Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis

<strong>Introduction</strong>: the Restoration of endodontically treated teeth is critical, and the Awareness of stresses developed by oblique and vertical forces in restorative methods take a great role in treatment plans. Due to the anatomical shape and inherent form of the stress dist...

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Main Authors: Alireza Daneshkazemi, Mohammad Mehdi Jalili Bahabad, Rahele Mirseifinejad, Mohammad Hosein Amirzade Iranaq, elnaz karimian
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2019-10-01
Series:Journal of Dental Materials and Techniques
Subjects:
Online Access:http://jdmt.mums.ac.ir/article_14045_f988dc0e4919034f31fd785011acd1a2.pdf
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author Alireza Daneshkazemi
Mohammad Mehdi Jalili Bahabad
Rahele Mirseifinejad
Mohammad Hosein Amirzade Iranaq
elnaz karimian
author_facet Alireza Daneshkazemi
Mohammad Mehdi Jalili Bahabad
Rahele Mirseifinejad
Mohammad Hosein Amirzade Iranaq
elnaz karimian
author_sort Alireza Daneshkazemi
collection DOAJ
description <strong>Introduction</strong>: the Restoration of endodontically treated teeth is critical, and the Awareness of stresses developed by oblique and vertical forces in restorative methods take a great role in treatment plans. Due to the anatomical shape and inherent form of the stress distribution premolars, could be lost by fractures. Some fractures such as vertical fracture which is probable in endodontically treated teeth, makes the teeth a candidate for extraction and other surgical procedures. According to this fact that the dental restorations should be conservative, the aim of this study was to determine stress distribution using four composite restorative methods. <strong>Methods</strong>: Endodontically treated maxillary second premolars were restored with composite resin using four methods. For restoration, the models representing standard Mesio-occlusal-distal (MOD) restoration, cusps capping with thickness of 1 and 2mm, and the use of woven fiber in occlusal part, were prepared. The effects of the different restorative approaches on stress distribution were analyzed using three-dimensional finite element stress analysis. <strong>Results</strong>: the highest stress rate was observed in MOD tooth restoration and the amount of stress in natural parts of the tooth in woven fiber was found the lowest. <strong>Conclusion</strong>: The simulation results show that in all models, oblique forces caused more stress than vertical forces. Moreover, there was a slight difference between different types of restorations regarding the magnitude of stress; however, the results obtained from this study showed that woven fiber could partly reduce stresses.
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spelling doaj.art-dc0140a69eba4517aa9a35d85dc08af62022-12-21T23:57:24ZengMashhad University of Medical SciencesJournal of Dental Materials and Techniques2322-41502252-03172019-10-018418218910.22038/jdmt.2019.1404514045Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element AnalysisAlireza Daneshkazemi0Mohammad Mehdi Jalili Bahabad1Rahele Mirseifinejad2Mohammad Hosein Amirzade Iranaq3elnaz karimian4Associate Professor, Cosmetic and Restorative Department, Yazd Dental School, Yazd University of Medical Sciences, Yazd, IranAssociate Professor, Mechanical Engineering, Yazd University, Yazd, IranAssistant Professor, Cosmetic and Restorative Dentistry, Yazd Dental School, Yazd University of Medical Sciences, Yazd, IranUniversal Network of Interdisciplinary Research in Oral and Maxillofacial Surgery (Uniroms), Universal Scientific Education and Research Network (Usern), Tehran, Iranpost graduated student, cosmetic and restorative dentistry,mashhad dental school,mashhad university of medical sciences, mashhad,iran<strong>Introduction</strong>: the Restoration of endodontically treated teeth is critical, and the Awareness of stresses developed by oblique and vertical forces in restorative methods take a great role in treatment plans. Due to the anatomical shape and inherent form of the stress distribution premolars, could be lost by fractures. Some fractures such as vertical fracture which is probable in endodontically treated teeth, makes the teeth a candidate for extraction and other surgical procedures. According to this fact that the dental restorations should be conservative, the aim of this study was to determine stress distribution using four composite restorative methods. <strong>Methods</strong>: Endodontically treated maxillary second premolars were restored with composite resin using four methods. For restoration, the models representing standard Mesio-occlusal-distal (MOD) restoration, cusps capping with thickness of 1 and 2mm, and the use of woven fiber in occlusal part, were prepared. The effects of the different restorative approaches on stress distribution were analyzed using three-dimensional finite element stress analysis. <strong>Results</strong>: the highest stress rate was observed in MOD tooth restoration and the amount of stress in natural parts of the tooth in woven fiber was found the lowest. <strong>Conclusion</strong>: The simulation results show that in all models, oblique forces caused more stress than vertical forces. Moreover, there was a slight difference between different types of restorations regarding the magnitude of stress; however, the results obtained from this study showed that woven fiber could partly reduce stresses.http://jdmt.mums.ac.ir/article_14045_f988dc0e4919034f31fd785011acd1a2.pdfendodontically treatedfinite element analysisrestorative dentistryresin compositeswoven fibers
spellingShingle Alireza Daneshkazemi
Mohammad Mehdi Jalili Bahabad
Rahele Mirseifinejad
Mohammad Hosein Amirzade Iranaq
elnaz karimian
Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis
Journal of Dental Materials and Techniques
endodontically treated
finite element analysis
restorative dentistry
resin composites
woven fibers
title Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis
title_full Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis
title_fullStr Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis
title_full_unstemmed Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis
title_short Stress Distribution in Four Restorative Methods in Endodontically Treated Maxillary Premolar: A 3D Finite Element Analysis
title_sort stress distribution in four restorative methods in endodontically treated maxillary premolar a 3d finite element analysis
topic endodontically treated
finite element analysis
restorative dentistry
resin composites
woven fibers
url http://jdmt.mums.ac.ir/article_14045_f988dc0e4919034f31fd785011acd1a2.pdf
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AT mohammadmehdijalilibahabad stressdistributioninfourrestorativemethodsinendodonticallytreatedmaxillarypremolara3dfiniteelementanalysis
AT rahelemirseifinejad stressdistributioninfourrestorativemethodsinendodonticallytreatedmaxillarypremolara3dfiniteelementanalysis
AT mohammadhoseinamirzadeiranaq stressdistributioninfourrestorativemethodsinendodonticallytreatedmaxillarypremolara3dfiniteelementanalysis
AT elnazkarimian stressdistributioninfourrestorativemethodsinendodonticallytreatedmaxillarypremolara3dfiniteelementanalysis