Abstract
The temporomandibular joint (TMJ) is one of the most complex joints in the human body with its ability to rotate and translate during jaw opening and closing movements. The motion during jaw-closing has two phases: 1) rotation and translation along the mandibular fossa from maximum mouth open (MMO), and 2) pure rotation from 22° until mouth closed position. However, this motion pattern is altered after the jaw undergoes open joint arthroplasty. This study analyzes the motion and torque capabilities associated with the Fibula Free Flap (FFF) procedure, and two types of TMJ implants: 1) a generic implant constrained to pure rotation, and 2) a patient-specific (PS) implant capable of both rotation and translation. Results show the PS implant most resembles the healthy jaw showing a 34.4 mm inferior displacement at MMO; a 1.15% decrease compared to the healthy jaw’s (34.8 mm), and a maximum net torque of 18,600 N-mm; a 29.3% decrease compared to 26,300 N-mm. The rotation-constrained FFF procedure and generic implant limits the jaw to 70% of MC rotation decreasing the inferior displacement at MMO (FFF/Generic: 22.5 mm) by 35.3% compared to the healthy jaw and prohibits net torque about the MC after the pure rotation phase.
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Abbreviations
- TMJ:
-
Temporomandibular Joint
- MMO:
-
Maximum Mouth Open
- FFF:
-
Fibula Free Flap
- PS :
-
Patient Specific
- ICR:
-
Instantaneous Center of Rotation
- CATIA:
-
Computer-Aided Three-Dimensional Interactive Application
- \({\Phi }_{1}\) :
-
Angle from Axis to Ground Link
- \({\Phi }_{2}\) :
-
Angle from Axis to Arbitrary Link
- \({\Phi }_{3}\) :
-
Angle from Axis to Mandibular Link
- \({l}_{m}\) :
-
Mandibular Link
- \({l}_{g}\) :
-
Ground Link
- \({l}_{b}\) :
-
Arbitrary Link
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Acknowledgments
We would like to give special thanks to Embry-Riddle Aeronautical University’s Advanced Kinematics graduate course (ME 530). This research stemmed from the course project. All authors have viewed and agreed to the submission.
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Walck, C., Lim, Y., Rosenstein, S. (2023). A Novel Review of Temporomandibular Joint Replacement Options. In: Tavares, J.M.R.S., Bourauel, C., Geris, L., Vander Slote, J. (eds) Computer Methods, Imaging and Visualization in Biomechanics and Biomedical Engineering II. CMBBE 2021. Lecture Notes in Computational Vision and Biomechanics, vol 38. Springer, Cham. https://doi.org/10.1007/978-3-031-10015-4_2
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