Understanding temporomandibular joint (TMJ) kinematics is essential for the clinical diagnosis and treatment of TMJ disorders. Yet, a comprehensive description of mandibular motion information in patients with anterior disc displacement (ADD) is lacking. The finite helical axis (FHA) is a mathematical model describing the motion of a rigid body in space.
View Article and Find Full Text PDFComput Methods Biomech Biomed Engin
October 2024
We investigated the effect of anterior disc displacement without osteoarthritis (ADDwoOA) on the morphology of the temporomandibular joint (TMJ) utilizing three-dimensional (3D) models of 23 asymptomatic individuals and 30 ADDwoOA patients. Statistical analyses between the groups were performed by measuring 10 morphological parameters. ADDwoOA patients showed significantly decreased levels of the sagittal ramus angle (SRA) and joint spaces compared with asymptomatic subjects.
View Article and Find Full Text PDFJ Stomatol Oral Maxillofac Surg
September 2024
Purpose: The aim of this study was to investigate the biomechanical effects of mandibular deviation on the TMJ in patients with mandibular prognathism before and after orthognathic surgery using three-dimensional finite element analysis.
Methods: Eight patients with mandibular prognathism without deviation, eight patients with mandibular prognathism with deviation and sixteen normal subjects were recruited. Three-dimensional models of the maxillofacial were reconstructed using MIMICS.
There is a close physiological connection between swallowing and the temporomandibular joint (TMJ). However, a shortage of quantitative research on the biomechanical behavior of the TMJ during swallowing exists. The purpose of this study was to reconstruct the movement of the temporomandibular joint (TMJ) based on in vivo experiment and analyze the biomechanical responses during swallowing in healthy adults to investigate the role of the TMJ in swallowing.
View Article and Find Full Text PDFComput Methods Biomech Biomed Engin
June 2024
Mandibular prognathism, retrusion and deviation are common mandibular deformities. They can lead to functional and aesthetic problems due to their important role in the oral system. Different from other occlusions, unilateral molar occlusion often occurs during mastication, which has a deep impact on the functions of temporomandibular joints (TMJs).
View Article and Find Full Text PDFTemporomandibular disorders (TMD) encompass a collection of pathologies. Within the multitude of etiological factors contributing to TMD, mechanical factors hold significant importance. The aim of this investigation was to assess the magnitude and distribution of stresses encountered by the temporomandibular joints (TMJs) during incisal clenching among TMD patients while also elucidating the mechanical pathogenesis underlying TMD.
View Article and Find Full Text PDFBackground: Unbalanced alterations of temporomandibular joint morphology were associated with unilaterally masticatory habits.
Objective: This study aimed to investigate the effect of unilateral mastication on the remodelling of the temporomandibular joint using dynamic joint space.
Methods: Twelve volunteers with non-maxillofacial deformity and healthy temporomandibular joints were recruited.
Comput Methods Biomech Biomed Engin
December 2023
The pre-stress of the temporomandibular joint (TMJ) at the intercuspal position (ICP) was often neglected, which would cause errors in the finite element analysis. The purpose of this study was to investigate the effect of pre-stress on dynamic finite element analysis of the TMJs. One healthy female adult was recruited for medical imaging and motion data acquisition of the reference position (RP) to the ICP and the clicking teeth.
View Article and Find Full Text PDFObjective: Bilateral sagittal split ramus osteotomy (BSSRO) and bimaxillary osteotomies (BSSRO plus Lefort1 osteotomy) are widely used to solve maxillofacial deformities. The effect of the surgeries on the temporomandibular joint (TMJ) is still not clear. The purpose of this study was to investigate the preoperative and postoperative stress environment of the patients and to compare the biomechanical differences of the two surgeries.
View Article and Find Full Text PDFComput Methods Biomech Biomed Engin
June 2024
To investigate the effect of bimaxillary surgery on the stress distribution of the temporomandibular joint (TMJ) in patients with mandibular retrognathia under unilateral molar clenching (UMC). Five patients with mandibular retrognathia (preoperative group) and ten asymptomatic subjects (control group) were recruited. In addition, patients treated with bimaxillary surgery were considered as the postoperative group.
View Article and Find Full Text PDFMastication displays much importance in people's lives. The masticatory mandibular motion associated with dental kinematics also impacts temporomandibular joint (TMJ) kinematics and even TMJ health status. How food properties impact kinematical parameters of TMJs is a meaningful question for the conservative treatment of temporomandibular disorders (TMD) and evidence for the diet recommendation of TMD patients.
View Article and Find Full Text PDFComput Methods Biomech Biomed Engin
February 2024
This study aims to investigate the morphological characteristics of the temporomandibular joint (TMJ) in the patients with anterior disc displacement with reduction (ADDwR) and the alterations after occlusal splint treatment. Thirty ADDwR patients and ten asymptomatic subjects were recruited. Thirteen parameters were adopted, along with automatic computation and presentation of the joint space to characterize the TMJ morphologies.
View Article and Find Full Text PDFInt J Numer Method Biomed Eng
June 2023
Background And Objective: The incisal biting was one of the most regular jaw activities. The direction of bite force on the incisor tip and the mandible position were relevant to the incisor angle as biting. This study was carried out to explore the influence on the temporomandibular joint (TMJ) caused by the incisor angle.
View Article and Find Full Text PDFFinite element (FE) analysis has become a popular method of exploring the biomechanical characteristics of temporomandibular joint (TMJ). However, the FE model should be improved and its reliability should be verified further. This study developed a complete maxillofacial model by cone-beam computed tomography (CBCT) and magnetic resonance imaging (MRI).
View Article and Find Full Text PDFObjective: This study aims to investigate the biomechanical behavior and reveal the force transmission patterns of the human masticatory system through advanced three-dimensional finite element (FE) models.
Methods: The FE model was constructed according to the medical images of a healthy male adult. It contains full skull structures, detailed temporomandibular joints (TMJs) with discs, complete dentitions, masticatory muscles, and related ligaments.
Mandibular deformities negatively affect the daily activities of the patients and may cause temporomandibular disorders (TMD). Bilateral sagittal split ramus osteotomy (BSSRO) and Le Fort I osteotomy are effective treatments to correct the mandibular deformities. The aim of this study was to investigate and compare the effects of the BSSRO with or without Le Fort I on the stress distributions of the temporomandibular joints (TMJs) of the patients with mandibular deformities under centric occlusion based on finite element (FE) method.
View Article and Find Full Text PDFComput Methods Programs Biomed
November 2022
Background: Clinical diagnosis and treatment depended heavily on the motion analysis of the human joints. Although the dynamic joint space (DJS) of other organs was widely used in academic investigations, they were not universally used in the temporomandibular joint (TMJ) field, which was also important for the motion evaluation of the TMJ. The objectives of this study are to introduce the DJS of the TMJ and characterize the DJS regulars of mandibular movements.
View Article and Find Full Text PDFJ Stomatol Oral Maxillofac Surg
February 2023
Background: Temporomandibular disorder (TMD) symptoms were found to be common in the patients with maxillofacial deformities. The mandibular structure was in relation with the stress within temporomandibular joint (TMJ). However, the current studies on the TMJ stresses in the patients with different maxillofacial deformities are not comprehensive enough.
View Article and Find Full Text PDFBackground: The preferred masticatory side was reported to be almost always the same as the affected side of the temporomandibular disorder. Unbalanced alterations of temporomandibular joint morphology were found to be associated with unilaterally masticatory habits. The aim of this study was to investigate the effect of the mandibular movement on the remodeling of temporomandibular joint during eating French fries using a 3D motion capture system.
View Article and Find Full Text PDFThe temporomandibular joints (TMJs) are the only joints in the human skull and regulate all mandibular motions. The functions of TMJs are considerably influenced by their biomechanical surroundings. However, owing to the unique characteristics of TMJs, comprehending their kinematic and biomechanical mechanisms remains challenging.
View Article and Find Full Text PDFComput Methods Biomech Biomed Engin
September 2022
Comput Methods Programs Biomed
January 2022
Background And Objectives: Temporomandibular disorders (TMD) represent a group of diseases occurred in the temporomandibular joint (TMJ) and its surrounding tissues. In epidemiological studies, up to 75% of adults have shown at least one sign of temporomandibular disorders during their examinations. The incongruous biomechanical environment in the TMJ is the main pathogenic factor of TMD.
View Article and Find Full Text PDFComput Methods Programs Biomed
September 2021
Background And Objective: Temporomandibular disorders (TMDs) represent a wide range of musculoskeletal disorders associated with the maxillofacial system, which negatively affect the daily activities of patients. TMD symptoms are caused by the temporomandibular joint (TMJ) overloading. TMJ motions are frequent and can trigger overloading and imbalanced loads on the TMJs, which are assumed to be dangerous.
View Article and Find Full Text PDFKinematics play an important role in assessing the recovery of the patients' temporomandibular joint (TMJ) and occlusal functions. The finite helical axis (FHA), which simplifies three parameters in Euler-angle descriptions, provides a comprehensive insight into TMJ kinematics. Additionally, the FHA is one of the potential indicators used in the diagnosis and treatment of TMDs and the design and use of the TMJ replacement.
View Article and Find Full Text PDFComput Methods Biomech Biomed Engin
February 2022
Temporomandibular joint (TMJ) is an important and complex joint in the human body. It is necessary to explore the biomechanical influence on the TMJs caused by different mandibular deformities. The maxillofacial models from 34 subjects were built to analyze the maximum and minimum principal stresses of the TMJs in the control group and three test groups.
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