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Zhang J, Hou H, Chen P, Sun B, Hu F, Yu Y, Song L. Mechanical and modal analysis of different implant strategies for loss of three teeth with bone atrophy in the maxillary posterior region. Comput Methods Biomech Biomed Engin 2024:1-10. [PMID: 38829324 DOI: 10.1080/10255842.2024.2358363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Accepted: 05/17/2024] [Indexed: 06/05/2024]
Abstract
PURPOSE This study aimed to evaluate the stress distribution and secondary stability involved in five implant strategies, including implant-supported prostheses (ISP) and tooth-implant-supported prostheses (TISP), used for bone atrophy in the maxillary posterior region with teeth loss using finite element analysis, and to explore the more desirable implant methods. METHODS Five implant strategies were made to analyze and compare: M1, implant-supported prosthesis consisting of a short implant with a regular implant; M2, implant-supported prosthesis consisting of a tilted implant with a regular implant; M3, cantilever structure; M4, tooth-implant-supported prosthesis consisting of a short implant with a regular implant; M5, tooth-implant-supported prosthesis consisting of a regular implant, and M6, with only the natural teeth as a control group. Dynamic loading of the above models was performed in finite element analysis software to assess the stress distribution of the bone tissue and implants using the von Mise criterion. Finally, the secondary stability of different models was evaluated by modal analysis. RESULTS The maximum stress distribution in the cortical bone in M1(60 MPa) was smaller than that in M2(97 MPa) and M3(101 MPa), The first principal strain minimum was obtained in M2 (2271μ ε ). M4 (33 MPa, 10085 Hz) with the best mechanical properties and highest resonance frequency. But increased the loading on the natural teeth. CONCLUSIONS Short implants and tilted implants are both preferred implant strategies, if cantilever construction is necessary, a tooth-implant-supported prosthesis consisting of a short implant and a regular implant is recommended.
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Affiliation(s)
- Jianguo Zhang
- School of Mechanical Engineering, Shanghai Institute of Technology, Shanghai, China
| | - Hu Hou
- School of Mechanical Engineering, Shanghai Institute of Technology, Shanghai, China
| | - Peng Chen
- School of Mechanical Engineering, Shanghai Institute of Technology, Shanghai, China
| | - Benhao Sun
- School of Mechanical Engineering, Shanghai Institute of Technology, Shanghai, China
| | - Fengling Hu
- Department of Stomatology, Shanghai Geriatric Medical Center, Shanghai, China
- Department of Stomatology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Youcheng Yu
- Department of Stomatology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Liang Song
- Department of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China
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Ye ZY, Ye H, Yu XX, Wang Y, Wu LJ, Ding X. Timing selection for loosened tooth fixation based on degree of alveolar bone resorption: a finite element analysis. BMC Oral Health 2022; 22:328. [PMID: 35941612 PMCID: PMC9358908 DOI: 10.1186/s12903-022-02375-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 08/03/2022] [Indexed: 11/24/2022] Open
Abstract
Objective This study aimed to evaluate timing of fixation to retard bone absorption using finite element analysis(FEA). Methods Volunteer CT images were used to construct four models of mandibles with varying degrees of alveolar bone resorption. By simulating occlusal force loading, biomechanical analysis was made on the periodontal membrane, tooth root and surrounding bone (both cancellous and cortical) of mandibular dentition. Results The von Mises stress value of the periodontal structures was positively related with the degree of alveolar bone resorption, and the von Mises stress at the interface between the periodontal membrane and tooth root was increased significantly in moderate to severe periodontitis models. The von Mises stress at the interface between the periodontal cortical bone and cancellous bone was increased significantly in the severe periodontitis model. And the von Mises stress value with oblique loading showed significantly higher than vertical loading. Conclusion Teeth with moderate to severe periodontitis, loosened tooth fixation can be used to retard bone absorption.
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Affiliation(s)
- Zhang-Yan Ye
- Department of Stomatology, Pingyang Hospital Affiliated to Wenzhou Medical University, Wenzhou, 325400, Zhejiang, People's Republic of China
| | - Hao Ye
- Institute of Digitized Medicine and Intelligent Technology, Wenzhou Medical University, Wenzhou, 325015, Zhejiang, People's Republic of China
| | - Xi-Xi Yu
- Wenzhou Medical University, Wenzhou, 325015, Zhejiang, People's Republic of China
| | - Yong Wang
- Wenzhou Medical University, Wenzhou, 325015, Zhejiang, People's Republic of China
| | - Li-Jun Wu
- Institute of Digitized Medicine and Intelligent Technology, Wenzhou Medical University, Wenzhou, 325015, Zhejiang, People's Republic of China
| | - Xi Ding
- Wenzhou Medical University, Wenzhou, 325015, Zhejiang, People's Republic of China. .,Department of Stomatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015, Zhejiang, People's Republic of China.
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Investigation of stress distribution within an endodontically treated tooth restored with different restorations. J Dent Sci 2022; 17:1115-1124. [PMID: 35784123 PMCID: PMC9236959 DOI: 10.1016/j.jds.2022.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 01/21/2022] [Indexed: 11/21/2022] Open
Abstract
Background/purpose Recently, metal-free restoration has become the standard in prosthetic treatment. However, it is still unclear which combination is most effective in preventing root fracture and secondary caries. The purpose of this study was to evaluate the influence of different post systems, crown materials, crown thickness and luting agents on the stress distribution around the crown margins, cervical dentin and the tip of the post. Materials and methods Ninety-six mandibular first premolar models were developed and analyzed using finite element analysis (FEA). Two designs of crowns, six kinds of crown materials, four types of post and core systems and two kinds of luting agents were included and evaluated for the stress distribution within the abutment teeth. The Von Mises stress magnitudes were compared among all models. Results The stress at the tip of the post decreased as the young's modulus of luting agent decreased; The stress concentrated more at the cervical area (dentin and crown), as the physical properties of the crown material increased. Conclusion Crowns fabricated using polyetheretherketone (PEEK) can reduce the stress concentration at the cervical area, so it may be possible to reduce the amount of tooth reduction during abutment tooth preparation. The stress distribution around the post tip is affected by the post and core systems and luting agent, regardless of crown materials and thickness. When inserting a post of the higher Young's modulus such as zirconia post, methyl methacrylate luting cement can reduce the stress concentration at the tip of the post.
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Maiti S, Aparna J, Jessy P. Polyether ether ketone – As an alternative biomaterial for Metal Richmond crown-3-dimensional finite element analysis. J Conserv Dent 2021; 24:553-557. [PMID: 35558664 PMCID: PMC9089765 DOI: 10.4103/jcd.jcd_638_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 11/19/2021] [Accepted: 11/25/2021] [Indexed: 11/04/2022] Open
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Ibrahim RO, Al-Zahawi AR, Sabri LA. Mechanical and thermal stress evaluation of PEEK prefabricated post with different head design in endodontically treated tooth: 3D-finite element analysis. Dent Mater J 2020; 40:508-518. [PMID: 32999141 DOI: 10.4012/dmj.2020-053] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
An endodontic post is required to retain and support the core restoration in case of insufficient remaining coronal dentin after root canal therapy. This study analyzed the biomechanical and thermal behavior of PEEK prefabricated post after choosing the head design that produces the least amount of stress on the core and remaining tooth structure. These results were compared with the most common commercially available prefabricated post, which is titanium and glass fiber post. Thus a CBCT scanning of a maxillary central incisor with its supporting structure was used to construct a 3D solid model of an endodontically treated teeth for finite element analysis (FEA). The restored tooth with the spherical head design of PEEK prefabricated post yielded a more benign stress distribution and repairable failure mode on the crown, luting cement, core, and dentin under both mechanical and thermal loads, followed by glass fiber post and titanium post respectively.
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Affiliation(s)
- Rawa Omar Ibrahim
- Conservative Department, College of Dentistry, University of Sulaimani
| | | | - Laith Abed Sabri
- Department of Mechatronics, Al-Khwarizmi College of Engineering, University of Baghdad
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Franco ABG, Franco AG, de Carvalho GAP, Ramos EV, Amorim JCF, de Martim AS. Influence of conservative endodontic access and the osteoporotic bone on the restoration material adhesive behavior through finite element analysis. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2020; 31:39. [PMID: 32279130 DOI: 10.1007/s10856-020-06377-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 03/18/2020] [Indexed: 06/11/2023]
Abstract
Assess, using finite element analysis, the adhesive behavior of Class I restorations under physiological occlusal loads on an endodontically treated first upper premolar with conventional and conservative crown opening surrounded by alveolar bone in normal and osteoporotic conditions. For this, four virtual models were used: M1-conservative access/normal bone; M2-conventional access/normal bone; M3-conservative access/osteoporotic bone; M4-conventional access/osteoporotic bone. On enamel, under axial load, the highest peaks occurred on conventional models and, under oblique load, the highest peaks occurred on conservative opening models. The bone condition showed no influence on the adhesive behavior. On dentin, under axial load, the models showed similar behaviors, regardless of the bone condition; under oblique load, the highest incidence of forces occurred on the distal region of the palatal root canal entrance and the highest peak was observed in the conventional opening model with normal bone. Also, under oblique load, conventional opening models showed larger values on dentin for the normal bone and similar for the osteoporotic. The conclusions shows higher displacement tensile strength peaks were observed in the conventional models, which can lead to a greater risk of adhesive failure on class I restorations with this opening. Therefore, a conservative opening would be recommended to avoid opening clinical complications. The bone condition showed no significant influence on adhesive behavior, except for dentin under oblique load, where conventional models showed larger values relative to normal bone and similar to the osteoporotic bone.
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Affiliation(s)
- Aline Batista Gonçalves Franco
- Department of Restorative Dentistry. R. Dr. José Rocha Junqueira, São Leopoldo Mandic Dental Research Center, 13 - Pte. Preta, Campinas, SP, 13045-755, Brazil
| | - Amanda Gonçalves Franco
- Department of Restorative Dentistry. R. Dr. José Rocha Junqueira, São Leopoldo Mandic Dental Research Center, 13 - Pte. Preta, Campinas, SP, 13045-755, Brazil.
| | - Geraldo Alberto Pinheiro de Carvalho
- Department of Restorative Dentistry. R. Dr. José Rocha Junqueira, São Leopoldo Mandic Dental Research Center, 13 - Pte. Preta, Campinas, SP, 13045-755, Brazil
| | - Elimario Venturin Ramos
- Department of Restorative Dentistry. R. Dr. José Rocha Junqueira, São Leopoldo Mandic Dental Research Center, 13 - Pte. Preta, Campinas, SP, 13045-755, Brazil
| | - José Cláudio Faria Amorim
- Department of Restorative Dentistry. R. Dr. José Rocha Junqueira, São Leopoldo Mandic Dental Research Center, 13 - Pte. Preta, Campinas, SP, 13045-755, Brazil
| | - Alexandre Sigrist de Martim
- Department of Restorative Dentistry. R. Dr. José Rocha Junqueira, São Leopoldo Mandic Dental Research Center, 13 - Pte. Preta, Campinas, SP, 13045-755, Brazil
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Determination of the Optimum Material for an Endodontic Prefabricated Post Using a Sub-Problem Approximation Method. JOURNAL OF BIOMIMETICS BIOMATERIALS AND BIOMEDICAL ENGINEERING 2018. [DOI: 10.4028/www.scientific.net/jbbbe.35.50] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The success in the chewing process depends on the performance of the tooth used. Actually, taking care of the tooth and improving its performance can change our life. Therefore, the treatment process of the teeth has become more necessary in the life of a dental patient. Nowadays, a post plays an important vital role in this process. In the present work, analysis of the effect of the post material on the performances of the components of endodontically treated teeth (ETT) was carried out through the finite element analysis (FEA). The effects of post material on the von Mises stress component (Svon), shear stress, and displacement component (Usum) occurred on the all components of ETT were investigated. After that, the determination of the optimum material for an endodontic prefabricated post (EPP) was investigated through the sub-problem approximation method.
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Shamseddine L, Eid R, Homsy F, Elhusseini H. Effect of tapering internal coronal walls on fracture resistance of anterior teeth treated with cast post and core: In vitro study. JOURNAL OF DENTAL BIOMECHANICS 2014; 5:1758736014547550. [PMID: 25342986 PMCID: PMC4206691 DOI: 10.1177/1758736014547550] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2014] [Accepted: 07/23/2014] [Indexed: 11/16/2022]
Abstract
When fabricating indirect post and core, internal coronal walls are tapered to remove undercuts and allow a better adaptation. To evaluate the fracture strength of anterior tooth reconstructed with post and core and crowned, with two different taper of internal coronal walls, 6° and 30° to the long axis, two groups of 30 clear plastic analogues simulating endodontically treated maxillary central incisors were prepared. The analogues crowned were subjected to a compressive load with a 1-kN cell at a crosshead speed of 0.05 mm/min at 130° to the long axis until fracture occurred. Data were analyzed by Lillifors and Mann–Whitney tests. Mean failure loads for the groups were as follows: group I 1038.69 N (standard deviation ±243.52 N) and group II 1231.86 N (standard deviation ±368.76 N). Statistical tests showed significant difference between groups (p = 0.0010 < 0.01). Increasing the taper of internal coronal walls appears to enhance the fracture resistance of anterior maxillary teeth post and core reconstructed.
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Affiliation(s)
- Loubna Shamseddine
- Department of Prosthodontics, School of Dentistry, Lebanese University, Beirut, Lebanon
| | - Rita Eid
- Department of Prosthodontics, School of Dentistry, Lebanese University, Beirut, Lebanon
| | - Fodda Homsy
- Department of Prosthodontics, School of Dentistry, Lebanese University, Beirut, Lebanon
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Mustafa AA, Matinlinna JP, Saidin S, Kadir MRA. The influence of experimental silane primers on dentin bond strength and morphology: a laboratory and finite element analysis study. J Prosthet Dent 2014; 112:1498-506. [PMID: 24993375 DOI: 10.1016/j.prosdent.2014.05.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2013] [Revised: 05/05/2014] [Accepted: 05/05/2014] [Indexed: 10/25/2022]
Abstract
STATEMENT OF PROBLEM The inconsistency of dentin bonding affects retention and microleakage. PURPOSE The purpose of this laboratory and finite element analysis study was to investigate the effects on the formation of a hybrid layer of an experimental silane coupling agent containing primer solutions composed of different percentages of hydroxyethyl methacrylate. MATERIAL AND METHODS A total of 125 sound human premolars were restored in vitro. Simple class I cavities were formed on each tooth, followed by the application of different compositions of experimental silane primers (0%, 5%, 25%, and 50% of hydroxyethyl methacrylate), bonding agents, and dental composite resins. Bond strength tests and scanning electron microscopy analyses were performed. The laboratory experimental results were validated with finite element analysis to determine the pattern of stress distribution. Simulations were conducted by placing the restorative composite resin in a premolar tooth by imitating simple class I cavities. The laboratory and finite element analysis data were significantly different from each other, as determined by 1-way ANOVA. A post hoc analysis was conducted on the bond strength data to further clarify the effects of silane primers. RESULTS The strongest bond of hybrid layer (16.96 MPa) was found in the primer with 25% hydroxyethyl methacrylate, suggesting a barely visible hybrid layer barrier. The control specimens without the application of the primer and the primer specimens with no hydroxyethyl methacrylate exhibited the lowest strength values (8.30 MPa and 11.78 MPa) with intermittent and low visibility of the hybrid layer. These results were supported by finite element analysis that suggested an evenly distributed stress on the model with 25% hydroxyethyl methacrylate. CONCLUSIONS Different compositions of experimental silane primers affected the formation of the hybrid layer and its resulting bond strength.
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Affiliation(s)
- Ammar A Mustafa
- Assistant Professor, Dental Materials Science Department, Faculty of Dentistry, International Islamic University Malaysia, Kuantan Campus, Pahang, Malaysia.
| | - Jukka P Matinlinna
- Associate Professor, Dental Materials Science Department, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, China
| | - Syafiqah Saidin
- Doctor, Clinical Sciences Department, Faculty of Biosciences & Medical Engineering, University of Technology, Malaysia, Johor Bahru, Malaysia
| | - M R Abdul Kadir
- Professor, Medical Devices Technology Group (MEDITEG), Faculty of Biosciences & Medical Engineering, University of Technology, Malaysia, Johor Bahru, Malaysia
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Mamoun JS. On the ferrule effect and the biomechanical stability of teeth restored with cores, posts, and crowns. Eur J Dent 2014; 8:281-286. [PMID: 24966784 PMCID: PMC4054064 DOI: 10.4103/1305-7456.130639] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
An abutment for a fixed partial denture may not contain enough tooth structure, such that the abutment does not provide an adequate ‘ferrule effect’. A crown or bridge dental prosthesis that is cemented onto such an abutment/s may undergo biomechanical failure. Here, the tooth, core, and post complex, on which the crown is cemented, may fracture off from the abutment, causing the crown to separate from the abutment, while the cement that bonds the crown to the tooth, core, and post complex remains intact, such that the tooth, core, and post complex remains inside the crown when the crown separates from the abutment. This article reviews the dentistry literature on the ferrule effect, and presents alternative definitions for terms such as ferrule, the ferrule effect, and the ferrule tooth structure. The article also explains how the use of a surgical operating microscope, or high magnification binocular surgical loupes of ×6-8, or greater magnification improve the ability of a dentist to assess how much ferrule tooth structure an abutment contains, compared to the use of unaided vision.
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Durmuş G, Oyar P. Effects of post core materials on stress distribution in the restoration of mandibular second premolars: a finite element analysis. J Prosthet Dent 2014; 112:547-54. [PMID: 24630398 DOI: 10.1016/j.prosdent.2013.12.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2013] [Revised: 12/13/2013] [Accepted: 12/24/2013] [Indexed: 10/25/2022]
Abstract
STATEMENT OF PROBLEM Previous studies have not resolved the question as to which post and core combination optimizes the stress distribution within the post restoration and tooth. PURPOSE The purpose of this study was to determine which post and core combination provides the most favorable stress distribution upon loading. MATERIAL AND METHODS Three-dimensional models of teeth were created with the Ansys program to simulate different materials used for post and cores (Ti, NiCr, AuPd, zirconia, zirconia post/composite resin core, glass fiber post/composite resin core, and carbon fiber post/composite resin core) and metal ceramic crowns (nickel chromium alloy [Group NiCr] and gold palladium alloy [Group AuPd]). A force of 400 N was applied to the occlusal surface, and von Mises equivalent stress values were calculated. RESULTS Carbon fiber post/composite resin core/metal ceramic crowns with NiCr alloy core had the highest stress values in the weakened root, tooth/post interface, and post. NiCr post/NiCr core/metal ceramic crowns with NiCr alloy core had the lowest stress values in the weakened root and post. The zirconia post and core had the lowest stress value in the tooth/post interface. CONCLUSIONS A post material with a high elastic modulus led to lower stress in the weakened root (approximately 6%) and tooth/post interface (approximately 12%) and to higher stress in the post (approximately 5 times). A composite resin core led to higher stress in the weakened root (approximately 11% to 17%) and lower deformation in the tooth/post interface (approximately 17.5%) and post materials (approximately 24%). Group AuPd resulted in lower stress in the root and high stress in the post (approximately 4.5% to 7%) and affected the amount of deformation in posts with a composite resin core.
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Affiliation(s)
- Gökhan Durmuş
- Assistant Profesor, Department of Construction, Gazi University Technology Faculty, Ankara, Turkey
| | - Perihan Oyar
- Assistant Professor, Dental Prosthetics Technology, School of Health Services, Hacettepe University, Ankara, Turkey.
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INAGAKI T, KOMADA W, NEMOTO R, YOSHIDA K, MIURA H. Influence of post and core materials on distortion around 4-unit zirconia bridge margins. Dent Mater J 2014; 33:373-82. [DOI: 10.4012/dmj.2013-306] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Shahrbaf S, vanNoort R, Mirzakouchaki B, Ghassemieh E, Martin N. Effect of the crown design and interface lute parameters on the stress-state of a machined crown-tooth system: a finite element analysis. Dent Mater 2013; 29:e123-31. [PMID: 23706694 DOI: 10.1016/j.dental.2013.04.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2012] [Revised: 12/21/2012] [Accepted: 04/05/2013] [Indexed: 11/30/2022]
Abstract
The effect of preparation design and the physical properties of the interface lute on the restored machined ceramic crown-tooth complex are poorly understood. The aim of this work was to determine, by means of three-dimensional finite element analysis (3D FEA) the effect of the tooth preparation design and the elastic modulus of the cement on the stress state of the cemented machined ceramic crown-tooth complex. The three-dimensional structure of human premolar teeth, restored with adhesively cemented machined ceramic crowns, was digitized with a micro-CT scanner. An accurate, high resolution, digital replica model of a restored tooth was created. Two preparation designs, with different occlusal morphologies, were modeled with cements of 3 different elastic moduli. Interactive medical image processing software (mimics and professional CAD modeling software) was used to create sophisticated digital models that included the supporting structures; periodontal ligament and alveolar bone. The generated models were imported into an FEA software program (hypermesh version 10.0, Altair Engineering Inc.) with all degrees of freedom constrained at the outer surface of the supporting cortical bone of the crown-tooth complex. Five different elastic moduli values were given to the adhesive cement interface 1.8GPa, 4GPa, 8GPa, 18.3GPa and 40GPa; the four lower values are representative of currently used cementing lutes and 40GPa is set as an extreme high value. The stress distribution under simulated applied loads was determined. The preparation design demonstrated an effect on the stress state of the restored tooth system. The cement elastic modulus affected the stress state in the cement and dentin structures but not in the crown, the pulp, the periodontal ligament or the cancellous and cortical bone. The results of this study suggest that both the choice of the preparation design and the cement elastic modulus can affect the stress state within the restored crown-tooth complex.
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Affiliation(s)
- Shirin Shahrbaf
- Academic Unit of Restorative Dentistry, The School of Clinical Dentistry, Claremont Crescent, Sheffield, UK.
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