Biomechanical evaluation of reconstruction plates in bone-grafted mandibular defects: a finite element analysis

Thicker reconstruction plates enhance mechanical resistance but increase stress concentration on fixation screws, especially near osteotomies, suggesting a higher risk of screw loosening or peri‑implant bone resorption. The anterior mandible demonstrated the most unfavorable stress distribution. Locking fixation systems are recommended when rigid plates are used to mitigate screw-related complications.

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Publication Details

Journal
Journal of Stomatology Oral and Maxillofacial Surgery
Published
2026-01-13
DOI
https://doi.org/10.1016/j.jormas.2026.102716
Primary Topic
Facial Trauma and Fracture Management
Type
article
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article

Biomechanical evaluation of reconstruction plates in bone-grafted mandibular defects: a finite element analysis

Diogo De Vasconcelos Macêdo, Milena Gomes Melo Leite, Nicolau Conte Neto, Maria Eduarda Carlos Conceição et al.
Journal of Stomatology Oral and Maxillofacial Surgery
Facial Trauma and Fracture Management
article

Biomechanical evaluation of reconstruction plates in bone-grafted mandibular defects: a finite element analysis

Diogo De Vasconcelos Macêdo, Milena Gomes Melo Leite, Nicolau Conte Neto, Maria Eduarda Carlos Conceição, Monnazzi, Marcelo Silva, 1976-
article en

Abstract

Thicker reconstruction plates enhance mechanical resistance but increase stress concentration on fixation screws, especially near osteotomies, suggesting a higher risk of screw loosening or peri‑implant bone resorption. The anterior mandible demonstrated the most unfavorable stress distribution. Locking fixation systems are recommended when rigid plates are used to mitigate screw-related complications.

Journal of Stomatology Oral and Maxillofacial SurgeryVol. 127(3)
Instituto Federal de Educação, Ciência e Tecnologia do Pará (BR), Centro Universitário de Araraquara (BR), Universidade Federal do Pará (BR), Universidade Estadual Paulista (Unesp) (BR)
Openalex Percentile: Top 90%
Facial Trauma and Fracture Management
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