Effect of partial restorative treatment on stress distributions in non-carious cervical lesions: a three-dimensional finite element analysis

BACKGROUND

Partial restoration combined with periodontal root coverage surgery can be applied to the treatment of non-carious cervical lesions (NCCLs) accompanied with gingival recessions in clinical practice. However, the feasibility of NCCL partial restorative treatment from a biomechanical perspective remains unclear. This study aimed to investigate the effect of partial restorations on stress distributions in the NCCLs of mandibular first premolars via three-dimensional finite element analysis.

METHODS

Three-dimensional finite element models of buccal wedge-shaped NCCLs in various locations of a defected zenith (0 mm, 1 mm, and 2 mm) were constructed and divided into three groups (A, B, and C). Three partially restored NCCL models with different locations of the lower restoration border (1 mm, 1.5 mm, and 2 mm), and one completely restored NCCL model were further constructed for each group. The following restorative materials were used in all restoration models: composite resin (CR), glass-ionomer cement (GIC), and mineral trioxide aggregate (MTA). The first principal stress distributions under buccal oblique loads of 100 N were analyzed. Restoration bond failures were also evaluated based on stress distributions at dentin-restoration interfaces.

RESULTS

When the partial restoration fully covered the defected zenith, the first principal stress around the zenith decreased and the maximum tensile stress was concentrated at the lower restoration border. When the partial restoration did not cover the defected zenith, the first principal stress distribution patterns were similar to those in unrestored models, with the maximum tensile stress remaining concentrated at the zenith. As the elastic modulus of the restorative material was altered, the stress distributions at the interface were not obviously changed. Restoration bond failures were not observed in CR, but occurred in GIC and MTA in most models.

CONCLUSIONS

Partial restorations that fully covered defected zeniths improved the stress distributions in NCCLs, while the stress distributions were unchanged or worsened under other circumstances. CR was the optimal material for partial restorations compared to GIC and MTA.

New Approach to Dental Morphometric Research Based on 3D Imaging Techniques

Recent progress in imaging and image processing techniques has provided for improvements in odontological research in a variety of aspects. Thus, the presented method has been developed precisely in order to assess metrically 3D reconstructions of teeth. Rapidly and accurately obtained data of a wide range and appropriate density are sufficient enough for morphometric studies rather than tooth size assessments which are inherent to conventional techniques. The main contributions providing for holistic and objective morphometric analysis of teeth are the following: (1) interpretation of basic dental morphological features; (2) automated of orientational coordinate system setup based on tooth surface analysis; (3) new tooth morphometric parameters which could not be obtained through application of conventional odontometric techniques; (4) methodological novelty for automated odontomorphometric analysis pipeline. Application of tomographic imaging, which has been used for obtaining 3D models, expands the proposed method potential further through providing detailed and comprehensive reconstructions of teeth. The current study was conducted on unique material from the archaeological site of Sunghir related to the Upper Palaeolithic period. Metric assessments of external and internal morphological layers of teeth were performed in common orientation and sectioning. The proposed technique allowed more profound analysis of Sunghirian teeth which date back to the times of modern human morphology formation.

Sex estimation by odontometrics of nonadult human remains from a contemporary Italian sample

OBJECTIVES

The objective was to develop an odontometric technique for sex estimation based on dental measurements from adult individuals, and to evaluate its applicability and reliability for diagnosis of sex of nonadult skeletal remains.

MATERIALS AND METHODS

This study was conducted on the permanent dentition of 132 individuals (70 males, 62 females) from the identified human skeletal collection of the Certosa Cemetery (Bologna, Italy) of the University of Bologna. Binary logistic regression equations were developed based on dental measurements of the permanent teeth of the adult individuals, and these equations were subsequently applied to the permanent dentition of nonadult individuals to estimate their sex.

RESULTS

These data show that the canine teeth of both the maxilla and mandible are the most sexually dimorphic teeth in adults, followed by the mandibular second molar, maxillary and mandibular second and first premolars, and mandibular first molar. These data provided correct assignment of sex in 80.4-94.9% of cases, which depended on the measurements used. Of the 26 nonadult individuals of the experimental sample, sex diagnosis was possible for 22, which represented an applicability rate of 84.6% of the individuals. Comparing the sex of these 22 nonadult individuals estimated by odontometrics with the known biological sex, correct assignment was obtained in 90.9% of cases.

CONCLUSION

As a method of sex estimation, odontometric analysis of permanent dentition can be used successfully for nonadult human skeletal remains in both forensic and archeological contexts.