Numerical model proposed for a temporomandibular joint prosthesis based on the recovery of the healthy movement

Comput Methods Biomech Biomed Engin. 2018 Jun;21(8):503-511. doi: 10.1080/10255842.2018.1485894. Epub 2018 Jul 16.

Abstract

The temporomandibular joint (TMJ) is an anatomical set of the buco-maxillary system that allows the movement of the mandible in most varied ways. Several factors can influence the malfunctioning of the joint and lead to the use of a total prosthesis. However, current prostheses do not supply the maximum amplitude of movement during protrusion and opening, due to mainly the anatomical differences between patients. For this reason, this article aims to study the patient's kinematic characteristics for a better comprehension of the problem and, consequently, to develop a numerical model for TMJ prostheses able to recover the healthy movement. The numerical model is based on the development of a mechanical joint whose profile is able to reproduce the movement of the health system. The results obtained through the developed model showed a good agreement with the experimental results, representing, therefore, a promising alternative to approach the problems related to TMJ.

Keywords: BioCAD; Joint; Prosthesis; Rigid Body; Temporomandibular.

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Computer Simulation
  • Female
  • Humans
  • Mandible / pathology
  • Mandibular Prosthesis*
  • Models, Biological*
  • Movement*
  • Numerical Analysis, Computer-Assisted*
  • Software
  • Temporomandibular Joint / physiopathology*