Stress distribution in a premolar 3D model with anisotropic and isotropic enamel

Influence of internal angle and shape of the lining on residual stress of Class II molar restorations

Polymerization shrinkage is a major side effect of resin composite materials that affects the success and longevity of caries restorations. This study was to analyze the effect of the internal angle and shape of the lining on the shrinkage residual stress of dental restorations in Class II mesio-occlusal-distal (MOD) cavities through finite element analysis (FEA). A 3D reconstructed model of a human mandibular first molar was created from micro-CT images, and then the tooth was prepared as a Class II MOD cavity. 3D models of four regular internal corner shapes of Class II MOD cavities with different internal angles of lining and one 90° filleted corner model were created. The thermal expansion technique was applied to approximate the shrinkage impact of composite resin polymerization in the FE software ABAQUS. Von Mises stress was taken as a metric. The results showed that the level of residual stresses in the Class II MOD cavities was greatly dependent on the internal angle of the lining. The maximum von Mises stress in tooth tissue decreased as the internal angle of the lining increased. The internal shapes of the lining had no obvious effect on the stress, and the filleted corner model had less stress. This lining strategy is appropriate for Class II MOD cavities with serious loss of tooth tissue.

FEA Comparison of the Mechanical Behavior of Three Dental Crown Materials: Enamel, Ceramic, and Zirconia

The restoration of endodontically treated teeth is one of the main challenges of restorative dentistry. The structure of the tooth is a complex assembly in which the materials that make it up, enamel and dentin, have very different mechanical behaviors. Therefore, finding alternative replacement materials for dental crowns in the area of restorative care isa highly significant challenge, since materials such as ceramic and zirconia have very different stress load resistance values. The aim of this study is to assess which material, either ceramic or zirconia, optimizes the behavior of a restored tooth under various typical clinical conditions and the masticatory load. A finite element analysis (FEA) framework is developed for this purpose. The 3D model of the restored tooth is input into the FEA software (Ansys Workbench R23)and meshed into tetrahedral elements. The presence of masticatory forces is considered: in particular, vertical, 45° inclined, and horizontal resultant forces of 280 N are applied on five contact points of the occlusal surface. The numerical results show that the maximum stress developed in the restored tooth including a ceramic crown and subject to axial load is about 39.381 MPa, which is rather close to the 62.32 MPa stress computed for the natural tooth; stresses of about 18 MPa are localized at the roots of both crown materials. In the case of the zirconia crown, the stresses are much higher than those in the ceramic crown, except for the 45° load direction, while, for the horizontal loads, the stress peak in the zirconia crown is almost three times as large as its counterpart in the ceramic crown (i.e., 163.24 MPa vs. 56.114 MPa, respectively). Therefore, the zirconia crown exhibits higher stresses than enamel and ceramic that could increase in the case of parafunctions, such as bruxism. The clinician's choice between the two materials should be evaluated based on the patient's medical condition.

Association of Non-carious Cervical Lesions with Oral Hygiene Aspects and Occlusal Force

AIM

The purpose of this case-control (CT) study was to investigate the association between the presence of non-carious cervical lesions (NCCLs) with occlusal force and other potential risk factors.

MATERIALS AND METHODS

Thirty-nine participants with NCCLs [cases (CS)] and 39 with no NCCLs [control (CT)] attending the dental clinic of the Faculdades Integradas São Pedro (FAESA), located in Brazil, were enrolled in this study. Information was collected through anamnesis, clinical examination, and a questionnaire addressing aspects related to tooth brushing, dentifrice, and mouthwash use. In clinical examination, patients were submitted to four measurements of occlusal force in the maxillary first premolars and maxillary first molars, using a strain gauge sensor of medium intensity, the Flexiforce (Tekscan, South Boston, Massachusetts, United States of America). The sensor was calibrated for the unit of measurement in Newtons (N). Data were analyzed using a student's t-test and multiple logistic regression, e with a significance level of 5%.

RESULTS

There was no statistically significant difference between the case and CT groups regarding the bite force in the four measured regions. Logistic regression identified sex as a factor significantly associated with NCCLs (p = 0.020). The odds ratio showed the female sex had more chance (OR = 6.082; CI = 1.332-27.765) of having NCCLs.

CONCLUSION

It is concluded that females presented a higher risk factor for NCCLs than men. In contrast, there was no association of occlusal force, as well as aspects related to brushing and deleterious habits.

CLINICAL SIGNIFICANCE

Females have a higher risk factor for non-carious lesions than men.

Effects of Different Positions and Angles of Implants in Maxillary Edentulous Jaw on Surrounding Bone Stress under Dynamic Loading: A Three-Dimensional Finite Element Analysis

PURPOSE

To evaluate the effects of different placements of mesial implants and different angles of distant implants in maxillary edentulous jaws on the stress on the implant and the surrounding bone tissue under dynamic loading.

MATERIALS AND METHODS

Cone beam computed tomography was used to acquire images of maxillary edentulous jaws. Using Mimics 17.0, Geomagic, and Unigraphics NX8.5 software, three-dimensional models were established: two mesial implants were placed vertically in the anterior region of the maxilla (bilateral central incisor, lateral incisor, and canine), and two distant implants were placed obliquely in the bilateral second premolar area at different inclined angles (15°, 30°, and 45°). The established models were designated I-IX. The models were subjected to dynamic load using Abaqus 6.12, with the working side posterior teeth loading of 150 N and simulation cycle of 0.875 s.

RESULTS

During the second to fourth phases of the mastication cycle, the stress was mainly concentrated on the neck of the distal implant. The stress of the distal implants was greater than that of mesial implants. Stress levels peaked in the third stage of the cycle. The stress of the distal cortical bone of distal implant of Model I reached the maximum of 183.437 MPa. The stress of the distal cortical bone and cancellous bone of distal implant of Model VIII represented the minima (62.989 MPa and 17.186 MPa, respectively).

CONCLUSIONS

Our models showed optimal stress reductions when the mesial implants were located in the canine region and the distal implants tilted 30°.

Effect of biomimetic material on stress distribution in mandibular molars restored with inlays: a three-dimensional finite element analysis

Background

Although biomimetic material has become increasingly popular in dental cosmetology nowadays, it remains unclear how it would affect the restored teeth during chewing. It is necessary to study the influence of biomimetic material on stress distribution in the restored teeth.

Methods

Eight three-dimensional finite element (FE) models were constructed and divided into two groups. Group 1 included the FE model of intact molar, and the FE models of inlay-restored molars fabricated from IPS e.max CAD, Lava Ultimate and biomimetic materials individually. Enamel was considered a homogeneous material. Group 2 included the FE models of intact molar and molars restored with inlays using IPS e.max CAD, Lava Ultimate and biomimetic materials individually, considering enamel as an inhomogeneous material.

Results

In Group 1, compared with that in the intact molar, the maximum tensile stress (MTS) in the occlusal grooves decreased in the inlay-restored molars fabricated from IPS e.max CAD and was concentrated on the cavity floor at the buccal side in the inner dentin around inlay. When Lava Ultimate was selected, MTS decreased in the occlusal grooves and on the cavity floor but increased in the lateral walls. In the restored molar using biomimetic material, the MTS on the cavity floor was distributed more evenly than that in the molar using IPS e.max CAD, and no obvious changes were noted in the lateral walls. The same changes were observed in Group 2. No differences in the stress distribution pattern were noted among the FE models in Groups 1 and 2.

Conclusions

Molars restored with inlays fabricated from biomimetic material exhibit a more uniform stress distribution in the dentin around restoration. The consideration of enamel as a homogeneous tissue is acceptable for analyzing the maximum principal stress distribution in the inlay-restored molar.

Comparing accuracy of denture bases fabricated by injection molding, CAD/CAM milling, and rapid prototyping method

PURPOSE

The accuracy of denture bases was compared among injection molding, milling, and rapid prototyping (RP) fabricating method.

MATERIALS AND METHODS

The maxillary edentulous master cast was fabricated and round shaped four notches were formed. The cast was duplicated to ten casts and scanned. In the injection molding method, designed denture bases were milled from a wax block and fabricated using SR Ivocap injection system. Denture bases were milled from a pre-polymerized block in the milling method. In the RP method, denture bases were printed and post-cured. The intaglio surface of the base was scanned and surface matching software was used to measure inaccuracy. Measurements were performed between four notches and two points in the mid-palatal suture to evaluate inaccuracy. The palatine rugae resolution was evaluated. One-way analysis of variance was used for statistical analysis at α=.05.

RESULTS

No statistically significant differences in distances among four notches (P>.05). The accuracy of the injection molding method was lower than those of the other methods in two points of the mid-palatal suture significantly (P<.05). The degree of palatine rugae resolution was significantly higher in the injection molding method than that in other methods (P<.05).

CONCLUSION

The overall accuracy of the denture base is higher in milling and RP method than the injection molding method. The degree of fine reproducibility is higher in the injection molding method than the milling or RP method.

Research and primary evaluation of an automatic fusion method for multisource tooth crown data

With the development of 3-dimensional (3D) scanning technologies in dentistry, high accuracy optical scanning data from the crown and cone beam computed tomography data from the root can be acquired easily. In many dental fields, especially in digital orthodontics, it is useful to fuse the data from the crown and the root. However, the manual fusion method is complex and difficult. A novel automatic fusion method for 2-source data from the crown and the root was researched, and its accuracy was evaluated in this study. An occlusal splint with several alumina ceramic spheres was fabricated using heat-curing resin. A multipoint (center of each sphere) alignment method was performed to achieve rapid registration of the crown data from optical scanning and the root data from cone beam computed tomography. The segmentation algorithm based on heuristic search was adopted to perform extraction and segmentation of the crown from whole optical scanning data. The level set algorithm and the marching cubes (MC) algorithm were used to reconstruct digital imaging and communications in medicine data into a 3D model. A novel multisource data fusion algorithm, which is based on iterative Laplacian deformation (ILD), was researched and applied to achieve automatic fusion. Finally, the 3D errors of the method were evaluated. The 3 groups of typical tooth data were automatically fused within 2 seconds. The mean standard deviation was less than 0.02 mm. The novel method can aid the construction of a high-quality 3D model of complete teeth to enable orthodontists to safely, reliably, and visually plan tooth alignment programs.