Evaluation of stress distributions in endodontically treated anterior incisors under occlusal and trauma-induced forces following various restoration treatments: A finite element analysis.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Munksgaard Country of Publication: Denmark NLM ID: 101091305 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-9657 (Electronic) Linking ISSN: 16004469 NLM ISO Abbreviation: Dent Traumatol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Copenhagen : Munksgaard, c2001-
    • Subject Terms:
      Finite Element Analysis* ; Incisor* ; Tooth, Nonvital*/therapy ; Post and Core Technique* ; Composite Resins* ; Glass* ; Dental Stress Analysis*; Humans ; Zirconium ; Maxilla ; Crowns ; Dental Restoration, Permanent/methods ; Bite Force
    • Abstract:
      Background: The aim of this study was to calculate the stress distribution of fiberglass post associated with resin composite crown restoration and fiberglass posts with zirconia restorations in mature and immature endodontically treated central maxillary incisor under various loading conditions.
      Materials and Methods: The study created six different study models in a virtual environment: healthy mature maxillary central teeth, intact immature maxillary central teeth, mature maxillary central teeth with fiberglass post associated with resin composite crown restoration, immature maxillary central teeth with fiberglass post associated with resin composite crown restoration, mature maxillary central teeth with fiberglass posts and zirconia restoration, and immature maxillary central teeth with fiberglass posts and zirconia restoration. Loading conditions simulating mastication, trauma, and bruxism were applied to each of the models at different angles and amounts. The von Mises and the maximum and minimum principal stress values in tooth structures (dentin) and support structures (bone, PDL) and materials were observed using finite element stress analysis.
      Results: The highest stress values in the tissue and the restoration structure were observed for masticating force and crowns rehabilitated with zirconia restorations. None of the compared loading conditions and restorations showed destructive stress values on periodontal ligament or bone.
      Conclusion: The mature and immature endodontically treated central maxillary incisors can be better rehabilitated using fiberglass post associated with resin composite crown restoration and may be preferred to zirconia restorations in order to reduce the stresses on the surrounding tissues and teeth. However, further clinical studies are needed to fully explore this topic.
      (© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
    • References:
      Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod. 1992;18:332–335.
      Abduljawad M, Samran A, Kadour J, Karzoun W, Kern M. Effect of fiber posts on the fracture resistance of maxillary central incisors with class III restorations: an in vitro study. J Prosthet Dent. 2017;118:55–60.
      Maroulakos G, Nagy WW, Kontogiorgos ED. Fracture resistance of compromised endodontically treated teeth restored with bonded post and cores: an in vitro study. J Prosthet Dent. 2015;114:390–397.
      Fernandes AS, Dessai GS. Factors affecting the fracture resistance of post‐core reconstructed teeth: a review. Int J Prosthodont. 2001;14:355–363.
      Rafter M. Apexification: a review. Dent Traumatol. 2005;21:1–8.
      Bilgin S, Kahvecioğlu F. Evaluation of stress caused by trauma from different directions by using finite element analysis in immature teeth. Selcuk Dent J. 2020;7:318–325.
      Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1,298 cases. Scand J Dent Res. 1970;78:329–342.
      Talati A, Disfani R, Afshar A, Fallah RA. Finite element evaluation of stress distribution in mature and immature teeth. Iran Endod J. 2007;2:47–53.
      Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one‐visit apexification treatment: a prospective study. Int Endod J. 2007;40:186–197.
      Alaçam A. Travma Nedeniyle Oluşan Diş Yaralanmaları ve Tedavileri. Endodonti. Ankara, Mimtaş Yayıncılık: Alaçam T; 2000. p. 985–1050.
      Anthrayose P, Nawal RR, Yadav S, Talwar S, Yadav S. Effect of revascularisation and apexification procedures on biomechanical behaviour of immature maxillary central incisor teeth: a three‐dimensional finite element analysis study. Clin Oral Investig. 2021;25:6671–6679.
      Trope M. Treatment of the immature tooth with a non‐vital pulp and apical periodontitis. Dent Clin N Am. 2010;54:313–324.
      Mente J, Hage N, Pfefferle T, Koch MJ, Dreyhaupt J, Staehle HJ, et al. Mineral trioxide aggregate apical plugs in teeth with open apical foramina: a retrospective analysis of treatment outcome. J Endod. 2009;35:1354–1358.
      Mangold JT, Kern M. Influence of glass‐fiber posts on the fracture resistance and failure pattern of endodontically treated premolars with varying substance loss: an in vitro study. J Prosthet Dent. 2011;105:387–393.
      Signore A, Benedicenti S, Kaitsas V, Barone M, Angiero F, Ravera G. Longterm survival of endodontically treated, maxillary anterior teeth restored with either tapered or parallel‐sided glass‐fiber posts and full‐ceramic crown coverage. J Dent. 2009;37:115–121.
      Okamoto K, Ino T, Iwase N, Shimizu E, Suzuki M, Satoh G, et al. Three‐dimensional finite element analysis of stress distribution in composite resin resin cores with fiber posts of varying diameters. Dent Mater J. 2008;27:49–55.
      Yu H, Feng Z, Wang L, Mihcin S, Kang J, Bai S, et al. Finite element study of PEEK materials applied in post‐retained restorations. Polymers (Basel). 2022;22:14–3422.
      Jurema ALB, Filgueiras AT, Santos KA, Bresciani E, Caneppele TMF. Effect of intraradicular fiber post on the fracture resistance of endodontically treated and restored anterior teeth: a systematic review and meta‐analysis. J Prosthet Dent. 2022;128:13–24.
      Peroz I, Blankenstein F, Lange KP, Naumann M. Restoring endodontically treated teeth with posts and coresda review. Quintessence Int. 2005;36:737–746.
      Lassila LV, Tanner J, Le Bell AM, Narva K, Vallittu PK. Flexural properties of fiber reinforced root canal posts. Dent Mater. 2004;20:29–36.
      Sidoli GE, King PA, Setchell DJ. An in vitro evaluation of a carbon fiber‐based post and core system. J Prosthet Dent. 1997;78:5–9.
      Mosharraf R, Haerian A. Push out bond strength of a fiber post system with two resin cements. Dent Res J (Isfahan). 2011;8:88–93.
      Chieruzzi M, Pagano S, Cianetti S, Lombardo G, Kenny JM, Torre L. Effect of fibre posts, bone losses and fibre content on the biomechanical behaviour of endodontically treated teeth: 3D‐finite element analysis. Mater Sci Eng C Mater Biol Appl. 2017;74:334–346.
      Sichi LGB, Pierre FZ, Arcila LVC, de Andrade GS, Tribst JPM, Ausiello P, et al. Effect of biologically oriented preparation technique on the stress concentration of endodontically treated upper central incisor restored with zirconia crown: 3D‐FEA. Molecules. 2021;26:6113.
      Sorrentino R, Aversa R, Ferro V. Three‐dimensional finite element analysis of strain and stress distributions in endodontically treated maxillary central incisors restored with different post, core and crown materials. Dent Mater. 2007;23:983–993.
      Genovese K, Lamberti L, Pappalettere C. Finite element analysis of a new customized composite post system for endodontically treated teeth. J Biomech. 2005;38:2375–2389.
      Sorrentino R, Salameh Z, Apicella D, Auriemma T, Zarone F, Apicella A, et al. Three‐dimensional finite element analysis of stress and strain distributions in post and core treated maxillary central incisors. J Adhes Dent. 2007;9:527–536.
      Ha SR, Kim SH, Lee JB, Han JS, Yeo IS, Yoo SH. Effects of coping designs on stress distributions in zirconia crowns: finite element analysis. Ceram Int. 2016;42:4932–4940.
      Geng JP, Tan KB, Liu GR. Application of finite element analysis in implant dentistry: a review of the literature. J Prosthet Dent. 2001;85:585–598.
      Tabata LF, Assunção WG, Barão VAR, Gomes EA, Delben JA, de Sousa EAC, et al. Comparison of single‐standing or connected implants on stress distribution in bone of mandibular overdentures: a two‐dimensional finite element analysis. J Craniofac Surg. 2010;21:696–702.
      O'Brien WJ. Dental materials and their selection. 3rd ed. Canada: Quintessence Publishing Company; 2002, Chapter 1‐2. p. 1–49.
      Budynas RG, Nisbett JK. Shigley's mechanical engineering design. 9th ed. New York: McGrawHill; 2011. p. 71–126.
      Dal Piva AMO, Tribst JPM, Borges ALS, Kleverlaan CJ, Feilzer AJ. The ability of mouthguards to protect veneered teeth: a 3D finite element analysis. Dent Traumatol. 2023;39:191–199.
      Kharboutly NAD, Allaf M, Kanout S, Kanout C. Three‐dimensional finite element study of endodontically treated maxillary central incisors restored using different post and crown materials. Cureus. 2023;15:e33778.
    • Contributed Indexing:
      Keywords: dental trauma; finite element analysis; permanent tooth; primary tooth;  root canal treatment
    • Accession Number:
      0 (fiberglass)
      0 (Composite Resins)
      S38N85C5G0 (zirconium oxide)
      C6V6S92N3C (Zirconium)
    • Publication Date:
      Date Created: 20240711 Date Completed: 20241113 Latest Revision: 20241113
    • Publication Date:
      20241114
    • Accession Number:
      10.1111/edt.12977
    • Accession Number:
      38990009