材料力学性能对人颞下颌关节力三维非线性模拟的影响

The effects of material mechanical properties on three-dimensional nonlinear simulation of human temporomandibular joint forces

  • 摘要: 目的:比较分析骨性结构和关节盘的材料力学性能对在活体基础上建立的人颞下颌关节(Temporomandibular joint,TMJ)三维非线性有限元模型模拟TMJ力的影响。方法:利用Auto-CAD软件及螺旋CT扫描技术与有限元应力分析方法相结合,在活体基础上建立TMJ三维非线性有限元模型并比较下颌骨、关节窝和关节盘选用不同材料力学性能时关节内应力的变化。结果:骨组织的各向同性和各向异性特征使组成TMJ的骨性结构的应力分布产生一定的差异,材料的各向异性使其von Mises应力增大,尤以髁突及关节内的功能承载部位前、内侧区域更明显,而骨结构的其他部位和关节盘则变化不明显。关节盘材料的不同线性和非线性弹性模量对正中咬合时TMJ的von Mises应力分布状况无影响。结论:TMJ内髁突及关节功能承载的前、内侧部位为易受材料力学性能变化影响的应力敏感区域,关节盘具有很强的分散、缓冲关节内力的作用。对生物组织力学性能的认识是更加真实、合理地反映和模拟生物体内力学环境的基础和保证。

     

    Abstract: Objective: To compare and analyze the effects of the material mechanical properties of the bone structure and disc within the temporomandibular joint (TMJ) on three-dimensional nonlinear simulation of human TMJ forces. Methods: Combining spiral CT scanning technology with three-dimensional finite element method, together with Auto CAD software, three-dimensional nonlinear finite element models were developed, from in vivo, for comparison with the changes of the stress within the TMJ in the conditions of various material mechanical constants of the mandible, articular fossa and disc.Results: The isotropy and anisotropy of the bone tissue made some definite influences for the stress distribution of the TMJ bone structure. The material anisotropy increased their von Mises stresses, especially in the condyle and the anterior and medial regions named as the function loading in the joint. Meanwhile, the stresses in other positions of the bone structure and in the disc showed only a mild change. Various linear and nonlinear elastic moduli of the disc had no effect on the von Mises stress distribution in the TMJ during centric occlusion. Conclusion: The condyle and the anterior and medial regions in the TMJ may be the stress sensitive positions influenced easily by the change of material mechanical properties. The disc possesses a strong action on dispersing and buffering the force within the joint. The knowledge of the biological tissue mechanical properties is the foundation and assurance to reflect and simulate the mechanical environment in the life body more really and rationally.

     

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