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Journal of Cranio-Maxillofacial Surgery
Article . 2019 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Ex-vivo and in vitro validation of an innovative mandibular condyle implant concept

Authors: Ramos, Antonio; González-Pérez, Luis Miguel; Infante-Cossío, Pedro; Mesnard, Michel;

Ex-vivo and in vitro validation of an innovative mandibular condyle implant concept

Abstract

The purpose of this study is to pre-validate an inovative implant concept, and to compare the behavior of the mandibular condyle against a commercial Biomet implant in an ex vivo model and present results of the first cadaveric studies.Three experimental cadaveric condyles were tested under three conditions: one intact, another with the Biomet model, and one with the innovative concept. The condyle was tested with a reaction of 300 N in all situations and the principal strains were measured. Before the geometry of the cadaveric condyle was reconstructed from a microCT scan, and a finite element model was created. Finally, a procedure was carried out with the new implant by two expert surgeons on a two cadaveric head model.In vitro the mandible condyle presents a linear behavior until maximum load. The strain measured with Biomet implant indicates a strain shielding effect in the proximal region, inducing bone loss in the long term. The lingual side of the Biomet implanted condyle presents an increase of +44% in strain.The new concept was evaluated and showed a similar behavior to the intact model, and better behavior than the Biomet. The innovative concept proves that it is possible to avoid screws for a TMJ fixation and improve the TMJ alloplastic behavior.

Keywords

Male, Temporomandibular Joint, Dissection, Joint Prosthesis, Bone Screws, Finite Element Analysis, Mandibular Condyle, Computer models, Mandible, X-Ray Microtomography, Middle Aged, Prosthesis Design, Temporomandibular joint, Biomechanical Phenomena, Computer Models, Cadaver experiments, Cadaver, Computer-Aided Design, Humans, Computer Simulation, Stress, Mechanical, Arthroplasty, Replacement

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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