Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study

Abstract Background The purposes of this simulation study were to evaluate the stresses in the roots of endodontically treated molars with extensive coronal tissue loss which were restored by endocrowns (all-in-one core and crown) and traditional crowns with post-cores, during masticatory simulation...

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Main Authors: Jie Lin, Zhenxiang Lin, Zhiqiang Zheng
Format: Article
Language:English
Published: BMC 2020-08-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-020-01214-3
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author Jie Lin
Zhenxiang Lin
Zhiqiang Zheng
author_facet Jie Lin
Zhenxiang Lin
Zhiqiang Zheng
author_sort Jie Lin
collection DOAJ
description Abstract Background The purposes of this simulation study were to evaluate the stresses in the roots of endodontically treated molars with extensive coronal tissue loss which were restored by endocrowns (all-in-one core and crown) and traditional crowns with post-cores, during masticatory simulation using finite element analysis. Methods A mesio-distal cross-section of a lower right first molar was digitized and used to create 2-dimensional models of the teeth and supporting tissue; different crown designs, viz., endocrown with 2 mm occlusal clearance, endocrown with 4 mm occlusal clearance and post-core crown; different crown materials, viz., zirconia (Zr) and lithia-disilicate reinforced glass ceramic (LDRGC), and different post and core materials, viz., glass fiber (GF), stainless steel (SS) and metal cast (MC). An axial load of 600 N was applied to the central fossa of occlusal surface. Results The stress distributions were similar between Zr and LDRGC for periodontal ligament and alveolar bone. The root canal inner wall maximum principal stresses of SS post (70.8 MPa) and MC post (71.4 MPa) were higher than that of GF post (36.0 MPa) and endocrown (2.4 MPa). Conclusion The endocrowns reduced stress concentration for the root canal inner wall in comparison with the conventional post-core crown. Molars restored with endocrowns are less prone to root fracture than those with posts.
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spelling doaj.art-3611d4489b6c41c79680d224e3f36cc42022-12-22T02:44:29ZengBMCBMC Oral Health1472-68312020-08-012011810.1186/s12903-020-01214-3Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis studyJie Lin0Zhenxiang Lin1Zhiqiang Zheng2Fujian Key Laboratory of Oral Diseases, School and Hospital of Stomatology, Fujian Medical UniversityDepartment of Stomatology, Hospital of Fujian Provincial AuthoritiesFujian Key Laboratory of Oral Diseases, School and Hospital of Stomatology, Fujian Medical UniversityAbstract Background The purposes of this simulation study were to evaluate the stresses in the roots of endodontically treated molars with extensive coronal tissue loss which were restored by endocrowns (all-in-one core and crown) and traditional crowns with post-cores, during masticatory simulation using finite element analysis. Methods A mesio-distal cross-section of a lower right first molar was digitized and used to create 2-dimensional models of the teeth and supporting tissue; different crown designs, viz., endocrown with 2 mm occlusal clearance, endocrown with 4 mm occlusal clearance and post-core crown; different crown materials, viz., zirconia (Zr) and lithia-disilicate reinforced glass ceramic (LDRGC), and different post and core materials, viz., glass fiber (GF), stainless steel (SS) and metal cast (MC). An axial load of 600 N was applied to the central fossa of occlusal surface. Results The stress distributions were similar between Zr and LDRGC for periodontal ligament and alveolar bone. The root canal inner wall maximum principal stresses of SS post (70.8 MPa) and MC post (71.4 MPa) were higher than that of GF post (36.0 MPa) and endocrown (2.4 MPa). Conclusion The endocrowns reduced stress concentration for the root canal inner wall in comparison with the conventional post-core crown. Molars restored with endocrowns are less prone to root fracture than those with posts.http://link.springer.com/article/10.1186/s12903-020-01214-3Finite element analysisEndocrownPost-core crownFiber postZirconia
spellingShingle Jie Lin
Zhenxiang Lin
Zhiqiang Zheng
Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study
BMC Oral Health
Finite element analysis
Endocrown
Post-core crown
Fiber post
Zirconia
title Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study
title_full Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study
title_fullStr Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study
title_full_unstemmed Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study
title_short Effect of different restorative crown design and materials on stress distribution in endodontically treated molars: a finite element analysis study
title_sort effect of different restorative crown design and materials on stress distribution in endodontically treated molars a finite element analysis study
topic Finite element analysis
Endocrown
Post-core crown
Fiber post
Zirconia
url http://link.springer.com/article/10.1186/s12903-020-01214-3
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AT zhenxianglin effectofdifferentrestorativecrowndesignandmaterialsonstressdistributioninendodonticallytreatedmolarsafiniteelementanalysisstudy
AT zhiqiangzheng effectofdifferentrestorativecrowndesignandmaterialsonstressdistributioninendodonticallytreatedmolarsafiniteelementanalysisstudy