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MOD DEFEKTE SAHİP MANDİBULER MOLARLARDA FARKLI MİNİMAL İNVAZİV RESTORASYONLARIN STRES DAĞILIMINA ETKİSİ: SONLU ELEMANLAR ANALİZİ ÇALIŞMASI

Yıl 2023, Cilt: 10 Sayı: 4, 149 - 155, 15.06.2023
https://doi.org/10.15311/selcukdentj.1232175

Öz

Amaç: Diş dokusundan daha az madde kaldırmak ve daha iyi estetik sonuçlar elde etmek için inlay, onlay ve overlay restorasyonlar, posterior dişlerdeki geniş kaviteler için iyi bir tedavi seçeneğidir. Bu çalışmanın amacı farklı minimal invaziv restorasyonlarla rehabilite edilen, Mezio-okluza-distal (MOD) kusurlu mandibular büyük azı dişlerine gelen stres dağılımını incelemektir.
Gereç ve Yöntem: Daha önce çekilmiş sağlam bir mandibular molar diş uygulama için bulundu ve inlay, onlay ve overlay restorasyonların hazırlanmasına uygun preperasyonlar yapıldı. Her aşama sonrasında model tarayıcı ile taranarak EXOCAD programına aktarıldı ve aynı formatla ilgili restorasyonlar dizaynlandı. Tüm datalar Solidworks programına aktarılarak çakıştırma işlemi yapıldı ve ABAQUS programında restorasyona üç farklı materyalin özellikleri verilerek her birine aksiyal yönde 600 N kuvvet, modellerin okluzal tablalarına uygulandı.
Bulgular: Elde edilen sonuçlardan bağımsız olarak, herhangi bir doku ya da restorasyona gelen kuvvetler, dayanım sınırlarının üzerinde değildi. Mineye iletilen maksimum principal stresleri karşılaştırıldığında en yüksek değer inlay için en düşük değer ise overlay için bulundu. Direkt, restorasyonda ortaya çıkan stresler için en yüksek maksimum principal stres değerleri overlay için görülürken, onlay ve inlay arasındaki fark çok da büyük değildi. Zirkonyum içerikli cam seramiklerde (Vita Suprinity) ortaya çıkan stres, rezin matrikse sahip seramik materyallere (Cerasmart, Shofu Block HC Hard) kıyasla daha fazla olsa da; destek dokulara iletilen stresin daha az olduğu tespit edilmiştir.
Sonuç: Minimal invaziv restorasyon seçenekleri düşünüldüğünde restorasyonun kapladığı alan ve tüberkül sayısı arttıkça mineye iletilen kuvvet de belirgin şekilde azalır. Bunun yanında daha yüksek elastik modülüne sahip restorasyonların kullanılması destek dişte oluşabilecek mine kırıklarını önlemek açısından daha iyi bir seçenektir.
Anahtar Kelimeler: CAD/CAM Seramikler, Minimal İnvaziv Restorasyonlar, Sonlu Elemanlar Analizi

Kaynakça

  • 1. Bresser RA, Gerdolle D, van den Heijkant IA, Sluiter-Pouwels LMA, Cune MS, Gresnigt MMM. Up to 12 years clinical evaluation of 197 partial indirect restorations with deep margin elevation in the posterior region. J Dent. 2019;91:103227.
  • 2. Giachetti L, Russo DS, Bambi C, Grandini R. A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations. J Contemp Dent Pract. 2006;7(4):79-88.
  • 3. Manhart J, Chen HY, Hamm G, Hickel R. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent. 2004;29(5):481-508
  • 4. Al-Fouzan A, Tashkandi E. Volumetric measurements of removed tooth structure associated with various preparation designs. Int J Prosthodont. 2013;26(6):545-8.
  • 5. Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002;87(5):503-9.
  • 6. Morimoto S, Rebello De Sampaio FBW, Braga MM, Sesma N, Özcan M. Survival Rate of Resin and Ceramic Inlays, Onlays, and Overlays: A Systematic Review and Meta-analysis. J Dent Res. 2016;95(9):985-94.
  • 7. Shibata S, Gondo R, Araújo É, de Mello Roesler CR, Baratieri LN. Influence of surrounding wall thickness on the fatigue resistance of molars restored with ceramic inlay. Braz Oral Res. 2014;28(1):1-8.
  • 8. Rocca GT, Rizcalla N, Krejci I, Dietschi D. Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication. Int J Esthet Dent. 2015;10(3):392-413
  • 9. Seow LL, Toh CG, Wilson NHF. Strain measurements and fracture resistance of endodontically treated premolars restored with all-ceramic restorations. J Dent. 2015;43(1):126-32.
  • 10. Soares CJ, Martins LRM, Fonseca RB, Correr-Sobrinho L, Fernandes Neto AJ. Influence of cavity preparation design on fracture resistance of posterior Leucite-reinforced ceramic restorations. J Prosthet Dent. 2006;95(6):421-9.
  • 11. Amesti-Garaizabal A, Agustín-Panadero R, Verdejo-Solá B, et al. Fracture Resistance of Partial Indirect Restorations Made With CAD/CAM Technology. A Systematic Review and Meta-analysis. J Clin Med. 2019;8(11):1932.
  • 12. Spitznagel FA, Boldt J, Gierthmuehlen PC. CAD/CAM Ceramic Restorative Materials for Natural Teeth. J Dent Res. 2018;97(10):1082-91.
  • 13. Taha D, Spintzyk S, Schille C, et al. Fracture resistance and failure modes of polymer infiltrated ceramic endocrown restorations with variations in margin design and occlusal thickness. J Prosthodont Res. 2018;62(3):293-97.
  • 14. Porto TS, Roperto RC, Teich ST, et al. Brittleness index and its relationship with materials mechanical properties: Influence on the machinability of CAD/CAM materials. Braz Oral Res. 2019;33:e026.
  • 15. Gresnigt MMM, Özcan M, Van Den Houten MLA, Schipper L, Cune MS. Fracture strength, failure type and Weibull characteristics of lithium disilicate and multiphase resin composite endocrowns under axial and lateral forces. Dent Mater. 2016;32(5):607-14.
  • 16. Zhu J, Rong Q, Wang X, Gao X. Influence of remaining tooth structure and restorative material type on stress distribution in endodontically treated maxillary premolars: A finite element analysis. J Prosthet Dent. 2017;117(5):646-55.
  • 17. Gulec L, Ulusoy N. Effect of Endocrown Restorations with Different CAD/CAM Materials: 3D Finite Element and Weibull Analyses. Biomed Res Int. 2017;2017.
  • 18. De Abreu RAM, Pereira MD, Furtado F, Prado GPR, Mestriner W, Ferreira LM. Masticatory efficiency and bite force in individuals with normal occlusion. Arch Oral Biol. 2014;59(10):1065-74.
  • 19. Krejci I, Daher R. Stress distribution difference between Lava Ultimate full crowns and IPS e.max CAD full crowns on a natural tooth and on tooth-shaped implant abutments. Odontology. 2017;105(2):254-6.
  • 20. Abtahi S, Alikhasi M, Siadat H. Biomechanical behavior of endocrown restorations with different cavity design and CAD-CAM materials under a static and vertical load: A finite element analysis. J Prosthet Dent. 2022;127(4):600.e1-600.e8.
  • 21. Pedrollo Lise D, Van Ende A, De Munck J, Umeda Suzuki TY, Cardoso Vieira LC, Van Meerbeek B. Biomechanical behavior of endodontically treated premolars using different preparation designs and CAD/CAM materials. J Dent. 2017;59:54-61.
  • 22. Zhu J, Rong Q, Wang X, Gao X. Influence of remaining tooth structure and restorative material type on stress distribution in endodontically treated maxillary premolars: A finite element analysis. J Prosthet Dent. 2017;117(5):646-55.
  • 23. Ural Ç, Çağlayan E. A 3-dimensional finite element and in vitro analysis of endocrown restorations fabricated with different preparation designs and various restorative materials. J Prosthet Dent. 2021;126(4):586.e1-586.e9.
  • 24. Dejak B, Młotkowski A. A comparison of mvM stress of inlays, onlays and endocrowns made from various materials and their bonding with molars in a computer simulation of mastication – FEA. Dent Mater. 2020;36(7):854-64.
  • 25. Mei ML, Chen YM, Li H, Chu CH. Influence of the indirect restoration design on the fracture resistance: a finite element study. Biomed Eng Online. 2016;15(1):3.
  • 26. Krämer N, Frankenberger R. Clinical performance of bonded leucite-reinforced glass ceramic inlays and onlays after eight years. Dent Mater. 2005;21(3):262-71.
  • 27. Kelly JR. Clinically relevant approach to failure testing of all-ceramic restorations. J Prosthet Dent. 1999;81(6):652-61.
  • 28. He J, Zheng Z, Wu M, Zheng C, Zeng Y, Yan W. Influence of restorative material and cement on the stress distribution of endocrowns: 3D finite element analysis. BMC Oral Health. 2021;21(1):495.
  • 29. Sen N, Us YO. Mechanical and optical properties of monolithic CAD-CAM restorative materials. J Prosthet Dent. 2018;119(4):593-9.
  • 30. Mörmann WH, Bindl A, Lüthy H, Rathke A. Effects of preparation and luting system on all-ceramic computer-generated crowns. Int J Prosthodont. 11(4):333-9.
  • 31. Yang H, Park C, Shin JH, et al. Stress distribution in premolars restored with inlays or onlays: 3D finite element analysis. J Adv Prosthodont. 2018;10(3):184-90.
  • 32. Hofsteenge JW, Hogeveen F, Cune MS, Gresnigt MMM. Effect of immediate dentine sealing on the aging and fracture strength of lithium disilicate inlays and overlays. J Mech Behav Biomed Mater. 2020; 110:103906.
  • 33. Yamanel K, Çaǧlar A, Gülşahi K, Özden UA. Effects of different ceramic and composite materials on stress distribution in inlay and onlay cavities: 3-D finite element analysis. Dent Mater J. 2009;28(6):661-70.
Yıl 2023, Cilt: 10 Sayı: 4, 149 - 155, 15.06.2023
https://doi.org/10.15311/selcukdentj.1232175

Öz

Kaynakça

  • 1. Bresser RA, Gerdolle D, van den Heijkant IA, Sluiter-Pouwels LMA, Cune MS, Gresnigt MMM. Up to 12 years clinical evaluation of 197 partial indirect restorations with deep margin elevation in the posterior region. J Dent. 2019;91:103227.
  • 2. Giachetti L, Russo DS, Bambi C, Grandini R. A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations. J Contemp Dent Pract. 2006;7(4):79-88.
  • 3. Manhart J, Chen HY, Hamm G, Hickel R. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent. 2004;29(5):481-508
  • 4. Al-Fouzan A, Tashkandi E. Volumetric measurements of removed tooth structure associated with various preparation designs. Int J Prosthodont. 2013;26(6):545-8.
  • 5. Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002;87(5):503-9.
  • 6. Morimoto S, Rebello De Sampaio FBW, Braga MM, Sesma N, Özcan M. Survival Rate of Resin and Ceramic Inlays, Onlays, and Overlays: A Systematic Review and Meta-analysis. J Dent Res. 2016;95(9):985-94.
  • 7. Shibata S, Gondo R, Araújo É, de Mello Roesler CR, Baratieri LN. Influence of surrounding wall thickness on the fatigue resistance of molars restored with ceramic inlay. Braz Oral Res. 2014;28(1):1-8.
  • 8. Rocca GT, Rizcalla N, Krejci I, Dietschi D. Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication. Int J Esthet Dent. 2015;10(3):392-413
  • 9. Seow LL, Toh CG, Wilson NHF. Strain measurements and fracture resistance of endodontically treated premolars restored with all-ceramic restorations. J Dent. 2015;43(1):126-32.
  • 10. Soares CJ, Martins LRM, Fonseca RB, Correr-Sobrinho L, Fernandes Neto AJ. Influence of cavity preparation design on fracture resistance of posterior Leucite-reinforced ceramic restorations. J Prosthet Dent. 2006;95(6):421-9.
  • 11. Amesti-Garaizabal A, Agustín-Panadero R, Verdejo-Solá B, et al. Fracture Resistance of Partial Indirect Restorations Made With CAD/CAM Technology. A Systematic Review and Meta-analysis. J Clin Med. 2019;8(11):1932.
  • 12. Spitznagel FA, Boldt J, Gierthmuehlen PC. CAD/CAM Ceramic Restorative Materials for Natural Teeth. J Dent Res. 2018;97(10):1082-91.
  • 13. Taha D, Spintzyk S, Schille C, et al. Fracture resistance and failure modes of polymer infiltrated ceramic endocrown restorations with variations in margin design and occlusal thickness. J Prosthodont Res. 2018;62(3):293-97.
  • 14. Porto TS, Roperto RC, Teich ST, et al. Brittleness index and its relationship with materials mechanical properties: Influence on the machinability of CAD/CAM materials. Braz Oral Res. 2019;33:e026.
  • 15. Gresnigt MMM, Özcan M, Van Den Houten MLA, Schipper L, Cune MS. Fracture strength, failure type and Weibull characteristics of lithium disilicate and multiphase resin composite endocrowns under axial and lateral forces. Dent Mater. 2016;32(5):607-14.
  • 16. Zhu J, Rong Q, Wang X, Gao X. Influence of remaining tooth structure and restorative material type on stress distribution in endodontically treated maxillary premolars: A finite element analysis. J Prosthet Dent. 2017;117(5):646-55.
  • 17. Gulec L, Ulusoy N. Effect of Endocrown Restorations with Different CAD/CAM Materials: 3D Finite Element and Weibull Analyses. Biomed Res Int. 2017;2017.
  • 18. De Abreu RAM, Pereira MD, Furtado F, Prado GPR, Mestriner W, Ferreira LM. Masticatory efficiency and bite force in individuals with normal occlusion. Arch Oral Biol. 2014;59(10):1065-74.
  • 19. Krejci I, Daher R. Stress distribution difference between Lava Ultimate full crowns and IPS e.max CAD full crowns on a natural tooth and on tooth-shaped implant abutments. Odontology. 2017;105(2):254-6.
  • 20. Abtahi S, Alikhasi M, Siadat H. Biomechanical behavior of endocrown restorations with different cavity design and CAD-CAM materials under a static and vertical load: A finite element analysis. J Prosthet Dent. 2022;127(4):600.e1-600.e8.
  • 21. Pedrollo Lise D, Van Ende A, De Munck J, Umeda Suzuki TY, Cardoso Vieira LC, Van Meerbeek B. Biomechanical behavior of endodontically treated premolars using different preparation designs and CAD/CAM materials. J Dent. 2017;59:54-61.
  • 22. Zhu J, Rong Q, Wang X, Gao X. Influence of remaining tooth structure and restorative material type on stress distribution in endodontically treated maxillary premolars: A finite element analysis. J Prosthet Dent. 2017;117(5):646-55.
  • 23. Ural Ç, Çağlayan E. A 3-dimensional finite element and in vitro analysis of endocrown restorations fabricated with different preparation designs and various restorative materials. J Prosthet Dent. 2021;126(4):586.e1-586.e9.
  • 24. Dejak B, Młotkowski A. A comparison of mvM stress of inlays, onlays and endocrowns made from various materials and their bonding with molars in a computer simulation of mastication – FEA. Dent Mater. 2020;36(7):854-64.
  • 25. Mei ML, Chen YM, Li H, Chu CH. Influence of the indirect restoration design on the fracture resistance: a finite element study. Biomed Eng Online. 2016;15(1):3.
  • 26. Krämer N, Frankenberger R. Clinical performance of bonded leucite-reinforced glass ceramic inlays and onlays after eight years. Dent Mater. 2005;21(3):262-71.
  • 27. Kelly JR. Clinically relevant approach to failure testing of all-ceramic restorations. J Prosthet Dent. 1999;81(6):652-61.
  • 28. He J, Zheng Z, Wu M, Zheng C, Zeng Y, Yan W. Influence of restorative material and cement on the stress distribution of endocrowns: 3D finite element analysis. BMC Oral Health. 2021;21(1):495.
  • 29. Sen N, Us YO. Mechanical and optical properties of monolithic CAD-CAM restorative materials. J Prosthet Dent. 2018;119(4):593-9.
  • 30. Mörmann WH, Bindl A, Lüthy H, Rathke A. Effects of preparation and luting system on all-ceramic computer-generated crowns. Int J Prosthodont. 11(4):333-9.
  • 31. Yang H, Park C, Shin JH, et al. Stress distribution in premolars restored with inlays or onlays: 3D finite element analysis. J Adv Prosthodont. 2018;10(3):184-90.
  • 32. Hofsteenge JW, Hogeveen F, Cune MS, Gresnigt MMM. Effect of immediate dentine sealing on the aging and fracture strength of lithium disilicate inlays and overlays. J Mech Behav Biomed Mater. 2020; 110:103906.
  • 33. Yamanel K, Çaǧlar A, Gülşahi K, Özden UA. Effects of different ceramic and composite materials on stress distribution in inlay and onlay cavities: 3-D finite element analysis. Dent Mater J. 2009;28(6):661-70.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma
Yazarlar

Mehmet Gökberkkaan Demirel 0000-0002-6599-1074

Mesut Alkan 0000-0002-1742-063X

Reza Mohammadi 0000-0002-4506-8506

Yayımlanma Tarihi 15 Haziran 2023
Gönderilme Tarihi 10 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 10 Sayı: 4

Kaynak Göster

Vancouver Demirel MG, Alkan M, Mohammadi R. MOD DEFEKTE SAHİP MANDİBULER MOLARLARDA FARKLI MİNİMAL İNVAZİV RESTORASYONLARIN STRES DAĞILIMINA ETKİSİ: SONLU ELEMANLAR ANALİZİ ÇALIŞMASI. Selcuk Dent J. 2023;10(4):149-55.