Theoretical efficacy of preventive measures for pathologic fracture after surgical removal of mandibular lesions based on a three-dimensional finite element analysis.

Abstract

PURPOSE:

Pathologic fracture of the mandible after removal of a lesion historically has been a clinical problem. The present study aimed to evaluate mandibular strength after removal of a lesion and to illustrate the theoretical efficacy of preventive measures against pathologic fracture based on a 3-dimensional finite element (FE) analysis.

MATERIALS AND METHODS:

A computed tomographic (CT)-based FE model of the mandible of a patient with a dentigerous cyst including a third molar was constructed. Using this model, the decrease of mandibular strength after virtual removal of the lesion was analyzed. The effect of the decrease of occlusal force and reinforcement by a miniplate was analyzed using a simple FE model of the mandible. Based on these analyses, removal of the cyst with the third molar was performed with a decrease of occlusal force and reinforcement by a miniplate. The validity of these procedures was analyzed using a CT-based FE model constructed after surgery.

RESULTS:

The von Mises stress in a CT-based FE model after virtual removal of the cyst with the third molar was markedly greater than that in the original FE model. In the analysis using a simple FE model, the stress around the fenestrated area was decreased after premolar loading compared with that after molar loading. In addition, miniplate placement around the fenestrated area markedly decreased the stress. Based on these results, the cast crowns of the first and second molars were removed and the fenestrated area of the mandible was reinforced with a 1.5-mm locking miniplate in the actual surgery. The von Mises stress in the fenestrated area was decreased and primarily borne by the miniplate in the analysis of a CT-based FE model constructed after surgery.

CONCLUSION:

The present study illustrated the theoretical efficacy of plate application for the decrease of stress on the mandible after surgical removal of a cyst including a third molar based on a simulation by FE analysis.

• Authors: Kazuhiro Murakami, Kazuhiko Yamamoto, Motokatsu Tsuyuki, Tsutomu Sugiura, Sadami Tsutsumi, Tadaaki Kirita
• Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 72 Issue 4 Pg. 833.e1-18 (Apr 2014) ISSN: 1531-5053 [Electronic] United States
• PMID: 24635857 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. All rights reserved.

Topics

• Bicuspid (physiology)
• Biomechanical Phenomena
• Bite Force
• Bone Plates
• Compressive Strength
• Computer Simulation
• Dentigerous Cyst (surgery)
• Elastic Modulus
• Finite Element Analysis
• Fractures, Spontaneous (prevention & control)
• Humans
• Imaging, Three-Dimensional (methods)
• Male
• Mandibular Diseases (surgery)
• Mandibular Fractures (prevention & control)
• Middle Aged
• Models, Biological
• Molar (physiology)
• Molar, Third (surgery)
• Patient Care Planning
• Risk Assessment
• Stress, Mechanical
• Tensile Strength
• Tomography, X-Ray Computed (methods)
• Tooth, Impacted (surgery)
• User-Computer Interface