Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 5 , Pages 973-985 , May 2009

Biomechanical Optimization of Bone Plates Used in Rigid Fixation of Mandibular Fractures

  • Scott T. Lovald, PhD, MEME, MBA

      Affiliations

    • Research Assistant, Mechanical Engineering Department, University of New Mexico, Albuquerque, NM
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Lovald: 1909 Gold Ave SE #1, Albuquerque, NM 87106
  • ,
  • Jon D. Wagner, MD, DDS

      Affiliations

    • Associate Professor, Department of Surgery, Division of Plastic Surgery, University of New Mexico, Albuquerque, NM
  • ,
  • Bret Baack, MD

      Affiliations

    • Associate Professor, Department of Surgery, Division of Plastic Surgery, University of New Mexico, Albuquerque, NM

References 

  1. Gabrielli MAC, Gabrielli MFR, Marcantonio E, et al. Fixation of mandibular fractures with 2.0-mm miniplates: Review of 191 cases. J Oral Maxillofac Surg. 2003;61:430
  2. Murthy AS, Lehman JA. Symptomatic plate removal in maxillofacial trauma: A review of 76 cases. Ann Plast Surg. 2005;55:603
  3. Bhatt V, Langford RJ. Removal of miniplates in maxillofacial surgery: University Hospital Birmingham experience. J Oral Maxillofac Surg. 2003;61:553
  4. Lamphier J, Ziccardi V, Ruvo A, et al. Complications of mandibular fractures in an urban teaching center. J Oral Maxillofac Surg. 2003;61:745
  5. Boyd N, Wagner J, Lovald S, et al. Clinical and finite element analysis of low-profile 3D and parallel miniplates in fixation of mandibular symphysis and parasymphysis fractures. J Maxillofac Oral Surg. 2009;(in press)
  6. Castano MC, Zapata U, Pedroza A, et al. Creation of a three-dimensional model of the mandible and the TMJ in vivo by means of the finite element method. Int J Comp Dent. 2002;5:87
  7. Hart RT, Hennebel VV, Thongpreda N, et al. Modeling the biomechanics of the mandible: A three dimensional finite element study. J Biomech. 1992;25:261
  8. Korioth TWP, Romilly DP, Hannam AG. Three-dimensional finite element stress analysis of the dentate human mandible. Am J Phys Anthropol. 1992;88:69
  9. 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;61:481
  10. Fernandez JR, Gallas M, Burguera M, et al. A three-dimensional numerical simulation of mandible fracture reduction with screwed miniplates. J Biomech. 2003;36:329
  11. Lovald S, Wagner J, Khraishi T, et al. Comparison of plate-screw systems used in mandibular fracture reduction: Finite element analysis. J Biomech Eng. 2006;128:654
  12. Lovald S, Wagner J, Khraishi T, et al. Finite element analysis of screw-plate systems for fixation of parasymphyseal fractures of the mandible. J Mech. 2007;23:69
  13. Tams J, Otten B, van Loon J, et al. A computer study of fracture mobility and strain on biodegradable plates used for fixation of mandibular fractures. J Oral Maxillofac Surg. 1999;57:973
  14. Wagner A, Krach W, Schicho K, et al. A 3-dimensional finite-element analysis investigating the biomechanical behavior of the mandible and plate osteosynthesis in cases of fractures of the condylar process. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:678
  15. Wade A, Wagner J. A retrospective review of the effect of delayed versus acute treatment of mandibular fractures at a university teaching hospital (Technical Report). Albuquerque, NM: University of New Mexico; 2003;
  16. Schwartz-Dabney CL, Dechow PC. Variations in cortical material properties throughout the human dentate mandible. Am J Phys Anthropol. 2003;120:252
  17. Martens M, Van Audekercke R, Delport P, et al. The mechanical characteristics of cancellous bone at the upper femoral region. J Biomech. 1983;16:971
  18. Craig RG, Peyton FA. Elastic and mechanical properties of human dentin. J Dent Res. 1958;37:710
  19. Nelson GJ: Three dimensional computer modeling of human mandibular biomechanics. MScThesis. The University of British Columbia, Vancouver
  20. Gray H. Gray's Anatomy. In: (ed 15). New York: Barnes and Noble Books; 1995;p. 65
  21. Tate GS, Ellis E, Throckmorton G. Bite forces in patients treated for mandibular angle fractures. J Oral Maxillofac Surg. 1994;54:734
  22. Kim YK, Nam KW. Treatment of mandible fractures using low-profile titanium miniplates: Preliminary study. Plast Reconstr Surg. 2001;108:38
  23. Lovald ST: Design of mandibular implant fixation devices using the finite element method. ME Thesis. The University of New Mexico, Albuquerque, NM
  24. HCUP: Healthcare Cost and Utilization Project Website. Available at: http.//hcup.ahrq.gov/HcupNet.asp. Accessed March 2009

 The authors acknowledge the support of Satyrne Medical.

PII: S0278-2391(09)00040-8

doi: 10.1016/j.joms.2008.12.032

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 5 , Pages 973-985 , May 2009