TY - JOUR
T1 - Three lateral osteotomy designs for bilateral sagittal split osteotomy
T2 - Biomechanical evaluation with three-dimensional finite element analysis
AU - Takahashi, Hiromasa
AU - Moriyama, Shigeaki
AU - Furuta, Haruhiko
AU - Matsunaga, Hisao
AU - Sakamoto, Yuki
AU - Kikuta, Toshihiro
N1 - Funding Information:
We thank Associate Prof. Kazuhiko Okamura, Department of Morphological Biology at Fukuoka Dental College, Japan, for his thoughtful review of this manuscript. This work was supported in part by a fund (096006) from the Central Research Institute of Fukuoka University, Japan.
PY - 2010/3/26
Y1 - 2010/3/26
N2 - Background: The location of the lateral osteotomy cut during bilateral sagittal split osteotomy (BSSO) varies according to the surgeon's preference, and no consensus has been reached regarding the ideal location from the perspective of biomechanics. The purpose of this study was to evaluate the mechanical behavior of the mandible and screw-miniplate system among three lateral osteotomy designs for BSSO by using three-dimensional (3-D) finite element analysis (FEA).Methods: The Trauner-Obwegeser (TO), Obwegeser (Ob), and Obwegeser-Dal Pont (OD) methods were used for BSSO. In all the FEA simulations, the distal segments were advanced by 5 mm. Each model was fixed by using miniplates. These were applied at four different locations, including along Champy's lines, to give 12 different FEA miniplate fixation methods. We examined these models under two different loads.Results: The magnitudes of tooth displacement, the maximum bone stress in the vicinity of the screws, and the maximum stress on the screw-miniplate system were less in the OD method than in the Ob and TO methods at all the miniplate locations. In addition, Champy's lines models were less than those at the other miniplate locations.Conclusions: The OD method allows greater mechanical stability of the mandible than the other two techniques. Further, miniplates placed along Champy's lines provide greater mechanical advantage than those placed at other locations.
AB - Background: The location of the lateral osteotomy cut during bilateral sagittal split osteotomy (BSSO) varies according to the surgeon's preference, and no consensus has been reached regarding the ideal location from the perspective of biomechanics. The purpose of this study was to evaluate the mechanical behavior of the mandible and screw-miniplate system among three lateral osteotomy designs for BSSO by using three-dimensional (3-D) finite element analysis (FEA).Methods: The Trauner-Obwegeser (TO), Obwegeser (Ob), and Obwegeser-Dal Pont (OD) methods were used for BSSO. In all the FEA simulations, the distal segments were advanced by 5 mm. Each model was fixed by using miniplates. These were applied at four different locations, including along Champy's lines, to give 12 different FEA miniplate fixation methods. We examined these models under two different loads.Results: The magnitudes of tooth displacement, the maximum bone stress in the vicinity of the screws, and the maximum stress on the screw-miniplate system were less in the OD method than in the Ob and TO methods at all the miniplate locations. In addition, Champy's lines models were less than those at the other miniplate locations.Conclusions: The OD method allows greater mechanical stability of the mandible than the other two techniques. Further, miniplates placed along Champy's lines provide greater mechanical advantage than those placed at other locations.
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U2 - 10.1186/1746-160X-6-4
DO - 10.1186/1746-160X-6-4
M3 - Article
C2 - 20346142
AN - SCOPUS:77952948680
SN - 1746-160X
VL - 6
JO - Head and Face Medicine
JF - Head and Face Medicine
IS - 1
M1 - 4
ER -