Effect of jaw opening on the stress pattern in a normal human articular disc: finite element analysis based on MRI images

Head & Face Medicine

Qiguo Rong²  Yinzhong Duan¹  Hong Lu³  Haiyan Sun³  Cheng Ge³  Shuang Ren²  Qihong Li³ 

[1] Department of Orthodontics, School of Stomatology, Fourth Military Medical University, Xi’an 710032, China;Department of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing 100871, China;Department of Stomatology, Afiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China

关键词: Jaw opening;    Stress trajectory;    Finite element analysis;    Temporomandibular joint disc;   

Others  :  813286
DOI  :  10.1186/1746-160X-10-24

 received in 2014-04-02, accepted in 2014-06-13,  发布年份 2014

【 摘 要 】

Introduction

Excessive compressive and shear stresses are likely related to condylar resorption and disc perforation. Few studies have reported the disc displacement and deformation during jaw opening. The aim of this study was to analyze stress distribution in a normal articular disc during the jaw opening movement.

Methods

Bilateral MRI images were obtained from the temporomandibular joint of a healthy subject for the jaw opening displacement from 6 to 24 mm with 1 mm increments. The disc contour for the jaw opening at 6 mm was defined as the reference state, and was used to establish a two dimensional finite element model of the disc. The contours of the disc at other degrees of jaw opening were used as the displacement loading. Hyperelastic material models were applied to the anterior, intermediate and posterior parts of the disc. Stress and strain trajectories were calculated to characterize the stress/strain patterns in the disc.

Results

Both the maximum and minimum principal stresses were negative in the intermediate zone, therefore, the intermediate zone withstood mainly compressive stress. On the contrary, the maximum and minimum principal stresses were most positive in the anterior and posterior zones, which meant that the anterior and posterior bands suffered higher tensile stresses. The different patterns of stress trajectories between the intermediate zone and the anterior and posterior bands might be attributed to the effect of fiber orientation. The compression of the intermediate zone and stretching of the anterior and posterior bands caused high shear deformation in the transition region, especially at the disc surfaces.

Conclusions

The stress and strain remained at a reasonable level during jaw opening, indicating that the disc experiences no injury during functional opening movements in a healthy temporomandibular joint.

【 授权许可】

   
2014 Li et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Tanaka E, del Pozo R, Tanaka M, Asai D, Hirose M, Iwabe T, Tanne K: Three-dimensional finite element analysis of human temporomandibular joint with and without disc displacement during jaw opening. Med Eng Phys 2004, 26:503-511.
• [2]Greene CS: Etiology of temporomandibular disorders. Semin Orthod 1995, 1:222-228.
• [3]Arnett GW, Milam SB, Gottesman L: Progressive mandibular retrusion-idiopathic condylar resorption. Part II. Am J Orthod Dentofacial Orthop 1996, 110:117-127.
• [4]Hannam AG: Current computational modelling trends in craniomandibular biomechanics and their clinical implications. J Oral Rehabil 2011, 38:217-234.
• [5]Beek M, Koolstra J, Van Ruijven L, Van Eijden T: Three-dimensional finite element analysis of the human temporomandibular joint disc. J Biomech 2000, 33:307-316.
• [6]del Palomar Perez A, Doblare M: An accurate simulation model of anteriorly displaced TMJ discs with and without reduction. Med Eng Phys 2007, 29:216-226.
• [7]DeVocht JW, Goel VK, Zeitler DL, Lew D: A study of the control of disc movement within the temporomandibular joint using the finite element technique. J Oral Maxil Surg 1996, 54:1431-1437.
• [8]Chen J, Akyuz U, Xu L, Pidaparti RM: Stress analysis of the human temporomandibular joint. Med Eng Phys 1998, 20:565-572.
• [9]Donzelli PS, Gallo LM, Spilker RL, Palla S: Biphasic finite element simulation of the TMJ disc from in vivo kinematic and geometric measurements. J Biomech 2004, 37:1787-1791.
• [10]del Palomar Perez A, Doblare M: The effect of collagen reinforcement in the behaviour of the temporomandibular joint disc. J Biomech 2006, 39:1075-1085.
• [11]Hirose M, Tanaka E, Tanaka M, Fujita R, Kuroda Y, Yamano E, van Eijden TM, Tanne K: Three-dimensional finite-element model of the human temporomandibular joint disc during prolonged clenching. Eur J Oral Sci 2006, 114:441-448.
• [12]Tuijt M, Koolstra JH, Lobbezoo F, Naeije M: Differences in loading of the temporomandibular joint during opening and closing of the jaw. J Biomech 2010, 43:1048-1054.
• [13]Koolstra JH, van Eijden TM: Combined finite-element and rigid-body analysis of human jaw joint dynamics. J Biomech 2005, 38:2431-2439.
• [14]Peck CC, Langenbach GE, Hannam AG: Dynamic simulation of muscle and articular properties during human wide jaw opening. Arch Oral Biol 2000, 45:963-982.
• [15]McLean SG, Su A, van den Bogert AJ: Development and validation of a 3-D model to predict knee joint loading during dynamic movement. J Biomech Eng 2003, 125:864-874.
• [16]Palla S, Gallo LM, Gossi D: Dynamic stereometry of the temporomandibular joint. Orthod Craniofac Res 2003, 6(Suppl 1):37-47.
• [17]Cheng HY, Peng PW, Lin YJ, Chang ST, Pan YN, Lee SC, Ou KL, Hsu WC: Stress analysis during jaw movement based on vivo computed tomography images from patients with temporomandibular disorders. Int J Oral Maxillofac Surg 2013, 42:386-392.
• [18]Kang H, Bao GJ, Qi SN: Biomechanical responses of human temporomandibular joint disc under tension and compression. Int J Oral Maxillofac Surg 2006, 35:817-821.
• [19]Shengyi T, Xu Y: Biomechanical properties and collagen fiber orientation of TMJ discs in dogs: Part 1. Gross anatomy and collagen fiber orientation of the discs. J Craniomandib Disord 1991, 5:28-34.
• [20]Kuboki T, Shinoda M, Orsini MG, Yamashita A: Viscoelastic properties of the pig temporomandibular joint articular soft tissues of the condyle and disc. J Dent Res 1997, 76:1760-1769.
• [21]del Palomar AP, Doblare M: 3D finite element simulation of the opening movement of the mandible in healthy and pathologic situations. J Biomech Eng 2006, 128:242-249.
• [22]Tanaka E, Rodrigo DP, Tanaka M, Kawaguchi A, Shibazaki T, Tanne K: Stress analysis in the TMJ during jaw opening by use of a three-dimensional finite element model based on magnetic resonance images. Int J Oral Maxillofac Surg 2001, 30:421-430.
• [23]Osborn J: The disc of the human temporomandibular joint: design, function and failure. J Oral Rehabil 1985, 12:279-293.
• [24]Chen J, Xu L: A finite element analysis of the human temporomandibular joint. J Biomech Eng 1994, 116:401-407.
• [25]Savoldelli C, Bouchard PO, Loudad R, Baque P, Tillier Y: Stress distribution in the temporo-mandibular joint discs during jaw closing: a high-resolution three-dimensional finite-element model analysis. Surg Radiol Anat 2012, 34:405-413.
• [26]Mori H, Horiuchi S, Nishimura S, Nikawa H, Murayama T, Ueda K, Ogawa D, Kuroda S, Kawano F, Naito H, Tanaka M, Koolstra JH, Tanaka E: Three-dimensional finite element analysis of cartilaginous tissues in human temporomandibular joint during prolonged clenching. Arch Oral Biol 2010, 55:879-886.
• [27]Tanaka E, Tanne K, Sakuda M: A three-dimensional finite element model of the mandible including the TMJ and its application to stress analysis in the TMJ during clenching. Med Eng Phys 1994, 16:316-322.
• [28]Abe S, Kawano F, Kohge K, Kawaoka T, Ueda K, Hattori-Hara E, Mori H, Kuroda S, Tanaka E: Stress analysis in human temporomandibular joint affected by anterior disc displacement during prolonged clenching. J Oral Rehabil 2013, 40:239-246.
• [29]Jaisson M, Lestriez P, Taiar R, Debray K: Finite element modelling of the articular disc behaviour of the temporo-mandibular joint under dynamic loads. Acta Bioeng Biomech 2011, 13:85-91.
• [30]del Palomar Pérez A, Doblaré M: On the numerical simulation of the mechanical behaviour of articular cartilage. Int J Numer Meth Eng 2006, 67:1244-1271.
• [31]Nagahara K, Murata S, Nakamura S, Tsuchiya T: Displacement and stress distribution in the temporomandibular joint during clenching. Angle Orthod 1999, 69:372-379.
• [32]Öberg T, Carlsson GE, Fajers C-M: The temporomandibular joint: A morphologic study on a human autopsy material. Acta Odontol Scand 1971, 29:349-384.
• [33]Jergenson M, Barton J: The occurrence of TMJ disc perforations in an aging population. J Dent Res 1998, 77:264-264.
• [34]Stratmann U, Schaarschmidt K, Santamaria P: Morphologic investigation of condylar cartilage and disc thickness in the human temporomandibular joint significance for the definition of osteoarthrotic changes. J Oral Pathol Med 1996, 25:200-205.