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Bio-Design and Manufacturing  2021 Vol.4 No.1 P.22-32

http://doi.org/10.1007/s42242-020-00101-8


3D kinematic mandible model to design mandibular advancement devices for the treatment of obstructive sleep apnea


Author(s):  M. Garca, J. A. Cabrera, A. Bataller, S. Postigo, J. J. Castillo

Affiliation(s):  Department of Mechanical Engineering, University of Mlaga, C/ Doctor Ortiz Ramos s/n, Ampliacin Campus Teatinos, 29071 Mlaga, Spain

Corresponding email(s):   jcabrera@uma.es

Key Words:  Mandibular advancement device, 3D mandible kinematics, Camfollower mechanism, 3D printed devices


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M. Garca, J. A. Cabrera, A. Bataller, S. Postigo, J. J. Castillo . 3D kinematic mandible model to design mandibular advancement devices for the treatment of obstructive sleep apnea[J]. Journal of Zhejiang University Science D, 2021, 4(1): 22-32.

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Abstract: 
mandibular advancement devices (MADs) are one of the treatments used for Obstructive sleep apnea (OSA). MADs try to maintain the mandible in an advanced position to keep the upper airways open when sleeping. To achieve this goal, most current MADs limit the mouth opening to a few millimetres. The study of the kinematic behaviour of the patients jaw is essential in order to design devices that allow greater aperture ranges. For this purpose, a 3D multibody model that reproduces jaw movement has been developed in this work. To this end, the movement of the lower incisor has been determined by means of a vision system and reflective markers. In addition, the kinematics of the temporomandibular joint has been modelled. Next, the device is designed and printed using a camfollower mechanism. This way, the cam profiles and the followers are optimally designed and positioned for each patient depending on the physiognomy of the jaw and the opening and advancing movement prescribed by the

西班牙马拉加大学Cabrera等 | 用于设计下颌前移装置以治疗阻塞性睡眠呼吸暂停的3D运动型下颌骨模型

本研究论文聚焦用于设计下颌前移装置以治疗阻塞性睡眠呼吸暂停的3D运动型下颌骨模型。下颌前移装置(MAD)是用于阻塞性睡眠呼吸暂停(OSA)的治疗方法之一。MAD尝试将下颌骨保持在前移位置,以在睡眠时保持上呼吸道打开。为了实现此目标,目前大多数MAD将张口限制在几毫米之内。为了设计允许更大孔径范围的设备,研究患者颌骨的运动行为至关重要。为此,此研究开发了可再现颌骨运动的3D多体模型。在这里,通过视觉系统和反射标记确定下门牙的运动。此外还对颞下颌关节的运动进行建模。接着使用凸轮从动机构设计和打印该设备。这样,根据颌骨的面相以及专家规定的张开和前进运动,可以为每个患者优化设计和定位凸轮轮廓和从动件。

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