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İzgi E, Şimşek MB. Comparison of Biomechanical Behaviors of Different Designs and Configurations of Titanium and Zirconium Dental Implants With Finite Elements Analysis in Anterior Maxilla. J ORAL IMPLANTOL 2024; 50:277-287. [PMID: 38481005 DOI: 10.1563/aaid-joi-d-24-00011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2024]
Abstract
Finite element analysis assists in the understanding of the biomechanical behavior of implants with different designs and material characteristics. Through this analysis, this study aimed to compare the biomechanical behaviors of different designs and configurations of titanium (tapered or cylindric) and zirconia dental implants in the edentulous anterior maxilla. Three-dimensional models of the edentulous maxilla, dental implants, and prosthetic structures were modeled, and different loading conditions were applied to simulate realistic conditions. A total of 6 different models were evaluated: the model (M1) in which tapered implants were located bilaterally in the central canine, the model (M2) in which tapered implants were located bilaterally in the lateral canine, the model (M3) in which cylindric implants were located bilaterally in the central canine, the model (M4) in which cylindric implants were located bilaterally in the lateral canine, the model (M5) in which zirconia implants were located bilaterally in the central canine, and the model (M6) in which zirconia implants were located bilaterally in the lateral canine. Maximum tensile and compressive stress values were recorded at M4 under vertical loading and at M6 under oblique loading, whereas minimum stress values were recorded at M1 under all loading conditions. Maximum von Mises stress values under vertical and oblique loading conditions were observed at M3 and M4, while the minimum stress was observed at M1 and M2. In conclusion, zirconia implants may present a biomechanically convenient and esthetic alternative treatment option in edentulous anterior maxilla rehabilitation compared with tapered and cylindric implants.
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Affiliation(s)
- Eda İzgi
- Kütahya Health Sciences University, Kütahya, Turkey
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Niroomand MR, Arabbeiki M, Rouhi G. Optimization of thread configuration in dental implants through regulating the mechanical stimuli in neighboring bone. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2023; 231:107376. [PMID: 36736135 DOI: 10.1016/j.cmpb.2023.107376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 12/12/2022] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND AND OBJECTIVE The threads, as the most critical component of dental implants, transfer the imposed occlusal loads to the adjacent bone. Moreover, regulation of the mechanical stimuli in the implant adjacent bone is crucial to maximize the bone-implant construct stability. An optimal thread design can be resulted when the distribution of mechanical stimuli within the bone, and at the implant-bone interface, lie in an advised confined range. In this work, with the goal of finding the optimal thread design, which can provide the maximum level of stability, the effects of thread parameters, namely, thread depth, thread width, and thread pitch, together with upper and lower thread angles, on maximum principal strain within the cortical and cancellous bone, and shear strain at the implant-bone interface, were investigated. METHODS In this study, the response surface methodology (RSM), due to the central composite design (CCD), was employed to obtain a set of 53 experiments. Following that, they were numerically simulated using the finite element method (FEM). The polynomial regression model was then used to predict the response functions based on the magnitude of thread parameters. The effectiveness of each thread parameter was also evaluated through statistical tools. Moreover, the non-dominated sorting genetic algorithm (NSGA-II) was performed to find the optimum dimensions of the thread. RESULTS Through comparing the results obtained from analyzing initial and optimized configuration of threads, it was shown that the latter causes a reduction in the maximum principal strains in cancellous and cortical bones by about 25% and 30%, respectively, which is in favor of making a higher quality bone, and thus greater stability in dental implant-bone construct. Moreover, the maximum shear strains at the implant-bone interface in different planes were reduced by about 40%, in the optimized thread, compared with the initial design. CONCLUSIONS The optimized design found in this study is a buttress thread with a fine pitch, but deep thread, which keeps the mechanical stimuli in a safe range to grant an acceptable level of stability.
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Affiliation(s)
| | - Masoud Arabbeiki
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy.
| | - Gholamreza Rouhi
- Faculty of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran
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Zor ZF, Kılınç Y, Erkmen E, Kurt A. How do implant threads and diameters affect the all-on-four success? A 3D finite element analysis study. Technol Health Care 2022; 30:1031-1042. [DOI: 10.3233/thc-213072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: The effect of different thread designs and diameters on the all-on-four concept is unclear. OBJECTIVE: The aim of the study was to clarify the differences in stress distribution of dental implants with various thread designs and diameters based on the all-on-four concept with three dimensional (3D) finite element analysis (FEA). METHODS: A 3D model of a totally edentulous mandible was used to perform the FEA. Four different models (M1, M2, M3, and M4) including 3.5 and 4.3 mm diameter dental implants with active and passive threaded designs were generated. The dental implants were positioned according to the all-on-four concept. The Von Mises stresses on dental implants and maximum and minimum principal stresses (Pmax and Pmin) on bony structures were calculated under vertical, oblique and horizontal loads. RESULTS: For Von Mises stresses, the highest stress values were detected on the distal implants for all models. Distal implants had also the highest stress values for vertical loading. The Von Mises stresses were found to be concentrated around the implant’s neck. In all models the highest Pmax and Pmin stresses occurred in the bone surrounding the distal implant. It was noted that the active threaded implants showed the highest Pmax and Pmin stress values. CONCLUSION: The implant thread design and diameter might have a strong influence on the stress values in the all-on-four concept.
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Affiliation(s)
- Zeynep Fatma Zor
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Yeliz Kılınç
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Erkan Erkmen
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Ahmet Kurt
- Department of Manufacturing Engineering, Faculty of Engineering, Atılım University, Ankara, Turkey
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Three-Dimensional Biomechanical Finite Element Analysis of Lumbar Disc Herniation in Middle Aged and Elderly. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:7107702. [PMID: 35075391 PMCID: PMC8783749 DOI: 10.1155/2022/7107702] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 12/06/2021] [Accepted: 12/22/2021] [Indexed: 12/16/2022]
Abstract
Lumbar intervertebral disc protrusion disease refers to the degeneration of intervertebral disc, rupture of fibrous ring, nucleus pulpous protrusion and stimulation or compression of nerve root. The import command in Mimics medical 3D reconstruction software was used to erase the irrelevant image data and obtain vertebral body images. The original 3D model of each vertebral body was built by 3D computing function. A three-dimensional finite element model was established to analyze the effect of different surgical methods on the mechanical distribution of the spine after disentomb. The stress distribution of the spine, intervertebral disc, and left and right articular cartilage at L4/L5 stage and the position shift of the fourth lumbar vertebra were analyzed under 7 working conditions of vertical, forward flexion, extension, left and right flexion, and left and right rotation. The results showed that the established model was effective, and the smaller the area of posterior laminar decompression was, the lesser the impact on spinal stability was. The PELD treatment of lumbar disc herniation had little impact on spinal biomechanics and could achieve good long-term biomechanical stability. Combining the clinical experiment method and finite element simulation, using the advantages of finite element software to optimize the design function can provide guidance for the design and improvement of medical devices and has important significance for the study of clinical mechanical properties and biomechanics.
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Smoljan M, Hussein MO, Guentsch A, Ibrahim M. Influence of Progressive Versus Minimal Canal Preparations on the Fracture Resistance of Mandibular Molars: A 3-Dimensional Finite Element Analysis. J Endod 2021; 47:932-938. [PMID: 33774046 DOI: 10.1016/j.joen.2021.03.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 03/14/2021] [Accepted: 03/16/2021] [Indexed: 12/28/2022]
Abstract
INTRODUCTION This study compared the residual tooth strength and stress distribution of a mandibular molar prepared with different variable tapered file systems using finite element analysis (FEA). METHODS Two preaccessed mandibular molar TruTeeth (Endo 3DP; Acadental, Lenexa, KS) were subjected to simulated endodontic treatment in this study. One tooth was instrumented with ProTaper Gold (Dentsply Tulsa Dental Specialties, Tulsa, OK), and the other was instrumented with V-Taper 2H (SS White Dental, Lakewood, NJ). The 2 teeth were scanned using micro-computed tomographic imaging, and stereolithographic surface meshes were developed for FEA. Each model was subjected to a 200-N multipoint load-simulating mastication. The results of the FEA provided quantitative and qualitative measurements for von Mises stress distribution and total deformation. RESULTS The maximum von Mises stress was greater in the ProTaper Gold-prepared model than the V-Taper 2H prepared model. In both models, total deformation values were highest in the clinical crown on the buccal aspect of the tooth. The highest stress values were found in the pericervical dentin, and stress decreased apically through the root. CONCLUSIONS Within the limitations of this study, it can be concluded that the maximum stress values within the tooth prepared by ProTaper Gold were higher than those in the tooth prepared by V-Taper 2H. Canal preparation with the V-Taper 2H system preserves more pericervical dentin, which may increase the resistance to fracture.
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Affiliation(s)
| | - Mostafa Omran Hussein
- Department of Prosthodontic Sciences, College of Dentistry in Ar Rass, Qassim Univesity, Al Qassim, Saudi Arabia
| | - Arndt Guentsch
- Program in Periodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin
| | - Mohamed Ibrahim
- Program in Endodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin; Program in Endodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
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Elleuch S, Jrad H, Kessentini A, Wali M, Dammak F. Design optimization of implant geometrical characteristics enhancing primary stability using FEA of stress distribution around dental prosthesis. Comput Methods Biomech Biomed Engin 2021; 24:1035-1051. [PMID: 33439043 DOI: 10.1080/10255842.2020.1867112] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The main objective of this study was to investigate the influence of implant geometrical characteristics: diameter, length and thread's pitch, on stress distribution around dental prosthesis. A set of numerical simulations using FEM were conducted and responses surfaces were generated. With the aim of optimizing the equivalent stresses responses; desirability function approach was adopted to solve this multi-objective problem. Results showed that implant diameter had most significant influence on generated stresses and high concentration of stresses were identified in the lower part of the implant. This study is helpful in choosing the optimal dental implant for clinical application.
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Affiliation(s)
- Sameh Elleuch
- Laboratory of Electromechanical Systems (LASEM), National Engineering School of Sfax, University of Sfax, Sfax, Tunisia
| | - Hanen Jrad
- Laboratory of Electromechanical Systems (LASEM), National Engineering School of Sfax, University of Sfax, Sfax, Tunisia
| | - Amir Kessentini
- Laboratory of Electromechanical Systems (LASEM), National Engineering School of Sfax, University of Sfax, Sfax, Tunisia.,Department of Mechanical Engineering, College of Engineering, King Khalid University, Abha, Saudi Arabia
| | - Mondher Wali
- Laboratory of Electromechanical Systems (LASEM), National Engineering School of Sfax, University of Sfax, Sfax, Tunisia.,Department of Mechanical Engineering, College of Engineering, King Khalid University, Abha, Saudi Arabia
| | - Fakhreddine Dammak
- Laboratory of Electromechanical Systems (LASEM), National Engineering School of Sfax, University of Sfax, Sfax, Tunisia
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DOGRU SUZANCANSEL, CANSIZ EROL, ARSLAN YUNUSZIYA. A REVIEW OF FINITE ELEMENT APPLICATIONS IN ORAL AND MAXILLOFACIAL BIOMECHANICS. J MECH MED BIOL 2018. [DOI: 10.1142/s0219519418300028] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Finite element method (FEM) is preferred to carry out mechanical analyses for many complex biomechanical structures. For most of the biomechanical models such as oral and maxillofacial structures or patient-specific dental instruments, including nonlinearities, complicated geometries, complex material properties, or loading/boundary conditions, it is not possible to accomplish an analytical solution. The FEM is the most widely used numerical approach for such cases and found a wide range of application fields for investigating the biomechanical characteristics of oral and maxillofacial structures that are exposed to external forces or torques. The numerical results such as stress or strain distributions obtained from finite element analysis (FEA) enable dental researchers to evaluate the bone tissues subjected to the implant or prosthesis fixation from the viewpoint of (i) mechanical strength, (ii) material properties, (iii) geometry and dimensions, (iv) structural properties, (v) loading or boundary conditions, and (vi) quantity of implants or prostheses. This review paper evaluates the process of the FEA of the oral and maxillofacial structures step by step as followings: (i) a general perspective on the techniques for creating oral and maxillofacial models, (ii) definitions of material properties assigned to oral and maxillofacial tissues and related dental materials, (iii) definitions of contact types between tissue and dental instruments, (iv) details on loading and boundary conditions, and (v) meshing process.
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Affiliation(s)
- SUZAN CANSEL DOGRU
- Department of Mechanical Engineering, Faculty of Engineering, Istanbul University, Avcilar, Istanbul 34320, Turkey
| | - EROL CANSIZ
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Capa, Istanbul 34093, Turkey
| | - YUNUS ZIYA ARSLAN
- Department of Mechanical Engineering, Faculty of Engineering, Istanbul University, Avcilar, Istanbul 34320, Turkey
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Sciasci P, Casalle N, Vaz LG. Evaluation of primary stability in modified implants: Analysis by resonance frequency and insertion torque. Clin Implant Dent Relat Res 2018; 20:274-279. [DOI: 10.1111/cid.12574] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 11/16/2017] [Accepted: 11/17/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Plínio Sciasci
- Department of Diagnosis and Surgery; Araraquara Dental School, Unesp - Univ Estadual Paulista; Araraquara São Paulo Brazil
| | - Nicole Casalle
- Department of Dental Materials and Prosthodontics; Araraquara Dental School, Unesp - Univ Estadual Paulista; Araraquara São Paulo Brazil
| | - Luís Geraldo Vaz
- Department of Dental Materials and Prosthodontics; Araraquara Dental School, Unesp - Univ Estadual Paulista; Araraquara São Paulo Brazil
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Verri FR, Cruz RS, de Souza Batista VE, Almeida DADF, Verri ACG, Lemos CADA, Santiago Júnior JF, Pellizzer EP. Can the modeling for simplification of a dental implant surface affect the accuracy of 3D finite element analysis? Comput Methods Biomech Biomed Engin 2016; 19:1665-72. [DOI: 10.1080/10255842.2016.1176156] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Fellippo Ramos Verri
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP – Univ Estadual Paulista, Aracatuba, Brazil
| | - Ronaldo Silva Cruz
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP – Univ Estadual Paulista, Aracatuba, Brazil
| | - Victor Eduardo de Souza Batista
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP – Univ Estadual Paulista, Aracatuba, Brazil
| | - Daniel Augusto de Faria Almeida
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP – Univ Estadual Paulista, Aracatuba, Brazil
| | - Ana Caroline Gonçales Verri
- Department of Pediatric and Community Dentistry, Aracatuba Dental School, UNESP – Univ Estadual Paulista, Aracatuba, Brazil
| | | | | | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP – Univ Estadual Paulista, Aracatuba, Brazil
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Thote AM, Uddanwadiker RV, Sharma K, Shrivastava S. Optimum force system for intrusion and extrusion of maxillary central incisor in labial and lingual orthodontics. Comput Biol Med 2016; 69:112-9. [PMID: 26764877 DOI: 10.1016/j.compbiomed.2015.12.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 12/17/2015] [Accepted: 12/19/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND The objective of the present study was to specify an optimum force system for intrusion and extrusion of maxillary central incisor and to compare the effects of bracket positioning at different heights from the incisal edge in Labial Orthodontics (LaO) and Lingual Orthodontics (LiO). METHODS A mathematical model of maxillary central incisor with normal inclination was developed. Four cases of heights of bracket slot from incisal edge were considered both in LaO and LiO viz. 3mm, 4mm, 5mm and 6mm. Based on a mathematical model, an optimum force system consisting of an intrusive or extrusive force (F) and a moment (M) was devised and moment (M) to force (F) ratio (M:F ratio) was estimated in each case. Then, three-dimensional Computer Aided Design (CAD) models of incisor and surrounding structures were prepared. To validate an optimum force system, finite element analysis was carried out and force system with derived M:F ratio was applied in each case. RESULTS In finite element analysis, results were shown in the form of vector graph of nodal displacements along with undeformed and deformed models. The desired intrusion or extrusion of incisor was observed. Thus, force system devised from a mathematical model was validated with finite element analysis in each case. CONCLUSION To achieve intrusion or extrusion, M:F ratios required in LaO were same i.e. 8:1 for aforementioned heights of bracket slot from incisal edge but different in LiO i.e. 0:1, 1:1, 2:1 and 3:1 for the heights of 3mm, 4mm, 5mm and 6mm respectively.
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Affiliation(s)
- Abhishek M Thote
- Department of Mechanical Engineering, Visvesvaraya National Institute of Technology, Nagpur, Maharashtra, India.
| | - Rashmi V Uddanwadiker
- Department of Mechanical Engineering, Visvesvaraya National Institute of Technology, Nagpur, Maharashtra, India
| | - Krishna Sharma
- Department of Orthodontics, Sharad Pawar Dental College, Wardha, Maharashtra, India
| | - Sunita Shrivastava
- Department of Orthodontics, Sharad Pawar Dental College, Wardha, Maharashtra, India
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Luo X, Yang B, Sheng L, Chen J, Li H, Xie L, Chen G, Yu M, Guo W, Tian W. CAD based design sensitivity analysis and shape optimization of scaffolds for bio-root regeneration in swine. Biomaterials 2015; 57:59-72. [PMID: 25913251 DOI: 10.1016/j.biomaterials.2015.03.062] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Revised: 03/30/2015] [Accepted: 03/31/2015] [Indexed: 02/05/2023]
Abstract
Tooth root supports dental crown and bears occlusal force. While proper root shape and size render the force being evenly delivered and dispersed into jawbone. Yet it remains unclear what shape and size of a biological tooth root (bio-root), which is mostly determined by the scaffold geometric design, is suitable for stress distributing and mastication performing. Therefore, this study hypothesized scaffold fabricated in proper shape and size is better for regeneration of tooth root with approving biomechanical functional features. In this study, we optimized shape and size of scaffolds for bio-root regeneration using computer aided design (CAD) modeling and finite element analysis (FEA). Statical structural analysis showed the total deformation (TD) and equivalent von-mises stress (EQV) of the restored tooth model mainly concentrated on the scaffold and the post, in accordance with the condition in a natural post restored tooth. Design sensitivity analysis showed increasing the height and upper diameter of the scaffold can tremendously reduce the TD and EQV of the model, while increasing the bottom diameter of scaffold can, to some extent, reduce the EQV in post. However, increase on post height had little influence on the whole model, only slightly increased the native EQV stress in post. Through response surface based optimization, we successfully screened out the optimal shape of the scaffold used in tissue engineering of tooth root. The optimal scaffold adopted a slightly tapered shape with the upper diameter of 4.9 mm, bottom diameter of 3.4 mm; the length of the optimized scaffold shape was 9.4 mm. While the analysis also suggested a height of about 9 mm for a metal post with a diameter of 1.4 mm suitable for crown restoration in bio-root regeneration. In order to validate the physiological function of the shape optimized scaffold in vivo, we transplanted the shape optimized treated dentin matrix (TDM) scaffold, seeding with dental stem cells, into alveolar bone of swine and further installed porcelain crown. Results showed that tooth root has not only been successfully regenerated histologically but also performed masticatory function and maintained stable for three months after crown restoration. Our results suggested that TDM scaffold with 9.4 mm in length and 4.9 mm/3.4 mm in upper/bottom diameter is a suitable biological scaffold for tooth root regeneration. These results also provided a recommendable design protocol for fabricating other scaffolds in tooth root reconstruction.
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Affiliation(s)
- Xiangyou Luo
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Bo Yang
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Lei Sheng
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Jinlong Chen
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Hui Li
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Li Xie
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Gang Chen
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Mei Yu
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China
| | - Weihua Guo
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Pedodontics, West China College of Stomatology, Sichuan University, No.14, 3rd Section, Renmin South Road, Chengdu 610041, PR China.
| | - Weidong Tian
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China; Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China.
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