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Made available in DSpace on 2021-06-25T11:13:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-03-01 The aim of the present study was to investigate the effect of shrinking and no shrinking dental filling materials combination in posterior restorations under the combined effects of polymerization shrinkage and occlusal load by means of 3D Finite Elements Analysis. Six computer-generated and restored class I or class II cavities models of a lower molar were designed in the CAD software and evaluated according to the cavity and restorative procedure. Different shrinking and no shrinking adhesive materials combination with diverse Young’s modulus were considered. A food bolus was modeled on the occlusal surface replicating the chewing load using static linear analyses Polymerization shrinkage was simulated for the shrinking different restorative materials. The maximum principal stress was selected as analysis criteria. All models exhibited higher stresses along the dentine restoration interfaces with different magnitude and a similar stress trend along enamel restoration interface. Stress values up to 22 MPa and 19 MPa were recorded in the enamel and restoration, respectively. The use of elastic not shrinking material layer in combination with bulk fill composite reduced the stress magnitude in dentine and enamel to replace dental tissues. Class I and class II posterior cavities adhesively restored with shrinking filling material’s combination showed the most unfavorable stress concentrations and the multilayer technique is a promising restorative alternative in posterior adhesive restorations when deep dentin and enamel volumes are missing. School of Dentistry University of Naples Federico II, via S. Pansini 5 Department of Dental Materials and Prosthodontics Institute of Science and Technology São Paulo State University-UNESP Fraunhofer JL IDEAS Department of Industrial Engineering University of Naples Federico II Endodontic Clinical Section School of Dentistry Department of Biomedical and Neuromotor Sciences University of Bologna-Alma Mater Studiorum School of Dentistry University of Taubaté–UNITAU, Taubaté Department of Dental Materials and Prosthodontics Institute of Science and Technology São Paulo State University-UNESP

Since the beginning of their production, pneumatic tires have experienced tremendous improvements in structure and materials, becoming the dominant design in the world tires market. Nevertheless, relying upon pressurized air, they are affected by maintenance and security issues that can lead to fatal accidents. Therefore, tire-makers are investigating new tire designs, called Airless or Non-Pneumatic, with the aim of removing air-related problems. The research about such tires is still at an early stage, especially if compared to the one conducted on the pneumatic ones. In this paper, the development of a methodology capable of studying the mechanical behavior of a Non-Pneumatic Tire (NPT) by means of experimental data and numerical approach is illustrated. The experimental activities consisted of a scanner acquisition of the NPT and a footprint analysis for the calculation of the radial stiffness and contact patch pressure distribution. Moreover, the Digital Image Correlation (DIC) technique was applied to carry out a more specific study about the spoke’s deformation. From the acquired 3D model, a calculation of the NPT vertical deflection with finite element analysis (FEA) was performed—validating the model and then submitting it to a steady state analysis—that allows the simulation of a steady state rolling tire with the possibility to replicate different values of slip ratio. The results of the experimental activities are in good agreement with the ones obtained with FEA, further validating the developed methodology.

ObjectiveThe aim of this study was to evaluate the influence of three different dental implant neck geometries, under a combined compressive/shear load using finite element analysis (FEA). The implant neck was positioned in D2 quality bone at the crestal level or 2 mm below.MethodsOne dental implant (4.2 × 9 mm) was digitized by reverse engineering techniques using micro CT and imported into Computer Aided Design (CAD) software. Non-uniform rational B-spline surfaces were reconstructed, generating a 3D volumetric model similar to the digitized implant. Three different models were generated with different implant neck configurations, namely 0°, 10° and 20°. D2 quality bone, composed of cortical and trabecular structure, was modeled using data from CT scans. The implants were included in the bone model using a Boolean operation. Two different fixture insertion depths were simulated for each implant: 2 mm below the crestal bone and exactly at the level of the crestal bone. The obtained models were imported to FEA software in STEP format. Von Mises equivalent strains were analyzed for the peri-implant D2 bone type, considering the magnitude and volume of the affected surrounding cortical and trabecular bone. The highest strain values in both cortical and trabecular tissue at the peri-implant bone interface were extracted and compared.ResultsAll implant models were able to distribute the load at the bone-implant contact (BIC) with a similar strain pattern between the models. At the cervical region, however, differences were observed: the models with 10° and 20° implant neck configurations (Model B and C), showed a lower strain magnitude when compared to the straight neck (Model A). These values were significantly lower when the implants were situated at crestal bone levels. In the apical area, no differences in strain values were observed.SignificanceThe implant neck configuration influenced the strain distribution and magnitude in the cortical bone and cancellous bone tissues. To reduce the strain values and improve the load dissipation in the bone tissue, implants with 10° and 20 neck configuration should be preferred instead of straight implant platforms.

Made available in DSpace on 2021-06-25T11:13:26Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-03-02 The aim of the present investigation was to calculate the stress distribution generated in the root dentine canal during mechanical rotation of five different NiTi endodontic instruments by means of a finite element analysis (FEA). Two conventional alloy NiTi instruments F360 25/04 and F6 Skytaper 25/06, in comparison to three heat treated alloys NiTI Hyflex CM 25/04, Protaper Next 25/06 and One Curve 25/06 were considered and analyzed. The instruments’ flexibility (reaction force) and geometrical features (cross section, conicity) were previously investigated. For each instrument, dentine root canals with two different elastic moduli(18 and 42 GPa) were simulated with defined apical ratios. Ten different CAD instrument models were created and their mechanical behaviors were analyzed by a 3D-FEA. Static structural analyses were performed with a non-failure condition, since a linear elastic behavior was assumed for all components. All the instruments generated a stress area concentration in correspondence to the root canal curvature at approx. 7 mm from the apex. The maximum values were found when instruments were analyzed in the highest elastic modulus dentine canal. Strain and von Mises stress patterns showed a higher concentration in the first part of curved radius of all the instruments. Conventional Ni-Ti endodontic instruments demonstrated higher stress magnitudes, regardless of the conicity of 4% and 6%, and they showed the highest von Mises stress values in sound, as well as in mineralized dentine canals. Heat-treated endodontic instruments with higher flexibility values showed a reduced stress concentration map. Hyflex CM 25/04 displayed the lowest von Mises stress values of, respectively, 35.73 and 44.30 GPa for sound and mineralized dentine. The mechanical behavior of all rotary endodontic instruments was influenced by the different elastic moduli and by the dentine canal rigidity. Endodontic Clinical Section Department of Biomedical and Neuromotor Sciences School of Dentistry University of Bologna-Alma Mater Studiorum University of Taubaté (UNITAU), Taubaté Department of Dental Materials and Prosthodontics Institute of Science and Technology São Paulo State University—UNESP Department of Chemical Materials and Industrial Production Engineering University of Naples Federico II and the Center for Advanced Biomaterials for HealthCare@CRIB Istituto Italiano di Tecnologia School of Dentistry University of Naples Federico II Department of Dental Materials and Prosthodontics Institute of Science and Technology São Paulo State University—UNESP

Made available in DSpace on 2021-06-25T11:13:07Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-03-01 Background: This study evaluated the effect of interim restorative materials (acrylic resin (AR), resin composite (RC) or polyetheretherketone (PEEK) for dental computer-aided design/computeraided manufacturing (CAD/CAM)) on the stress distribution of a posterior three-unit fixed partial denture. Methods: The abutment teeth (first molar and first premolar) were modeled using the BioCAD protocol containing 1.5 mm of axial reduction and converging axial walls. A static structural analysis was performed in the computer-aided engineering software, and the Maximum Principal Stress criterion was used to analyze the prosthesis and the cement layers of both abutment teeth. The materials were considered isotropic, linearly elastic, homogeneous and with bonded contacts. An axial load (600 N) was applied to the occlusal surface of the second premolar. Results: Regardless of the restorative material, the region of the prosthetic connectors showed the highest tensile stress magnitude. The highest stress peak was observed with the use of RC (129 MPa) compared to PEEK and AR. For the cement layers, RC showed the lowest values in the occlusal region (7 MPa) and the highest values for the cervical margin (14 MPa) compared to PEEK (21 and 12 MPa) and AR (21 and 13 MPa). Conclusions: Different interim restorative materials for posterior fixed partial dentures present different biomechanical behavior. The use of resin composite can attenuate the stress magnitude on the cement layer, and the use of acrylic resin can attenuate the stress magnitude on the connector region. Institute of Science and Technology São Paulo State University (Unesp) Department of Clinical and Experimental Medicine Messina University AOU Policlinico “G.Martino”, Via Consolare Valeria School of Dentistry University of Naples Federico II Institute of Science and Technology São Paulo State University (Unesp)

Osteoporosis affects an increasing number of people every year and patient specific finite element analysis of the femur has been proposed to identify patients that could benefit from preventative treatment. The aim of this study was to demonstrate, verify, and validate an objective process for selecting tissues for use as the basis of phantomless calibration to enable patient specific finite element analysis derived hip fracture risk prediction. Retrospective reanalysis of patient computed tomography (CT) scans has the potential to yield insights into more accurate prediction of osteoporotic fracture. Bone mineral density (BMD) specific calibration scans are not typically captured during routine clinical practice. Tissue-based BMD calibration can therefore empower the retrospective study of patient CT scans captured during routine clinical practice. Together the method for selecting tissues as the basis for phantomless calibration coupled with the post-processing steps for deriving a calibration equation using the selected tissues provide an estimation of quantitative equivalent density results derived using calibration phantoms. Patient tissues from a retrospective cohort of 211 patients were evaluated. The best phantomless calibration resulted in a femoral strength (FS) [N] bias of 0.069 ± 0.07% over FS derived from inline calibration and a BMD [kg/cm3] bias of 0.038 ± 0.037% over BMD derived from inline calibration. The phantomless calibration slope for the best method presented was within the range of patient specific calibration curves available for comparison and demonstrated a small bias of 0.028 ± 0.054 HU/(mg/cm3), assuming the Mindways Model 3 BMD inline calibration phantom as the gold standard. The presented method of estimating a calibration equation from tissues showed promise for CT-based femoral fracture analyses of retrospective cohorts without readily available calibration data.

This study evaluated the effect of the combination of three different onlay preparation designs and two restorative materials on the stress distribution, using 3D-finite element analysis. Six models of first lower molars were created according to three preparation designs: non-retentive (nRET), traditional with occlusal isthmus reduction (IST), and traditional without occlusal isthmus reduction (wIST), and according to two restorative materials: lithium-disilicate (LD) and nanoceramic resin (NR). A 600 N axial load was applied at the central fossa. All solids were considered isotropic, homogeneous, and linearly elastic. A static linear analysis was performed, and the Maximum Principal Stress (MPS) criteria were used to evaluate the results and compare the stress in MPa on the restoration, cement layer, and tooth structure (enamel and dentin). A novel statistical approach was used for quantitative analysis of the finite element analysis results. On restoration and cement layer, nRET showed a more homogeneous stress distribution, while the highest stress peaks were calculated for LD onlays (restoration: 69–110, cement layer: 10.2–13.3). On the tooth structure, the material had more influence, with better results for LD (27–38). It can be concluded that nRET design showed the best mechanical behavior compared to IST and wIST, with LD being more advantageous for tooth structure and NR for the restoration and cement layer.

Made available in DSpace on 2021-06-25T11:15:50Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-01-01 This study evaluated the stress distribution in five different class II cavities of premolar models restored with conventional or bulk-fill flowable composite by means of finite element analysis (FEA) under shrinkage and occlusal loading. An upper validated premolar model was imported in the software, and five class II cavities with different occlusal extensions and dimensions were prepared: horizontal cavity on the mesial surface (horizontal slot), mesio-occlusal cavity, mesial cavity (vertical slot), tunnel type cavity and direct access cavity. The models were restored with conventional or bulk-fill flowable resin composite. The tested materials were considered as homogeneous, linear, and isotropic. The Maximum Principal Stress criteria was chosen to evaluate the tensile stress results. The lowest shrinkage stress value was observed in the direct access cavity restored with bulk-fill flowable resin composite (36.12 MPa). The same cavity, restored with conventional composite showed a score of 36.14 MPa. The horizontal slot cavity with bulk-fill flowable showed a score of 46.71 MPa. The mesio-occlusal cavity with bulk-fill flowable had a score of 53.10 MPa, while with conventional composite this was 55.35 MPa. Higher shrinkage stress was found in the vertical slot cavity with conventional resin 56.14 MPa, followed by the same cavity with bulk-fill flowable 56.08 MPa. Results indicated that the use of bulk-fill flowable composite resin more significantly decreased the polymerization shrinkage stress magnitude. The larger the cavity and the volume of material necessary to restore the tooth, the greater the residual stress on enamel and dentin tissue. Department of Dental Materials and Prosthodontics Institute of Science and Technology São Paulo State University (UNESP) Department of Dentistry University of Taubaté (UNITAU) Department of Oral and Maxillo Facial Sciences “Sapienza” University of Rome Department of Neurosciences Reproductive and Odontostomatological Sciences School of Dentistry University of Naples Federico II Department of Dental Materials and Prosthodontics Institute of Science and Technology São Paulo State University (UNESP)

Context Primary hyperparathyroidism (PHPT) is associated with impaired bone quality and increased fracture risk. Reliable tools for the evaluation of bone quality parameters are not yet clinically available. Bone Strain Index (BSI) is a new metric for bone strength based on Finite Element Analysis from lumbar spine and femoral neck dual-energy x-ray absorptiometry (DXA) images. Objective To assess the lumbar spine (LS), femoral neck (FN), and total hip (TH) BSI in PHPT patients compared with controls and to investigate the association of BSI with vertebral fractures (VFs) in PHPT. Methods This case-control study enrolled 50 PHPT patients and 100 age- and sex-matched control subjects from an outpatient clinic. The main outcome measures were LS-BSI, FN-BSI, and TH-BSI. Results FN bone mineral density (BMD) and one-third distal radius BMD were lower in the PHPT group than in controls (FN 0.633 ± 0.112 vs 0.666 ± 0.081, P = 0.042; radius 0.566 ± 0.07 vs 0.625 ± 0.06, P < 0.001). PHPT group has significant lower TBS score compared with controls (1.24 ± 0.09 vs 1.30 ± 0.10, P < 0.001). BSI was significantly higher at LS (2.28 ± 0.59 vs 2.02 ± 0.43, P = 0.009), FN (1.72 ± 0.41 vs 1.49 ± 0.35, P = 0.001), and TH (1.51 ± 0.33 vs 1.36 ± 0.25, P = 0.002) in PHPT. LS-BSI showed moderate accuracy for discriminating VFs (AUC 0.667; 95% CI, 0.513-0.820). LS-BSI ≥ 2.2 and was a statistically significant independent predictor of VFs, with an adjusted odds ratio ranging from 5.7 to 15.1. Conclusion BSI, a DXA-derived bone quality index, is impaired in PHPT and may help to identify PHPT subjects at high risk of fractures.

The aim of the current work was to analyze the influence of the ferrule effect for hybrid composite endodontic post designs consisting of carbon (C) and glass (G) fiber-reinforced polyetherimide (PEI), in upper canine teeth. Starting from theoretical designs of C-G/PEI hybrid composite posts with different Young&rsquo, s moduli (Post A&mdash, 57.7 GPa, Post B&mdash, 31.6 GPa, Post C&mdash, graduated from 57.7 to 9.0 GPa in the coronal&ndash, apical direction) in endodontically treated anterior teeth, the influence of the ferrule effect was determined through finite element analysis (FEA). On the surface of the crown, a load of 50 N was applied at 45&deg, to the longitudinal axis of the tooth. Maximum principal stresses were evaluated along the C-G/PEI post as well as at the interface between the surrounding tooth structure and the post. Maximum stress values were lower than those obtained for the corresponding models without a ferrule. The presence of a ferrule led to a marked decrease of stress and gradients especially for posts A and B. A less marked effect was globally found for Post C, except in a cervical margin section along a specific direction, where a significant decrease of the stress was probably due to local geometric features, compared to the model without a ferrule. The presence of a ferrule did not generally provide a marked benefit in the case of the graduated Post C, in comparison to other C-G/PEI posts. The outcomes suggest how such a hybrid composite post alone should be sufficient to optimize the stress distribution, dissipating stress from the coronal to the apical end.

Thin perforated Steel Plate Shear (SPS) Walls are among the most common types of energy dissipating systems. The applied holes reduce the shear strength of the plate and allow to decrease the profile size of the members at the boundary of the panel when these systems are used in the typical design of structures. On the other hand, the different fracture locations of these panels are visible when considering the different perforation patterns. This paper reports on the results obtained from the experimental study under cyclic loading of the effect of different hole patterns on the seismic response of the systems and the location of the fracture. According to this, two perforated specimens by different patterns were considered. In addition, a plate without holes for a better comparison of the fracture location was chosen. The results showed that changing the pattern of the holes causes a change in the fracture location. Moreover, in perforated specimens, the amount of shear strength did not reduce suddenly after the fracture phenomenon. In the specimen which was perforated around the web plate, the pinching force was more than any other in the low cycle of the drifts. For this reason, the energy dissipation and initial stiffness were more than up to 3% drift. The experimental specimens were then simulated with a Finite Element (FE) method using the ABAQUS. Finally, a parametric FE analysis on different series of perforated panels, by changing the diameter of the holes and the plate thickness, has been carried out.

The rotor structure of synchronous reluctance motor (SynRm) is usually provided with redial ribs to improve structural ruggedness for high-speed operation. While these radial ribs contribute to mechanical robustness, they also reduce the average torque and limit the flux-weakening capability due to an increase in inductance along the q-axis. To address this issue, the rotor design is refined by adopting non-magnetic radial ribs in this study. The introduction of titanium as non-magnetic material for radial ribs prevents magnetic leakage flux from flowing along the q-axis, and thereby improves the average torque, saliency ratio, efficiency and power factor of the SynRm. Furthermore, along with the electromagnetic analysis, the mechanical integrity of the proposed rotor design is also investigated. Two prototypes rated 1 kW at 1500 rpm are fabricated using both the conventional and the proposed rotor design, while the stator and other parameters are maintained constant in the two cases. The conventional design uses magnetic radial ribs whereas the proposed design uses non-magnetic radial ribs. Finally, a thorough comparative study, including inductance tests on the prototypes, is performed between the proposed and the conventional SynRm, confirming the strengths of the technology solution being set forth.

In the last two decades, osseointegrated prostheses have been shown to be a good alternative for lower limb amputees experiencing complications in using a traditional socket-type prosthesis, however, restraining biomechanical issues, such as peri-prosthetic bone fractures or loosening, are present. To better understand and overcome these limiting issues, and thus reduce the number of implant failures, many studies have investigated the stress distribution on bone and implant during normal daily activities. The aim of this study was a biomechanical analysis of two different osseointegrated implants, a screw-type (OPRA) and a press fit system (OPL, Osseointegrated Prosthetic Limb), to evaluate the stresses generated in bone and prosthesis during a fall. In particular, four scenarios have been experimentally reproduced to determine the loads on the limb during different kinds of fall. For this purpose, a motion capture system and a force plate have been used. Numerical FEM (Finite Element Method) simulations have been performed to compare the behaviour of the OPRA and OPL systems in different fall scenarios. The obtained results showed that a fall backwards due to balance loss is the most stressful scenario among the ones analysed. As regards the comparison between OPRA and OPL devices, it emerged they have similar behaviours in terms of peak values of the stress, but the OPL implant generates larger high-stress areas in the distal femur as compared with the OPRA system.

OBJECTIVES Reinforcements for the pulmonary autograft (PA) in the Ross operation have been introduced to avoid the drawback of conduit expansion and failure. With the aid of an in silico simulation, the biomechanical boundaries applied to a healthy PA during the operation were studied to tailor the best implant technique to prevent reoperation. METHODS Follow-up echocardiograms of 66 Ross procedures were reviewed. Changes in the dimensions and geometry of reinforced and non-reinforced PAs were evaluated. Miniroot and subcoronary implantation techniques were used in this series. Mechanical stress tests were performed on 36 human pulmonary and aortic roots explanted from donor hearts. Finite element analysis was applied to obtain high-fidelity simulation under static and dynamic conditions of the biomechanical properties and applied stresses on the PA root and leaflet and the similar components of the native aorta. RESULTS The non-reinforced group showed increases in the percentages of the mean diameter that were significantly higher than those in the reinforced group at the level of the Valsalva sinuses (3.9%) and the annulus (12.1%). The mechanical simulation confirmed geometrical and dimensional changes detected by clinical imaging and demonstrated the non-linear biomechanical behaviour of the PA anastomosed to the aorta, a stiffer behaviour of the aortic root in relation to the PA and similar qualitative and quantitative behaviours of leaflets of the 2 tissues. The annulus was the most significant constraint to dilation and affected the distribution of stress and strain within the entire complex, with particular strain on the sutured regions. The PA was able to evenly absorb mechanical stresses but was less adaptable to circumferential stresses, potentially explaining its known dilatation tendency over time. CONCLUSIONS The absence of reinforcement leads to a more marked increase in the diameter of the PA. Preservation of the native geometry of the PA root is crucial; the miniroot technique with external reinforcement is the most suitable strategy in this context.

Aims This study aimed to compare the acute expansion behaviour of a polymer-based bioresorbable scaffold and a second-generation metallic DES platform in a realistic coronary artery lesion model. Experimental mechanical data with conventional methods have so far shown little difference between metallic stents and currently available polymer-based bioresorbable scaffolds (BRS). Nevertheless, differences in acute results have been observed in clinical studies comparing BRS directly with metallic DES platforms. Methods and results We examined the expansion behaviour of the bioresorbable vascular scaffold (3.0×18 mm Absorb BVS; Abbott Vascular, Santa Clara, CA, USA) and a metallic DES (3.0×18 mm XIENCE Prime; Abbott Vascular) after expansion at 37°C using identical coronary artery stenosis models (in total 12 experiments were performed). Device expansion was compared during balloon inflation and after deflation using microscopy to allow assessment of plaque recoil. Minimal lumen diameter (MLD) and minimal lumen area (MLA) and stent eccentricity were quantified from optical coherence tomography (OCT) imaging at nominal diameter and after post-dilation at 18 atm. The MLA in the models with BVS deployed was 4.92±0.17 mm² while in the metallic DES it was 5.40±0.13 mm2 (p=0.02) at nominal pressure (NP), and 5.41±0.20 and 6.07±0.25 mm2 (p=0.02), respectively, after expansion at 18 atm. Stent eccentricity index at the MLA was 0.71±0.02 in BVS compared to 0.81±0.02 in the metal stent at NP (p=0.004), and 0.73±0.03 compared to 0.75±0.02 at 18 atm (p=0.39). Conclusions Results obtained in this in vitro lesion model were comparable to the results in randomised clinical trials comparing BVS and XIENCE stents in vivo. Such models may be useful in future BRS developments to predict their acute response in vivo in eccentric lesions.

Biomimetics, biomechanics and tissue engineering are three multidisciplinary fields that have been contemplated in this research to attain the objective of improving prosthetic implants reliability. Since testing and mathematical methods are closely interlaced, a promising approach seemed to be the combination of in vitro and in vivo experiments with computer simulations (in silico). An innovative biomimetics and biomechanics approach and new synthetic structure providing a microenvironment, which is mechanically coherent and nutrient conducive for tissue osteoblast cell cultures used in regenerative medicine, are presented. The novel hybrid ceramo-polymeric nanocomposites are mutually investigated by Finite Element Analysis (FEA) biomimetic modelling, anatomic reconstruction, quantitative-computed-tomography characterization, computer design of tissue scaffold. The starting base materials are a class of innovative highly bioactive hybrid ceramo-polymeric materials set-up by the proponent research group that will be used as bioactive matrix for the preparation of in situ bio-mineralised tecto-structured porous nanocomposites. This study treats biomimetics, biomechanics and tissue engineering as strongly correlated multidisciplinary fields combined to design bone tissue scaffolds. The growth, maintenance and ossification of bone are fundamental and are regulated by the mechanical cues that are imposed by physical activities: This biomimetical/biomechanical approach will be pursued in designing the experimental procedures for in vitro scaffold mineralization and ossification. Bio-tissue mathematical modelling serves as a central repository to interface design, simulation and tissue fabrication. Finite element computer analyses will be used to study the role of local tissue mechanics on endochondral ossification patterns, skeletal morphology and mandible thickness distributions using single and multi-phase continuum material representations of clinical cases of patients implanted with the traditional protocols. New protocols will be hypothesises for the use of the new biologically tecto-structured hybrid materials.

Objectives To assess conceptual designs of dental posts consisting of polyetherimide (PEI) reinforced with carbon (C) and glass (G) glass fibers in endodontically treated anterior teeth. Methods 3D tessellated CAD and geometric models of endodontically treated anterior teeth were generated from Micro-CT scan images. Model C-G/PEI composite posts with different Young’s moduli were analyzed by Finite Element (FE) methods post A (57.7 GPa), post B (31.6 GPa), post C (from 57.7 to 9.0 GPa in the coronal–apical direction). A load of 50 N was applied at 45° to the longitudinal axis of the tooth, acting on the palatal surface of the crown. The maximum principal stress distribution was determined along the post and at the interface between the post and the surrounding structure. Results Post C, with Young’s modulus decreasing from 57.7 to 9.0 GPa in the coronal–apical direction, reduced the maximum principal stress distribution in the restored tooth. Post C gave reduced stress and the most uniform stress distribution with no stress concentration, compared to the other C-G/PEI composite posts. Significance The FE analysis confirmed the ability of the functionally graded post to dissipate stress from the coronal to the apical end. Hence actual (physical) C-G/PEI posts could permit optimization of stress distributions in endodontically treated anterior teeth.

Wear debris from ultra-high-molecular-weight polyethylene components used for joint replacement prostheses can cause significant clinical complications, and it is essential to be able to predict implant wear accurately in vitro to prevent unsafe implant designs continuing to clinical trials. The established method to predict wear is simulator testing, but the significant equipment costs, experimental time and equipment availability can be prohibitive. It is possible to predict implant wear using finite element methods, though those reported in the literature simplify the material behaviour of polyethylene and typically use linear or elastoplastic material models. Such models cannot represent the creep or viscoelastic material behaviour and may introduce significant error. However, the magnitude of this error and the importance of this simplification have never been determined. This study compares the volume of predicted wear from a standard elastoplastic model, to a fractional viscoelastic material model. Both models have been fitted to the experimental data. Standard tensile tests in accordance with ISO 527-3 and tensile creep recovery tests were performed to experimentally characterise both (a) the elastoplastic parameters and (b) creep and relaxation behaviour of the ultra-high molecular weight polyethylene. Digital image correlation technique was used in order to measure the strain field. The predicted wear with the two material models was compared for a finite element model of a mobile-bearing unicompartmental knee replacement, and wear predictions were made using Archard’s law. The fractional viscoelastic material model predicted almost ten times as much wear compared to the elastoplastic material representation. This work quantifies, for the first time, the error introduced by use of a simplified material model in polyethylene wear predictions, and shows the importance of representing the viscoelastic behaviour of polyethylene for wear predictions.

Purpose: The objective of this investigation is to study prosthodontics and internal components resistance to the masticatory stress and considering different force directions by using Finite Element Method analysis (FEM). The structural materials of the components are usually Titanium alloy grade 4 or 5 and thus, guarantee the integration of the fixture in the bone due to the osteointegration phenomena. Even if the long-term dental implant survival rate is easy to be obtained and confirmed by numerous researches, the related clinical success, due to the alteration of the mechanical and prosthodontics components is still controversial. Methods: By applying engineering systems of investigations like FEM and Von Mises analyses, it has been investigated how dental implant material was held against the masticatory strength during the dynamic masticatory cycles. A three-dimensional system involved fixture, abutment and the connection screws, which were created and analyzed. The elastic features of the materials used in the study were taken from recent literature data. Results: Data revealed a different response for both types of devices, although implant neck and dental abutment showed better results for all conditions of loading while the abutment screw represented aweak point of the system. Conclusion: The data of this virtual model showed all the features of different prosthetic retention systems under the masticatory load. Clinicians should find better prosthetic balance in order to better distribute the stress over the component and to guarantee patients’ clinical long-term results. Purpose: The objective of this investigation is to study prosthodontics and internal components resistance to the masticatory stress and considering different force directions by using Finite Element Method analysis (FEM). The structural materials of the components are usually Titanium alloy grade 4 or 5 and thus, guarantee the integration of the fixture in the bone due to the osteointegration phenomena. Even if the long-term dental implant survival rate is easy to be obtained and confirmed by numerous researches, the related clinical success, due to the alteration of the mechanical and prosthodontics components is still controversial. Methods: By applying engineering systems of investigations like FEM and Von Mises analyses, it has been investigated how dental implant material was held against the masticatory strength during the dynamic masticatory cycles. A three-dimensional system involved fixture, abutment and the connection screws, which were created and analyzed. The elastic features of the materials used in the study were taken from recent literature data. Results: Data revealed a different response for both types of devices, although implant neck and dental abutment showed better results for all conditions of loading while the abutment screw represented aweak point of the system. Conclusion: The data of this virtual model showed all the features of different prosthetic retention systems under the masticatory load. Clinicians should find better prosthetic balance in order to better distribute the stress over the component and to guarantee patients’ clinical long-term results.

In order to investigate the influence of cusp reduction, cavity isthmus width, and restorative material on stress values in premolar with mesio-occlusal-distal (MOD) cavity, numerical simulations were done on three-dimensional (3D) models of a maxillary second premolar designed using computerized tomography (CT) scan images. The use of four restorative materials (direct resin composite, direct resin composite with resin-modified glass-ionomer cement as the base, indirect resin composite, ceramic), three cavity preparation designs (without cusp coverage, 2-mm palatal cusp coverage, 2-mm palatal and buccal cusp coverage), and two cavity isthmus widths (1/2 and 2/3 intercuspal width) were simulated. After applying a static load of 200N on the occlusal surface of the tooth, von Mises stresses in the enamel, dentin, and restoration were calculated using finite element analysis (FEA). Stress values in the enamel were primarily influenced by cavity preparation design, while restorative material showed higher contribution in dentin. The lowest stress values were obtained in models with cusp coverage and indirect restorations. Cavity isthmus width had minimal influence on stress values in tooth structures. None of the investigated factors determined stress values in the restoration. In conclusion, the use of ceramic restoration covering both palatal and buccal cusp provided the most favourable stress distribution of premolars with MOD cavity. [Figure not available: see fulltext.].

An endodontically treated tooth with mesial-occlusal-distal (MOD) cavity is often restored with composite resin. Palatal and buccal cusp reduction (MODP, MODPB), and/or fiber-reinforced composite posts (P), are used in an attempt to improve the longevity of the restoration. The aim of this study was to determine the effects of these procedures on von Mises stress values and distribution in dental tissues and restorative materials using finite element analysis. Based on CT scans of an extracted second upper premolar, six 3D endodontically treated tooth models (MOD, MODP, MODPB, MOD+P, MODP+P, MODPB+P) were created. Each model was subjected to a summary force of 150 N on the occlusal surface simulating the normal biting pattern and maximal von Mises stresses were calculated. MODP seems to reduce von Mises stress values in dental tissues and P seems to transfer some of the stresses from dental tissues to the composite filling.

Interior permanent magnet (IPM) machines with spoke-type design are possible candidates for various applications, including vehicle traction. One of their drawback is the high demagnetizing current required in the flux weakening region to let the motor achieve high speeds. This problem can be mitigated by equipping the motor with a mechanical devices consisting of mobile rotor yokes. These move radially by centrifugal force so as to reduce the air-gap flux at high speed with no need for demagnetizing current injection. This paper addresses the problem of modeling such IPM motor to study its steady-state behavior under different operating conditions, both in the full-flux and in the flux-weakening region of the speed range. The approach uses a limited set of non-linear finite element analysis to characterize the dependency of motor flux linkages on the stator currents and rotor position. Interpolating functions are then obtained to mathematically capture this dependency and plug it into the steady-state electromechanical equations of the motor. The effectiveness and accuracy of the method are assessed through on-load measurements taken on the modelled motor both in low and high speed operation.

Self-expanding stents made of Nitinol, a Nickel–Titanium shape memory alloy, are used in standard medical implants for the treatment of cardiovascular diseases. Despite the increasing success, clinical studies have reported stent failure after the deployment in the human body, thus undermining patient’s safety and life. This study aims to fill the gap of reliable assessment of the fatigue life of Nitinol stents. We propose a global computational design method for preclinical validation of Nitinol stents, which can be extended to patient-specific computations. The proposed methodology is composed of a mechanical finite element analysis and a fatigue analysis. The latter analysis is based on a novel multiaxial fatigue criterion of the Dang Van type, combining the shakedown response of the stent and the complexity of phase transformation taking place within the material. The method is implemented in the case of a carotid artery stent. The implant configuration as well as the applied cyclic loading are shown to affect material phase evolution as well as stent lifetime. The comparison with the results obtained by applying a strain-based constant-life diagram approach allows to critically discuss both fatigue criteria and to provide useful recommendations about their applicability.

Total hip arthroplasty is a ubiquitously successful orthopedic surgical procedure, whose prevalence is rising worldwide. While many investigations focus on characterizing periprosthetic pathophysiology, the objective of our research is to develop and describe multi-metric assemblies as a first step toward creating a patient-specific mobility index that rehabilitators and orthopedic surgeons can utilize for prescribing their respective procedures. In total, 48 total hip arthroplasty patients (both cemented and uncemented) undergoing unilateral, primary surgery went through computed tomographic scans and gait analysis measurements both before and 1 year following their surgery. Altogether, the reported quantitative metrics include 11 spatial and temporal gait parameters, muscle density, and electromyography signals from the rectus femoris, vastus lateralis, and vastus medialis, and bone mineral density values from bioimage analysis around the implant stem. We found that measured parameters from a subgroup were sensitive to changes observed during patient recovery, implicating the predictive sensitivity of these patient conditions. Most post-operative gait parameters changed significantly, while electromyography data indicated few significant differences. Moreover, results from bioimage analyses indicate a general reduction of periprosthetic bone mineral density after 1 year, in association with increasing density of the quadriceps muscles. Furthermore, this work identifies which quantitative metrics undergo the greatest variation after total hip arthroplasty and demonstrates the clinical feasibility of a multimodal approach to mobility assessment that may ultimately support decision-making for post-surgical rehabilitation protocols.

This paper introduces the design of a fully-compliant Spherical Joint (SJ), obtained by the in-parallel connection of two identical open chains each composed of three equal circular flexible beams, having coincident centers of curvature and mutually orthogonal axes of minimum rotational stiffness. Thanks to its particular topology, the SJ provides a fully isotropic behavior, the two chains being placed in space so as to be symmetric with respect to the beams’ center of curvature. At first, the overall system compliance matrix is derived by means of an analytical procedure, in order to obtain a parametric formulation of the SJ behavior within the small deflection range. Then, after finite element validation of the analytical model, an optimization study of the beam geometry is developed, with the aim of maximizing the ratio between the SJ primary to secondary compliance factors. At last, the potential advantages and drawbacks of the proposed design are discussed by numerically evaluating the joint performance in terms of parasitic motions within the large deflection range (namely, when large external loads are applied to the envisaged center of spherical motion).

This paper introduces and investigates a compliant spherical 3R open chain that is obtained by the in-series connection of three identical circularly-curved beam flexures with coincident centers of curvature and mutually orthogonal axes of maximum rotational compliance. The considered open chain is intended to be used directly as a spherical mechanism in pointing devices or as a complex spherical flexure for the development of spatial parallel manipulators. The compliance matrix of the proposed chain is first determined via an analytical procedure. After finite element validation, the obtained equations are used in a parametric study to assess the influence of circularly-curved beam flexure geometric parameters on the overall stiffness performances of the considered compliant spherical 3R open chain. In addition, comparison with an equivalent compliant spherical chain employing straight beam flexures is reported to highlight the added benefits of using circularly-curved beam flexures in terms of reduced parasitic motions.

Objective To assess the effect of a ferrule design with specific post material-shape combinations on the mechanical behavior of post-restored canine teeth. Methods Micro-CT scan images of an intact canine were used to create a 3-D tessellated CAD model, from which the shapes of dentin, pulp and enamel were obtained and geometric models of post-endodontically restored teeth were created. Two types of 15 mm post were evaluated: a quartz fiber post with conical–tapered shape, and a carbon (C) fiber post with conical–cylindrical shape. The abutment was created around the coronal portion of the posts and 0.1 mm cement was added between prepared crown and abutment. Cement was also added between the post and root canal and a 0.25 mm periodontal ligament was modeled around the root. Four models were analysed by Finite Element (FE) Analysis: with/without a ferrule for both types of post material and shape. A load of 50 N was applied at 45° to the longitudinal axis of the tooth, acting on the palatal surface of the crown. The maximum normal stress criterion was adopted as a measure of potential damage. Results Models without a ferrule showed greater stresses (16.3 MPa) than those for models with a ferrule (9.2 MPa). With a ferrule, stress was uniformly distributed along the abutment and the root, with no critical stress concentration. In all models, the highest stresses were in the palatal wall of the root. Models with the C-fiber post had higher stress than models with the quartz fiber posts. The most uniform stress distribution was with the combination of ferrule and quartz fiber post. Significance The FE analysis confirmed a beneficial ferrule effect with the combination of ferrule and quartz fiber post, with tapered shape, affording no critical stress concentrations within the restored system.

Objectives To investigate the influence of specific resin-composite, glass ceramic and glass ionomer cement (GIC) material combinations in a “multi-layer” technique to replace enamel and dentin in class II mesio-occlusal-distal (MOD) dental restorations using 3D-Finite Element Analysis (FEA). Methods Four 3D-FE models (A–D) of teeth, adhesively restored with different filling materials, were created and analyzed in comparison with a 3D model (E) of a sound lower molar. Models A, B & C had “multilayer” constructions, consisting of three layers: adhesive, dentin replacement and enamel replacement. Model A: had a low modulus (8 GPa) composite replacing dentin and a higher modulus (12 GPa) composite replacing enamel. Model B: had a GI cement replacing dentin and a higher modulus (12 GPa) composite replacing enamel. Model C: had a low modulus (8 GPa) composite replacing dentin and a very high modulus (70 GPa) inlay replacing enamel. Model D: had a lithium disilicate inlay replacing both dentin and enamel with a luting cement base-layer. Polymerization shrinkage effects were simulated and a load of 600 N was applied. All the materials were assumed to behave elastically throughout the entire deformation. Results Model A showed the highest stress distribution along all the adhesive interfaces of the shrinking resin-based materials with a critical condition and failure risk marginally and internally. Model D, by contrast, showed a more favorable performance than either of the multilayer groups (A–C). Stress and displacement plots showed an elastic response similar to that obtained for the sound tooth model. Model B and Model C performed according to their bilayer material properties. The use of a non-shrink dentin component simulating a GIC clearly affected the shrinkage stress at the basis of the Model B; while the bulk resin composite having a 12 GPa Young’s modulus and linear polymerization shrinkage of 1% strongly influenced the biomechanical response in the bucco-lingual direction. Significance Direct resin-based composite materials applied in multilayer techniques to large class II cavities, with or without shrinking dentin layers, produced adverse FEA stress distributions and displacements. An indirect lithium disilicate inlay used to replace lost dentin and enamel in posterior restored teeth generated lower stress levels, within the limits of the elastic FEA model.

Objective To study the influence of the different class II mesio-occlusal-distal (MOD) cavity shape on the stress and strain distributions in adhesive indirect restorations, using numerical finite element analysis (FEA). To investigate the relationship between restored teeth failure and stiffness of food, three values of Young’s modulus were used for the food. Methods A 3D model of a sound lower molar and three class II MOD cavities with different shape were created. Slide-type contact elements were used between tooth surface and food. An adhesive resin-based cement, modeled with fixed-type contact elements, and a single restorative filling materials were considered. To simulate polymerization shrinkage effect, which is basically restricted to the thin composite cement layer, shell elements were employed and the thermal expansion approach was used. A vertical occlusal load of 600 N was applied, while assigning fixed zero-displacements on the cutting surfaces below the crevices. All the materials were assumed to be isotropic and elastic. A static linear analysis was carried out. Results In the lingual cusp, the displacements increased as the values of the stiffness food increased. In the restored teeth, the stress near the restoration-tooth interface was strongly dependent on the MOD cavity shape. The stress peaks were mainly located along the enamel–dentin interface at the lingual side; wedge-shaped MOD cavity with a low angle, in combination with the lowest food stiffness provided the best results. Significance A more complex load application on the occlusal surfaces was introduced. Food stiffness slightly affected the stress distribution of the restored and sound teeth. Teeth with adhesive class II MOD indirect resin composite restorations were potentially more susceptible to damage if the class II MOD cavity-margin-angle was higher than 95°. Restored teeth with a higher cavity-margin-angle led to considerable stress concentration in the lingual cusp along the enamel–dentin interface. These models were more susceptible to fracture in the lingual cusps when compared to the buccal ones.

A recent study [1] has discussed the accuracy of the nodal elastic stresses of zero thickness interface elements when fictitious elastic parameters (often called penalty stiffness factors) are used. These stresses, commonly used to calculate the triggering conditions of the opening of the interface simulating a discrete crack in quasi-brittle materials, are affected by non-negligible errors if the in- terfaces are embedded in unstructured/irregular meshes. A procedure to avoid these errors has been proposed for homogeneous materials [1] and bi-material interfaces [2]. Accurate nodal stresses are re- covered if certain geometry-dependent pre-processed coefficients are used. In this paper, this method is proposed in the analysis of Historical Stone Masonry Walls: zero-thickness interface elements rep- resent the interaction between stones of irregular shape. The crack opening triggering conditions are calculated for two identical meshes with rigid continuous elements representing the stones and fic- titiously elastic zero-thickness interfaces representing the mortar layers. This paper shows that the use of the proposed coefficients significantly changes the values of the interface stresses leading to different configurations of the cracking onset.

Dilated cardiomyopathy is a heart disease characterized by both left ventricular dilatation and left ventricular systolic dysfunction, leading to cardiac remodeling and ultimately heart failure. We aimed to investigate the effect of dilated cardiomyopathy on the pump performance and myocardial wall mechanics using patient-specific finite element analysis. Results evinced pronounced end-systolic wall stress on left ventricular wall of patients with dilated cardiomyopathy as compared to that of normal hearts. In dilated cardiomyopathy, both end-diastolic and end-systolic pressure–volume relationships of left ventricle and right ventricle were shifted to the right compared to controls, suggesting reduced myocardial contractility. We hereby propose that finite element analysis represents a useful tool to assess the myocardial wall stress and cardiac work, which are responsible for progressive left ventricular deterioration and poor clinical course.

An innovative epiphyseal device has been recently proposed claiming an effective bone–prosthesis load transfer and a nearly physiological bone stresses distribution. However preliminary experimental tests showed a 23% weakening of the femoral neck after implantation. Aim of this study was to revise the prosthesis geometry with the goal of enhancing the femoral neck strength after implantation, while maintaining unchanged the initial conceptual design. To this aim, the risk of femoral neck fractures, prosthesis fractures, aseptic loosening and excessive bone resorption were addressed through a validated finite element procedure following a systematic approach. The initial prosthesis geometry was revised to reduce each investigated failure risk below the threshold of acceptance (100%). The new geometry was re-assessed to verify the effectiveness of the revision. The first design was predicted to locally induce high bone strains and cement stresses, which translated in a risk of bone and cement failure exceeding the threshold of acceptance (>100%). The revised design preserved a good stability of the device, contemporary reducing the risk for bone (45%) and cement (60%) failure. If results will be confirmed by statistical and clinical experimentations, current clinical indications for hip epiphyseal devices might be extended.

Predictive models, which enable the prediction of nanocomposite properties from their morphologies and account for polymer orientation, could greatly assist the exploitation of this new class of materials in more diversified and demanding market fields. This article focuses on the prediction of effective elastic properties (Young's moduli) of polymer nanocomposite films (copolyamide-6/nanoclay) using 3D analytical (based on the Mori-Tanaka theory) and 3D finite element (FE) models. The analytical model accounts for the orientation of polymer chains induced by drawing. 3D FE model exploits the representative volume element concept and accounts for the nanocomposite morphology as determined from transmission electron microscopy experiments. Model predictions were compared with experimental results obtained for nanocomposite films produced by means a pilot-scale film blowing equipment and collected at different draw ratios. © 2011 Wiley Periodicals, Inc. J Polym Sci Part B: Polym Phys, 2012

Ascending thoracic aortic aneurysm (ATAA) has been associated with diminished biomechanical strength and disruption in the collagen fiber microarchitecture. Additionally, the congenital bicuspid aortic valve (BAV) leads to a distinct extracellular matrix structure that may be related to ATAA development at an earlier age than degenerative aneurysms arising in patients with the morphological normal tricuspid aortic valve (TAV). The purpose of this study was to model the fiber-reinforced mechanical response of ATAA specimens from patients with either BAV or TAV. This was achieved by combining image-analysis derived parameters of collagen fiber dispersion and alignment with tensile testing data. Then, numerical simulations were performed to assess the role of anisotropic constitutive formulation on the wall stress distribution of aneurysmal aorta. Results indicate that both BAV ATAA and TAV ATAA have altered collagen fiber architecture in the medial plane of experimentally-dissected aortic tissues when compared to normal ascending aortic specimens. The study findings highlight that differences in the collagen fiber distribution mostly influences the resulting wall stress distribution rather than the peak stress. We conclude that fiber-reinforced constitutive modeling that takes into account the collagen fiber defect inherent to the aneurysmal ascending aorta is paramount for accurate finite element predictions and ultimately for biomechanical-based indicators to reliably distinguish the more from the less 'malignant' ATAAs.

Pericardial effusion is a pathological accumulation of fluid within pericardial cavity, which may compress heart chambers with hemodynamic impairment. We sought to determine the mechanics underlying the physiology of the hemodynamic impairment due to pericardial effusion using patient-specific computational modeling. Computational models of left ventricle and right ventricle were based on magnetic resonance images obtained from patients with pericardial effusion and controls. Myocardial material parameters were adjusted, so that volumes of ventricular chambers and pericardial effusion agreed with magnetic resonance imaging data. End-diastolic and end-systolic pressure–volume relationships as well as stroke volume were determined to evaluate impaired cardiac function of biventricular model. Distributions of myocardial fiber stresses and their regional variation along left ventricular wall were compared between patient groups. Both end-diastolic and end-systolic pressure–volume relationships shifted to the left for patients with pericardial effusion, with right ventricle diastolic filling particularly restricted. Left ventricle function as estimated by Starling curve was reduced by pericardial effusion. End-systolic fiber stress of left ventricle was significantly reduced as compared to that found for healthy patients. Myocardial stress was found increased at interventricular septum when compared to that exerted at lateral wall of left ventricle. Right ventricular myocardial stress was reduced as a consequence of the pressure equalization between right ventricle and pericardial effusion. Diastolic right ventricle collapse in patients with pericardial effusion is related to higher myocardial fiber stress on interventricular septum and to an extensible pericardium reducing motion of ventricular chambers, with right ventricle particularly restrained. These findings likely portend progression of pericardial effusion to cardiac tamponade.

Summary Objectives . A comparative study on the stress distribution in the dentine and cement layer of an endodontically treated maxillary incisor has been carried out by using Finite Element Analysis (FEA). The role of post and cement rigidity on reliability of endodontic restorations is discussed. Methods . A 3D FEM model (13,272 elements and 15,152 nodes) of a central maxillary incisor is presented. A chewing static force of 10 N was applied at 125° angle with the tooth longitudinal axis at the palatal surface of the crown. Steel, carbon and glass fiber posts have been considered. The differences in occlusal load transfer ability when steel, carbon and glass posts, fixed to root canal using luting cements of different elastic moduli (7.0 and 18.7 GPa) are discussed. Results and significance . The more stiff systems (steel and carbon posts) have been evaluated to work against the natural function of the tooth. Maximum Von Mises equivalent stress values ranging from 7.5 (steel) to 5.4 and 3.6 MPa (respectively, for carbon posts fixed with high and low cement moduli) and to 2.2 MPa (either for glass posts fixed with high and low cement moduli) have been observed under a static masticatory load of 10 N. A very stiff post works against the natural function of the tooth creating zones of tension and shear both in the dentine and at the interfaces of the luting cement and the post. Stresses in static loading do not reach material (dentine and cement) failure limits, however, they significantly differ leading to different abilities of the restored systems to sustain fatigue loading. The influence of the cement layer elasticity in redistributing the stresses has been observed to be less relevant as the post flexibility is increased.

Purpose A novel finite-element model of ventricular torsion for the analysis of the twisting behavior of the left human ventricle was developed, in order to investigate the influence of various biomechanical parameters on cardiac kinematics. Methods The ventricle was simulated as a thick-walled ellipsoid composed of nine concentric layers. Arrays of reinforcement bars were embedded in each layer to mimic physiological myocardial anisotropy. The reinforcement bars were activated through an artificial combination of thermal and mechanical effects in order to obtain a contractile behavior which is similar to that of myocardial fibers. The presence of an incompressible fluid inside the ventricular cavity was also simulated and the ventricle was combined with simple lumped-parameter hydraulic circuits reproducing preload and afterload. Changes to a number of cardiac parameters, such as preload, afterload and fiber angle orientation were introduced, in order to study the effects of these changes on cardiac torsion. Results The model is able to reproduce a similar torsional behavior to that of a physiological heart. The results of the simulations showed that there was sound correspondence between the model outcomes and available data from the literature. Results confirmed the importance of symmetric transmural patterns for fiber orientation. Conclusions This model represents an important step on the path towards unveiling the complexity of cardiac torsion. It proves to be a practical and versatile tool which could assist clinicians and researchers by providing them with easily-accessible, detailed data on cardiac kinematics for future diagnostic and surgical purposes.

Aim: To identify mechanical and geometrical variables affecting the biofidelity of numerical models of human mandible. Computed results sensibility to cortical bone orthotropy and thicknesses is investigated. Methods: Two mandible numerical models of different bone complexities are setup. In the low-complexity model, cortical bone is coupled with isotropic materials properties; constant thickness for cortical bone is adopted along the mandible structure. In the higher complexity model, the cortical bone is considered as an orthotropic material according to an independent mechanical characterization performed on fresh human dentate mandibles. Cortical thickness distribution, the values of the principal elastic moduli and principal directions of orthotropy are considered as piecewise heterogeneous. Forces for masseter (10 N), medial pterigoid (6 N), anterior (4 N) and posterior (4 N) temporalis muscles are applied to the models. Computed strains fields are compared with those experimentally measured in an independent test performed on a real human mandible in the same loading conditions. Results: Under closure muscles forces both models shows similar strain distribution. On the contrary, strain fields values are significantly different between the presented models. Conclusions: The mandible structure is sensible to compact bone orthotropy and thickness at the facial side of condylar neck, retro molar area and at the lingual side of middle portion of the corpus in molars area, anterior margin of the ramus. In these areas, it is advisable to use orthotropic properties for cortical bone to accurately describe the strain state. ' 2010 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 93B: 150-163, 2010