The Effects of Different Base Materials on the Stress Distribution of the Endodontically Treated Teeth: 3D FEA
Abstract
Objectives: This study evaluated stress distrubitions formed by oblique forces in dental hard tissues, base materials and restorations of endodontically treated permanent mandibular first molars that were restored with different base materials and direct composite restorations by using 3D-FEA method.
Materials and Methods: For two different restorative approaches; an MO cavity design and a MOD cavity design was created. Then root canal obturation was modeled. Composite resin (CR), conventional glass ionomer cement (GIC), fiber reinforced composite resin (FRCR), resin modified glass ionomer cement (RMGIC), flowable composite (FC), and bulk-fill composite resin (BF) were used as base materials. Von Mises, compressive and tensile stresses in enamel, dentin, base materials and final restoration were analyzed using finite element stress analysis method.
Results: Regarding the resulting stresses, CR caused highest stresses and RMGIC caused lowest stresses in enamel, base material, and final restoration. RMGIC caused highest stresses and CR caused lowest stresses in dentin. It was noted that MOD cavity design caused more stress than MO cavity design for all analyzed materials.
Conclusions: Materials with elastic moduli similar to dentin; FRCR and GIC, may be better choice to avoid high stresses within the tooth and restoration.
Keywords
References
- Ausiello P, Ciaramella S, Fabianelli A, Gloria S, Martorelli M, Lanzotti A, Watts DC. Influence of dental restorations and mastication loadings on dentine fatigue behaviour: Image-based modelling approach. Dent Mater 2017;33:690-701.
- Pierrisnard L, Bohin F, Renault P, Barquins M. Corono-radicular reconstruction of pulpless teeth: a mechanical study using finite element analysis. J Prosthet Dent 2002;88:442-448.
- Yıkılgan I, Bala O. How can stress be controlled in endodontically treated teeth? A 3D finite element analysis. ScientificWorldJournal 2013: 426134.
- Wimmer T, Erdelt KJ, Raith S, Schneider JM, Stawarczyk B, Beuer F. Effects of Differing Thickness and Mechanical Properties of Cement on the Stress Levels and Distributions in a Three-Unit Zirconia Fixed Prosthesis by FEA. J Prosthodont 2014;23:358-366.
- Tang W, Wu Y, Smales RJ. Identifying and Reducing Risks for Potential Fractures in Endodontically Treated Teeth. J Endod 2010;36:609-617.
- Jiang W, Bo H, Yongchun G, LongXing N. Stress distribution in molars restored with inlays or onlays with or without endodontic treatment: a three-dimensional finite element analysis. J Prosthet Dent 2010;103:6-12.
- Wang Y, Liao Z, Liu D, Liu Z, McIntyre GT, Jian F. 3D-fEA of stress levels and distributions for different bases under a Class I composite restoration. Am J Dent 2011;24:3-7.
- Dejak B, Młotkowski A. A comparison of stresses in molar teeth restored with inlays and direct restorations, including polymerization shrinkage of composite resin and tooth loading during mastication. Dent Mater 2015;31:77-87.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Kıvanç Yamanel
0000-0003-4237-1232
Türkiye
Publication Date
March 13, 2019
Submission Date
August 14, 2018
Acceptance Date
January 23, 2019
Published in Issue
Year 2019 Volume: 22 Number: 1
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