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Published in: BMC Oral Health 1/2020

01-12-2020 | Research article

Finite elements analysis of the temporomandibular joint disc in patients with intra-articular disorders

Authors: Linfeng Lai, Chenyao Huang, Fan Zhou, Fujian Xia, Guofeng Xiong

Published in: BMC Oral Health | Issue 1/2020

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Abstract

Background

Intra-articular disorders (ID) or anterior and/or medial displacement of the temporomandibular joint disorder (TMJ) disc are the most common form of TMJ dysfunction (TMD). TMD causes changes in the friction coefficient during TMJ movement. Herein, we provided a three-dimensional (3D) finite-elements model (FEM) including the maxilla, disc, and mandible and evaluated the stress distribution with different friction coefficient.

Methods

Fourteen volunteers without TMD and 20 patients with MRI-diagnosed TMD were selected. CT and MRI data were collected to build the 3D FEA model of the mandible and TMJ disc. Stress distribution with different friction coefficient was measured.

Result

In the normal model, stress distribution on the TMJ disc was 2.07 ± 0.17, 1.49 ± 0.14, and 1.41 ± 0.14 MPa with 0.001, 0.3, and 0.4 friction coefficient, respectively. In the TMD model, stress distribution was 3.87 ± 0.15, 7.23 ± 0.22, and 7.77 ± 0.19 MPa respectively.

Conclusion

When the friction coefficient of the side with anterior displacement increased, stress on the disc, condyle and mandible of the opposite side increased. Simultaneously, stress values of the disc, condyle and mandible were higher than those of the normal lateral joint.
Literature
1.
go back to reference Zhou ZH, et al. Improved anchoring nails: design and analysis of resistance ability : tensile test and finite element analysis (FEA) of improved anchoring nails used in temporomandibular joint (TMJ) disc anchor. BMC Oral Health. 2018;18(1):150.CrossRef Zhou ZH, et al. Improved anchoring nails: design and analysis of resistance ability : tensile test and finite element analysis (FEA) of improved anchoring nails used in temporomandibular joint (TMJ) disc anchor. BMC Oral Health. 2018;18(1):150.CrossRef
2.
go back to reference Tanaka E, van Eijden T. Biomechanical behavior of the temporomandibular joint disc. Crit Rev Oral Biol Med. 2003;14(2):138–50.CrossRef Tanaka E, van Eijden T. Biomechanical behavior of the temporomandibular joint disc. Crit Rev Oral Biol Med. 2003;14(2):138–50.CrossRef
3.
go back to reference Katzberg RW, et al. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg. 1996;54(2):147–53 discussion 153-5.CrossRef Katzberg RW, et al. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg. 1996;54(2):147–53 discussion 153-5.CrossRef
4.
go back to reference Ribeiro RF, et al. The prevalence of disc displacement in symptomatic and asymptomatic volunteers aged 6 to 25 years. J Orofac Pain. 1997;11(1):37–47.PubMed Ribeiro RF, et al. The prevalence of disc displacement in symptomatic and asymptomatic volunteers aged 6 to 25 years. J Orofac Pain. 1997;11(1):37–47.PubMed
5.
go back to reference Liebl H, et al. In-vivo assessment of femoral bone strength using finite element analysis (FEA) based on routine MDCT imaging: a preliminary study on patients with vertebral fractures. PLoS One. 2015;10(2):e0116907.CrossRef Liebl H, et al. In-vivo assessment of femoral bone strength using finite element analysis (FEA) based on routine MDCT imaging: a preliminary study on patients with vertebral fractures. PLoS One. 2015;10(2):e0116907.CrossRef
6.
go back to reference Parraga QJ, et al. Should a native depth-dependent distribution of human meniscus constitutive components be considered in FEA-models of the knee joint? J Mech Behav Biomed Mater. 2014;38:242–50.CrossRef Parraga QJ, et al. Should a native depth-dependent distribution of human meniscus constitutive components be considered in FEA-models of the knee joint? J Mech Behav Biomed Mater. 2014;38:242–50.CrossRef
7.
go back to reference Zhang M, et al. Development of an integrated CAD-FEA system for patient-specific design of spinal cages. Comput Methods Biomech Biomed Engin. 2017;20(4):355–64.CrossRef Zhang M, et al. Development of an integrated CAD-FEA system for patient-specific design of spinal cages. Comput Methods Biomech Biomed Engin. 2017;20(4):355–64.CrossRef
8.
go back to reference Tanne K, et al. Biomechanical effect of anteriorly directed extraoral forces on the craniofacial complex: a study using the finite element method. Am J Orthod Dentofac Orthop. 1989;95(3):200–7.CrossRef Tanne K, et al. Biomechanical effect of anteriorly directed extraoral forces on the craniofacial complex: a study using the finite element method. Am J Orthod Dentofac Orthop. 1989;95(3):200–7.CrossRef
9.
go back to reference Anderson DD, Daniel TE. A contact-coupled finite element analysis of the radiocarpal joint. Semin Arthroplast. 1995;6(1):30–6. Anderson DD, Daniel TE. A contact-coupled finite element analysis of the radiocarpal joint. Semin Arthroplast. 1995;6(1):30–6.
10.
go back to reference Donzelli PS, et al. Biphasic finite element simulation of the TMJ disc from in vivo kinematic and geometric measurements. J Biomech. 2004;37(11):1787–91.CrossRef Donzelli PS, et al. Biphasic finite element simulation of the TMJ disc from in vivo kinematic and geometric measurements. J Biomech. 2004;37(11):1787–91.CrossRef
11.
go back to reference Koolstra JH, van Eijden TM. Combined finite-element and rigid-body analysis of human jaw joint dynamics. J Biomech. 2005;38(12):2431–9.CrossRef Koolstra JH, van Eijden TM. Combined finite-element and rigid-body analysis of human jaw joint dynamics. J Biomech. 2005;38(12):2431–9.CrossRef
12.
go back to reference Korioth TW, Romilly DP, Hannam AG. Three-dimensional finite element stress analysis of the dentate human mandible. Am J Phys Anthropol. 1992;88(1):69–96.CrossRef Korioth TW, Romilly DP, Hannam AG. Three-dimensional finite element stress analysis of the dentate human mandible. Am J Phys Anthropol. 1992;88(1):69–96.CrossRef
13.
go back to reference Koolstra JH, van Eijden TM. Prediction of volumetric strain in the human temporomandibular joint cartilage during jaw movement. J Anat. 2006;209(3):369–80.CrossRef Koolstra JH, van Eijden TM. Prediction of volumetric strain in the human temporomandibular joint cartilage during jaw movement. J Anat. 2006;209(3):369–80.CrossRef
14.
go back to reference Perez DPA, Doblare M. Finite element analysis of the temporomandibular joint during lateral excursions of the mandible. J Biomech. 2006;39(12):2153–63.CrossRef Perez DPA, Doblare M. Finite element analysis of the temporomandibular joint during lateral excursions of the mandible. J Biomech. 2006;39(12):2153–63.CrossRef
15.
go back to reference Tanaka E, Tanne K, Sakuda M. A three-dimensional finite element model of the mandible including the TMJ and its application to stress analysis in the TMJ during clenching. Med Eng Phys. 1994;16(4):316–22..CrossRef Tanaka E, Tanne K, Sakuda M. A three-dimensional finite element model of the mandible including the TMJ and its application to stress analysis in the TMJ during clenching. Med Eng Phys. 1994;16(4):316–22..CrossRef
16.
go back to reference Chirani RA, et al. Temporomandibular joint: a methodology of magnetic resonance imaging 3-D reconstruction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(6):756–61.CrossRef Chirani RA, et al. Temporomandibular joint: a methodology of magnetic resonance imaging 3-D reconstruction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(6):756–61.CrossRef
17.
go back to reference Westling L, Holm S, Wallentin I. Temporomandibular joint dysfunction. Connective tissue variations in skin biopsy and mitral valve function. Oral Surg Oral Med Oral Pathol. 1992;74(6):709–18.CrossRef Westling L, Holm S, Wallentin I. Temporomandibular joint dysfunction. Connective tissue variations in skin biopsy and mitral valve function. Oral Surg Oral Med Oral Pathol. 1992;74(6):709–18.CrossRef
18.
go back to reference Tanaka E, et al. Stress distribution in the temporomandibular joint affected by anterior disc displacement: a three-dimensional analytic approach with the finite-element method. J Oral Rehabil. 2000;27(9):754–9.CrossRef Tanaka E, et al. Stress distribution in the temporomandibular joint affected by anterior disc displacement: a three-dimensional analytic approach with the finite-element method. J Oral Rehabil. 2000;27(9):754–9.CrossRef
19.
go back to reference Urban JP, et al. Nutrition of the intervertebral disk. An in vivo study of solute transport Clin Orthop Relat Res. 1977;129:101–14.CrossRef Urban JP, et al. Nutrition of the intervertebral disk. An in vivo study of solute transport Clin Orthop Relat Res. 1977;129:101–14.CrossRef
20.
go back to reference Selard E, Shirazi-Adl A, Urban JP. Finite element study of nutrient diffusion in the human intervertebral disc. Spine (Phila Pa 1976). 2003;28(17):1945–53 discussion 1953.CrossRef Selard E, Shirazi-Adl A, Urban JP. Finite element study of nutrient diffusion in the human intervertebral disc. Spine (Phila Pa 1976). 2003;28(17):1945–53 discussion 1953.CrossRef
21.
go back to reference Ferguson SJ, Ito K, Nolte LP. Fluid flow and convective transport of solutes within the intervertebral disc. J Biomech. 2004;37(2):213–21.CrossRef Ferguson SJ, Ito K, Nolte LP. Fluid flow and convective transport of solutes within the intervertebral disc. J Biomech. 2004;37(2):213–21.CrossRef
22.
go back to reference Koolstra JH, van Eijden TM. Consequences of viscoelastic behavior in the human temporomandibular joint disc. J Dent Res. 2007;86(12):1198–202.CrossRef Koolstra JH, van Eijden TM. Consequences of viscoelastic behavior in the human temporomandibular joint disc. J Dent Res. 2007;86(12):1198–202.CrossRef
23.
go back to reference Tanaka E, et al. Effect of hyperactivity of the lateral pterygoid muscle on the temporomandibular joint disk. J Biomech Eng. 2007;129(6):890–7.CrossRef Tanaka E, et al. Effect of hyperactivity of the lateral pterygoid muscle on the temporomandibular joint disk. J Biomech Eng. 2007;129(6):890–7.CrossRef
24.
go back to reference Del PA, et al. Clenching TMJs-loads increases in partial edentates: a 3D finite element study. Ann Biomed Eng. 2008;36(6):1014–23.CrossRef Del PA, et al. Clenching TMJs-loads increases in partial edentates: a 3D finite element study. Ann Biomed Eng. 2008;36(6):1014–23.CrossRef
25.
go back to reference Beek M, Koolstra JH, van Eijden TM. Human temporomandibular joint disc cartilage as a poroelastic material. Clin Biomech (Bristol, Avon). 2003;18(1):69–76.CrossRef Beek M, Koolstra JH, van Eijden TM. Human temporomandibular joint disc cartilage as a poroelastic material. Clin Biomech (Bristol, Avon). 2003;18(1):69–76.CrossRef
26.
go back to reference Spilker RL, Nickel JC, Iwasaki LR. A biphasic finite element model of in vitro plowing tests of the temporomandibular joint disc. Ann Biomed Eng. 2009;37(6):1152–64.CrossRef Spilker RL, Nickel JC, Iwasaki LR. A biphasic finite element model of in vitro plowing tests of the temporomandibular joint disc. Ann Biomed Eng. 2009;37(6):1152–64.CrossRef
27.
go back to reference Cortese A, et al. A modified novel technique for condylar positioning in mandibular bilateral sagittal split osteotomy using computer-assisted designed and computer-assisted manufactured surgical guides. J Oral Maxillofac Surg. 2019;77(5):1069.e1–9.CrossRef Cortese A, et al. A modified novel technique for condylar positioning in mandibular bilateral sagittal split osteotomy using computer-assisted designed and computer-assisted manufactured surgical guides. J Oral Maxillofac Surg. 2019;77(5):1069.e1–9.CrossRef
28.
go back to reference Arnett GW, Gunson MJ. Drs. G. William Arnett and Michael J. Gunson on esthetic treatment planning for orthognathic surgery. Interviewed by Dipak Chudasama. J Clin Orthod. 2010;44(4):227–35 quiz 251.PubMed Arnett GW, Gunson MJ. Drs. G. William Arnett and Michael J. Gunson on esthetic treatment planning for orthognathic surgery. Interviewed by Dipak Chudasama. J Clin Orthod. 2010;44(4):227–35 quiz 251.PubMed
29.
go back to reference Tanaka M, et al. Analysis of Deinococcus radiodurans’s transcriptional response to ionizing radiation and desiccation reveals novel proteins that contribute to extreme radioresistance. Genetics. 2004;168(1):21–33.CrossRef Tanaka M, et al. Analysis of Deinococcus radiodurans’s transcriptional response to ionizing radiation and desiccation reveals novel proteins that contribute to extreme radioresistance. Genetics. 2004;168(1):21–33.CrossRef
30.
go back to reference Shu J, Zhang Y, Liu Z. Biomechanical comparison of temporomandibular joints after orthognathic surgery before and after design optimization. Med Eng Phys. 2019;68:11–6.CrossRef Shu J, Zhang Y, Liu Z. Biomechanical comparison of temporomandibular joints after orthognathic surgery before and after design optimization. Med Eng Phys. 2019;68:11–6.CrossRef
31.
go back to reference Mongini F. Remodelling of the mandibular condyle in the adult and its relationship to the condition of the dental arches. Acta Anat (Basel). 1972;82(3):437–53.CrossRef Mongini F. Remodelling of the mandibular condyle in the adult and its relationship to the condition of the dental arches. Acta Anat (Basel). 1972;82(3):437–53.CrossRef
32.
go back to reference Nitzan DW. The process of lubrication impairment and its involvement in temporomandibular joint disc displacement: a theoretical concept. J Oral Maxillofac Surg. 2001;59(1):36–45.CrossRef Nitzan DW. The process of lubrication impairment and its involvement in temporomandibular joint disc displacement: a theoretical concept. J Oral Maxillofac Surg. 2001;59(1):36–45.CrossRef
33.
go back to reference Tanaka OM, et al. A finite element analysis of the maxillary first molar PDL with maxillary protraction in a mixed dentition class III malocclusion. Orthod Craniofac Res. 2015;18(4):242–50.CrossRef Tanaka OM, et al. A finite element analysis of the maxillary first molar PDL with maxillary protraction in a mixed dentition class III malocclusion. Orthod Craniofac Res. 2015;18(4):242–50.CrossRef
34.
go back to reference Maeda Y, et al. Histomorphometric analysis of overloading on palatal tooth movement into the maxillary sinus. Am J Orthod Dentofac Orthop. 2015;148(3):423–30.CrossRef Maeda Y, et al. Histomorphometric analysis of overloading on palatal tooth movement into the maxillary sinus. Am J Orthod Dentofac Orthop. 2015;148(3):423–30.CrossRef
35.
go back to reference Taskaya-Yilmaz N, et al. A possible etiology of the internal derangement of the temporomandibular joint based on the MRI observations of the lateral pterygoid muscle. Surg Radiol Anat. 2005;27(1):19–24.CrossRef Taskaya-Yilmaz N, et al. A possible etiology of the internal derangement of the temporomandibular joint based on the MRI observations of the lateral pterygoid muscle. Surg Radiol Anat. 2005;27(1):19–24.CrossRef
Metadata
Title
Finite elements analysis of the temporomandibular joint disc in patients with intra-articular disorders
Authors
Linfeng Lai
Chenyao Huang
Fan Zhou
Fujian Xia
Guofeng Xiong
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01074-x

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