title: Finite element modelling of the articular disc behaviour of the temporo-mandibular joint under dynamic loads.
abstract: The proposed biodynamic model of the articular disc joint has the ability to affect directly the complete chewing mechanism process and its related muscles defining its kinematics. When subjected to stresses from the mastication muscles, the disc absorbs one part and redistributes the other to become completely distorted. To develop a realistic model of this intricate joint a CT scan and MRI images from a patient were obtained to create sections (layers) and MRI images to create an anatomical joint CAD model, and its corresponding mesh element using a finite element method. The boundary conditions are described by the external forces applied to the joint model through a decomposition of the maximum muscular force developed by the same individual. In this study, the maximum force was operating at frequencies close to the actual chewing frequency measured through a cyclic loading condition. The reaction force at the glenoid fossa was found to be around 1035 N and is directly related to the frequency of indentation. It is also shown that over the years the areas of maximum stresses are located at the lateral portion of the disc and on its posterior rim. These forces can reach 13.2 MPa after a period of 32 seconds (s) at a frequency of 0.5 Hz. An important part of this study is to highlight resilience and the areas where stresses are at their maximum. This study provides a novel approach to improve the understanding of this complex joint, as well as to assess the different pathologies associated with the disc disease that would be difficult to study otherwise.
authors.affiliation: UFR Odontologie-UFR Sciences Exactes et Naturelles-REIMS, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Jaisson
authors.forename: Philippe
authors.initials: P
authors.lastname: Lestriez
authors.forename: Redha
authors.initials: R
authors.lastname: Taiar
authors.forename: Karl
authors.initials: K
authors.lastname: Debray
mesh_terms: D001696:Biomechanical Phenomena / Q000502:physiology; D020342:Finite Element Analysis; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000033:anatomy & histology / Q000502:physiology; D008953:Models, Anatomic; D012886:Skull / Q000502:physiology; D013314:Stress, Mechanical; D019224:Temporomandibular Joint Disc / Q000033:anatomy & histology* / Q000502:physiology*; D016474:Weight-Bearing / Q000502:physiology