resorbable Polymer Plates and Screws for the Rigid Fixation of Mandibular Angle Fractures
,”
Int. J. Oral Maxillofac Surg.
0901-5027,
61
, pp.
481
487
.
6.
Fernandez
,
J. R.
,
Gallas
,
M.
,
Burguera
,
M.
, and
Viano
,
J. M.
, 2003, “
A Three-Dimensional Numerical Simulation of Mandible Fracture Reduction With Screwed Miniplates
,”
J. Biomech.
0021-9290,
36
, pp.
329
337
.
7.
Korioth
,
T. W. P.
, and
Versluis
,
A.
, 1997, “
Modeling the Mechanical Behavior of the Jaws and Their Related Structures by Finite Element Analysis
,”
Crit. Rev. Oral Biol. Med.
1045-4411,
8
, pp.
90
104
.
8.
Daegling
,
D. J.
, and
Hylander
,
W. L.
, 2000, “
Experimental Observation, Theoretical Models, and Biomechanical Inference in the Study of Mandibular Form
,”
Am. J. Phys. Anthropol.
0002-9483,
112
, pp.
541
551
.
9.
Futterling
,
S.
,
Klein
,
R.
,
Straßer
,
W.
, and
Weber
,
H.
, “
Automated Finite Element Modeling of a Human Mandible With Dental Implants
,”
Proceedings of the Sixth International Conference in Central Europe on Computer Graphics and Visualization '98
, Vol.
1
, part 1, pp.
103
110
.
10.
Tada
,
S.
,
Stegaroiu
,
R.
,
Kitamura
,
E.
,
Miyakawa
,
O.
, and
Kusakari
,
H.
, 2003, “
Influence of Implant Design and Bone Quality on Stress/Strain Distribution in Bone Around Implants: A 3-dimensional Finite Element Analysis
,”
Int. J. Oral Maxillofac Implants
0882-2786,
18
, pp.
357
368
.
11.
Nagasao
,
T.
,
Kobayashi
,
M.
,
Tsuchiya
,
Y.
,
Kaneko
,
T.
, and
Nakajima
,
T.
, 2002, “
Finite Element Analysis of the Stresses Around Endosseous Implants in Various Reconstructed Mandibular Models
,”
J. Craniomaxillofac Surg.
1010-5182,
30
, pp.
170
177
.
12.
Korioth
,
T. W. P.
,
Romilly
,
D. P.
, and
Hannam
,
A. G.
, 1992, “
Three-Dimensional Finite Element Stress Analysis of the Dentate Human Mandible
,”
Am. J. Phys. Anthropol.
0002-9483,
88
, pp.
69
96
.
13.
Schwartz-Dabney
,
C. L.
, and
Dechow
,
P. C.
, 2003, “
Variations in Cortical Material Properties Throughout the Human Dentate Mandible
,”
Am. J. Phys. Anthropol.
0002-9483,
120
, pp.
252
277
.
14.
Martens
,
M.
,
Van Audekercke
,
R.
,
Delport
,
P.
,
De Meester
,
P.
, and
Mulier
,
J. C.
, 1983, “
The Mechanical Characteristics of Cancellous Bone at the Upper Femoral Region
,”
J. Biomech.
0021-9290,
16
, pp.
971
983
.
15.
Craig
,
R. G.
, and
Peyton
,
F. A.
, 1958, “
Elastic and Mechanical Properties of Human Dentin
,”
J. Dent. Res.
0022-0345,
37
, pp.
710
718
.
16.
Hart
,
R. T.
,
Hennebel
,
V. V.
,
Thongpreda
,
N.
,
Van Buskirk
,
W. C.
, and
Anderson
,
R. C.
, 1992, “
Modeling the Biomechanics of the Mandible: A Three Dimensional Finite Element Study
,”
J. Biomech.
0021-9290,
25
, pp.
261
286
.
17.
Tanne
,
K.
,
Sakuda
,
M.
, and
Burstone
,
C. J.
, 1987, “
Three Dimensional Finite Element Analyses for Stress in the Periodontal Tissue by Orthodontic Forces
,”
Am. J. Orthod. Dentofacial Orthop.
0889-5406,
92
, pp.
499
505
.
18.
Toms
,
S. R.
, and
Eberhardt
,
A. W.
, 2003, “
A Nonlinear Finite Element Analysis of the Periodontal Ligament Under Orthodontic Tooth Loading
,”
Am. J. Orthod. Dentofacial Orthop.
0889-5406,
123
, pp.
657
665
.
19.
Wagner
,
A.
,
Krach
,
W.
,
Schicho
,
K.
,
Undt
,
G.
,
Ploder
,
O.
, and
Ewers
,
R.
, 2002, “
A 3-Dimensional Finite-Element Analysis Investigating the Biomechanical Behavior of the Mandible and Plate Osteosynthesis in Cases of Fractures of the Condylar Process
,”
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
1079-2104,
94
, pp.
678
686
.
20.
Shigley
,
J. E.
, and
Mischke
,
C. R.
, 1989,
Mechanical Engineering Design
, 5th ed.,
McGraw-Hill
, New York.
21.
Introduction to ANSYS 8.0
, 2003, Training Manual, 1st ed.,
SAS IP, Inc.
22.
An
,
Y. H.
, 2000, “
Mechanical Properties of Bone
,”
Mechanical Testing of Bone and the Bone-Implant Interface
,
CRC
, Boca Raton, FL, pp.
41
59
.
23.
Tate
,
G. S.
,
Ellis
,
E.
III
, and
Throckmorton
,
G.
, 1994, “
Bite Forces in Patients Treated for Mandibular Angle Fractures
,”
J. Maxillofac Surg.
0301-0503,
54
, pp.
734
736
.
24.
Claes
,
L. E.
,
Heigele
,
C. A.
,
Neidlinger-Wilke
,
C.
,
Kaspar
,
D.
,
Walter
,
S.
,
Margevicius
,
K. J.
, and
Augat
,
P.
, “
Effects of Mechanical Factors on the Fracture Healing Process
,” Association of Bone and Joint Surgeouns Workshop: Fracture Healing Enhancement: Section II: Fracture Repair Process.
25.
Schilli
,
W.
, 1998,
Manual of Internal Fixation in the Cranio-Facial Skeleton
,
Springer-Verlag
, Berlin, pp.
57
94
.
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