Modal analysis of the maxillary dentition in cleft lip and palate patients before and after bone grafting

J Med Dent Sci. 2001 Sep;48(3):87-94.

Abstract

The aim of this study was to analyze the vibratory characteristics in the maxillary dentition of 4 cleft lip and palate (CLP) patients before and after bone grafting. First, the central incisor on the noncleft side was impacted with an impact hammer, and the responses were received using an acceleration sensor from the teeth between the upper first molars on both sides. The transfer functions were then obtained from each measurement point using a fast Fourier transform analyzer. Finally, a computer analysis and simulation were performed based on the measured transfer functions to obtain the natural frequency, modal shape, decay rate (DR) and maximum displacement (MDP). Before bone grafting, distinct phase differences between the major and minor dental arches (MDA and mDA) were observed in the modal shapes. After surgery, however, both the MDA and mDA vibrated in phase. These results were identical in all subjects. The MDPs of the central incisors conspicuously decreased after bone grafting in 3 subjects. From the standpoint of vibratory characteristics, this study indicated that bone grafting had a favorable effect on prosthodontic treatment using a fixed prosthesis across the cleft in CLP patients.

MeSH terms

  • Acceleration
  • Adolescent
  • Adult
  • Biomechanical Phenomena
  • Bone Transplantation* / physiology
  • Cleft Lip / physiopathology*
  • Cleft Lip / rehabilitation
  • Cleft Lip / surgery
  • Cleft Palate / physiopathology*
  • Cleft Palate / rehabilitation
  • Cleft Palate / surgery
  • Computer Simulation
  • Dental Arch / physiopathology
  • Dental Arch / surgery
  • Denture Design
  • Energy Transfer
  • Female
  • Follow-Up Studies
  • Fourier Analysis
  • Humans
  • Incisor / physiopathology*
  • Incisor / surgery
  • Male
  • Maxilla / physiopathology*
  • Maxilla / surgery
  • Models, Biological
  • Signal Processing, Computer-Assisted
  • Stress, Mechanical
  • Transducers
  • Vibration