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Finite Element Analysis of the Effect of Mastication on Endochondral Ossification During the Consolidation Period of Mandibular Distraction Osteogenesis

  • Research Article - Mechanical Engineering
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Abstract

Masticatory movements have been hypothesized to have a close relationship with the endochondral ossification of mandibular distraction gap tissue. This study investigated whether the local biomechanical environment of the gap tissue contributes to endochondral ossification of new tissue during the early consolidation period of mandibular distraction osteogenesis (DO) in the case of unstable fixation. A 3D finite element model was used to evaluate the compressive hydrostatic pressure stresses and shear stresses of new tissue in the unilateral mandibular DO gap after 4 weeks of consolidation. Four basic clenching conditions—namely clenching in the intercuspal position (ICP), left unilateral molar clenching (L-MOL), right unilateral molar clenching (R-MOL), and incisal clenching (INC)—were investigated. The gap tissue was always subjected to compressive hydrostatic pressure stresses and shear stresses, but the stress value of a specific location varied with clenching conditions. Under ICP, the gap tissue gained the maximum compressive hydrostatic pressure stresses and shear stresses; L-MOL experienced lower compressive hydrostatic pressure stresses and shear stresses, followed by R-MOL, while INC experienced minimum stress. During ICP, L-MOL, and R-MOL conditions, the junction area of lingual and distal surfaces of the gap tissue showed a greater compressive hydrostatic pressure stress, especially the area close to the inferior mandibular border, an area in which endochondral ossification has been observed in vivo during the early phase of consolidation. The results suggest that masticatory movement may contribute to endochondral ossification in the distraction gap in the early phase of consolidation under unstable fixation. During DO, stable fixation is an important factor in ensuring comparability of the results.

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Correspondence to Hang Wang.

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B. Ji and W. Jiang are co-first authors, who contributed equally to this work.

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Ji, B., Jiang, W., Tang, Z. et al. Finite Element Analysis of the Effect of Mastication on Endochondral Ossification During the Consolidation Period of Mandibular Distraction Osteogenesis. Arab J Sci Eng 39, 7223–7228 (2014). https://doi.org/10.1007/s13369-014-1269-2

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  • DOI: https://doi.org/10.1007/s13369-014-1269-2

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