Effect of different restorative design on stress concentration of lithium disilicate and monolithic zirconia endocrown on a mandibular molar - a finite element analysis.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE BMC Oral Health Pub Date : 2025-02-08 DOI:10.1186/s12903-024-05358-4
Garima Karn, Manoj Shetty, Chethan Hegde
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Abstract

Background: The purpose of this simulation study was to evaluate effect of different restorative design on stress concentration of endocrown. Different restorative materials were used on a mandibular molar using a finite element analysis.

Methods: A 3D FEA model of mandibular molar was constructed using the average values and was used in this analysis. 2 materials were used which were lithium disilicate and zirconia and 2 different margin design of knife edge and shoulder margins were used in various combinations of material and margin design. A constant 12° of internal wall angulation was considered for all the 4 models and a uniform cement thicknes of 100 μm was considered. A uniform 2 mm of bulk fill composite was used as a base beneath the endocrowns. 300 N load was applied on the cusps for each model and linear static analysis was carried out.

Results: Endocrowns of lithium disilicate was found to exert a greater stress concentration in comparison to zirconia endocrowns in both the margin designs of knife edge and shoulder. Knife edge margins were seen to yield greater stress concentration on the remaining tooth structure in comparison to shoulder margins in endocrowns of both the materials used.

Conclusion: There is a positive influence of margin design selection within the same material used for the fabrication of endocrown.

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不同修复体设计对二硅酸锂和整体氧化锆内冠在下颌磨牙上应力集中的影响-有限元分析。
背景:本模拟研究的目的是评价不同修复体设计对牙冠内应力集中的影响。不同的修复材料在下颌磨牙使用有限元分析。方法:建立下颌磨牙三维有限元模型,取其平均值进行分析。采用了二硅酸锂和氧化锆两种材料,采用了刀刃和肩缘两种不同的边缘设计,进行了不同材料和边缘设计的组合。所有4种模型都考虑了恒定的12°内墙角,并且考虑了均匀的水泥厚度为100 μm。采用均匀2mm的大块填充复合材料作为内冠下方的基底。每个模型的尖端均施加300 N载荷,并进行线性静力分析。结果:与氧化锆牙冠相比,二硅酸锂牙冠在刀缘和肩缘设计中均具有更大的应力集中。与使用的两种材料的内冠的肩缘相比,刀口边缘在剩余牙齿结构上产生更大的应力集中。结论:采用同种材料制作内冠,边缘设计的选择对修复效果有积极影响。
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来源期刊
BMC Oral Health
BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.90
自引率
6.90%
发文量
481
审稿时长
6-12 weeks
期刊介绍: BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.
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