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A biomechanical comparison of 2 techniques for reconstructing atrophic edentulous mandible fractures.

Identifieur interne : 002099 ( PubMed/Checkpoint ); précédent : 002098; suivant : 002100

A biomechanical comparison of 2 techniques for reconstructing atrophic edentulous mandible fractures.

Auteurs : Matthew J. Madsen [États-Unis] ; Richard H. Haug

Source :

RBID : pubmed:16487809

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Abstract

The purpose of this investigation was to evaluate and compare the biomechanical behavior of 2 techniques for the reconstruction of atrophic edentulous mandible fractures.

DOI: 10.1016/j.joms.2005.11.018
PubMed: 16487809


Affiliations:


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pubmed:16487809

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<title xml:lang="en">A biomechanical comparison of 2 techniques for reconstructing atrophic edentulous mandible fractures.</title>
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<name sortKey="Madsen, Matthew J" sort="Madsen, Matthew J" uniqKey="Madsen M" first="Matthew J" last="Madsen">Matthew J. Madsen</name>
<affiliation wicri:level="1">
<nlm:affiliation>College of Dentistry, University of Kentucky, Lexington, KY 40536-0297, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>College of Dentistry, University of Kentucky, Lexington, KY 40536-0297</wicri:regionArea>
<wicri:noRegion>KY 40536-0297</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Haug, Richard H" sort="Haug, Richard H" uniqKey="Haug R" first="Richard H" last="Haug">Richard H. Haug</name>
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<title xml:lang="en">A biomechanical comparison of 2 techniques for reconstructing atrophic edentulous mandible fractures.</title>
<author>
<name sortKey="Madsen, Matthew J" sort="Madsen, Matthew J" uniqKey="Madsen M" first="Matthew J" last="Madsen">Matthew J. Madsen</name>
<affiliation wicri:level="1">
<nlm:affiliation>College of Dentistry, University of Kentucky, Lexington, KY 40536-0297, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>College of Dentistry, University of Kentucky, Lexington, KY 40536-0297</wicri:regionArea>
<wicri:noRegion>KY 40536-0297</wicri:noRegion>
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<name sortKey="Haug, Richard H" sort="Haug, Richard H" uniqKey="Haug R" first="Richard H" last="Haug">Richard H. Haug</name>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (pathology)</term>
<term>Alveolar Bone Loss (physiopathology)</term>
<term>Analysis of Variance</term>
<term>Atrophy</term>
<term>Biomechanical Phenomena</term>
<term>Bone Plates</term>
<term>Dental Stress Analysis</term>
<term>Equipment Design</term>
<term>Equipment Failure Analysis</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Humans</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (pathology)</term>
<term>Mandibular Fractures (complications)</term>
<term>Mandibular Fractures (pathology)</term>
<term>Mandibular Fractures (physiopathology)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Materials Testing</term>
<term>Models, Anatomic</term>
<term>Polyurethanes</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Analyse de panne d'appareillage</term>
<term>Analyse de variance</term>
<term>Analyse du stress dentaire</term>
<term>Atrophie</term>
<term>Conception d'appareillage</term>
<term>Contrainte mécanique</term>
<term>Fractures mandibulaires ()</term>
<term>Fractures mandibulaires (anatomopathologie)</term>
<term>Fractures mandibulaires (physiopathologie)</term>
<term>Humains</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mise en charge</term>
<term>Modèles anatomiques</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Ostéosynthèse interne (instrumentation)</term>
<term>Phénomènes biomécaniques</term>
<term>Plaques orthopédiques</term>
<term>Polyuréthanes</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
<term>Résorption alvéolaire (physiopathologie)</term>
<term>Statistique non paramétrique</term>
<term>Test de matériaux</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Polyurethanes</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Fractures mandibulaires</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Fractures mandibulaires</term>
<term>Mâchoire édentée</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Analysis of Variance</term>
<term>Atrophy</term>
<term>Biomechanical Phenomena</term>
<term>Bone Plates</term>
<term>Dental Stress Analysis</term>
<term>Equipment Design</term>
<term>Equipment Failure Analysis</term>
<term>Humans</term>
<term>Materials Testing</term>
<term>Models, Anatomic</term>
<term>Statistics, Nonparametric</term>
<term>Stress, Mechanical</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Analyse de panne d'appareillage</term>
<term>Analyse de variance</term>
<term>Analyse du stress dentaire</term>
<term>Atrophie</term>
<term>Conception d'appareillage</term>
<term>Contrainte mécanique</term>
<term>Fractures mandibulaires</term>
<term>Humains</term>
<term>Mise en charge</term>
<term>Modèles anatomiques</term>
<term>Mâchoire édentée</term>
<term>Ostéosynthèse interne</term>
<term>Phénomènes biomécaniques</term>
<term>Plaques orthopédiques</term>
<term>Polyuréthanes</term>
<term>Résorption alvéolaire</term>
<term>Statistique non paramétrique</term>
<term>Test de matériaux</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">The purpose of this investigation was to evaluate and compare the biomechanical behavior of 2 techniques for the reconstruction of atrophic edentulous mandible fractures.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">16487809</PMID>
<DateCompleted>
<Year>2006</Year>
<Month>04</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0278-2391</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>64</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2006</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>A biomechanical comparison of 2 techniques for reconstructing atrophic edentulous mandible fractures.</ArticleTitle>
<Pagination>
<MedlinePgn>457-65</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The purpose of this investigation was to evaluate and compare the biomechanical behavior of 2 techniques for the reconstruction of atrophic edentulous mandible fractures.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Thirty polyurethane atrophic edentulous mandible replicas (Sawbones, Vashon Island, WA) were used in this investigation (10 controls, 10 replicas of 2 different fixation techniques). The first reconstruction technique was a traditional titanium locking reconstruction plate affixed to the lateral border (buccal surface) of the mandible. The second reconstruction technique used the same type of plate, but placed it on the inferior border of the mandible. Both constructs were subjected to vertical loading at the symphysis and torsional loading at the body regions of the mandible replicas by an Instron 1331 (Instron, Canton, MA) servohydraulic mechanical testing unit. Mechanical deformation data within a 0-900 N range were recorded. Maximum load, displacement at maximum load, and stiffness were determined. Means and standard deviations were derived and compared for statistical significance using a Fisher's Protected Least Significant Differences Test with a confidence level of 95% (P < .05). Second- and third-order polynomial best-fit curves were also created for each group to further evaluate the mechanical behavior.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">For symphysis loading, statistically significant differences were noted between the control group and both of the plating techniques for displacement at maximum load. However, no differences were noted between the experimental groups for displacement at maximum load, stiffness, or maximum load. For body loading, statistically significant differences were noted between the control group and the inferior border plating group for displacement at maximum load. However, no differences were noted between the experimental groups for displacement at maximum load, stiffness, or maximum load.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">During this bench top investigation, there were no significant differences noted in mechanical behavior between the 2 specific experimental groups for any of the conditions measured. When placed in the context of functional parameters, both of the plating techniques met or exceeded the requirements for loading.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Madsen</LastName>
<ForeName>Matthew J</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo>
<Affiliation>College of Dentistry, University of Kentucky, Lexington, KY 40536-0297, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Haug</LastName>
<ForeName>Richard H</ForeName>
<Initials>RH</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D023362">Evaluation Studies</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<Country>United States</Country>
<MedlineTA>J Oral Maxillofac Surg</MedlineTA>
<NlmUniqueID>8206428</NlmUniqueID>
<ISSNLinking>0278-2391</ISSNLinking>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D011140">Polyurethanes</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001696" MajorTopicYN="N">Biomechanical Phenomena</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001860" MajorTopicYN="Y">Bone Plates</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003799" MajorTopicYN="N">Dental Stress Analysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004867" MajorTopicYN="N">Equipment Design</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019544" MajorTopicYN="N">Equipment Failure Analysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005593" MajorTopicYN="N">Fracture Fixation, Internal</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008422" MajorTopicYN="N">Materials Testing</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008953" MajorTopicYN="N">Models, Anatomic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011140" MajorTopicYN="N">Polyurethanes</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018709" MajorTopicYN="N">Statistics, Nonparametric</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016474" MajorTopicYN="N">Weight-Bearing</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="received">
<Year>2005</Year>
<Month>03</Month>
<Day>01</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2006</Year>
<Month>2</Month>
<Day>21</Day>
<Hour>9</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2006</Year>
<Month>4</Month>
<Day>6</Day>
<Hour>9</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2006</Year>
<Month>2</Month>
<Day>21</Day>
<Hour>9</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">16487809</ArticleId>
<ArticleId IdType="pii">S0278-2391(05)01819-7</ArticleId>
<ArticleId IdType="doi">10.1016/j.joms.2005.11.018</ArticleId>
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<affiliations>
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<li>États-Unis</li>
</country>
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