A study of the temporomandibular joint during bruxism

A finite element model of the temporomandibular joint (TMJ) and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear viscoelastic model was used to simulate the behaviour of the disc. The viscoelastic nature of this tissue is shown to be an important factor when sustained (awake bruxism) or cyclic loading (sleep bruxism) is simulated. From the comparison of the two types of bruxism, it was seen that sustained clenching is the most detrimental activity for the TMJ disc, producing an overload that could lead to severe damage of this tissue

Influence of the Temporomandibular Joint in the Estimation of Bone Density in the Mandible through a Bone Remodelling Model

Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedThe temporomandibular joint (TMJ) plays a key role in the distribution of stresses in the mandible during mastication and consequently in the distribution of bone density, due to the interconnection between both variables through bone remodelling. Two finite element models of the mandible were compared to study the influence of the redistribution of stresses produced by the joint: (1) a model without TMJ, but with simplified boundary conditions to replace the joint, as done in previous models; (2) a more realistic model including the articular disc and some ligaments present in the TMJ. The stresses and strains in both models were compared through the strain energy density, used in many bone remodelling models as a measure of the mechanical stimulus. An anisotropic bone remodelling model was used to simulate the behaviour of mandible bone and to estimate its density distribution. The results showed that the TMJ strongly affects the stress distribution, the mechanical stimulus, and eventually the bone density, and not only locally in the condyle, but also in the whole mandible. It is concluded that it is utterly important to include a detailed model of the TMJ to estimate more correctly the stresses in the mandible during mastication and, from them, the bone density and anisotropy distribution

Quasi-Linear Viscoelastic Model of the Articular Disc of the Temporomandibular Joint

A precise characterization of the articular disc of the temporomandibular joint (TMJ) is essential to study the masticatory biomechanics. The disc is responsible for the load distribution over the articular surface and for absorbing impacts during mastication. The main objective of this work is to characterize the mechanical behaviour of the articular disc under compression, the usual stress state during mastication. A quasi-linear viscoelastic (QLV) model, with a hyperelastic response for the elastic function, is proposed to describe the mechanical behaviour of the articular disc. The validity of that simplified model relies on the independence of their constants with the strain level and strain rate. The independence of the strain level was proved in a previous work. In this paper, different loading rates were tested to fully confirm the validity of the model in the physiological range of loads. Moreover, the strong non-linearity of the stress-strain relation made the exponential strain energy function the most suitable of the different models tried to represent the elastic response of the QLV model

Effect of freezing storage time on the elastic and viscous properties of the porcine TMJ disc

The correct characterisation of the articular disc of the temporomandibular joint (TMJ) is key to study the masticatory biomechanics. For the interval from extraction until testing, freezing is the most used preservation technique for biological tissues, but its influence on their behaviour is still unclear. An important error can be committed in the characterisation of such tissues if freezing has any effect on their mechanical properties. Thus, the aim of this study was to determine whether the freezing storage time causes any change in the mechanical properties of the TMJ discs. To check that, the specimens were stored in a °C freezer during different time intervals: 1 day, 1 week, 1 month and 3 months. Fresh specimens, tested right after extraction, were used as the control group. Compressive stress relaxation tests were carried out on the specimens and a quasi-linear viscoelastic (QLV) model was used to fit the experimental curves. A statistical analysis detected significant differences among the groups. Post-hoc tests determined that freezing the specimens more than 30 days may lead to changes in the viscoelastic properties of the tissue.Junta de Andalucía P07-TEP-0311

Comportamiento viscoelástico cuasi-lineal del disco de la ATM. parte II: ensayos experimentales.

En el movimiento de la articulación temporomandibular (ATM), el disco juega un papel muy importante, siendo su función la de amortiguar y redistribuir la carga. Una apropiada caracterización de las propiedades mecánicas del disco es necesaria para la simulación numérica del movimiento de la mandíbula. En el presente trabajo se han realizado ensayos de compresion no confinada de probetas cilíndricas de disco de cerdo, que se ensayan a una temperatura de 37ºC manteniendo una correcta hidratación. Con ello es posible determinar las constantes de un modelo viscoelástico cuasi-lineal (QLV) con el procedimiento descrito en la parte I de este trabajo