Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Experimental and Therapeutic Medicine
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-0981 Online ISSN: 1792-1015
Journal Cover
April-2021 Volume 21 Issue 4

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
April-2021 Volume 21 Issue 4

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis

  • Authors:
    • Fang Guo
    • Shuo Huang
    • Min Hu
    • Chuncheng Yang
    • Dichen Li
    • Changkui Liu
  • View Affiliations / Copyright

    Affiliations: Department of Oral and Maxillofacial Surgery, School of Stomatology, Xi'an Medical University, Xi'an, Shaanxi 710021, P.R. China, Department of Oral and Maxillofacial Surgery, General Hospital of PLA, Beijing 100853, P.R. China, State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University, Xi'an, Shaanxi 710054, P.R. China
    Copyright: © Guo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 348
    |
    Published online on: February 11, 2021
       https://doi.org/10.3892/etm.2021.9779
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The present study aimed to evaluate the biomechanical behavior of a custom 3D‑printed polyetheretherketone (PEEK) condylar prosthesis using finite element analysis and mechanical testing. The Mimics software was used to create a 3D model of the mandible, which was then imported into Geomagic Studio software to perform osteotomy of the lesion area. A customized PEEK condyle prosthesis was then designed and the finite element model of the PEEK condyle prosthesis, mandible and fixation screw was established. The maximum stress of the prosthesis and screws, as well as stress and strain of the cortical and cancellous bones in the intercuspal position, incisal clench, left unilateral molar clench and right unilateral molar clench was analyzed. The biomechanical properties of the prosthesis were studied using two models with different lesion ranges. To simulate the actual clinical situation, a special fixture was designed. The compression performance was tested at 1 mm/min for the condyle prosthesis, prepared by fused deposition modeling (FDM). The results of a finite element analysis suggested that the maximum stress of the condyle was 10.733 MPa and the maximum stress of the screw was 9.7075 MPa; both were far less than the yield strength of the material. The maximum force that the two designed prostheses were able to withstand was 3,814.7±442.6 N (Model A) and 4,245.7±348.3 N (Model B). Overall, the customized PEEK condyle prostheses prepared by FDM exhibited a uniform stress distribution and good mechanical properties, providing a theoretical basis for PEEK as a reconstruction material for repairing the temporomandibular joint.
View Figures

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

View References

1 

Rodrigues YL, Mathew MT, Mercuri LG, da Silva JSP, Henriques B and Souza JCM: Biomechanical simulation of temporomandibular joint replacement (TMJR) devices: A scoping review of the finite element method. Int J Oral Maxillofac Surg. 47:1032–1042. 2018.PubMed/NCBI View Article : Google Scholar

2 

Jones R: The use of virtual planning and navigation in the treatment of temporomandibular joint ankylosis. Aust Dent J. 58:358–367. 2013.PubMed/NCBI View Article : Google Scholar

3 

Wolford LM, Dingwerth DJ, Talwar RM and Pitta MC: Comparison of 2 temporomandibular joint total joint prosthesis systems. J Oral Maxillofac Surg. 61:685–690; discussion 690. 2003.PubMed/NCBI View Article : Google Scholar

4 

Zhao Y, Wong SM, Wong HM, Wu S, Hu T, Yeung KW and Chu PK: Effects of carbon and nitrogen plasma immersion ion implantation on in vitro and in vivo biocompatibility of titanium alloy. ACS Appl Mater Interfaces. 5:1510–1516. 2013.PubMed/NCBI View Article : Google Scholar

5 

Niki Y, Matsumoto H, Otani T, Suda Y and Toyama Y: Metal ion concentrations in the joint fluid immediately after total knee arthroplasty. Mod Rheumatol. 11:192–196. 2001.PubMed/NCBI View Article : Google Scholar

6 

Wang L, He S, Wu X, Liang S, Mu Z, Wei J, Deng F, Deng Y and Wei S: Polyetheretherketone/nano-fluorohydroxyapatite composite with antimicrobial activity and osseointegration properties. Biomaterials. 35:6758–6775. 2014.PubMed/NCBI View Article : Google Scholar

7 

Sarot JR, Contar CM, Cruz AC and de Souza Magini R: Evaluation of the stress distribution in CFR-PEEK dental implants by the three-dimensional finite element method. J Mater Sci Mater Med. 21:2079–2085. 2010.PubMed/NCBI View Article : Google Scholar

8 

Jonkergouw J, van de Vijfeijken SE, Nout E, Theys T, Van de Casteele E, Folkersma H, Depauw PR and Becking AG: Outcome in patient-specific PEEK cranioplasty: A two-center cohort study of 40 implants. J Craniomaxillofac Surg. 44:1266–1272. 2016.PubMed/NCBI View Article : Google Scholar

9 

Lethaus B, Safi Y, ter Laak-Poort M, Kloss-Brandstätter A, Banki F, Robbenmenke C, Steinseifer U and Kessler P: Cranioplasty with customized titanium and PEEK implants in a mechanical stress model. J Neurotrauma. 29:1077–1083. 2012.PubMed/NCBI View Article : Google Scholar

10 

Zegers T, Ter Laak-Poort M, Koper D, Lethaus B and Kessler P: The therapeutic effect of patient-specific implants in cranioplasty. J Craniomaxillofac Surg. 45:82–86. 2017.PubMed/NCBI View Article : Google Scholar

11 

Hu B, Yang X, Hu Y, Lyu Q, Liu L, Zhu C, Zhou C and Song Y: The n-HA/PA66 cage versus the PEEK cage in anterior cervical fusion with single-level discectomy during 7 years of follow-up. World Neurosurg. 123:e678–e684. 2019.PubMed/NCBI View Article : Google Scholar

12 

Zhang J, Pan A, Zhou L, Yu J and Zhang X: Comparison of unilateral pedicle screw fixation and interbody fusion with PEEK cage vs. standalone expandable fusion cage for the treatment of unilateral lumbar disc herniation. Arch Med Sci. 14:1432–1438. 2018.PubMed/NCBI View Article : Google Scholar

13 

Kurtz SM and Devine JN: PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials. 28:4845–4869. 2007.PubMed/NCBI View Article : Google Scholar

14 

Han ML, Li MH, Ji X, Han RY, Zhang N, Cui LH, Sun LF and Han CM: Establishment of TMJ defect models and evaluation on repair effect of CFR-PEEK material artificial joint in rabbits. J Jilin Univ Med Εd. 43:903–909. 2017.

15 

Arabshahi Z, Kashani J, Rafiq M, Kadir A and Azari A: Influence of the TMJ implant geometry on stress distribution. Adv Mat Res. 488:991–995. 2012.

16 

Hsu JT, Huang HL, Tu MG and Fuh LJ: Effect of bone quality on the artificial temporomandibular joint condylar prosthesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 109:e1–e5. 2010.PubMed/NCBI View Article : Google Scholar

17 

Huang HL, Su KC, Fuh LJ, Chen MY, Wu J, Tsai MT and Hsu JT: Biomechanical analysis of a temporomandibular joint condylar prosthesis during various clenching tasks. J Craniomaxillofac Surg. 43:1194–1201. 2015.PubMed/NCBI View Article : Google Scholar

18 

Torstrick FB, Lin ASP, Potter D, Safranski DL, Sulchek TA, Gall K and Guldberg RE: Porous PEEK improves the bone-implant interface compared to plasma-sprayed titanium coating on PEEK. Biomaterials. 185:106–116. 2018.PubMed/NCBI View Article : Google Scholar

19 

Kashi A, Chowdhury AR and Saha S: Finite element analysis of a TMJ implant. J Dent Res. 89:241–245. 2010.PubMed/NCBI View Article : Google Scholar

20 

Chen X, Wang Y, Mao Y, Zhou Z, Zheng J, Zhen J, Qiu Y, Zhang S, Qin H and Yang C: Biomechanical evaluation of Chinese customized three-dimensionally printed total temporomandibular joint prostheses: A finite element analysis. J Craniomaxillofac Surg. 46:1561–1568. 2018.PubMed/NCBI View Article : Google Scholar

21 

Rubin CT and Lanyon LE: Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int. 37:411–417. 1985.PubMed/NCBI View Article : Google Scholar

22 

Jaworski ZF, Liskova-Kiar M and Uhthoff HK: Effect of long-term immobilisation on the pattern of bone loss in older dogs. J Bone Joint Surg Br. 62-B:104–110. 1980.PubMed/NCBI View Article : Google Scholar

23 

Lovell NC: Structure function, and adaptation of compact bone. By R. Bruce Martin and David B. Burr. Am J Phys Anthropol. 82:116–117. 1990.

24 

Mellal A, Wiskott HWA, Botsis J, Scherrer SS and Belser UC: Stimulating effect of implant loading on surrounding bone. Comparison of three numerical models and validation by in vivo data. Clin Oral Implants Res. 15:239–248. 2004.PubMed/NCBI View Article : Google Scholar

25 

Sugiura T, Horiuchi K, Sugimura M and Tsutsumi S: Evaluation of threshold stress for bone resorption around screws based on in vivo strain measurement of miniplate. J Musculoskelet Neuronal Interact. 1:165–170. 2000.PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Guo F, Huang S, Hu M, Yang C, Li D and Liu C: Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis. Exp Ther Med 21: 348, 2021.
APA
Guo, F., Huang, S., Hu, M., Yang, C., Li, D., & Liu, C. (2021). Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis. Experimental and Therapeutic Medicine, 21, 348. https://doi.org/10.3892/etm.2021.9779
MLA
Guo, F., Huang, S., Hu, M., Yang, C., Li, D., Liu, C."Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis". Experimental and Therapeutic Medicine 21.4 (2021): 348.
Chicago
Guo, F., Huang, S., Hu, M., Yang, C., Li, D., Liu, C."Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis". Experimental and Therapeutic Medicine 21, no. 4 (2021): 348. https://doi.org/10.3892/etm.2021.9779
Copy and paste a formatted citation
x
Spandidos Publications style
Guo F, Huang S, Hu M, Yang C, Li D and Liu C: Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis. Exp Ther Med 21: 348, 2021.
APA
Guo, F., Huang, S., Hu, M., Yang, C., Li, D., & Liu, C. (2021). Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis. Experimental and Therapeutic Medicine, 21, 348. https://doi.org/10.3892/etm.2021.9779
MLA
Guo, F., Huang, S., Hu, M., Yang, C., Li, D., Liu, C."Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis". Experimental and Therapeutic Medicine 21.4 (2021): 348.
Chicago
Guo, F., Huang, S., Hu, M., Yang, C., Li, D., Liu, C."Biomechanical evaluation of a customized 3D‑printed polyetheretherketone condylar prosthesis". Experimental and Therapeutic Medicine 21, no. 4 (2021): 348. https://doi.org/10.3892/etm.2021.9779
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team