[Computation and experimental examination of an implant structure made by a fibre-reinforced building method for the bypass of continuity defects of the mandible].
A partial resection of the lower jaw often has to be carried out in the context of the surgical removal of tumours in the lower jaw, mouth and tongue-floor space and lower jaw fractures with loss of substance, benign bone lesions and extensive difficult inflammation of bone tissue, respectively. The primary reconstruction of the lower jaw after partial resection with loss of continuity is mainly important for functional and aesthetic reasons. The defects of lower jaw continuity are often bridged with metal plates to reconstruct the masticatory function of the lower jaw, temporarily or permanently. Functional as well as aesthetic disadvantages arise in the case of the application of such plates as a result of a high stiffness jump between reconstruction plate and bone and their insufficiently individual design. The employment of biocompatible, carbon-fibre-reinforced Polyetheretherketon (CF-PEEK) permits the development of a geometry- and stiffness-adapted carrying structure for the mandible. For the demand-adapted dimensioning and the test of a CF-PEEK bandage, the application of optical methods, such as the grey value correlation method, is suited as well as numeric methods, such as the finite element method. In an initial analysis of deformation behaviour, the various osteosynthesis configurations are comparatively investigated on a model jaw. The calculations and tests of the lower jaw model show that the use of the new CF-PEEK bandage compared to the use of conventional titanium osteosynthesis plates shows a mechanical behaviour which is much better adapted to the natural lower jaw.
Hufenbach
Werner
W
Institut für Leichtbau und Kunststofftechnik, Technische Universität Dresden, Dresden, Germany. ilk@ilk.mw.tu-dresden.de
Gottwald
Robert
R
Markwardt
Jutta
J
Eckelt
Uwe
U
Modler
Niels
N
Reitemeier
Bernd
B
D003198:Computer Simulation; D017076:Computer-Aided Design; D003799:Dental Stress Analysis / Q000379:methods; D019544:Equipment Failure Analysis; D006801:Humans; D008334:Mandible / Q000503:physiopathology* / Q000601:surgery*; D008341:Mandibular Prosthesis; D008954:Models, Biological; D019647:Oral Surgical Procedures / Q000295:instrumentation*; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation*