The Influences Upon the Passive Tensile of the Masticatory Muscles and Ligaments by Herbst Appliance Under Various Bite ReconstructionA Three Dimensional Finite Element Analysis
- VernacularTitle:Herbst矫治器在不同重建时对口颌肌肉和韧带约束反力的影响
- Author:
Jinlin SONG
1
;
Zhihe ZHAO
;
Linhua HU
;
Wentao JIANG
;
Institute of Biomechainics Sichuan University
;
Junkai CHEN
Author Information
1. 四川大学
- From:
West China Journal of Stomatology
2001;19(1):43-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aimed to provide some biomechanical references for the clinical use and improvement of Herbst appliance. Methods: The three-dimensional model of the ′Temporomandibular joint mandible Herbst appliance system′was set up by SUPER SAP software (version 9.3). On this model, the passive tensile in the masticatory muscles and ligaments were analyzed under various bit reconstruction designed according to specified advanced displacement and vertical bite opening. Results: When Herbst appliance drove the mandible forward, there was not any tensile in the medial, lateral pterygoid and the collateral ligament, while the temporalis, the deep paret of masseter, the stylomandibular ligament, and the sphenomandibular ligament were passively drawn. Under various bite reconstruction, the passive tensile in the medial temporalis, the posterior temporalis, the stylomandibular ligament and the sphenomandibular ligament increased with the amount of the advancement of the mandible; The passive tensilein the posterior temporalis and the deep part of masseter increased with the amount of vertical bite opening of the mandible. Conclusion: The StL, SpL, PT and AT played an important role in functional reconstruction of mandible by Herbst. All five group of bite reconstruction (3～7mm advancement, 4～2mm vertical bite opening of the mandible) designed by this study can be selected in clinic according to the patient′s capa- bility of adaptation, the extent of malocclusion and the potential and direction of growth.
