## Abstract Transmandibular implants (TMI) are indicated both for functional reconstruction of the severely atrophic mandible and when routine augmentation is unpredictable. This study investigates the interface of bone around a TMI, retrieved from the cadaver. The TMI had successfully functioned f
Finite element analysis of a transmandibular implant
β Scribed by Tsutomu Nomura; Michael P. Powers; J. Lawrence Katz; Chikara Saito
- Publisher
- John Wiley and Sons
- Year
- 2007
- Tongue
- English
- Weight
- 390 KB
- Volume
- 80B
- Category
- Article
- ISSN
- 1552-4973
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β¦ Synopsis
Abstract
Finite element analysis (FEA) was used to study the influence of bony height and baseplate effect on the transmandibular implant (TMI). FEA was used to assess the stress distribution in the mandible, with and without a baseplate. Forces were applied to the center of a bar space. The von Mises stress (SEQV) was displayed in bone, and shear stress also was measured. Tensile stress was always seen at the soβcalled saddle area; compressive stress was seen at the inferior border. Tensile strain at the saddle area of a 6βmm height mandible is always 9.1 times greater (corresponding to more SEQV) than that of an 18βmm mandible. At same bone heights, saddle area stresses are similar with or without a baseplate. However, stress at the lateral transossseous post interface with bone was significantly different between different bone height groups. Shear stress around the lateral transossseous post was smaller than does the SEQV of the same site. Decreased bone height dramatically increases stress at the saddle area independent of the baseplate presence. These data suggest that bone apposition is found in the severely atrophic mandibles. Thus, there is no need for a baseplate in a slight to mild atrophic mandible. Β© 2006 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2007
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