Rehabilitation of severely-destructed endodontically treated premolar teeth with novel endocrown system: Biomechanical behavior assessment through 3D finite element and in vitro analyses

Author(s):  
Ahmed Shams ◽  
Mohammed Elsherbini ◽  
Abdallah Ahmed Elsherbiny ◽  
Mutlu Özcan ◽  
Amal Abdelsamad Sakrana
2021 ◽  
Vol 10 (5) ◽  
pp. e56510515336
Author(s):  
Victor Eduardo de Souza Batista ◽  
Fellippo Ramos Verri ◽  
Cleidiel Aparecido Araújo Lemos ◽  
Ronaldo Silva Cruz ◽  
Pedro Yoshito Noritomi ◽  
...  

The objective of the present study was to analyze the stress and microstrain on cortical bone tissue caused by occlusal forces on three-unit implant-supported prostheses placed in the maxillary posterior region through varying configuration factors and implant lengths using 3D finite element analysis. Fifteen three-dimensional models were simulated with the support of the In Vesalius, SolidWorks 2016, and Rhinoceros 4.0 software programs. Each three-dimensional model included a maxillary bone block corresponding to the region from the 1st premolar to the 1st right molar with three EH implants measuring 4.0 mm in diameter, which supported the three-unit metal-ceramic screw-retained prosthesis through varying configuration factors (single-unit and splinted crowns: straight-line and tripod design) and implant lengths (10, 8.5, and 7 mm × Ø4 mm). The FEMAP 11.4.2 program was used to generate the finite element models in the pre- and post-processing phases. Bone tissue was analyzed using Maximum Principal Stress (MPa) and Microstrain (με) maps. The highest stress/microstrain values were observed in oblique loading. In addition, splinting associated with the offset configuration generated improved biomechanical behavior. Furthermore, the association of short implants with longer implants did not exhibit any biomechanical benefits. Moreover, a reduced implant length (i.e., 7 mm) generated unfavorable biomechanical behavior. Splinting was effective in reducing the stress/microstrain on cortical bone tissue, especially when associated with the offset configuration of the implants. Also, an increased implant length decreased the stress/microstrain in the bone tissue, and splinted short implants presented similar biomechanical behavior to short implants associated with longer implants.


2011 ◽  
Vol 133 (10) ◽  
Author(s):  
Zhixiu Hao ◽  
Chao Wan ◽  
Xiangfei Gao ◽  
Tao Ji

The finite element (FE) model of the pelvic joint is helpful for clinical diagnosis and treatment of pelvic injuries. However, the effect of an FE model boundary condition on the biomechanical behavior of a pelvic joint has not been well studied. The objective of this study was to study the effect of boundary condition on the pelvic biomechanics predictions. A 3D FE model of a pelvis using subject-specific estimates of intact bone structures, main ligaments and bone material anisotropy by computed tomography (CT) gray value was developed and validated by bone surface strains obtained from rosette strain gauges in an in vitro pelvic experiment. Then three FE pelvic models were constructed to analyze the effect of boundary condition, corresponding to an intact pelvic joint, a pelvic joint without sacroiliac ligaments and a pelvic joint without proximal femurs, respectively. Vertical load was applied to the same pelvis with a fixed prosthetic femoral stem and the same load was simulated in the FE model. A strong correlation coefficient (R2=0.9657) was calculated, which indicated a strong correlation between the FE analysis and experimental results. The effect of boundary condition changes on the biomechanical response depended on the anatomical location and structure of the pelvic joint. It was found that acetabulum fixed in all directions with the femur removed can increase the stress distribution on the acetabular inner plate (approximately double the original values) and decrease that on the superior of pubis (from 7 MPa to 0.6 MPa). Taking sacrum and ilium as a whole, instead of sacroiliac and iliolumber ligaments, can influence the stress distribution on ilium and pubis bone vastly. These findings suggest pelvic biomechanics is very dependent on the boundary condition in the FE model.


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