西班牙马拉加大学Juan A. Cabrera等 | 下颌前伸矫治器运动学研究:为何部分下颌前伸矫治器在张嘴时导致下颌后移?

文摘   2024-10-31 16:55   浙江  

内容简介


本研究论文聚焦下颌前伸矫治器运动学研究。下颌前伸矫治器(MADs)是广泛使用的治疗阻塞性睡眠呼吸暂停的方法。MADs通过前伸下颌来打开上气道。为了提高患者的舒适度,大多数患者可以张开嘴巴。然而,并非所有装置在张口时都能保持下颌的前移位置,这导致下颌后缩,从而增加上气道塌陷的风险。此外,下颌-装置组合构成的机制的运动行为取决于下颌形态。这意味着在嘴巴张开时,一些装置会导致部分患者下颌前突,而导致另一部分患者下颌后缩。本文报告了目前市场上已知装置的运动行为。为此,作者开发了一个下颌装置组合的运动学模型。该模型通过高分辨率摄像系统对所有分析的装置进行了验证。结果表明,本文分析的一些装置在患者嘴巴张开时并未产生正确的运动行为。


引用本文(点击最下方阅读原文可下载PDF)

Cabrera JA, Bataller A, Postigo S, et al., 2024. Kinematics of mandibular advancement devices (MADs): Why do some MADs move the lower jaw backward during mouth opening?. Bio-des Manuf 7(5):637–650. https://doi.org/10.1007/s42242-024-00288-0

文章导读



图1 由下颌和下颌前伸矫治器组成的装配体机械建模方法


图2 本文研究的下颌前伸矫治器


图3 下颌前伸矫治器移位测试实验

参考文献

上下滑动以阅览

1. Dempsey JA, Veasey SC, Morgan BJ et al (2010) Pathophysiology of sleep apnea. Physiol Rev 90(1):47–112. https://doi.org/10.1152/physrev.00043.2008

2. Malhotra A, White DP (2002) Obstructive sleep apnoea. Lancet 360(9328):237–245. https://doi.org/10.1016/S0140-6736(02)09464-3

3. Bradley TD, Floras JS (2009) Obstructive sleep apnoea and its cardiovascular consequences. Lancet 373(9657):82–93. https://doi.org/10.1016/S0140-6736(08)61622-0

4. Wang HQ, Newton JD, Floras JS et al (2007) Influence of obstructive sleep apnea on mortality in patients with heart failure. J Am Coll Cardiol 49(15):1625–1631. https://doi.org/10.1016/j.jacc.2006.12.046

5. Yaggi HK, Concato J, Kernan WN et al (2005) Obstructive sleep apnea as a risk factor for stroke and death. New Engl J Med 353(19):2034–2041. https://doi.org/10.1056/NEJMoa043104

6. Glos M, Penzel T, Schoebel C et al (2016) Comparison of effects of OSA treatment by MAD and by CPAP on cardiac autonomic function during daytime. Sleep Breath 20(2):635–646. https://doi.org/10.1007/s11325-015-1265-0

7. Venema JAMU, Rosenmöller BRAM, de Vries N et al (2021) Mandibular advancement device design: a systematic review on outcomes in obstructive sleep apnea treatment. Sleep Med Rev 60:101557. https://doi.org/10.1016/j.smrv.2021.101557

8. Dieltjens M, Vanderveken OM, van de Heyning PH et al (2012) Current opinions and clinical practice in the titration of oral appliances in the treatment of sleep-disordered breathing. Sleep Med Rev 16(2):177–185. https://doi.org/10.1016/j.smrv.2011.06.002

9. Sanz PM, Reyes MG, Torras AB et al (2021) Craniofacial morphology/phenotypes influence on mandibular range of movement in the design of a mandibular advancement device. BMC Oral Health 21(1):2–10. https://doi.org/10.1186/s12903-020-01369-z

10. Bloch KE, Iseli A, Zhang JN et al (2000) A randomized, controlled crossover trial of two oral appliances for sleep apnea treatment. Am J Respir Crit Care Med 162(1):246–251. https://doi.org/10.1164/ajrccm.162.1.9908112

11. Yow M (2009) An overview of oral appliances and managing the airway in obstructive sleep apnea. Semin Orthod 15(2):88–93. https://doi.org/10.1053/j.sodo.2009.01.006

12. Bataller A, Cabrera JA, García M et al (2018) Cam synthesis applied to the design of a customized mandibular advancement device for the treatment of obstructive sleep apnea. Mech Mach Theory 123:153–165. https://doi.org/10.1016/j.mechmachtheory.2018.02.002

13. Xu WL, Bronlund JE, Potgieter J et al (2008) Review of a human masticatory system and masticatory robotics. Mech Mach Theory 43(11):1353–1375. https://doi.org/10.1016/j.mechmachtheory.2008.06.003

14. Daumas B, Xu WL, Bronlund J (2005) Jaw mechanism modeling and simulation. Mech Mach Theory 40(7):821–833. https://doi.org/10.1016/j.mechmachtheory.2004.12.011

15. Delsignore MJ, Krovi VN (2008) Screw-theoretic analysis models for felid jaw mechanisms. Mech Mach Theory 43(2):147–159. https://doi.org/10.1016/j.mechmachtheory.2007.02.005

16. Xu WL, Lewis D, Bronlund JE et al (2008) Mechanism, design and motion control of a linkage chewing device for food evaluation. Mech Mach Theory 43(3):376–389. https://doi.org/10.1016/j.mechmachtheory.2007.03.004

17. Cheng C, Liu B, Li YN et al (2022) Elastodynamic performance of a spatial redundantly actuated parallel mechanism constrained by two point-contact higher kinematic pairs via a model reduction technique. Mech Mach Theory 167:1–25. https://doi.org/10.1016/j.mechmachtheory.2021.104570

18. Xu WL, Bronlund JE (2010) Mastication Robots: Biological Inspiration to Implementation. Springer, Berlin. https://doi.org/10.1007/978-3-540-93903-0

19. Posselt U (1952) Studies in the mobility of the human mandible. Acta Odontol Scand 10(Suppl):19–160

20. Yuan FS, Sui HX, Li ZK et al (2015) A method of three-dimensional recording of mandibular movement based on two-dimensional image feature extraction. PLoS ONE 10(9):e0137507. https://doi.org/10.1371/journal.pone.0137507

21. Fang JJ, Kuo TH (2008) Modelling of mandibular movement. Comput Biol Med 38(11):1152–1162. https://doi.org/10.1016/j.compbiomed.2008.09.001

22. Enciso R, Memon A, Fidaleo DA et al (2003) The virtual craniofacial patient: 3D jaw modeling and animation. Stud Health Technol Inform 94:65–71. https://doi.org/10.3233/978-1-60750-938-7-65

23. Pinheiro AP, Pereira AA, Andrade AO et al (2011) Measurement of jaw motion: the proposal of a simple and accurate method. J Med Eng Technol 35(3–4):125–133. https://doi.org/10.3109/03091902.2010.542270

24. García Reyes M, Bataller Torras A, Cabrera Carrillo JA et al (2022) A study of tensile and bending properties of 3D-printed biocompatible materials used in dental appliances. J Mater Sci 57(4):2953–2968. https://doi.org/10.1007/s10853-021-06811-3

25. García de Jalón J, Bayo E (2011) Kinematic and Dynamic Simulation of Multibody System. Springer, New York. https://doi.org/10.1007/978-1-4612-2600-0

26. García M, Cabrera JA, Bataller A et al (2021) 3D kinematic mandible model to design mandibular advancement devices for the treatment of obstructive sleep apnea. Bio-Des Manuf 4(1):22–32. https://doi.org/10.1007/s42242-020-00101-8

27. Yatabe M, Zwijnenburg AJ, Megens CCE et al (1995) The kinematic center: a reference for condylar movements. J Dent Res 74(10):1644–1648. https://doi.org/10.1177/00220345950740100401

28. Gallo LM, Gössi DB, Colombo V et al (2008) Relationship between kinematic center and TMJ anatomy and function. J Dent Res 87(8):726–730. https://doi.org/10.1177/154405910808700810

29. Norrhem N, Marklund M (2013) An oral appliance with or without elastic bands to control mouth opening during sleep—a randomized pilot study. Sleep Breath 20(3):929–938. https://doi.org/10.1007/s11325-016-1312-5

30. Milano F, Mutinelli S, Sutherland K et al (2018) Influence of vertical mouth opening on oral appliance treatment outcome in positional obstructive sleep apnea. J Dent Sleep Med 5(1):17–23. https://doi.org/10.15331/jdsm.6918


关于本刊

Bio-Design and Manufacturing(中文名《生物设计与制造》),简称BDM,是浙江大学主办的专业英文双月刊,主编杨华勇院士、崔占峰院士,2018年新创,2019年被SCI-E等库检索,2023年起改为双月刊,年末升入《2023年中国科学院文献情报中心期刊分区表》医学一区,2024年公布的最新影响因子为8.1,位列JCR的Q1区,13/122。


初审迅速:初审快速退稿,不影响作者投其它期刊。

审稿速度快:过去两年平均录用时间约40天;平均退稿时间约10天。文章录用后及时在线SpringerLink。一般两周左右即被SCI-E检索。

收稿方向 :先进制造(3D打印及生物处理工程等)、生物墨水与配方、组织与器官工程、医学与诊断装置、生物产品设计、仿生设计与制造等。

文章类型:Research Article, Review, Short Paper (包括Editorial, Perspective, Letter, Technical Note, Case Report, Lab Report, Negative Result等)。


期刊主页:

http://www.springer.com/journal/42242

http://www.jzus.zju.edu.cn/ (国内可下载全文)

在线投稿地址:

http://www.editorialmanager.com/bdmj/default.aspx


入群交流

围绕BDM刊物的投稿方向,本公众号建有“生物设计与制造”学术交流群,加小编微信号icefires212入群交流,或扫以下二维码

生物设计与制造BDM
论文导读、领域资讯
 最新文章