中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (3): 216-219.

• 基础研究 • 上一篇    下一篇

前牵引颏部反作用力对颞下颌关节应力及位移的影响

王瑾1, 杨春2   

  1. 1.湖北省中山医院 口腔科,湖北 武汉 430030;
    2.昆明医学院 口腔医学院,云南 昆明 650031
  • 收稿日期:2014-12-03 修回日期:2015-03-05 出版日期:2015-05-20 发布日期:2015-06-18
  • 通讯作者: 杨春,E-mail:yangchun18@sina.com
  • 作者简介:王瑾(1982-),女,硕士,E-mail:cxiann@163.com

The effect of reaction force on stress and displacement of the temporomandibular joint with anterior traction of the chin

WANG Jin1, YANG Chun2   

  1. 1.Department of Stomatology, Hubei Zhongshan Hospital.Wuhan 430030, Hubei Province;
    2.School of Stomatology, Kunming Medical College. Kunming 650031, Yunnan Province, China
  • Received:2014-12-03 Revised:2015-03-05 Online:2015-05-20 Published:2015-06-18

摘要: 目的 建立颅颌面骨的三维有限元模型,分析前方施加反作用力牵引颏部对颞下颌关节应力及位移产生的影响。方法 以健康成年男性作为研究对象,采集螺旋CT原始图像数据,利用Mimics、MSC、Magics、Marc图像处理软件建立三维有限元模型,在颏部施加大小为5 N的作用力,并改变施力方向,测定颞下颌关节及颌骨的应力及位移变化情况。结果 三维有限元模型包括上颌骨、下颌骨、颞下颌关节、颅骨,共包括颅骨三维有限元模型节点28760个和110790个单元,上颌骨20487个节点、76982个单元,下颌骨8273个节点、33080个单元。施加载荷为5 N时,方向与平面呈37°时,上颌骨20487个节点的等效Mises应力值为0.143 N,下颌骨8273个节点的等效Mises应力值为0.111N,髁突头部14305个节点的等效Mises应力值为0.829 N。施加载荷为5 N时,颞下颌关节位移从颏部至髁突部位逐渐递减,位移方向与载荷施加方向一致。颏部位移最大,约为0.015 mm;髁突位移最小,约为0.006 mm。结论 本研究成功建立的颅颌面骨三维有限元模型,与生物实体有高度相似性,可用于前方牵引反作用力的相关研究,并可高度模拟牵引力在颞下颌关节的分布情况。

关键词: 颅颌面骨, 三维有限元, 反作用力, 颏部, 颞下颌关节, 位移

Abstract: PURPOSE: A three dimensional finite element model is established for analysis of the influence of reaction force on stress and displacement of the temporomandibular joint (TMJ) with anterior traction of the chin. METHODS: A healthy adult male was chosen for the study. Spiral CT data of the original images was collected, 3-D finite element model was established by using Mimics, MSC, Magics, Marc image processing software. 5 N force was applied to the chin, and the direction of force was change. Stress and displacement changes of TMJ and jaw bone were measured and analyzed. RESULTS: Three dimensional finite element model including the maxilla, mandible, TMJ, skull was established, which had 28760 nodes and 110790 units. The maxilla had 20487 nodes and 76982 units, while the mandible had 8273 nodes and 33080 units. When 5N force was loaded on the chin at 37° with the occlusal plane, the equivalent Mises stress value of 20487 maxillary nodes was 0.143N, 0.111N for 8273 mandibular nodes, 0.829N for 14305 condylar head nodes. When the applied load was 5N, the displacement of TMJ from the chin to the condylar position gradually declined, the displacement direction and the applied load direction were consistent. The chin displacement was the biggest, approximately 0.015 mm; while the condylar displacement was minimal, about 0.006 mm. CONCLUSIONS: A three dimensional finite element model of the craniofacial bone was successfully established, with a high degree of similarity and biological entities, which can be used for the study of reaction with anterior traction, and simulation of the distribution of traction force in TMJ.

Key words: Craniofacial bone, Three dimensional finite element, Reaction, Chin, Temporomandibular joint, Displacement

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