Influence of remaining tooth structure and restorative material type on stress distribution in endodontically treated maxillary premolars: A finite element analysis

2017 ◽  
Vol 117 (5) ◽  
pp. 646-655 ◽  
Author(s):  
Junxin Zhu ◽  
Qiguo Rong ◽  
Xiaoyan Wang ◽  
Xuejun Gao
Materials ◽  
2021 ◽  
Vol 14 (8) ◽  
pp. 1923
Author(s):  
Ana Beatriz Gomes de Carvalho ◽  
‪Guilherme Schmitt de Andrade ◽  
João Paulo Mendes Tribst ◽  
Elisa Donária Aboucauch Grassi ◽  
Pietro Ausiello ◽  
...  

This study evaluated the effect of the combination of three different onlay preparation designs and two restorative materials on the stress distribution, using 3D-finite element analysis. Six models of first lower molars were created according to three preparation designs: non-retentive (nRET), traditional with occlusal isthmus reduction (IST), and traditional without occlusal isthmus reduction (wIST); and according to two restorative materials: lithium-disilicate (LD) and nanoceramic resin (NR). A 600 N axial load was applied at the central fossa. All solids were considered isotropic, homogeneous, and linearly elastic. A static linear analysis was performed, and the Maximum Principal Stress (MPS) criteria were used to evaluate the results and compare the stress in MPa on the restoration, cement layer, and tooth structure (enamel and dentin). A novel statistical approach was used for quantitative analysis of the finite element analysis results. On restoration and cement layer, nRET showed a more homogeneous stress distribution, while the highest stress peaks were calculated for LD onlays (restoration: 69–110; cement layer: 10.2–13.3). On the tooth structure, the material had more influence, with better results for LD (27–38). It can be concluded that nRET design showed the best mechanical behavior compared to IST and wIST, with LD being more advantageous for tooth structure and NR for the restoration and cement layer.


2018 ◽  
Vol 6 (7) ◽  
pp. 272-277
Author(s):  
Maj Pankaj Awasthi ◽  
Lt Col Sonali Sharma ◽  
Maj Summerdeep Kaur

Aim: To study the stress distribution in Class 2 Inlay of various materials on Mandibular Molar. Background: Inlays are fabricated using different materials like gold, porcelain or a cast metal alloy. Difference in the modulus of elasticity of the material and tooth structure would lead to generation of stresses leading to failure of the restoration or loss of tooth structure. Finite Element Analysis (FEA) is a mathematical tool for stress analysis in a structure. Von Mises stress being the combination of normal and shear stresses which occur in all directions. This stress has to be given diligent importance while considering the type and material of restoration to achieve long-term success. Methodology: In our study, stress analysis was performed on the mandibular first molar using a stress analysis software (ANSYS). A computer model of mandibular first molar was generated along with generation of an inlay volume using a FEA software preprocessor. The models with the class 2 inlays of different materials were subjected to 350N and 800N load simulating normal masticatory force and bruxism respectively. Maximum and minimum stresses were calculated for each model separately. Results: Von Mises stress distribution for different materials for normal masticatory forces and bruxism were studied and evaluated. Conclusion: The study revealed the maximum and minimum stresses imposed over the tooth and the restoration and provides insight into the areas which are more prone to fracture under the occlusal load.


2017 ◽  
Vol 31 (6) ◽  
pp. 1216-1220
Author(s):  
Mehmet Sinan Doğan ◽  
Fatih Demirci ◽  
Elif Eratilla ◽  
Veysel Eratilla ◽  
Yasemin Yavuz ◽  
...  

2015 ◽  
Vol 40 (4) ◽  
pp. E158-E166 ◽  
Author(s):  
ACO Souza ◽  
TA Xavier ◽  
JA Platt ◽  
ALS Borges

SUMMARY The purpose of this study was to evaluate the influence of direct base and indirect inlay materials on stress distribution and fracture resistance of endodontically treated premolars with weakened cusps. Forty healthy human premolars were selected; five were left intact as controls (group C+), and the others were subjected to endodontic treatment and removal of buccal and lingual cusp dentin. Five teeth were left as negative controls (group C−). The remaining 30 teeth were divided into two groups according to the direct base material (glass ionomer [GIC] or composite resin [CR]). After base placement, each group was subjected to extensive inlay preparation, and then three subgroups were created (n=5): no inlay restoration (GIC and CR), restored with an indirect composite resin inlay (GIC+IR and CR+IR), and restored with a ceramic inlay (GIC+C and CR+C). Each specimen was loaded until fracture in a universal testing machine. For finite element analysis, the results showed that the removal of tooth structure significantly affected fracture resistance. The lowest values were presented by the negative control group, followed by the restored and based groups (not statistically different from each other) and all lower than the positive control group. In finite element analysis, the stress concentration was lower in the restored tooth compared to the tooth without restoration, whereas in the restored teeth, the stress concentration was similar, regardless of the material used for the base or restoration. It can be concluded that the inlay materials combined with a base showed similar behavior and were not able to regain the strength of intact tooth structure.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiahui He ◽  
Ziting Zheng ◽  
Min Wu ◽  
Chunqing Zheng ◽  
Yuting Zeng ◽  
...  

Abstract Purpose This study aimed to evaluate the influence of different types of restorative materials and resin cements on the stress distribution in the regions of the restoration, cement layer and dental remnant in endodontically treated posterior endocrowns. Methods A 3D finite element analysis (FEA) model of the first mandibular molar that was restored with an endocrown designed by computer-aided design (CAD) software was generated. Three kinds of restorative materials (Vita Enamic (VE), IPS e.max CAD (EMX) and Grandio blocs (GR)) and two types of cementing materials (NX3 and Maxcem Elite Chroma (MX)) were analysed with such a model. The food layer was also designed before vertical (600 N) forces were applied to simulate physiological masticatory conditions. Thermal expansion was used to simulate the polymerization shrinkage effects of cement layers. The results were obtained by colorimetric graphs of the maximum principal stress in the restoration and tooth remnant. The failure risk of the cement layer was also calculated based on the normal stress. Results The elastic modulus was positively correlated with the tensile stress peak values in the restoration, mainly at the intaglio surface. However, in the cervical enamel and cement layer, restorative material with a higher elastic modulus generated lower peak stress values. The cement with a higher elastic modulus resulted in higher stress peak values inside the cement layer. The combination of EMX (restorative material) and NX3 (cement material) in the cement layer resulted in the lowest failure risk. Significance The ceramic material EMX with a higher elastic modulus appeared to be more effective at protecting the cement layer and residual enamel tissue. Based on the analysis of the failure risk of the cement layer, the combination of EMX and NX3 was recommended as an optional material for endocrowns for endodontically treated posterior teeth.


2011 ◽  
Vol 211-212 ◽  
pp. 710-714
Author(s):  
Shui Wen Zhu ◽  
Guo Ping Chen

The finite element analysis is presented in this paper in order to investigate residual stress distribution in the interphase of restoration-tooth structure due to polymerization shrinkage of resin-based composite. The restoration-tooth interface is simulated using plane elements of varying material properties and thicknesses. The stress within restored-tooth structure built-up from the polymerization shrinkage of the restorative composite were computed accounting for the time-dependent, visco-elastic behaviour of the composite. A sensitivity study is performed to examine the relative influence of geometric and material parameters of interphase on the shrinkage stress development. It was found that a correlation exists between material and geometry properties at the restoration-tooth interface and higher shrinkage stresses on interphase due to polymerization shrinkage. The development trend of residual stress from polymerization shrinkage in the restored-tooth structure was discussed and forecasted. The varying material and geometry properties of restoration-tooth interface seem to have conclusive effect on the interfacial stress system, as well as on the longevity of the restoration. From the purely mechanical point of view, this can result in interfacial debonding.


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