Brent E Larson1, Nam-Ki Lee2, Moon-Jung Jang3, Deuk-Won Jo4, Pil-Young Yun5, Young-Kyun Kim5. 1. Division of Orthodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA. 2. Department of Orthodontics, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. Electronic address: Nklee@snubh.org. 3. Department of Orthodontics, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. 4. Department of Prosthodontics, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. 5. Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Abstract
OBJECTIVE: This study evaluated the stress distribution of the sliding plate (SP) and conventional miniplate (CM) fixation techniques of a sagittal split ramus osteotomy (SSRO) using 3-dimensional (3-D) finite element analysis. STUDY DESIGN: Four 3-D finite element models according to the number and shape of screw holes in the plate were simulated, and the von Mises stress was analyzed: SP with 2 round and 2 oval holes (SP-2 R2 O), SP with 2 round and 1 oval holes (SP-2 R1 O), CM with 4 round holes (CM-4 R), and CM with 3 round holes (CM-3 R). RESULTS: The fixation technique with CM-4 R showed a better stress distribution than CM-3 R, which in turn showed better results compared to the 2 different SPs. SP-2 R2 O showed the worst stress distribution in the bone and fixation components. CONCLUSIONS: The results suggest that the SP-2 R2 O technique increases the stress distribution of the plate and screws, which may reduce the stability of fixation after SSRO.
OBJECTIVE: This study evaluated the stress distribution of the sliding plate (SP) and conventional miniplate (CM) fixation techniques of a sagittal split ramus osteotomy (SSRO) using 3-dimensional (3-D) finite element analysis. STUDY DESIGN: Four 3-D finite element models according to the number and shape of screw holes in the plate were simulated, and the von Mises stress was analyzed: SP with 2 round and 2 oval holes (SP-2 R2 O), SP with 2 round and 1 oval holes (SP-2 R1 O), CM with 4 round holes (CM-4 R), and CM with 3 round holes (CM-3 R). RESULTS: The fixation technique with CM-4 R showed a better stress distribution than CM-3 R, which in turn showed better results compared to the 2 different SPs. SP-2 R2 O showed the worst stress distribution in the bone and fixation components. CONCLUSIONS: The results suggest that the SP-2 R2 O technique increases the stress distribution of the plate and screws, which may reduce the stability of fixation after SSRO.