Stress analysis in maxillary incisor following fragment reattachment: A finite element analysis

Abstract

Objectives: To demonstrate stress propagation through three flowable composites used in fragment reattachment using finite element models. Study Design: It was a finite element analysis. Materials and Methods: Two permanent maxillary incisors were selected of which one was used as control. The test tooth was sectioned and reattached using simple reattachment technique. The groups were: Filtek Z350 (Group 1), G-aenial Universal Flo (Group 2), Esthet X-Flow (Group 3). Finite element models were created using cone beam computed tomography images of these teeth. Required physical properties of enamel, dentin, periodontal ligament (PDL), bone, flowable composites were fed into the software. Models were subjected to a load of 150N in a vertical direction. Analysis was done using ANSYS software wherein data were obtained in pictographic and numerical form (Von Mises' stresses [megapascal]). Results: Among flowable composites, maximum stress was created in Esthet X-Flow whereas least stress was observed in Filtek Z350. Maximum stress concentration occurred at the point of load application for flowable composite and enamel, at the point of load application directed in the cervical direction of the crown for dentin, in the apical region for PDL and the cervical bone area for bone. Conclusion: The study revealed that Filtek Z350 had superior tested properties and showed the least stress propagation.