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Condyle bone destruction: the association between temporomandibular joint vibration and finite element analysis

Abstract

Objective

The objective of the study is to investigate the stress distributions of condyle and articular disc at different mandibular plane angles and the association between the temporomandibular joint (TMJ) vibration and anatomical relationship.

Setting and sample population

Data from 195 untreated patients were analyzed. Patients were, respectively, divided into 3 groups, based on cone-beam computed tomography (CBCT): Group 0 presenting normal condyles, Group 1 presenting mild bone change, and Group 2 presenting severe bone change; based on magnetic resonance imaging (MRI): normal disc position (N), disc displacement with reduction (DDR) and disc displacement without reduction (DDNR); based on the mandibular plane angle: low, normal and high.

Methods

(1) According to peak frequency, average amplitude, and occurrence phase, association was assessed between TMJ condition and TMJ vibration; (2) A three-dimensional finite element model of masticatory system was established and the relationship between mandibular plane angle and condyle bone destruction was described.

Results

The average amplitude of TMJ vibration negatively correlated with pathological condition of the articular disc (p < 0.01). The angle of SN-MP was strongly relevant to bone destruction of condyle (p < 0.01), and the biomechanical analysis showed that with the increase of SN-MP angle, the area of stress concentration in the posterior slope of condyle rose.

Conclusions

The average amplitude of TMJ vibration decreased with the pathological position state of articular disc, and condyle bone destruction was positively associated with SN-MP angle.

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Funding

This study was financially sponsored by the Technology Innovation Project of Science and Technology Bureau of Chengdu (2019-YF05–00508-SN), Research and Develop Program, West China Hospital of Stomatology (RD-03-202005), and National Students’ Innovation and Entrepreneurship Training Program (C2021115643).

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Correspondence to Yang Liu.

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The authors declare no conflict of interest.

Ethics approval

For this study, approval was obtained from Sichuan University, West China Hospital of Stomatology, Clinical Research Ethics Committee, on 28/6/2020, with protocol number WCHSIRB-D-2020-230. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5).

Informed consent

Informed consent was obtained from all patients for being included in the study.

Condyle bone destruction

The association between temporomandibular joint vibration and finite element analysis.

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Liu, W., Liu, S., Xiong, X. et al. Condyle bone destruction: the association between temporomandibular joint vibration and finite element analysis. Oral Radiol (2022). https://doi.org/10.1007/s11282-022-00592-4

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  • DOI: https://doi.org/10.1007/s11282-022-00592-4

Keywords

  • Osteoarthrosis
  • Condyle position
  • TMJ imaging
  • Finite element method (FEM)