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使用颏兜疗法引起的颞下颌关节盘应力分布:有限元法评估

Distribution of stress on TMJ disc induced by use of chincup therapy: assessment by the finite element method.

作者信息

Calçada Flávio Siqueira, Guimarães Antônio Sérgio, Teixeira Marcelo Lucchesi, Takamatsu Flávio Atsushi

机构信息

Associação Paulista de Cirurgiões-Dentistas, Curso de Especialização em Ortodontia (São José dos Campos/SP, Brazil).

Faculdade de Medicina e Odontologia São Leopoldo Mandic, Programa de Mestrado em Disfunção Temporomandibular e Dor Orofacial (Campinas/ SP, Brazil).

出版信息

Dental Press J Orthod. 2017 Sep-Oct;22(5):83-89. doi: 10.1590/2177-6709.22.5.083-089.oar.

Abstract

OBJECTIVE

To assess the distribution of stress produced on TMJ disc by chincup therapy, by means of the finite element method.

METHODS

a simplified three-dimensional TMJ disc model was developed by using Rhinoceros 3D software, and exported to ANSYS software. A 4.9N load was applied on the inferior surface of the model at inclinations of 30, 40, and 50 degrees to the mandibular plane (GoMe). ANSYS was used to analyze stress distribution on the TMJ disc for the different angulations, by means of finite element method.

RESULTS

The results showed that the tensile and compressive stresses concentrations were higher on the inferior surface of the model. More presence of tensile stress was found in the middle-anterior region of the model and its location was not altered in the three directions of load application. There was more presence of compressive stress in the middle and mid-posterior regions, but when a 50o inclined load was applied, concentration in the middle region was prevalent. Tensile and compressive stresses intensities progressively diminished as the load was more vertically applied.

CONCLUSIONS

stress induced by the chincup therapy is mainly located on the inferior surface of the model. Loads at greater angles to the mandibular plane produced distribution of stresses with lower intensity and a concentration of compressive stresses in the middle region. The simplified three-dimensional model proved useful for assessing the distribution of stresses on the TMJ disc induced by the chincup therapy.

摘要

目的

采用有限元方法评估颏兜治疗时颞下颌关节盘产生的应力分布。

方法

使用Rhinoceros 3D软件建立简化的三维颞下颌关节盘模型,并导出至ANSYS软件。在模型下表面施加4.9N的载荷,载荷与下颌平面(GoMe)呈30度、40度和50度倾斜。利用有限元方法,通过ANSYS分析不同角度下颞下颌关节盘的应力分布。

结果

结果显示,模型下表面的拉应力和压应力集中较高。在模型的中前部区域发现更多的拉应力,且其位置在三个加载方向上均未改变。在中部和中后部区域存在更多的压应力,但当施加50°倾斜载荷时,中部区域的应力集中更为普遍。随着载荷更加垂直施加,拉应力和压应力强度逐渐减小。

结论

颏兜治疗引起的应力主要位于模型下表面。与下颌平面夹角较大的载荷产生的应力分布强度较低,且在中部区域存在压应力集中。简化的三维模型被证明有助于评估颏兜治疗引起的颞下颌关节盘应力分布。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789b/5730140/b0ac4942ca2a/2176-9451-dpjo-22-05-00083-gf1.jpg

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