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Study design:   A finite element method used to virtually analyze the distribution of stresses in human mandible.Objective:   The aim of this study was to evaluate the distribution of stresses in 1 customized and 2 non-customized plates used in simulated procedures of mandibular advancement and rigid fixation after bilateral sagittal split osteotomy of the mandibular ramus.Methods:   The model used was obtained from a tomograph of an 18-year-old patient, and the simulation involved advancing the mandibular body by 4.75 mm. The plates used were Osteomed, double-row medium; Stryker, standard straight; and Traumec, custom-machined double straight. Virtual models of the mandible and the installed plates were generated and submitted to finite element analysis. Two 100-N loads, 1 anterior and 1 posterior, were applied perpendicular to the occlusal plane.Results:   In the Osteomed and Traumec plate models, the stress peaks occurred near the separation zone of the mandible, adjacent to the connections. In the Stryker plate model, the stress peak occurred in the region between the screws.Conclusions:   The Stryker plate was associated with the lowest risk of compromising bone repair, followed by the Traumec and Osteomed plates. Stress concentration was related to plate length and to the existence of a connection between the upper and lower portions of the fixation used.

Stress Generated in Customized Versus Non-Customized Rigid Fixation Plates in a Simulation of Mandibular Advancement