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International Journal of Bioprinting                            Biomechanical analysis of mandibular implants
































            Figure 4. Stress–strain plot of HV-d1. The slop of the curve in the red box is measured as elastic modulus. Abbreviations: HV: Hex-vase; d1: Rod diameter
            of 0.5 mm.



            SolidWorks Corporation, USA) to create a 3D solid model   screws, and 0.5 mm for the abutment. The total number of
            of the resected mandible (Figure 5d).              elements of the FE model was 1,238,926 (Figure 6).
               A mandibular implant model measuring approximately   The frictional coefficient at the interface between the
            45 × 35 × 12 mm was designed using the resected right   mandibular implant and bone was set to 0.4,  and the
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            mandibular bone with the malignant tumor. To secure the   frictional coefficient between the implant and bone screws
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            implant in the mandible with bone screws, each side of   was set to 0.3.  These values were specified for nonlinear
            the implant included two 4-mm screw holes. Each bone   surface-to-surface  contact  elements  to  simulate  the
            screw was 12 mm in length, with a head diameter of 4   frictional contact behavior, including sliding and sticking,
            mm, a neck diameter of 2.7 mm, and a pitch of 1.26 mm    at these interfaces.
            (Figure 5). In addition, four abutments were designed above   The loading conditions primarily involved the three
            the implant to facilitate future attachment of dentures for   major muscles responsible for mandibular movement
            biting function. The design of the abutment placed on the   (Figure 7). Since reconstruction was performed on the
            mandibular implant is similar to a Zest LOCATOR (Zest   right side of the mandible, the loading conditions involved
            Anchors, USA), with a length of 7.88 mm, a head diameter   right group function (RGF) and right unilateral molar
            of 3.86 mm, a neck diameter of 1.8 mm, and a pitch of 1.2   clench (RMOL). In addition, a vertical force of 100 N was
            mm (Figure 5).                                     applied to the plane above the abutment to simulate the
            2.5. Finite element analysis of mandibular implants  force exerted by the patient on the right side. 25,26  Boundary
            After the proposed model was imported into Ansys 2021 R2   conditions were set at the temporomandibular joint on
            (Ansys, USA) for further analysis, the material properties   both sides of the mandible, with zero displacement in the
            were uniformly set as linear elastic, homogeneous, and   x-, y-, and z-directions.
            isotropic (Table 2).   Table 3, which presents data from
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            Result 3.2 of the  in vitro experimental test, presents the   3. Results
            elastic modulus values of the three lattice rod diameters   3.1. Finite element analysis of lattice structures
            of the 3D-printed titanium alloy lattice samples. These   Figure 8 depicts the stress results for the different lattice
            properties were used to set the elastic modulus of the   shapes and sizes. Among the lattice designs, that of hex-
            mandibular implant for subsequent analyses. The mesh   star exhibited the highest stress distribution, followed
            sizes for FEA were set as follows: 1 mm for the posterior   by that of tetrahedron. The lattice designs hex-vase and
            segment  of the  mandible, 0.8  mm  for  the  surrounding   quad-diametral-cross exhibited lower stress distributions.
            bone, 0.6 mm for the mandibular implant and fixation   When the size of the lattice decreased, the amount of stress

            Volume 10 Issue 6 (2024)                       571                                doi: 10.36922/ijb.3943
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