Evidence map›Paper›PMID 37422658›Full record

ArticleHead & face medicine2023

Load distribution after unilateral condylar fracture with shortening of the ramus: a finite element model study.

Loreine M L Helmer, Cornelis Klop, Frank Lobbezoo, Jan de Lange, Jan Harm Koolstra, Leander Dubois

Open access · goldAbstract read
In one paragraph

Article in Head & face medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Loreine M L HelmerDepartment of Oral and Maxillofacial Surgery, Amsterdam Academic Medical Centers and Academic Centre for Dentistry (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. l.m.l.helmer@acta.nl.
Cornelis KlopDepartment of Oral and Maxillofacial Surgery, Amsterdam Academic Medical Centers and Academic Centre for Dentistry (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Frank LobbezooDepartment of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Jan de LangeDepartment of Oral and Maxillofacial Surgery, Amsterdam Academic Medical Centers and Academic Centre for Dentistry (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Jan Harm KoolstraDepartment of Functional Anatomy, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Leander DuboisDepartment of Oral and Maxillofacial Surgery, Amsterdam Academic Medical Centers and Academic Centre for Dentistry (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Academic Center for Dentistry Amsterdam · NLUniversity of Amsterdam · NLAmsterdam UMC Location University of Amsterdam · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAfter a fracture of the condyle, the fractured ramus is often shortened, which causes premature dental contact on the fractured side and a contralateral open bite. The imbalance could change the load in the temporomandibular joints (TMJs). This change could lead to remodelling of the TMJs to compensate for the imbalance in the masticatory system. The load in the non-fractured condyle is expected to increase, and the load in the fractured condyle to decrease. MATERIALS AND

methodsThese changes cannot be measured in a clinical situation. Therefore a finite element model (FEM) of the masticatory system was used. In the FEM a fractured right condyle with shortening of the ramus was induced, which varied from 2 to 16 mm.

resultsResults show that, with a larger shortening of the ramus, the load in the fractured condyle decreases and the load in the non-fractured condyle increases. In the fractured condyle during closed mouth a major descent in load, hence a cut-off point, was visible between a shortening of 6 mm and 8 mm.

conclusionsIn conclusion, the change of load could be associated with remodelling on both condyles due to shortening of the ramus. CLINICAL RELEVANCE: The cut-off point implies that shortening over 6 mm could present more difficulty for the body to compensate.

Indexed as

Mandibular FracturesTemporomandibular Joint DisordersFinite Element AnalysisHumansMandibular CondyleTemporomandibular JointCondylar fractureConservative treatmentFinite element modelLoadResorption

Identifiers

PMID37422658
PMCPMC10329303
OpenAlexW4383620358

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.