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Abstract—The aim of this work is to modelize the occlusion of a provided some indicators of membership of the progress of
person with temporomandibular disorders as an evolutionary equation some of the factors of the disorder from which the test
and approach its solution by the construction and characterizing subject can be affected. Because of the lack of graphical
of discrete variational splines. To formulate the problem, certain
boundary conditions have been considered. After showing the or visual components of the developed classic systems from
existence and the uniqueness of the solution of such a problem, a which patients does not look identified, it was necessary to
convergence result of a discrete variational evolutionary spline is build a prototype human jaw, using CAD, adaptable to any
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shown. A stress analysis of the occlusion of a human jaw with individual state in despite of the state of the disorder, in order
temporomandibular disorders by finite elements is carried out in to achieve a better diagnosis thereof. This objective required
FreeFem++ in order to prove the validity of the presented method.
the coupling of some components as physical forces, material
Keywords—Approximation, evolutionary PDE, finite element properties, and, in particular, the geometry of the curves used
method, temporomandibular disorders, variational spline. in its two-dimensional design for forming solid from numerous
scans of a patient.
I. I NTRODUCTION The structure of this study will be as follows: In the second
section, we are going to study the Mathematical modeling
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are performed. In the fourth section, after introducing the pterygoid (SP) and anterior digastric (AD)), each
physical properties of the mandible in its constitutive version, separately, denoted by ΓM (see Table I).
the analysis of forces in the temporomandibular joint, and ΓC admits two parts: the upper side of the left condyle ΓcC
the explanation of each force used in the simulation we will and the upper side of the molar Γm C (see [13], [14]). ΓD will
show the results brought by the programming the previous not be partitioned because in clenching the right condyle is
algorithm in a suitable software to support the paper. Some always in contact with the maxillary. Then, Γ can be written
simulations are made in order to construct, by variational as Γ = (ΓcC ∪ Γm C ) ∪ ΓD ∪ ΓM .
methods with mesh, the mathematical model of occlusion of For each point of the jaw we consider the displacement
a patient with temporomandibular disorders, and the analysis vector u(x) = (ui (x)), where ui (x) denotes the displacement
of deformation and displacements to compare the obtained of x in the direction OXi , for each i = 1, . . . , 3.
results with dental expected results by experts as can be We do not attempt to consider the weight of the jaw in this
seen in [5]. Finally, we will present the conclusions of the model because it does not have very influence on deformation
analysis focusing on the similarity of the numerical results that (see [15]); hence, the components of the traction vector that
contrasts the assumptions made in this paper suggesting that its we consider on ΓM are gi , i = 1, . . . , 3 (see [16]).
improvement under more realistic assumptions can serve for Due to elastic properties of the bone we consider
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TABLE I
M AGNITUDES OF M USCLE L OADS U SED IN FE M ODEL OF U NILATERAL R IGHT M OLAR C LENCHING T YPE (RMOL) [10]
NODES FACTOR MAGNITUDES-RMOL (for composing fuzzy f ) DIRECTION COSINES (for composing fuzzy g)
R L R L [N] R L R L
SCALE W X Y Z X Y Z X Y Z X Y Z
SM 59 59 0.72 0.60 190.4 -0.48 2.05 0.97 0.40 1.71 0.81 -0.20 0.88 0.41 0.20 0.88 0.41
DM 38 38 0.72 0.60 81.6 -0.84 1.17 -0.55 0.70 0.97 -0.46 -0.54 0.75 -0.35 0.54 0.75 -0.35
MP 44 43 0.84 0.60 174.8 1.62 2.63 1.24 -1.18 1.92 0.90 0.48 0.79 0.37 -0.48 0.79 0.37
AT 43 40 0.73 0.58 158.0 -0.40 2.65 0.11 0.34 2.26 0.10 -0.14 0.98 0.04 0.14 0.98 0.04
MT 18 18 2.97 -1.77 0.78 0.66 0.67 95.6 -0.77 2.93 -1.75 -0.22 0.83 -0.50 0.22 0.83 -0.50
PT 15 15 0.59 0.39 75.6 -0.62 1.41 -2.54 0.41 0.93 -1.68 -0.20 0.47 -0.85 0.20 0.47 -0.85
IP 5 5 0.30 0.65 66.9 2.52 -0.69 3.03 -5.47 -1.51 6.58 0.63 -0.17 0.75 -0.63 -0.17 0.75
SP 4 4 0 0 28.7 0 0 0 0 0 0 0.76 0.07 0.64 -0.76 0.07 0.64
AD 8 8 0 0 40.0 0 0 0 0 0 0 -0.24 -0.23 -0.94 0.24 -0.23 -0.94
Eν ∂uk
∂xj σij = + δij +
j=1 (1 + ν)(1 − 2ν) 2 ∂xk ∂xk
k=1 (2)
u = 0 on ΓD ,
3 E 1 ∂uj ∂ui
+ ,
σij (u)nj = gi on ΓM , i = 1, . . . , 3, 1 + ν 2 ∂xi ∂xj
j=1
⎧ Eν E
⎪
⎪
3
3
3 if we denote λ = ,μ= , by using
⎪
⎪ un = ui ni ≤ 0, σn = σij ni nj ≤ 0, (1 + ν)(1 − 2ν) 2(1 + ν)
⎪
⎪ (2), we deduce that
⎪
⎨ i=1 i=1 j=1
un σn = 0, ⎧
3
⎪
⎪ ⎪
⎪ ∂uk ∂ui
⎪
⎪ 3 ⎪
⎪ + 2μ , if i = j,
⎪
⎪ = σij nj − σn ni = 0, i = 1, . . . , 3, on ΓC . ⎨λ ∂xk ∂xi
⎪
⎩ στ i σij = k=1
j=1 ⎪ ∂u
⎪
⎪
⎪ j ∂ui
If we consider the inertial effect of acceleration and the ⎩μ + , if i = j.
∂xi ∂xj
condition that the outer normal vector at a point on the surface
is constant with respect to time and varies only according to Applying derivatives to σij this implies
its position during a short interval of time [0, T ], T > 0, then
⎧ ⎛ ⎞
the problem (2)-(II-A) can be stated as follows.
⎪ 3 2
2
⎪
⎪ ∂ u j ∂ ui
⎪
⎪ λ ⎝ ⎠ + 2μ , if j = i,
B. The Problem ∂σij ⎨ ∂x i ∂x j ∂x2i
j=1
=
Find u : Ω × [0, T ] → R3 , with u(x, t) = (ui (x, t)), ∂xj ⎪
⎪
⎪
⎪ ∂ 2 uj ∂ 2 ui
i = 1, . . . , 3, such that: ⎪
⎩μ ∂x ∂x + ∂x2 , if j = i.
3 i j j
∂σij ∂ 2 ui
(u(x, t)) = ρ (x, t) in Ω × [0, T ],
j=1
∂xj ∂t2 which means
u(x, t) = 0, on ΓD × [0, T ], ⎧ 3
⎪
⎪ ∂ 2 ui ∂ 2 uj
3
⎪
⎪ λ + λ +
σij (u(x, t))nj (x) = gi (x, t), on ΓM × [0, T ], ⎪
⎪ ∂xi 2 ∂xi ∂xj
⎪
⎪ j = i
⎪
j=1 ⎨ ∂2u
⎪ 3
∂ 2 uj
⎧ ∂σij
= μ
i
+ μ , if j = i,
⎪
⎪ u (x, t) ≤ 0, σn (x, t) ≤ 0, un (x, t)σn (x, t) = 0, ∂xj ⎪ ∂xi 2 ∂x2i
⎨ n ⎪
⎪ j=i
στ (x, t) = 0, on ΓC × [0, T ], ⎪
⎪
⎪
⎪
⎪
⎪ ∂u ⎪
⎪ ∂ 2 uj ∂ 2 ui
⎩u(x, 0) = 0, (x, 0) = 0, in Ω. ⎪μ
⎩ + μ 2 , if j = i.
∂t ∂xi ∂xj ∂xj
For each i = 1, . . . , 3, we have to solve the set of partial
differential equations: and consequently
∂ 2 ui
3
∂σij ⎧ 3 2
ρ = (u). ⎪ ∂ 2 ui ∂ 2 uj ∂ ui
∂t2 ⎪
⎪ (λ + μ) 2 + λ +μ ,
∂xj ⎪
⎪ ∂x2i
j=1 ⎪
⎨ ∂x i j=i
∂x i ∂x j
∂σij
From (1) we have = ifj = i,
∂xj ⎪
⎪
Eν
3
E ⎪
⎪ ∂ 2 uj ∂ 2 ui
σij = kk (u) δij + (ij ), ⎪μ
⎪ + μ 2 , if j = i.
⎩
(1 + ν)(1 − 2ν) 1+ν ∂xi ∂xj ∂xj
k=1
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∂σij
By adding the derivatives , for each j = 1, . . . , 3 we have III. P ROPOSED M ETHODOLOGY
∂xj
A. The Proposed Method: Hananel’s Method
3 2 3 2
∂σij ∂ ui ∂ uj To solve the previous problem we follow two steps, first we
=(λ + μ) 2 + λ + split (3) obtaining
j=1
∂x j ∂x i j=1
∂x i ∂x j ⎧ 2
j=i ⎪
⎪ ∂ u1 ∂ 2 u1 ∂ 2 u1 ∂ 2 u1
⎪
⎪ ρ = μ( + + )+
3
∂ 2 uj ∂ 2 ui 3
∂ 2 ui ⎪
⎪ ∂t2 ∂x21 ∂x22 ∂x23
μ +μ 2 +μ , ⎪
⎪ 2 2
∂ 2 u3
2 ⎪
⎪ ∂ u1 ∂ u2
∂xi ∂xj ∂xi ∂xj ⎪
⎪ (λ + μ) + +
j=1 j=1 ⎪
⎪ ∂x21 ∂x1 ∂x1 ∂x1 ∂x3
j=i j=i ⎪
⎪
⎪
⎪
⎪
⎪ 2
∂ u2 2
∂ u2 2
∂ u2 2
∂ u2
since ⎪
⎨ρ 2 = μ(
∂t ∂x 2 + ∂x2 + ∂x2 )+
3 1 2 3 (4)
∂σij ⎪ ∂ 2 u1 ∂ 2 u2 ∂ 2 u3
= ⎪
⎪ (λ + μ) + +
∂xj ⎪
⎪ ∂x22
j=1 ⎪
⎪
∂x1 ∂x2 ∂x2 ∂x3
⎛ ⎞ ⎪ ⎪
⎪
⎪ ∂ 2 u3
⎪ ∂ 2 u3 ∂ 2 u3 ∂ 2 u3
⎪
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2
∂ ui 3 2
∂ uj ⎜ 3 2
∂ uj 2 ⎟ ⎪
⎪
∂ ui ⎟ ⎪ ∂t2 ρ = μ( + + )+
(λ + μ) 2 + (λ + μ) + μ⎜ + , ⎪ ∂x21 ∂x22 ∂x23
⎝ ⎠ ⎪
⎪ 2 2
∂xi ∂xi ∂xj ∂xj 2 ∂xi2
⎪
⎪ ∂ u1 ∂ u2 ∂ 2 u3
j=1 j=1 ⎩ (λ + μ) + +
j=i j=i ∂x1 ∂x3 ∂x2 ∂x3 ∂x23
we obtain and second, we shall consider this system as constructed with
⎛ ⎞ a double differential operator in such way that:
3 3 3
⎛ ⎞
∂σij ⎜ ∂ 2 uj ∂ 2 ui ⎟ ∂ 2 ui u1 (x, t)
= (λ + μ) ⎜
⎝ + 2
⎟+μ
⎠ , u = ⎝ u2 (x, t) ⎠ x−→
∂ (1,0,0)
j=1
∂xj j=1
∂xi ∂xj ∂xi j=1
∂x2j
j=i
u3 (x, t)
⎛ ⎞ ⎛ 2 ⎞
∂u1 ∂ u1
or equivalently (x, t) ⎜ ∂x2 (x, t) ⎟
⎜ ∂x1 ⎟
⎜ ⎟ (1,0,0) ⎜ ⎜ ∂2u
1 ⎟
⎟
3
3 3 ⎜ ∂u2 ⎟ ∂x ⎜ ⎟
∂σij ∂ 2 uj ∂ 2 ui ⎜ ⎟ 2
= (λ + μ) +μ , ⎜ ∂x (x, t) ⎟ −→ ⎜ ⎜ ∂x 2 (x, t) ⎟ ,
⎟
∂xj ∂xi ∂xj ∂x2j ⎜ 1 ⎟ ⎜ 21 ⎟
j=1 j=1 j=1 ⎝ ∂u ⎠ ⎝ ⎠
3 ∂ u3
or (x, t) 2 (x, t)
∂x1 ∂x1
⎛ ⎛ ⎞⎞
3
3
and by multiplying it by a matrix of the form
∂σij ∂ ⎝ ∂uj ⎛ ⎞
= (λ + μ) ⎝ ⎠⎠ + μΔui , (3) μ + (μ + λ) 0 0
j=1
∂xj ∂xi j=1 ∂xj
a(1,0,0),(1,0,0) = ⎝ 0 μ 0 ⎠
it turns out from the divergence of a vector that 0 0 μ
3 we obtain ⎛ ⎞
∂σij ∂ ∂ 2 u1
= (λ + μ) divu + μΔui . ⎜ (μ + (λ + μ)) (x, t) ⎟
∂xj ∂xi ⎜ ∂x21 ⎟
j=1 ⎜ ⎟
⎜ ∂ 2 u2 ⎟
Thus, for each i = 1, . . . , 3 the system becomes ⎜ μ (x, t) ⎟
⎜ ∂x21 ⎟
⎜ ⎟
∂ 2 ui ∂ ⎝ ∂ 2 u3 ⎠
ρ = (λ + μ) (divu) + μΔui , μ (x, t)
∂t 2 ∂xi ∂x21
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and by multiplying it by a matrix of the form which is equal to the following components of a vector
⎛ ⎞ 3 2
μ 0 0 ∂ 2 u1 ∂ u1 ∂ 2 u2 ∂ 2 u3
a(0,1,0),(0,1,0) = ⎝ 0 μ + (μ + λ) 0 ⎠ , μ
∂x2i
+ (λ + μ)
∂x21
+
∂x1 ∂x1
+
∂x1 ∂x3
0 0 μ i=1
3
∂ 2 u2 2
∂ u1 2
∂ u2 ∂ 2 u3
we obtain ⎛ ⎞ μ + (λ + μ) + +
∂ 2 u1 ∂x2i ∂x1 ∂x2 ∂x22 ∂x2 ∂x3
μ (x, t) i=1
⎜ ∂x22 ⎟ 3
∂ u32 2 2
∂ 2 u3
⎜ ⎟ + (λ +
∂ u1
+
∂ u2
+
⎜ ∂ 2 u2 ⎟ μ μ)
⎜ ⎟ ∂x2i ∂x1 ∂x3 ∂x2 ∂x3 ∂x23
⎜ (μ + (λ + μ)) (x, t) ⎟ i=1
⎜ ∂x22 ⎟ (8)
⎜ ⎟
⎝ ∂ 2 u3 ⎠ considering the vector
μ (x, t) ⎛ ⎞
∂x23 ∂ 2 u1
ρ 2
which can be defined as ⎜ ∂t ⎟
⎜ ⎟
⎜ ∂ 2 u2 ⎟
a(0,1,0),(0,1,0) ∂x(0,1,0) (∂x(0,1,0) u(x, t)). (6) ⎜ ρ ⎟ (9)
⎜ ∂t2 ⎟
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⎜ ⎟
⎝ ⎠
Similarly, ∂ 2 u3
⎛ ⎞ ρ 2
u1 (x, t) ∂t
∂ (0,0,1)
u = ⎝ u2 (x, t) ⎠ x−→ and by comparing (8) and (9), we obtain (4) that can be written
u3 (x, t) as
⎛ ⎞ ⎛ ⎞
∂u1 ∂ 2 u1 ρutt = (λ + μ)∇divu + μΔu,
(x, t) ⎜ (x, t) ⎟
⎜ ∂x3 ⎟ ⎜ ∂x23 ⎟
⎜ ⎟ (0,0,1) ⎜ ⎟ which is the linear system consisting of equations
⎜ ∂u2 ⎟ ∂x ⎜ ∂ 2 u2 ⎟
⎜ ⎟
⎜ ∂x (x, t) ⎟ −→ ⎜
⎜ ∂x23
(x, t) ⎟,
⎟ ∂t (ρ∂t u(x, t)) = ρ∂tt u(x, t) = aij ∂xj (∂xi u(x, t)),
⎜ 3 ⎟ ⎜ ⎟
⎝ ∂u ⎠ ⎝ ⎠ |i|,|j|=1
3 ∂ 2 u3
(x, t) (x, t)
∂x3 ∂x23 therefore there exists a variational problem
and by multiplying it by a matrix of the form Lt u(x, t) + Lx u(x, t) = 0, x ∈ Ω, t ∈ (0, T ),
⎛ ⎞
μ 0 0 where Lx : Ω → L2 (Ω × (0, T )) × H 2 ((0, T )) is a differential
a(0,0,1),(0,0,1) = ⎝ 0 μ 0 ⎠
operator given by
0 0 μ + (μ + λ)
we obtain Lx u(x, t) = − aij ∂xj (∂xi u(x, t)), x ∈ Ω, t ∈ (0, T ),
⎛ ⎞ |i|,|j|=1
∂ 2 u1
⎜ (μ + (λ + μ)) (x, t) ⎟ where aij ∈ C |j| (Ω) and aij = aji for all |i|, |j| ≤ 1, and ∂xi
⎜ ∂x23 ⎟
⎜ ∂ 2 u2 ⎟ is a partial derivative of order |i| with respect to x, similarly,
⎜ ⎟
⎜ μ (x, t) ⎟, Lt : H 1 (Ω × (0, T )) → Ω × L2 ((0, T )) is an differential
⎜ ∂x23 ⎟
⎜ ⎟ operator given by
⎝ ∂ 2 u3 ⎠
(μ + (λ + μ)) (x, t)
∂x23 Lt u(x, t) = ∂t (ρ∂t u(x, t)) = ρ∂tt u(x, t), x ∈ Ω, t ∈ (0, T ),
which can be defined as with ρ ∈ R, which is a problem with the same boundary
conditions of Problem (II-B), in consequence to solve this
a(0,0,1),(0,0,1) ∂x(0,0,1) (∂x(0,0,1) u(x, t)). (7)
problem becomes to solve the Problem:
Overall process is similar to that used for finding (7). For more ⎧
⎪
⎪ Lt u(x, t) + Lx u(x, t) = 0, x ∈ Ω, t ∈ (0, T ),
details on obtaining this equation and the rest of the proof, see ⎪
⎪
Appendix (A). ⎨u(x, 0) = 0, x ∈ Ω,
If we denote by H 1 (Ω) the Sobolev space of order 1 ∂u
⎪
⎪ (x, 0) = 0, x ∈ Ω,
of continuous classes of functions u ∈ L2 (Ω), with weak ⎪
⎪
⎩ ∂t
derivatives ∂ i u, of order 1, |i| ≤ 1, for any i = (i1 , i2 , i3 ) ∈ u(x, t) = g(x, t), x ∈ Γ, t ∈ (0, T ).
∂ |i| u (10)
N3 , |i| = i1 + i2 + i3 and ∂xi u(x) = , for any To solve the problem we follow two steps, first we solve the
∂x1 ∂xi22 ∂xi33
i1
problem by discretizing with respect to time, i.e. the variable
x = (x1 , x2 , x3 ) ∈ Ω.
t, this means we take an uniform partition {t0 = 0 < t1 <
Instead of writing the sum of the expressions: (5)-(7),
· · · < TR = T } of [0, T ], and second, for each i = 1, . . . , R,
(16)-(21) it is convenient to write
we treat to find an unique solution by discretizing the position,
aij ∂xj (∂xi u(x, t)) depending on i, i.e. the variable x, this means we take a
|i|,|j|=1 partition of Ω.
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Now, we consider an uniform partition {t0 = 0 < t1 < points of Γ, none of which is a geometric vertex of Ω;
m
• a data vector β = (β1 , . . . , βm ) ∈ R ;
· · · < TR = T } of [0, T ] of diameter s = ti − ti−1
• a finite dimensional space Xh made up over a partition
for i = 1, . . . , R. Let i ∈ {1, . . . , R} fixed, we are going
to approximate the derivatives of the functions u by finite Th of Ω verifying that the length of Th ≤ h and h → 0
difference in each ti . So, we have as dim(Xh ) → +∞.
• For each non-negative h, Xh will be a finite element
u(x, ti + s) − u(x, ti ) space.
ut (x, ti ) ≈ .
s If Ω is not poligonal, we approximate Ω by Ωh for each h ∈
Then, for each i = 1, . . . , R − 1, and each x ∈ Ω the H, in such way that lim Ω \ Ωh = 0 and we construct Th
differential operator Lt becomes h→0
over Ωh .
Lt u(x, ti ) = We define the operator ρ : H 1 (Ω) → Rm , given by ρ(v) =
Nh
u(x, ti + 2s) − u(x, ti + s) u(x, ti + s) − u(x, ti ) (v(a j ))1≤j≤m , the convex set Hi = {v ∈ Xh : v(bj ) =
ρ −ρ g(bj , ti ), j = 1, . . . , N }, the vectorial subspace H0N h = {v ∈
s s , Xh : v(bj ) = 0, j = 1, . . . , N } and τ v = (v(bj ))j=1,...,N .
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s
Then, we suppose that
which is equivalent to consider
u(x, ti + 2s) − 2u(x, ti + s) + u(x, ti ) ker ρ ∩ P0 (Ω) = {0}.
Lt u(x, ti ) = ρ
s2 Definition 1. We say that σhi is a discrete variational
Hence, to solve the problem (10) becomes to solve i variational evolutionary PDE spline associated with Lix , B N , Ar , β y
problems, for i, . . . , R − 1, > 0, if σhi is a solution of the problem
⎧
⎪
⎪ Lt u(x, ti ) + Lx u(x, ti ) = 0, x ∈ Ω, σhi ∈ HiN h ,
⎪
⎨u(x, 0) = 0, x ∈ Ω, (13)
∀v ∈ HiN h , Ji (σhi ) ≤ Ji (v),
⎪
⎪ut (x, 0) = 0, x ∈ Ω,
⎪
⎩ where Ji is the functional defined on H 1 (Ω) by
u(x, ti ) = g(x, ti ), x ∈ Γ.
2
Ji (v) = ρ(v) − β
m + (|v|2x,i ),
C. Discretizing in Space
where is a non-negative real number.
Now, for each i = 1, . . . , R − 1, let us consider the
differential operator defined in H 2 (Ω×(0, T )) by (Li u)(x) = The next result shows the uniqueness of Problem (13).
x
Lx u(x, ti ) and the differential operator defined in H 1 (Ω × Theorem 1. Problem (13) admits a unique solution which
(0, T )) by (Lit u)(x) = Lt u(x, ti ). Moreover, we define is also the unique solution of the variational problem: find
σhi ∈ HiN h such that
(u, v)x,i = (aij (·)∂xi u(·, ti ), ∂xj v(·, ti ))0,Ω +
i
|i|,|j|≤n ∀v ∈ H0N h , ρσh , ρv m + (σhi , v)x,i = β, ρv
m .
ρ(∂t u(ti , ·), ∂t v(ti , ·))0,Ω
See Appendix (B) for proof.
and we assume that
Theorem 2. There exists a unique (σhi , λ) ∈ HiN h × RN such
(ξ i )t aij ξ j ≥ 0, ∀x ∈ Ω, (11) that
|i|,|j|=0 i
ρσh , ρv m + (σhi , v)x,i + τ v, λ
N = β, ρv
m , (14)
and that there exists ν > 0 such that
2
for all v ∈ HiN h , where σhi is the unique solution of Problem
(ξ i )t aij ξ j ≥ ν ξ
2 , ∀x ∈ Ω, (12) (13).
|i|,|j|=1
See Appendix (C) for proof.
for all ξ = (ξ1 , ξ2 , ξ3 ) ∈ R3 , where ξ i = ξ1i1 ξ2i2 , for any
i = (i1 , i2 , i3 ) ∈ N3 .
Due to (12), the differential operator Lix is said to be strongly D. Discrete Solution in Space
elliptic on Ω. We are now going to obtain for each i = 1, . . . , R, the
It can be shown that according to the hypotheses (11)-(12) the expression of the discrete variational spline σhi .
bilinear form (·, ·)x,i defines a semi-inner product on H 1 (Ω × We set h and we consider a partition Th of rectangles of Ω,
(0, T )) whose associated semi-norm is denoted by |u|x,i = such that the points of B N are knots of Th . We number the
1
(u, u)x,i
2
. basis functions of Xh by {w1 , . . . , wl }. We can then express
I
Suppose are given:
σhi as the linear combination σhi (x) = γj wj (x), and if
r
• an ordered set A = {a1 , . . . , am } of m = m(r) ≥ 0 j=1
distinct points of Ω; we calculate the unknown coefficients γj , we then have the
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Let Δ = (n+2)!
n!2! be the dimension of Pn , with Pn designs the
space of polynomial functions of total degree n defined in Ω.
Then we have the following useful result.
Theorem 3. Suppose that Ω ⊂ R3 is an open set with
Lipschitz-continuous boundary. Let Δ0 = {a01 , . . . , a0Δ } be
a Pn−1 -unisolvent set of points of Ω, with n ≥ 1. Then, there Fig. 1 Acquisition of CT scans and mandibular reconstruction
exists η > 0 such that, if Tn denotes the set of Δ-uplas
G = {a1 , . . . , aΔ } of points of Ω that verify the condition The system H processed the registration information and
determined through the membership function of a fuzzy
∀j = 1, . . . , Δ, aj − a0j
2 ≤ η,
set related to the eleven factors of the Factorial Analysis
the application applied to the database sample and having a dental detailed
⎛ ⎞ 12 interpretation (see [3]). For modeling the biomechanics of
Δ the jaw: the involved muscles, the physical properties and
[[v]]Δ
n
0
=⎝ |v(aj )|2 + |v|2x,i ⎠ , the fuzzy components over the defined forces on muscles we
j=1 used MATLAB. To present the necessary conditions for the
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TABLE II
M ANDIBULAR S URFACES AND A SSOCIATED TMD FACTORS B. Stress and Deformation Analysis: Interpretation of
NR Mandibular section Lat Pos Affected factor(s) Results
2 Mandibular body F3,11
3 Ramus L F2 To facilitate the visualization of the results we use
4 Condyle L F1−4,6−7,10 FreeFem++ where colorbar values in the figures correspond to
5 Apophysis L F9 the intensity of the incidence of the stresses and displacements
6 Ramus R F2
8 Condyle R F1−4,6−7,10 on jaw movement of a patient with TMD. This analysis makes
10 Apophysis R F9 it clear that every deformation of the jaw is not serious because
11 Central incisor R Lw F5,9 it is difficult to fracture by a simple clenching even in patients
12 Central incisor L Lw F5,9
13 Lateral incisor L Lw F5,9 with TMD (Fig. 2).
15 Lateral incisor R Lw F5,9
16 Canine R Lw F2,9
17 Canine L Lw F2,9
22 First premolar R Lw F9
24 First premolar L Lw F9
25 Second premolar L Lw F9
27 Second premolar R Lw F9
F9
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29 First molar L Lw
30 Mesial lingual cusp (*) L Lw F9
33 Vestibular cusp (*) L Lw F9
34 Mesial buccal cusp (*) L Lw F9
35 Disto vestibular cusp (*) L Lw F9
36 Disto lingual cusp (*) L Lw F9
37 First molar R Lw F9
38 Second molar L Lw F8−9
40 Second molar R Lw F8−9
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⎜ (x, t) ⎟ ⎜ (x, t) ⎟,
⎜ ∂x1 ⎟ ⎜ ∂x1 ∂x3 ⎟
⎝ ⎠ ⎜ ⎟
Fig. 7 Condylar branches affected with heterogeneous values ∂u3 ⎝ ∂ 2 u3 ⎠
(x, t) (x, t)
∂x1 ∂x1 ∂x3
with
⎛ 1 ⎞
0 0 (λ + μ)
⎜ 2 ⎟
a(1,0,0),(0,0,1) = ⎜
⎝ 0 0 0 ⎟
⎠
1
(λ + μ) 0 0
2
having ⎛ ⎞
1 ∂ 2 u2
⎜ (λ + μ) (x, t) ⎟
⎜ 2 ∂x1 ∂x2 ⎟
⎜ ⎟
⎜ 0 ⎟
⎜ ⎟
⎜ ⎟
⎝ 1 ∂ 2 u1 ⎠
(λ + μ) (x, t)
2 ∂x1 ∂x2
and denoted by
Fig. 8 Incisors as variables not considered in TMD a(1,0,0),(0,0,1) ∂x(0,0,1) (∂x(1,0,0) u(x, t)). (17)
and the same for
⎛ ⎞ ⎛ ⎞
match with those expected by experts in previous studies. ∂u1 ∂ 2 u1
(x, t) ⎜ (x, t) ⎟
Hence, we consider the presented variational method as a valid ⎜ ∂x2 ⎟ ⎜ ∂x2 ∂x3 ⎟
⎜ ⎟ (0,0,1) ⎜ ⎟
tool to solving many PDEs. ∂ (0,1,0) ⎜ ∂u2 ⎟ ∂x ⎜ ∂ 2 u2 ⎟
u x−→ ⎜ ⎜ ∂x (x, t)
⎟ −→
⎟ ⎜ (x, t) ⎟,
⎜ 2 ⎟ ⎜ ∂x2 ∂x3 ⎟
A PPENDIX ⎝ ∂u ⎠ ⎜ ⎟
3 ⎝ ∂ 2 u3 ⎠
A. Proof of the Method (Final Part) (x, t) (x, t)
∂x2 ∂x2 ∂x3
:
⎛ ⎞ ⎛ ⎞ with
∂u1 ∂ 2 u1 ⎛ ⎞
(x, t) ⎜ (x, t) ⎟ 0 0 0
⎜ ∂x1 ⎟ ⎜ ∂x1 ∂x2 ⎟
⎜ ⎟ (0,1,0) ⎜ ⎟ ⎜ 1 ⎟
(1,0,0) ⎜
∂x ∂u2 ⎟ ∂x ⎜ ∂ 2 u2 ⎟ a(0,1,0),(0,0,1) = ⎜ 0 0 (λ + μ) ⎟ ,
u −→ ⎜ ⎜ (x, t) ⎟ −→
⎟ ⎜ (x, t) ⎟, ⎝
1
2 ⎠
⎜ ∂x1 ⎟ ⎜ ∂x1 ∂x2 ⎟
⎝ ⎠ ⎜ ⎟ 0 (λ + μ) 0
∂u3 ⎝ ∂ 2 u3 ⎠ 2
(x, t) (x, t)
∂x1 ∂x1 ∂x2 obtaining ⎛ ⎞
with a factor 0
⎛ ⎞ ⎜ ⎟
1 ⎜ ⎟
0 (λ + μ) 0 ⎜ 1 ∂ 2 u3 ⎟
⎜ 2 ⎟ ⎜ (λ + μ) (x, t) ⎟
⎜ 2 ∂x2 ∂x3 ⎟
a(1,0,0),(0,1,0) = ⎜ 1
⎝ (λ + μ) 0
⎟
0 ⎠
⎜ ⎟
⎝ 1 ∂ 2 u2 ⎠
2 (λ + μ) (x, t)
0 0 0 2 ∂x2 ∂x3
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⎛ 1 ⎞ we have ⎛ ⎞
0 (λ + μ) 0 0
⎜ 2 ⎟ ⎜ ⎟
a(0,1,0),(1,0,0) = ⎜ 1
⎝ (λ + μ) 0 0 ⎠
⎟ ⎜ ⎟
2 ⎜ 1 ∂ 2 u3 ⎟
⎜ (λ + μ) (x, t) ⎟
0 0 0 ⎜ 2 ∂x2 ∂x3 ⎟
⎜ ⎟
⎝ 1 2
∂ u2 ⎠
we have ⎛ ⎞ (λ + μ) (x, t)
1 ∂ 2 u2 2 ∂x2 ∂x3
⎜ (λ + μ) (x, t) ⎟
⎜ 2 ∂x1 ∂x2 ⎟ which can be denoted by
⎜ ⎟
⎜ 1 ∂ 2 u1 ⎟ a(0,0,1),(0,1,0) ∂x(0,1,0) (∂x(0,0,1) u(x, t)). (21)
⎜ (λ + μ) (x, t) ⎟
⎝ 2 ∂x1 ∂x2 ⎠
0
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Let σhi be the solution (13). Then, by Theorem 1, we have In the same way we obtain from (22)
σhi ∈ HiN h and 2
i ρ(σhi − ui ) m ≤ (|ui |2x,i )
ρσh , ρw m + (σh , w)x,i = β, ρw
m ,
or equivalently
by substituting and by linearity, we obtain 2
ρ(σhi − ui ) m
≤ (|v|2x,i )
β, ρv
m = ρσhi , ρv m + (σhi , v)x,i +
and again using (24) we obtain
N
2
β − ρσhi , ρwj m
− (σhi , wj )x,i v(bj ). ρ(σhi − ui ) m ≤ (|ui |2x,i + 2(σ̃, σhi − ui )x,i )
j=1
or
If we denote λ = β − ρσhi , ρwj m − (σhi , wj )x,i j=1,...,N , 2
ρ(σhi − ui ) m
≤ (|ui |2x,i − 2(σ̃, ui )x,i + 2(σ̃, σhi )x,i ). (26)
then we conclude that
i We know that
ρσh , ρv m + (σhi , v)x,i + λ, τ v
N = β, ρv
m ,
2(σ̃, σhi )x,i ≤ |σ̃|2x,i + |σhi |2x,i .
and (14) is verified. Now, we suppose that there exists λ, λ ∈
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RN such that (σhi , λ) and (σhi , λ) verify (14). Then Then, by (26) we deduce
i 2
ρσh , ρv m + (σhi , v)x,i + λ, τ v
N = β, ρv
m , ρ(σhi − ui ) m ≤ (|ui |2x,i − 2(σ̃, ui )x,i + |σ̃|2x,i + |σhi |2x,i )
i
ρσh , ρv m + (σhi , v)x,i + λ, τ v N = β, ρv
m , but the last term in the right side of the inequality is bounded
by (25) and ui and σ̃ are fixed functions. This implies
and, by substracting, we have λ − λ, τ v N = 0, ∀v ∈ HiN h ,
2
from which we derive λ = λ and, hence, the uniqueness of ρ(σhi − ui ) m = O(). (27)
(σhi , λ).
Let Δ0 = {a01 , . . . , a0Δ } a Pn−1 -unisolvent subset of points
of Ω and let η be the constant of Proposition 3. Obviously,
D. Proof of Theorem 1 there exists η ∈ (0, η] such that
: Let Δ0 = {a01 , . . . , a0Δ } be anyone Pn−1 -unisolvent
∀j = 1, . . . , Δ, B(a0j , η ) ⊂ Ω.
subset of Ω. From (15) for all r ∈ N an all j = 1, . . . , Δ,
there exists arj ∈ Ar verifying From (15), we have that there exists C > 0 such that
1 C
aj − arj . ≤ ∀r ∈ N, r > , ∀j = 1, . . . , Δ,
r 2 η
Let Ar0 = {ar1 , . . . , arΔ }. Then, it is sufficient to apply C C
B a0j , η − ⊂ B a, .
Proposition 3, taking into account that for all r ≥ η, Ar0 ∈ Tη , r r
r
a∈A ∩B(t0j ,η )
Ar
written [[·]]0r instead of [[·]]n 0 .
We suppose that = (r). Let ui = u(x, ti ), x ∈ Ω the If Nj = card(Ar ∩ B(a0j , η )),it follows p ∀r ∈ N, r >
displacement function in time t = ti . Clearly ui ∈ HiN h and C C C 1 Nj
, ∀j = 1, . . . , Δ, ∃C1 > 0, η − ≤ and
we denote by σhi the evolutionary discrete variational spline η r r2
associated to Lix , B N , Ar , ρg y . C
consequently, for any r0 > we have
η
2r2
E. Proof of Theorem 4 C
∀r ∈ N, ∀j = 1, . . . , Δ, ∃C2 > 0, Nj ≥ C2 η − .
: We know that Ji (σhi ) ≤ Ji (ui ). This implies that r0
2 (28)
ρ(σhi − ui ) m + (|σhi |2x,i ) ≤ (|ui |2x,i ). (22) Meanwhile, from (15) and (27) we deduce that ∀j = 1, . . . , Δ
Thus, we obtain |(σhi − ui )(a)|2 = o(r2 ), r → +∞. (29)
|σhi |2x,i ≤ |ui |2x,i . (23) a∈Ar ∩B(t0j ,η )
Let J˜ be the functional defined above and let σ̃ be the If arj ∈ Ar ∩ B(a0j , η ) such that
minimum of J˜ in HiN h . Since σ̃ − ui ∈ H0 , we have that
|(σhi − ui )(arj )| = min |(σhi − ui )(a)|, r → +∞
(σ̃, σhi − ui )x,i = 0. (24) a∈Ar ∩B(t0j ,η )
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which means that the family (σhi ) is bounded in H n (Ω). [18] M. C. López de Silanes and R. Arcangéli, “Sur la convergence des
Therefore, there exists a subsequence (σrll )l∈N extracted from D m -splines d’ajustement pour des données exactes ou bruitées,” Revista
Matemática de la Universidad Complutense de Madrid, vol. 4, no. 2–3,
this family, with = (rl ), and an element u∗i of H n (Ω) such pp. 279–284, 1991.
that [19] J. Farah, R. Craig, and K. Meroueh, “Finite element analysis of a
u∗i = lim σrll weakly in H n (Ω). mandibular model,” Journal of Oral Rehabilitation, vol. 15, pp. 615–624,
1998.
l→+∞
[20] A. Kouibia, Aproximación de curvas y superficies paramétricas mediante
splines variacionales. Tesis Doctoral de la Universidad de Granada,
1999.
[21] P. M. Prenter, Splines and Variational Methods. A Wiley–Interscience
ACKNOWLEDGMENT Publication, 1989.
[22] J. Viao, M. Burguera, J. Fernández, A. Rodrı́guez, M. Campo, D. Suárez,
We wish to thank Mr. Pasadas and Mr. Rodriguez from the T. Abeleira, and M. Gallas, “Simulación numérica en odontologı́a y
Department of Applied Mathematics in University of Granada ortodoncia,” Boletı́n SeMA, vol. 33, pp. 113–147, 2005.
[23] A. Pérez, J. Cegoino, J. López, J. D. Vicente, and
for fruitful discussion and contribution in this research. The M. Doblaré, “Simulación por elementos finitos de la articulación
research has been supported by Santander Bank, N.A. under temporomandibular,” Biomecánica, vol. 11, pp. 10–22, 2003.
Latin America Young Professors and Researchers, Grant No. [24] T. W. Korioth, P. C. Dechow, and A. G. Hannam, “3-D finite element
modelling and validation of a dentate human mandible,” Journal of
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