Prediction of condylar movement envelope surface based on facial morphology

Kenan Chen; Zhehao Zhang; Junqi Jiang; Junlin Wang; Jing Wang; Yuchun Sun; Xiangliang Xu; Chuanbin Guo

doi:10.1016/j.heliyon.2023.e17769

Prediction of condylar movement envelope surface based on facial morphology

Heliyon. 2023 Jul 7;9(7):e17769. doi: 10.1016/j.heliyon.2023.e17769. eCollection 2023 Jul.

Authors

Kenan Chen¹, Zhehao Zhang², Junqi Jiang¹, Junlin Wang¹, Jing Wang¹, Yuchun Sun³, Xiangliang Xu¹, Chuanbin Guo¹

Affiliations

¹ Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology, Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health, NMPA Key Laboratory for Dental Materials, Beijing, PR China.
² State Key Laboratory of Tribology, Tsinghua University, Beijing, 100084, PR China.
³ Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology, National Center of Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory for Dental Materials, Beijing, PR China.

Abstract

The present study aimed to predict the envelope surfaces from facial morphology. Condylar envelope surfaces for 34 healthy adults were formed and simplified as sagittal section curves. Cephalometric and maximum mandibular moving distances measurement were performed on the participants. There was no statistically significant difference (p = 0.763) between the left and right maximum lateral movements. There was a statistically significant difference in the mandibular body length between the sexes. The envelope surfaces were divided into type 1 with H_p2 ≥ 1/3 H_p1 and type 2 with H_p2 < 1/3 × H_p1. SNA and SNB for type 2 were significantly greater than those for type 1 (p < 0.001). Therefore, the participants were divided into four groups based on gender and envelope surface morphology. The curves could be fitted using the second-order Fourier function (R-square ≥0.95). Six facial parameters were selected and a matrix was used to map facial morphology to the envelope surface. Individual sagittal curves were predicted using the matrix and facial parameters, and the envelope surface was predicted using the curve and the condyle model. Deviation analysis for the predicted envelope surface using the actual envelope as a reference was carried out (root mean square = 0.9970 mm ± 0.2918 mm). This method may lay a foundation for the geometric design of artificial fossa components of temporomandibular joint replacement systems. It may improve prosthesis design without flexible tissue repair and guide the movement of the artificial joint head.

Keywords: Artificial fossa component; Condylar process movement; Curve fitting; Envelope surface; Facial morphology; Matrix.