Meyer Christophe, Kahn Jean-Luc, Boutemi Philippe, Wilk Astrid
Department of Maxillofacial Surgery, University Hospital of Strasbourg, France.
J Craniomaxillofac Surg. 2002 Jun;30(3):160-9. doi: 10.1054/jcms.2002.0297.
The purpose of this experimental study was to demonstrate the stress patterns arising in the region of the mandibular condyle during mastication.
Stress analysis was performed using reflection photoelasticity to demonstrate deformation occurring on the surface of the mandible. The rami of three fresh dentate human mandibles were coated with a shell of photoelastic resin. Using a novel loading device, these mandibles were then subjected to external forces (muscular traction, resultant mandibular forces and intra-articular reaction force) reproducing a unilateral biting task between the first right molars. Deformations were measured from the working side.
The trace of isostatic lines from the isoclinic fringes revealed major differences in stress distributions between the three mandibles. These differences were attributed to differences in shape between the three mandibles. Conversely, we consistently found compressive stress patterns along the posterior border of the ramus and tensile stress patterns along the anterior border of the ramus and in the zone situated below the siqmoid notch.
These findings suggest that during this particular task, the mandible is subjected to sagittal forces which tend to straighten the mandibular angle. This implies that new concepts are needed for the positioning of osteosynthesis plates in the condylar region, close to the tensile strain lines, as has been recommended also for other parts of the mandible when applying semi-rigid internal fixation.
本实验研究的目的是展示咀嚼过程中下颌髁突区域产生的应力模式。
采用反射光弹性法进行应力分析,以显示下颌骨表面发生的变形。对三个新鲜的有牙人类下颌骨的升支涂上一层光弹性树脂外壳。使用一种新型加载装置,然后对这些下颌骨施加外力(肌肉牵引力、下颌合力和关节内反作用力),模拟右侧第一磨牙之间的单侧咬合任务。从工作侧测量变形。
等倾线条纹的等静线轨迹显示,三个下颌骨的应力分布存在重大差异。这些差异归因于三个下颌骨形状的不同。相反,我们始终发现沿升支后缘的压应力模式以及沿升支前缘和乙状切迹下方区域的拉应力模式。
这些发现表明,在这项特定任务中,下颌骨受到矢状力作用,这些力倾向于使下颌角变直。这意味着在髁突区域靠近拉应变线处定位接骨板时需要新的概念,正如在应用半刚性内固定时对下颌骨其他部位所建议的那样。