A Method for Evaluating the Mechanical Stress on Mandibular Advancement Devices
This study focuses on the stress analysis of Mandibular
Advancement Devices (MADs), which are considered as a standard
treatment of snoring that promoted by American Academy of Sleep
Medicine (AASM). Snoring is the most significant feature of
sleep-disordered breathing (SDB). SDB will lead to serious problems
in human health. Oral appliances are ensured in therapeutic effect and
compliance, especially the MADs. This paper proposes a new MAD
design, and the finite element analysis (FEA) is introduced to precede
the stress simulation for this MAD.
[1] National Sleep Foundation, 2005 Sleep in America Poll, National Sleep
Foundation, Washington, DC, March 2005.
[2] Mark C. Young, the Guinness Book of World Records 1998, Bantam
Books, New York, March 1998.
[3] Society for Neuroscience, Brain Facts: A Primer on the Brain and
Nervous System, 5th ed., Society for Neuroscience, Washington, DC,
2005.
[4] David N. F. Fairbanks, Samuel A. Mickelson, and B. Tucker Woodson,
Snoring and Obstructive Sleep Apnea, 3rd ed., Lippincott Williams &
Wilkins, Philadelphia, 2003.
[5] Halstrom, “Adjustable dental appliances for treatment of snoring and
obstructive sleep apnea,” United State Patent Number: 5365945, Filed:
Apr. 13, 1993.
[6] Thornton, “Apparatus for prevention of snoring and improved breathing
during sleep,” United State Patent Number: 5427117, Filed: Sep. 29,
1993.
[7] Collins, Jr, “Mandibular advancement appliance,” United State Patent
Number: 5645423, Filed: Jun. 10, 1994.
[8] Tomasi, “Apparatus and method for reducing snoring and method of
making same,” United State Patent Number: 5313960, Filed: Nov. 4,
1992.
[9] Lowe, “Mandible repositioning appliance,” United State Patent Number:
5409017, Filed: Jan. 19, 1994.
[10] Thornton, “Apparatus for prevention of snoring and improved breathing
during sleep,” United State Patent Number: 5566683, Filed: Mar. 24,
1995.
[11] Fenton, “Anti-snoring device with adjustable upper and lower relational
members,” United State Patent Number: 5499633, Filed: Mar. 28, 1994.
[12] Parks, “Device for alleviating snoring,” United State Patent Number:
5642737, Filed: May. 6, 1996.
[13] Thornton, “Device for improving breathing,” United State Patent
Number: 5755219, Filed: May. 14, 1996.
[14] Strong, “Anti-snoring device and method of making same,” United State
Patent Number: 6418933, Filed: Jun. 15, 2001.
[15] Buzzard RD, Buzzard LD, Kenyon PL, Agre BT, “Universal,
user-adjustable oral cavity appliance to control snoring and reduce
episodes of obstructive sleep apnea,” United State Patent Number:
5570704, Filed: Dec. 20, 1994.
[16] Thornton, “Device and Method For Improving Breathing,” United State
Patent Number: 6305376, Filed: May. 16, 2000.
[17] Gaskell, “Dental device,” United State Patent Number: 6845774, Filed:
Apr. 5, 2001.
[18] Woo, “Articulating connector for mandibular repositioning oral
appliance,” United State Patent Number: 6012920, Filed: Apr. 22, 1999
[19] Robert G. Craig, John M. Powers, Restorative Dental Materials, 11th ed.,
Mosby, 2001.
[20] H. Wada, M. Seika, T. C. Kennedy, C. A. Calder, K. Murase,
“Investigation of loading rate and plate thickness effects on dynamic
fracture toughness of PMMA,” 54(6), pp. 805-811, 1996.
[21] M. Grujicic, H. Zhao, “Optimization of 316 stainless steel/ alumina
functionally graded material for reduction of damage induced by thermal
residual stresses,” Material Science and Engineering, A252, pp. 117-132,
1998.
[22] MatWeb, Available: http://www.matweb.com/ , last visited on May. 1,
2007.
[23] T.A. Venkatesh, B.P. Conner, C.S. Lee, A.E. Giannakopoulos, T.C.
Lindley, S. Suresh, “An Experimental Investigation of Fretting Fatigue in
Ti-6Al-4V: the Role of Contact Conditions and Microstructure,”
Metallurgical and Materials Transactions, 32A, pp.1131-1146, 2001.
[24] Titanium Metric Fasteners Specification, Available at:
http://www.ondrives.com/, last visited on May. 1, 2007.
[25] Juliana Gomes dos Santos, Renata Garcia Fonseca, Gelson Luis Adabo,
Carlos Alberto dos Santos Cruz, “Shear bond strength of metal-ceramic
repair system,” The Journal of Prosthetic Dentistry, 96, pp.165-173, 2006.
[26] L. Mudford, R. V. Curtis, J. D. Walter, “An investigation of bonding
between heat-cured PMMA and titanium alloy (Ti-6Al-4V),” Journal of
Dentistry, 25(5), pp.415-421, 1997.
[27] A. Silvestre, A. Raya, M. Fernandez-Fairen, M. Anglada, J. A. Planell,
“Failure of acrylic bone cements under triaxial stresses,” Journal of
Materials Science, 25, pp. 1050-1057, 1990.
[1] National Sleep Foundation, 2005 Sleep in America Poll, National Sleep
Foundation, Washington, DC, March 2005.
[2] Mark C. Young, the Guinness Book of World Records 1998, Bantam
Books, New York, March 1998.
[3] Society for Neuroscience, Brain Facts: A Primer on the Brain and
Nervous System, 5th ed., Society for Neuroscience, Washington, DC,
2005.
[4] David N. F. Fairbanks, Samuel A. Mickelson, and B. Tucker Woodson,
Snoring and Obstructive Sleep Apnea, 3rd ed., Lippincott Williams &
Wilkins, Philadelphia, 2003.
[5] Halstrom, “Adjustable dental appliances for treatment of snoring and
obstructive sleep apnea,” United State Patent Number: 5365945, Filed:
Apr. 13, 1993.
[6] Thornton, “Apparatus for prevention of snoring and improved breathing
during sleep,” United State Patent Number: 5427117, Filed: Sep. 29,
1993.
[7] Collins, Jr, “Mandibular advancement appliance,” United State Patent
Number: 5645423, Filed: Jun. 10, 1994.
[8] Tomasi, “Apparatus and method for reducing snoring and method of
making same,” United State Patent Number: 5313960, Filed: Nov. 4,
1992.
[9] Lowe, “Mandible repositioning appliance,” United State Patent Number:
5409017, Filed: Jan. 19, 1994.
[10] Thornton, “Apparatus for prevention of snoring and improved breathing
during sleep,” United State Patent Number: 5566683, Filed: Mar. 24,
1995.
[11] Fenton, “Anti-snoring device with adjustable upper and lower relational
members,” United State Patent Number: 5499633, Filed: Mar. 28, 1994.
[12] Parks, “Device for alleviating snoring,” United State Patent Number:
5642737, Filed: May. 6, 1996.
[13] Thornton, “Device for improving breathing,” United State Patent
Number: 5755219, Filed: May. 14, 1996.
[14] Strong, “Anti-snoring device and method of making same,” United State
Patent Number: 6418933, Filed: Jun. 15, 2001.
[15] Buzzard RD, Buzzard LD, Kenyon PL, Agre BT, “Universal,
user-adjustable oral cavity appliance to control snoring and reduce
episodes of obstructive sleep apnea,” United State Patent Number:
5570704, Filed: Dec. 20, 1994.
[16] Thornton, “Device and Method For Improving Breathing,” United State
Patent Number: 6305376, Filed: May. 16, 2000.
[17] Gaskell, “Dental device,” United State Patent Number: 6845774, Filed:
Apr. 5, 2001.
[18] Woo, “Articulating connector for mandibular repositioning oral
appliance,” United State Patent Number: 6012920, Filed: Apr. 22, 1999
[19] Robert G. Craig, John M. Powers, Restorative Dental Materials, 11th ed.,
Mosby, 2001.
[20] H. Wada, M. Seika, T. C. Kennedy, C. A. Calder, K. Murase,
“Investigation of loading rate and plate thickness effects on dynamic
fracture toughness of PMMA,” 54(6), pp. 805-811, 1996.
[21] M. Grujicic, H. Zhao, “Optimization of 316 stainless steel/ alumina
functionally graded material for reduction of damage induced by thermal
residual stresses,” Material Science and Engineering, A252, pp. 117-132,
1998.
[22] MatWeb, Available: http://www.matweb.com/ , last visited on May. 1,
2007.
[23] T.A. Venkatesh, B.P. Conner, C.S. Lee, A.E. Giannakopoulos, T.C.
Lindley, S. Suresh, “An Experimental Investigation of Fretting Fatigue in
Ti-6Al-4V: the Role of Contact Conditions and Microstructure,”
Metallurgical and Materials Transactions, 32A, pp.1131-1146, 2001.
[24] Titanium Metric Fasteners Specification, Available at:
http://www.ondrives.com/, last visited on May. 1, 2007.
[25] Juliana Gomes dos Santos, Renata Garcia Fonseca, Gelson Luis Adabo,
Carlos Alberto dos Santos Cruz, “Shear bond strength of metal-ceramic
repair system,” The Journal of Prosthetic Dentistry, 96, pp.165-173, 2006.
[26] L. Mudford, R. V. Curtis, J. D. Walter, “An investigation of bonding
between heat-cured PMMA and titanium alloy (Ti-6Al-4V),” Journal of
Dentistry, 25(5), pp.415-421, 1997.
[27] A. Silvestre, A. Raya, M. Fernandez-Fairen, M. Anglada, J. A. Planell,
“Failure of acrylic bone cements under triaxial stresses,” Journal of
Materials Science, 25, pp. 1050-1057, 1990.
@article{"International Journal of Medical, Medicine and Health Sciences:71626", author = "Tsung-yin Lin and Yi-yu Lee and Ching-hua Hung", title = "A Method for Evaluating the Mechanical Stress on Mandibular Advancement Devices", abstract = "This study focuses on the stress analysis of Mandibular
Advancement Devices (MADs), which are considered as a standard
treatment of snoring that promoted by American Academy of Sleep
Medicine (AASM). Snoring is the most significant feature of
sleep-disordered breathing (SDB). SDB will lead to serious problems
in human health. Oral appliances are ensured in therapeutic effect and
compliance, especially the MADs. This paper proposes a new MAD
design, and the finite element analysis (FEA) is introduced to precede
the stress simulation for this MAD.", keywords = "Finite element analysis, mandibular advancement
devices, mechanical stress, snoring.", volume = "10", number = "1", pages = "1-5", }
