Document Detail

Strength analysis of Le Fort I osteotomy fixation: titanium versus resorbable plates.
MedLine Citation:
PMID:  11526573     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this study was to compare the biomechanical characteristics of metallic and polymeric fixation systems using a 3-dimensional skull model to simulate clinical conditions of maxillary advancement and loading. MATERIAL AND METHODS: Standard titanium, prebent titanium, and resorbable plates and mesh were applied to surgically altered polyurethane skulls. The constructs were loaded using an Instron machine (Instron Inc, Canton, MA) in anterior-posterior (AP) and inferior-superior (IS) directions. The load displacement, load to failure, and deformation magnitudes and modes of failure were recorded. Statistical studies included analysis of variance (ANOVA) at P <.05. RESULTS: Elastic stiffness was different among groups in the AP direction, but no significant difference was found in the IS direction. The IS loading direction load displacement (stiffness) was significantly greater than that on AP loading. The maximum load for permanent deformation was larger in the AP direction, while the maximum load for breaking was larger in the IS direction. CONCLUSION: The overall evaluation of the model and test analyses supported the relative value of this in vitro system and study procedure. All systems showed load capacity magnitudes above 285 N (64 lbs) and more elastic resistance in the IS direction. The resorbable systems showed lower elastic stiffness compared with the titanium systems, but they appear to be adequate for fixation and withstanding the forces of mastication.
M M Araujo; P D Waite; J E Lemons
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  59     ISSN:  0278-2391     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-08-29     Completed Date:  2001-09-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1034-9; discussion 1039-40     Citation Subset:  AIM; D; IM    
Copyright Information:
Copyright 2001 American Association of Oral and Maxillofacial Surgeons.
Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham Medical Center, Birmingham, AL, USA.
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MeSH Terms
Absorbable Implants
Analysis of Variance
Biocompatible Materials
Bone Plates*
Dental Stress Analysis
Equipment Failure Analysis
Jaw Fixation Techniques / instrumentation*
Lactic Acid
Materials Testing
Models, Anatomic
Osteotomy, Le Fort*
Polyglycolic Acid
Reg. No./Substance:
0/Biocompatible Materials; 0/Polymers; 0/polylactic acid-polyglycolic acid copolymer; 26009-03-0/Polyglycolic Acid; 50-21-5/Lactic Acid; 7440-32-6/Titanium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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