Journal of Applied Science and Engineering

Published by Tamkang University Press

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2.10

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Rungsan Chaiyachet1, Surasith Piyasin2, Weerayut Jina3, Teerawat Paipongna4, and Apichart Boonma1This email address is being protected from spambots. You need JavaScript enabled to view it.

1Department of Industrial Engineering, Faculty of Engineering, Khon Kaen University, Khon Kaen 40002, Thailand

2Department of Mechanical Engineering, Faculty of Engineering, Khon Kaen University, Khon Kaen 40002, Thailand

3Department of Mechanical and Manufacturing, Engineering, Faculty of Sciences and Engineering, Kasetsart University, Sakon Nakhon 47000, Thailand

4Dental Department, Sakon Nakhon Hospital, Sakon Nakhon 47000, Thailand


 

 

Received: August 3, 2024
Accepted: December 17, 2024
Publication Date: February 28, 2025

 Copyright The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are cited.


Download Citation: ||https://doi.org/10.6180/jase.202511_28(11).0003  


This research examines temporary external fixators (TEF) with four screw plate configurations following segmental mandibulectomy. A new design for a screw plate accommodating 2 to 4 bicortical screws (2.4 mm each) is proposed. Biomechanical reliability is assessed using finite element analysis (FEA) and compared with the Schanz screws. A mandibular model was created with cortical and cancellous bones segmented by threshold method. The screw plate, designed in SolidWorks, featured a 12 mm inter-hole distance, 2.0 mm thickness, and 2.4 mm screws. Structural analysis was performed in ANSYS using literature-based mechanical properties. A mesh convergence test with a 0.33 mm mesh size and 1,005,000 elements had a solution time of 205 seconds, with a relative error under 0.161%. Static structural behavior of the Left Unilateral Molar Clench (LMOL) wasalso analyzed. The 3-screw plate showed superior biomechanical performance, with maximum von Mises stress at 293.38 MPa, von Mises strain at 23.57 m/mm, and total deformation at 0.5915 mm. Topology optimization revealed that the 50% mass configuration is the most effective among the 40% to 60% mass range. This configuration achieved a 2.31% decrease in Maximum von Mises stress, and a 16.99% reduction in total deformation.


Keywords: Finite Element; Biomechanics; Temporary External Fixator; Mandibular Reconstruction; Structural Analysis.


  1. [1] J.Brown,D.Lowe,A.Kanatas,andA.Schache,(2017) “Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years" British Journal of Oral and Maxillofacial Surgery 55: 113–126. DOI: 10.1016/j.bjoms.2016.12.010.
  2. [2] J. Li, J. Jiao, T. Luo, and W. Wu, (2022) “Biomechan ical evaluation of various internal fixation patterns for unilateral mandibular condylar base fractures: A three dimensional finite element analysis" Journal of the Mechanical Behavior of Biomedical Materials 55: 105354. DOI: 10.1016/j.jmbbm.2022.105354.
  3. [3] M. Peled, I. A. El-Naaj, Y. Lipin, and L. Ardekian, (2005) “The use of free fibular flap for functional mandibu lar reconstruction" Journal of oral and maxillofacial surgery 63: 220–224. DOI: 10.1016/j.joms.2004.06.052.
  4. [4] F. Ung, J. W. Rocco, and D. G. Deschler, (2002) “Tem porary intraoperative external fixation in mandibular re construction" The Laryngoscope 112: 1569–1573. DOI: 10.1016/j.joms.2004.06.052.
  5. [5] H.F. Braidy and V. B. Ziccardi, (2009) “External fixa tion for mandible fractures" Atlas of the Oral and Max illofacial Surgery Clinics 17: 45–53. DOI: 10.1016/j.cxom.2008.10.001.
  6. [6] S.-Y. Shen, Y. Yu, W.-B. Zhang, X.-J. Liu, and X. Peng, (2017) “Angle-to-Angle Mandibular Defect Reconstruc tion With Fibula Flap by Using a Mandibular Fixation Device and Surgical Navigation" Journal of Cranio facial Surgery 28: 1486–1491. DOI: 10.1097/SCS.0000000000003891.
  7. [7] A.A.Kazi,T.S. Lee, A. Vincent, M. Sokoya, D. Sheen, and Y. Ducic, (2019) “The role of external fixation in trauma and reconstruction of the mandible in the age of rigid fixation" Facial Plastic Surgery 35: 614–622. DOI: 10.1055/s-0039-1700799.
  8. [8] Y. Wang, J. Sun, Y. Shi, X. Li, and Z. Wang, (2022) “Buccal bone thickness of posterior mandible for micro screws implantation in molar distalization" Annals of Anatomy-Anatomischer Anzeiger 244: 151993. DOI: 10.1016/j.aanat.2022.151993.
  9. [9] M. Elmedin, A. Vahid, P. Nedim, and R. Nedžad, (2015) “Finite Element Analysis and Experimental Test ing of Stiffness of the Sarafix External Fixator" Procedia Engineering 100: 1598–1607. DOI: 10.1016/j.proeng.2015.01.533.
  10. [10] V. Pereira-Filho, B. Da Silva, J. N. Reis, R. Spin-Neto, M.R.Gabrielli, and M. Monnazzi, (2013) “Effect of the number of screws on the stability of locking mandibular reconstruction plates" International Journal of Oral andMaxillofacial Surgery 42: 732–735. DOI: 10.1016/j.ijom.2013.02.010.
  11. [11] S. Kumara, S. Senevirathne, A. Mathew, P. Ebenezer, T. Yarlagadda, L. Bray, M. Mirkhalaf, and P. K. Yarla gadda, (2024) “Nano-roughness Modification Of 3D Printed Poly (Lactic Acid) Polymer Via Alkaline Wet Etching Towards Biomedical Applications" Journal of Applied Science and Engineering 28: 1331–1340.
  12. [12] T.P.Ribeiro, L. F. Bernardo, and J. M. Andrade, (2021) “Topology optimisation in structural steel design for addi tive manufacturing" Applied Sciences 11: 2112. DOI: 10.3390/app11052112.
  13. [13] J. Plocher and A. Panesar, (2019) “Review on design and structural optimisation in additive manufacturing: Towards next-generation lightweight structures" Mate rials & Design 183: 108164. DOI: 10.1016/j.matdes.2019.108164.
  14. [14] Z. Fang, S. Zhang, J. Cheng, and S. Li, (2024) “Motion simulation and finite element analysis of knee prosthesis with implant" Journal of Applied Science and Engi neering 28: 667–679. DOI: 10.6180/jase.202504_28(4).0001.
  15. [15] S. Prasadh, A. V. Krishnan, C. Lim, M. Gupta, and R. Wong, (2022) “Titanium versus magnesium plates for unilateral mandibular angle fracture fixation: Biomechan ical evaluation using 3-dimensional finite element analy sis" Journal of Materials Research and Technology 18: 2064–2076. DOI: 10.1016/j.jmrt.2022.03.111.
  16. [16] R. CHAIYACHET, A. BOONMA, and T. PAIPONGNA, (2024) “Developing A Temporary External Fixator (TEF) For Mandibular Reconstruction Using Two-Phase QFD And TRIZ Approach" Sains Malaysiana 53: 1201–1218. DOI: 10.17576/jsm-2024-5305-17.
  17. [17] A. Azmat, S. Asrar, I. A. Channa, J. Ashfaq, I. Ali Chandio, A. D. Chandio, M. Ali Shar, M. S. AlSalhi, and S. Devanesan, (2023) “Comparative study of bio compatible titanium alloys containing non-toxic elements for orthopedic implants" Crystals 13: 467. DOI: 10.3390/cryst13030467.
  18. [18] J.-Y. Kao, S.-Y. Lin, and Y.-S. Chen, (2018) “Surface pro cessing technology for 316LVM stainless steel stents" Journal of Applied Science and Engineering 21: 343–350. DOI: 10.6180/jase.201809_21(3).0005.
  19. [19] L. Zheng, D. Chen, C. Wang, L. Ai, Y. Li, M. Hu, R. Aversa, L. Wang, and Y. Fan, (2023) “Compara tive evaluation of personalized 3D-printed scaffold-driven double-barrel fibula flap for the reconstruction of seg mented mandibular defects" Materials & Design 23: 234. DOI: 10.1016/j.matdes.2023.112310.
  20. [20] N. Narra, J. Valášek, M. Hannula, P. Marcián, G. K. Sándor, J. Hyttinen, and J. Wolff, “Finite element anal ysis of customized reconstruction plates for mandibular continuity defect therapy" Journal of biomechanics 47: 264–268. DOI: 10.1016/j.jbiomech.2013.11.016.
  21. [21] S. Y. Ertem, S. Uckan, and U. A. Ozden, (2013) “The comparison of angular and curvilinear marginal mandibulectomy on force distribution with three di mensional finite element analysis" Journal of Cranio Maxillofacial Surgery 41: e54–e58. DOI: 10.1016/j.jcms.2012.07.014.
  22. [22] D. Tümer, M. Güngörürler, H. Havıtçıo˘glu, and Y. Arman, (2020) “Investigation of effective coating of the Ti–6Al–4V alloy and 316L stainless steel with graphene or carbon nanotubes with finite element methods" Jour nal of Materials Research and Technology 9: 15880 15893. DOI: 10.1016/j.jmrt.2020.11.052.
  23. [23] Information on MatWeb. https://www.matweb.com. Accessed June 25, 2024.
  24. [24] V. Orassi, G. N. Duda, M. Heiland, H. Fischer, C. Rendenbach, and S. Checa, (2021) “Biomechanical as sessment of the validity of sheep as a preclinical model for testing mandibular fracture fixation devices" Frontiers in Bioengineering and Biotechnology 9: 672176. DOI: 10.3389/fbioe.2021.672176.
  25. [25] D. Luo, Q. Rong, and Q. Chen, (2017) “Finite-element design and optimization of a three-dimensional tetrahe dral porous titanium scaffold for the reconstruction of mandibular defects" Medical Engineering & Physics 47: 176–183. DOI: 10.1016/j.medengphy.2017.06.015.
  26. [26] A. Dutta, K. Mukherjee, V. S. Seesala, K. Dutta, R. R. Paul, S. Dhara, and S. Gupta, (2020) “Load transfer across a mandible during a mastication cycle: The effects of odontogenic tumour" Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engi neering in Medicine 234: 486–495. DOI: 10.1177/0954411920904618.
  27. [27] A. Vajgel, I. B. Camargo, R. B. Willmersdorf, T. M. de Melo, J. R. Laureano Filho, and R. J. de Holanda Vasconcellos, (2013) “Comparative finite element anal ysis of the biomechanical stability of 2.0 fixation plates in atrophic mandibular fractures" Journal of Oral and Maxillofacial Surgery 71: 335–342. DOI: 10.1016/j.joms.2012.09.019.
  28. [28] T. W. Korioth and A. G. Hannam, (1994) “Mandibu lar forces during simulated tooth clenching" Journal of orofacial pain 8:
  29. [29] N. Kongprasert and D. S. Nguyen, (2024) “Driving Innovation in Product Design: Integrating Additive Man ufacturing and Topology Optimization Techniques" Jour nal of Applied Science and Engineering 28: 53–60. DOI: 10.6180/jase.202501_28(1).0006.
  30. [30] G. Chandra, A. Pandey, and S. Pandey, (2020) “De sign of a biodegradable plate for femoral shaft fracture f ixation" Medical Engineering & Physics 81: 86–96. DOI: 10.1016/j.medengphy.2020.05.010.
  31. [31] Z. Jihong, Z. Han, W. Chuang, Z. Lu, Y. Shangqin, and W. Zhang, (2021) “A review of topology optimiza tion for additive manufacturing: Status and challenges" Chinese Journal of Aeronautics 34: 91–110. DOI: 10. 1016/j.cja.2020.09.020.
  32. [32] W.-m. Peng, K.-j. Cheng, Y.-f. Liu, M. Nizza, D. A. Baur, X.-f. Jiang, and X.-t. Dong, (2021) “Biomechanical and Mechanostat analysis of a titanium layered porous implant for mandibular reconstruction: The effect of the topology optimization design" Materials Science and Engineering: C 124: 112056. DOI: 10.1016/j.msec. 2021.112056.
  33. [33] A. Shinya, Y. Ishida, D. Miura, and A. Shinya, (2021) “The effect of implant length and diameter on stress distri bution around single implant placement in 3D posterior mandibular FE model directly constructed form in vivo CT" Materials 14: 7344. DOI: 10.3390/ma14237344.
  34. [34] C. Schwartz-Dabney and P. Dechow, (2002) “Eden tulation alters material properties of cortical bone in the human mandible" Journal of Dental Research 81: 613 617. DOI: 10.1177/154405910208100907.
  35. [35] G. Sannino, F. Gloria, L. Ottria, and A. Barlattani, (2009) “Influence of finish line in the distribution of stress trough an all ceramic implant-supported crown.: A 3D Finite Element Analysis" Oral & Implantology 2: 14.
  36. [36] J.-H. Zhu, W.-H. Zhang, and L. Xia, (2016) “Topology optimization in aircraft and aerospace structures design" Archives of computational methods in engineering 23: 595–622. DOI: 10.1007/s11831-015-9151-2.
  37. [37] J.-M. Hwang,S.-H. Baek, and J.-Y. Choi, (2012) “Effect of number and geometry of resorbable screws on biome chanical stability of in vitro model with sagittal split ra mus osteotomy" Journal of Craniofacial Surgery 23: 363–366. DOI: 10.1097/SCS.0b013e318240c826.
  38. [38] T. Pavlychuk, D. Chernogorskyi, Y. Chepurnyi, A. Neff, and A. Kopchak, (2020) “Biomechanical evalu ation of type p condylar head osteosynthesis using con ventional small-fragment screws reinforced by a patient specific two-component plate" Head & Face Medicine 16: 1–14. DOI: 10.1186/s13005-020-00236-0.
  39. [39] H.C.Liu,J.-S. Jiang, and C.-L. Lin, (2020) “Biomechan ical investigation of a novel hybrid dorsal double plating for distal radius fractures by integrating topology opti mization and finite element analysis" Injury 51: 1271 1280. DOI: 10.1016/j.injury.2020.03.011.
  40. [40] X.-l. Yin, Y.-r. Tan, Y. Liu, W.-w. Sun, X.-y. Zhang, Y.-j. Hu, J. Sun, C.-p. Zhang, and L.-p. Zhong, (2019) “Clinical application of temporary external fixator for im mediate mandibular reconstruction" Journal of Cran iofacial Surgery 30: e337–e342. DOI: 10.1097/SCS.0000000000005303.


    



 

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