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Kondil Kırıklarında Ortotropik Mandibula Modeli ile Sonlu Eleman Analizleri Kullanılarak Titanyum ve Rezorbe Olabilen Miniplak Sistemlerinin Karşılaştırılması

Year 2021, Volume: 8 Issue: 3, 713 - 720, 31.12.2021
https://doi.org/10.15311/selcukdentj.780549

Abstract

Amaç: Mandibula kırıkları, yüz yaralanmalarının büyük bir bölümünü oluşturur. Yayımlanan kapsamlı serilere göre, mandibular kırıkların% 17.5-52'si kondil kırıklarıdır. Plak ve vida sistemlerinin geliştirilmesi ile açık redüksiyon ve internal rijit fiksasyon geniş kabul gören bir yöntem haline gelmiştir. Bu amaçla, titanyum miniplak ve vida sistemleri veya rezorbe olabilen plak ve vida sistemleri kullanılmaktadır. Bu çalışmanın amacı, ortotropik olarak elde edilen mandibula modelinde, titanyum plak ve vida sistemleri ile rezorbe olabilen plak ve vida sistemlerinin, kondil kırıklarında kullanımını, sonlu eleman analizi (FEA) yöntemi ile karşılaştırmaktır.
Gereç ve Yöntemler: Sonlu elemanlar analizi ile kemik, plak ve kallusda oluşan stres değerleri ve Von Mises kuvvetleri ile plak ve fragmanlardaki yer değiştirme miktarı incelenmiştir.
Bulgular: Mandibular kondil kırıklarında, rezorbe olabilen plakaların oluşan kuvvetlere karşı yeterli stabilite oluşturmadığı gözlenmiştir.
Sonuç: Mandibula kondil kırıklarının açık tedavisinde titanyum plak ve vida sistemlerinin, rezorbe olabilen plak ve vida sistemlerinden mekanik olarak üstün olduğu gözlenmiştir. Bununla birlikte, bu görüşü tam olarak desteklemek için, farklı tasarımlarla üretilmiş yeni rezorbe olabilen plakların kullanıldığı çalışmalar gerekmektedir.

References

  • References 1. Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: A review of 466 cases. Literature review, reflections on treatment and proposals. J Cranio-Maxillofacial Surg. 2006;34(7):421-432. doi:10.1016/J.JCMS.2006.07.854
  • 2. Silvennoinen U, Iizuka T, Oikarinen K, Lindqvist C. Analysis of possible factors leading to problems after nonsurgical treatment of condylar fractures. J Oral Maxillofac Surg. 1994;52(8):793-799. doi:10.1016/0278-2391(94)90219-4
  • 3. Newman L. A clinical evaluation of the long-term outcome of patients treated for bilateral fracture of the mandibular condyles. - PubMed - NCBI. Br J Oral Maxillofac Surg. 1998;36(3):176-179. https://www.ncbi.nlm.nih.gov/pubmed/9678880. Accessed July 31, 2019.
  • 4. De Riu G, Gamba U, Anghinoni M, Sesenna E. A comparison of open and closed treatment of condylar fractures: a change in philosophy. Int J Oral Maxillofac Surg. 2001;30(5):384-389. doi:10.1054/ijom.2001.0103
  • 5. Bonavolontà P, Dell’aversana Orabona G, Abbate V, et al. The epidemiological analysis of maxillofacial fractures in Italy: The experience of a single tertiary center with 1720 patients. J Cranio-Maxillofacial Surg. 2017;45(8):1319-1326. doi:10.1016/j.jcms.2017.05.011
  • 6. Villarreal PM, Monje F, Junquera LM, Mateo J, Morillo AJ, González C. Mandibular condyle fractures: determinants of treatment and outcome. J Oral Maxillofac Surg. 2004;62(2):155-163. doi:10.1016/J.JOMS.2003.08.010
  • 7. Boffano P, Roccia F, Zavattero E, et al. European Maxillofacial Trauma (EURMAT) project: A multicentre and prospective study. J Cranio-Maxillofacial Surg. 2015;43(1):62-70. doi:10.1016/J.JCMS.2014.10.011
  • 8. Shiju M, Rastogi S, Gupta P, et al. Fractures of the mandibular condyle - Open versus closed - A treatment dilemma. J Cranio-Maxillofacial Surg. 2015;43(4):448-451. doi:10.1016/j.jcms.2015.01.012
  • 9. Rastogi S, Sharma S, Kumar S, Reddy MP, Niranjanaprasad Indra B. Fracture of mandibular condyle - To open or not to open: An attempt to settle the controversy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(6):608-613. doi:10.1016/j.oooo.2015.01.012
  • 10. Cascone P, Spallaccia F, Fatone FMG, Rivaroli A, Saltarel A, Iannetti G. Rigid versus semirigid fixation for condylar fracture: experience with the external fixation system. J Oral Maxillofac Surg. 2008;66(2):265-271. doi:10.1016/j.joms.2007.06.621
  • 11. Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg. 1983;41(2):89-98. doi:10.1016/0278-2391(83)90214-8
  • 12. Choi B-H, Kim K-N, Kim H-J, Kim M-K. Evaluation of condylar neck fracture plating techniques. J Cranio-Maxillofacial Surg. 1999;27(2):109-112. doi:10.1016/S1010-5182(99)80023-7
  • 13. Haug RH, Peterson GP, Goltz M. A biomechanical evaluation of mandibular condyle fracture plating techniques. J Oral Maxillofac Surg. 2002;60(1):73-80; discussion 80-1. doi:10.1053/joms.2002.29078
  • 14. Tominaga K, Habu M, Khanal A, Mimori Y, Yoshioka I, Fukuda J. Biomechanical Evaluation of Different Types of Rigid Internal Fixation Techniques for Subcondylar Fractures. J Oral Maxillofac Surg. 2006;64(10):1510-1516. doi:10.1016/j.joms.2006.03.038
  • 15. Lauer G, Haim D, Proff P, et al. Plate osteosynthesis of the mandibular condyle. Ann Anat. 2007;189(4):412-417. doi:10.1016/j.aanat.2007.02.021
  • 16. Suuronen R. Comparison of absorbable self-reinforced poly-L-lactide screws and metallic screws in the fixation of mandibular condyle osteotomies: an experimental study in sheep. J Oral Maxillofac Surg. 1991;49(9):989-995. doi:10.1016/0278-2391(91)90065-t
  • 17. Bessho K, Iizuka T, Murakami K. A bioabsorbable poly-L-lactide miniplate and screw system for osteosynthesis in oral and maxillofacial surgery. J Oral Maxillofac Surg. 1997;55(9):941-5;discussion 945-6. doi:10.1016/s0278-2391(97)90065-3
  • 18. Umstadt HE, Ellers M, Müller HH, Austermann KH. Functional reconstruction of the TM joint in cases of severely displaced fractures and fracture dislocation. J Cranio-Maxillofacial Surg. 2000;28(2):97-105. doi:10.1054/jcms.2000.0123
  • 19. Kim YM, Lee JH. Clinical courses and degradation patterns of absorbable plates in facial bone fracture patients. Arch Craniofacial Surg. 2019;20(5):297-303. doi:10.7181/acfs.2019.00409
  • 20. Park Y-W. Bioabsorbable osteofixation for orthognathic surgery. Maxillofac Plast Reconstr Surg. 2015;37(1):6. doi:10.1186/s40902-015-0003-7
  • 21. Sukegawa S, Kanno T, Nagano D, Shibata A, Sukegawa-Takahashi Y, Furuki Y. The Clinical Feasibility of Newly Developed Thin Flat-Type Bioresorbable Osteosynthesis Devices for the Internal Fixation of Zygomatic Fractures: Is There a Difference in Healing Between Bioresorbable Materials and Titanium Osteosynthesis? J Craniofac Surg. 2016;27(8):2124-2129. doi:10.1097/SCS.0000000000003147
  • 22. Meyer U, Vollmer D, Homann C, et al. Experimental and finite-element models for the assessment of mandibular deformation under mechanical loading. Mund Kiefer Gesichtschir. 2000;4(1):14-20. doi:10.1007/s100060050005
  • 23. Chao CK, Hsu CC, Wang JL, Lin J. Increasing bending strength of tibial locking screws: Mechanical tests and finite element analyses. Clin Biomech. 2007;22(1):59-66. doi:10.1016/j.clinbiomech.2006.07.007
  • 24. Korioth TWP, Romilly DP, Hannam AG. Three-dimensional finite element stress analysis of the dentate human mandible. Am J Phys Anthropol. 1992;88(1):69-96. doi:10.1002/ajpa.1330880107
  • 25. Putz R, Pabst R. Sobotta-Atlas of Human Anatomy: Head, Neck, Upper Limb, Thorax, Abdomen, Pelvis, Lower Limb; Two-volume set. 2006. http://125.234.102.146:8080/dspace/handle/DNULIB_52011/4003. Accessed March 20, 2020.
  • 26. Cox T, Kohn MW, Impelluso T. Computerized analysis of resorbable polymer plates and screws for the rigid fixation of mandibular angle fractures. J Oral Maxillofac Surg. 2003;61(4):481-487; discussion 487-8. doi:10.1053/joms.2003.50094
  • 27. Fernández JR, Gallas M, Burguera M, Viaño JM. A three-dimensional numerical simulation of mandible fracture reduction with screwed miniplates. J Biomech. 2003;36(3):329-337. doi:10.1016/S0021-9290(02)00416-5
  • 28. Lovald ST, Wagner JD, Baack B. Biomechanical Optimization of Bone Plates Used in Rigid Fixation of Mandibular Fractures. J Oral Maxillofac Surg. 2009;67(5):973-985. doi:10.1016/j.joms.2008.12.032
  • 29. Santler G, Kärcher H, Ruda C, Köle E. Fractures of the condylar process: Surgical versus nonsurgical treatment. J Oral Maxillofac Surg. 1999;57(4):392-397. doi:10.1016/S0278-2391(99)90276-8
  • 30. Haug RH, Assael LA. Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg. 2001;59(4):370-375. doi:10.1053/joms.2001.21868
  • 31. Zide MF. Open reduction of mandibular condyle fractures. Indications and technique. Clin Plast Surg. 1989;16(1):69-76. http://www.ncbi.nlm.nih.gov/pubmed/2924493. Accessed March 23, 2020.
  • 32. Ziccardi VB, Schneider RE, Kummer FJ. Wurzburg lag screw plate versus four-hole miniplate for the treatment of condylar process fractures. J Oral Maxillofac Surg. 1997;55(6):602-607. doi:10.1016/S0278-2391(97)90492-4
  • 33. Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces - A three-dimensional FEM study. Angle Orthod. 2003;73(1):12-20. doi:10.1043/0003-3219(2003)073<0012:SOSDAD>2.0.CO;2
  • 34. Vollmer D, Meyer U, Joos U, Vègh A, Piffkò J. Experimental and finite element study of a human mandible. J Cranio-Maxillofacial Surg. 2000;28(2):91-96. doi:10.1054/jcms.2000.0125
  • 35. Ashman RB, Van Buskirk WC. The elastic properties of a human mandible. Adv Dent Res. 1987;1(1):64-67. doi:10.1177/08959374870010011401
  • 36. Throckmorton GS, Dechow PC. In vitro strain measurements in the condylar process of the human mandible. Arch Oral Biol. 1994;39(10):853-867. doi:10.1016/0003-9969(94)90017-5
  • 37. Ellis E, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2000;58(9):950-958. doi:10.1053/JOMS.2000.8734
  • 38. Throckmorton GS, Ellis E, Hayasaki H. Masticatory motion after surgical or nonsurgical treatment for unilateral fractures of the mandibular condylar process. J Oral Maxillofac Surg. 2004;62(2):127-138. doi:10.1016/j.joms.2003.01.003
  • 39. Claes LE, Heigele CA, Neidlinger-Wilke C, et al. Effects of mechanical factors on the fracture healing process. In: Clinical Orthopaedics and Related Research. Lippincott Williams and Wilkins; 1998. doi:10.1097/00003086-199810001-00015
  • 40. Dolanmaz D, Uckan S, Isik K, Saglam H. Comparison of stability of absorbable and titanium plate and screw fixation for sagittal split ramus osteotomy. Br J Oral Maxillofac Surg. 2004;42(2):127-132. doi:10.1016/S0266-4356(03)00234-1
  • 41. Ganesh VK, Ramakrishna K, Ghista DN. Biomechanics of bone-fracture fixation by stiffness-graded plates in comparison with stainless-steel plates. Biomed Eng Online. 2005;4:46. doi:10.1186/1475-925X-4-46
  • 42. Darwich MA, Albogha MH, Abdelmajeed A, Darwich K. Assessment of the Biomechanical Performance of 5 Plating Techniques in Fixation of Mandibular Subcondylar Fracture Using Finite Element Analysis. J Oral Maxillofac Surg. 2016;74(4):794.e1-794.e8. doi:10.1016/j.joms.2015.11.021

A Comparison of Titanium and Resorbable Miniplate Systems Using Finite Element Analyses with the Orthotropic Mandibular Model in Condyle Fracture

Year 2021, Volume: 8 Issue: 3, 713 - 720, 31.12.2021
https://doi.org/10.15311/selcukdentj.780549

Abstract

ABSTRACT
Background: Mandibular fractures comprise a large portion of facial injuries. According to comprehensive series published, 17.5 - 52% of mandibular fractures are condyle fractures. With the development of plate and screw systems, open reduction and internal rigid fixation have also become methods that are accepted. Titanium miniplate and screw systems or resorbable plate and screw systems are used for this purpose. The purpose of this study is to compare the superiorities of titanium plate and screw systems to the superiorities of resorbable plate and screw systems on an orthotropic mandibular model using the finite element analysis (FEA) method.
Method: With finite element analysis, stress values in bone, plate, and callus and the amount of displacement in plates and fragments with Von Mises forces were examined.
Result: It was observed that solitary resorbable plates do not generate adequate stability.
Conclusion: It was observed that titanium plate and screw systems were mechanically superior to resorbable plate and screw systems in the open treatment of mandibular condyle fractures. However, to fully support this opinion, studies with different designs using new resorbable plates are required.

References

  • References 1. Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: A review of 466 cases. Literature review, reflections on treatment and proposals. J Cranio-Maxillofacial Surg. 2006;34(7):421-432. doi:10.1016/J.JCMS.2006.07.854
  • 2. Silvennoinen U, Iizuka T, Oikarinen K, Lindqvist C. Analysis of possible factors leading to problems after nonsurgical treatment of condylar fractures. J Oral Maxillofac Surg. 1994;52(8):793-799. doi:10.1016/0278-2391(94)90219-4
  • 3. Newman L. A clinical evaluation of the long-term outcome of patients treated for bilateral fracture of the mandibular condyles. - PubMed - NCBI. Br J Oral Maxillofac Surg. 1998;36(3):176-179. https://www.ncbi.nlm.nih.gov/pubmed/9678880. Accessed July 31, 2019.
  • 4. De Riu G, Gamba U, Anghinoni M, Sesenna E. A comparison of open and closed treatment of condylar fractures: a change in philosophy. Int J Oral Maxillofac Surg. 2001;30(5):384-389. doi:10.1054/ijom.2001.0103
  • 5. Bonavolontà P, Dell’aversana Orabona G, Abbate V, et al. The epidemiological analysis of maxillofacial fractures in Italy: The experience of a single tertiary center with 1720 patients. J Cranio-Maxillofacial Surg. 2017;45(8):1319-1326. doi:10.1016/j.jcms.2017.05.011
  • 6. Villarreal PM, Monje F, Junquera LM, Mateo J, Morillo AJ, González C. Mandibular condyle fractures: determinants of treatment and outcome. J Oral Maxillofac Surg. 2004;62(2):155-163. doi:10.1016/J.JOMS.2003.08.010
  • 7. Boffano P, Roccia F, Zavattero E, et al. European Maxillofacial Trauma (EURMAT) project: A multicentre and prospective study. J Cranio-Maxillofacial Surg. 2015;43(1):62-70. doi:10.1016/J.JCMS.2014.10.011
  • 8. Shiju M, Rastogi S, Gupta P, et al. Fractures of the mandibular condyle - Open versus closed - A treatment dilemma. J Cranio-Maxillofacial Surg. 2015;43(4):448-451. doi:10.1016/j.jcms.2015.01.012
  • 9. Rastogi S, Sharma S, Kumar S, Reddy MP, Niranjanaprasad Indra B. Fracture of mandibular condyle - To open or not to open: An attempt to settle the controversy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(6):608-613. doi:10.1016/j.oooo.2015.01.012
  • 10. Cascone P, Spallaccia F, Fatone FMG, Rivaroli A, Saltarel A, Iannetti G. Rigid versus semirigid fixation for condylar fracture: experience with the external fixation system. J Oral Maxillofac Surg. 2008;66(2):265-271. doi:10.1016/j.joms.2007.06.621
  • 11. Zide MF, Kent JN. Indications for open reduction of mandibular condyle fractures. J Oral Maxillofac Surg. 1983;41(2):89-98. doi:10.1016/0278-2391(83)90214-8
  • 12. Choi B-H, Kim K-N, Kim H-J, Kim M-K. Evaluation of condylar neck fracture plating techniques. J Cranio-Maxillofacial Surg. 1999;27(2):109-112. doi:10.1016/S1010-5182(99)80023-7
  • 13. Haug RH, Peterson GP, Goltz M. A biomechanical evaluation of mandibular condyle fracture plating techniques. J Oral Maxillofac Surg. 2002;60(1):73-80; discussion 80-1. doi:10.1053/joms.2002.29078
  • 14. Tominaga K, Habu M, Khanal A, Mimori Y, Yoshioka I, Fukuda J. Biomechanical Evaluation of Different Types of Rigid Internal Fixation Techniques for Subcondylar Fractures. J Oral Maxillofac Surg. 2006;64(10):1510-1516. doi:10.1016/j.joms.2006.03.038
  • 15. Lauer G, Haim D, Proff P, et al. Plate osteosynthesis of the mandibular condyle. Ann Anat. 2007;189(4):412-417. doi:10.1016/j.aanat.2007.02.021
  • 16. Suuronen R. Comparison of absorbable self-reinforced poly-L-lactide screws and metallic screws in the fixation of mandibular condyle osteotomies: an experimental study in sheep. J Oral Maxillofac Surg. 1991;49(9):989-995. doi:10.1016/0278-2391(91)90065-t
  • 17. Bessho K, Iizuka T, Murakami K. A bioabsorbable poly-L-lactide miniplate and screw system for osteosynthesis in oral and maxillofacial surgery. J Oral Maxillofac Surg. 1997;55(9):941-5;discussion 945-6. doi:10.1016/s0278-2391(97)90065-3
  • 18. Umstadt HE, Ellers M, Müller HH, Austermann KH. Functional reconstruction of the TM joint in cases of severely displaced fractures and fracture dislocation. J Cranio-Maxillofacial Surg. 2000;28(2):97-105. doi:10.1054/jcms.2000.0123
  • 19. Kim YM, Lee JH. Clinical courses and degradation patterns of absorbable plates in facial bone fracture patients. Arch Craniofacial Surg. 2019;20(5):297-303. doi:10.7181/acfs.2019.00409
  • 20. Park Y-W. Bioabsorbable osteofixation for orthognathic surgery. Maxillofac Plast Reconstr Surg. 2015;37(1):6. doi:10.1186/s40902-015-0003-7
  • 21. Sukegawa S, Kanno T, Nagano D, Shibata A, Sukegawa-Takahashi Y, Furuki Y. The Clinical Feasibility of Newly Developed Thin Flat-Type Bioresorbable Osteosynthesis Devices for the Internal Fixation of Zygomatic Fractures: Is There a Difference in Healing Between Bioresorbable Materials and Titanium Osteosynthesis? J Craniofac Surg. 2016;27(8):2124-2129. doi:10.1097/SCS.0000000000003147
  • 22. Meyer U, Vollmer D, Homann C, et al. Experimental and finite-element models for the assessment of mandibular deformation under mechanical loading. Mund Kiefer Gesichtschir. 2000;4(1):14-20. doi:10.1007/s100060050005
  • 23. Chao CK, Hsu CC, Wang JL, Lin J. Increasing bending strength of tibial locking screws: Mechanical tests and finite element analyses. Clin Biomech. 2007;22(1):59-66. doi:10.1016/j.clinbiomech.2006.07.007
  • 24. Korioth TWP, Romilly DP, Hannam AG. Three-dimensional finite element stress analysis of the dentate human mandible. Am J Phys Anthropol. 1992;88(1):69-96. doi:10.1002/ajpa.1330880107
  • 25. Putz R, Pabst R. Sobotta-Atlas of Human Anatomy: Head, Neck, Upper Limb, Thorax, Abdomen, Pelvis, Lower Limb; Two-volume set. 2006. http://125.234.102.146:8080/dspace/handle/DNULIB_52011/4003. Accessed March 20, 2020.
  • 26. Cox T, Kohn MW, Impelluso T. Computerized analysis of resorbable polymer plates and screws for the rigid fixation of mandibular angle fractures. J Oral Maxillofac Surg. 2003;61(4):481-487; discussion 487-8. doi:10.1053/joms.2003.50094
  • 27. Fernández JR, Gallas M, Burguera M, Viaño JM. A three-dimensional numerical simulation of mandible fracture reduction with screwed miniplates. J Biomech. 2003;36(3):329-337. doi:10.1016/S0021-9290(02)00416-5
  • 28. Lovald ST, Wagner JD, Baack B. Biomechanical Optimization of Bone Plates Used in Rigid Fixation of Mandibular Fractures. J Oral Maxillofac Surg. 2009;67(5):973-985. doi:10.1016/j.joms.2008.12.032
  • 29. Santler G, Kärcher H, Ruda C, Köle E. Fractures of the condylar process: Surgical versus nonsurgical treatment. J Oral Maxillofac Surg. 1999;57(4):392-397. doi:10.1016/S0278-2391(99)90276-8
  • 30. Haug RH, Assael LA. Outcomes of open versus closed treatment of mandibular subcondylar fractures. J Oral Maxillofac Surg. 2001;59(4):370-375. doi:10.1053/joms.2001.21868
  • 31. Zide MF. Open reduction of mandibular condyle fractures. Indications and technique. Clin Plast Surg. 1989;16(1):69-76. http://www.ncbi.nlm.nih.gov/pubmed/2924493. Accessed March 23, 2020.
  • 32. Ziccardi VB, Schneider RE, Kummer FJ. Wurzburg lag screw plate versus four-hole miniplate for the treatment of condylar process fractures. J Oral Maxillofac Surg. 1997;55(6):602-607. doi:10.1016/S0278-2391(97)90492-4
  • 33. Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces - A three-dimensional FEM study. Angle Orthod. 2003;73(1):12-20. doi:10.1043/0003-3219(2003)073<0012:SOSDAD>2.0.CO;2
  • 34. Vollmer D, Meyer U, Joos U, Vègh A, Piffkò J. Experimental and finite element study of a human mandible. J Cranio-Maxillofacial Surg. 2000;28(2):91-96. doi:10.1054/jcms.2000.0125
  • 35. Ashman RB, Van Buskirk WC. The elastic properties of a human mandible. Adv Dent Res. 1987;1(1):64-67. doi:10.1177/08959374870010011401
  • 36. Throckmorton GS, Dechow PC. In vitro strain measurements in the condylar process of the human mandible. Arch Oral Biol. 1994;39(10):853-867. doi:10.1016/0003-9969(94)90017-5
  • 37. Ellis E, McFadden D, Simon P, Throckmorton G. Surgical complications with open treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2000;58(9):950-958. doi:10.1053/JOMS.2000.8734
  • 38. Throckmorton GS, Ellis E, Hayasaki H. Masticatory motion after surgical or nonsurgical treatment for unilateral fractures of the mandibular condylar process. J Oral Maxillofac Surg. 2004;62(2):127-138. doi:10.1016/j.joms.2003.01.003
  • 39. Claes LE, Heigele CA, Neidlinger-Wilke C, et al. Effects of mechanical factors on the fracture healing process. In: Clinical Orthopaedics and Related Research. Lippincott Williams and Wilkins; 1998. doi:10.1097/00003086-199810001-00015
  • 40. Dolanmaz D, Uckan S, Isik K, Saglam H. Comparison of stability of absorbable and titanium plate and screw fixation for sagittal split ramus osteotomy. Br J Oral Maxillofac Surg. 2004;42(2):127-132. doi:10.1016/S0266-4356(03)00234-1
  • 41. Ganesh VK, Ramakrishna K, Ghista DN. Biomechanics of bone-fracture fixation by stiffness-graded plates in comparison with stainless-steel plates. Biomed Eng Online. 2005;4:46. doi:10.1186/1475-925X-4-46
  • 42. Darwich MA, Albogha MH, Abdelmajeed A, Darwich K. Assessment of the Biomechanical Performance of 5 Plating Techniques in Fixation of Mandibular Subcondylar Fracture Using Finite Element Analysis. J Oral Maxillofac Surg. 2016;74(4):794.e1-794.e8. doi:10.1016/j.joms.2015.11.021
There are 42 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Research
Authors

Emre Çimen This is me 0000-0001-5913-7210

Mine Cambazoğlu This is me 0000-0002-7886-0532

Mustafa Ercüment Önder 0000-0002-1488-616X

Publication Date December 31, 2021
Submission Date August 17, 2020
Published in Issue Year 2021 Volume: 8 Issue: 3

Cite

Vancouver Çimen E, Cambazoğlu M, Önder ME. A Comparison of Titanium and Resorbable Miniplate Systems Using Finite Element Analyses with the Orthotropic Mandibular Model in Condyle Fracture. Selcuk Dent J. 2021;8(3):713-20.