The effect of margin design on stress distribution in zirconia-based full crown restorations: A 3D finite element analysis

IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of International Clinical Dental Research Organization Pub Date : 2022-11-01 DOI:10.5577/intdentres.439
Neslihan Güntekin, R. Mohammadi, A. Tunçdemir
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Abstract

Purpose: The aim of this study is to evaluate the effect of changes in margin design on the stress distribution on the restoration in zirconia-based full-crown restorations using 3D finite element analysis. Material and Methods: To be used in the design of full-crown restorations, tooth number 16 was prepared in chamfer step type on a maxillary tooth-jaw model (AG-3: Tipodont, frasaco, Germany). The prepared tooth was scanned using a desktop scanner, and a 3D finite element analysis model was obtained. Zirconia frameworks are divided into 3 groups according to margin design: uniform thickness hood type (Model A), ¾ partial crown form (Model B), and lingual banded (Model C). The crown form was completed by using felspathic porcelain as the superstructure material. In order to examine the stress distributions of the margin design on the restoration, the maximum principal stress (MPa) values under 600 N vertical load were investigated. Result: The maximum stress on the zirconia framework was observed in Model A (82.90 MPa), and the maximum stress on the tooth was observed in Model B (49.34 MPa). The maximum stress on the feldspathic porcelain has the highest value in Model A (21,860 MPa). The minimum stress on the tooth occurred in Model B and is 13.33 MPa. In the zirconia framework, the lowest stress is 11.54 MPa in Model B. Conclusions: Within the results of the study, it is clear that the framework design affects the force generated on the restoration and transmitted to the tooth. The results of the study will benefit dentists in determining the infrastructure design in zirconia-based restorations. Lingual band designs have been found successful.
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边缘设计对氧化锆全冠修复体应力分布的影响:三维有限元分析
目的:应用三维有限元分析方法,探讨氧化锆全冠修复体边缘设计的变化对修复体应力分布的影响。材料与方法:为了设计全冠修复体,在上颌牙颌模型(AG-3: tipodon, frasaco, Germany)上制备了16号牙槽步型。利用台式扫描仪对制备好的牙体进行扫描,得到三维有限元分析模型。根据边缘设计,氧化锆框架分为三组:均厚罩型(A型)、¾部分冠型(B型)和舌带状(C型)。冠型采用felspathic瓷作为上部结构材料完成。为了检验边际设计对修复的应力分布,研究了600 N竖向荷载作用下的最大主应力(MPa)值。结果:模型A观察到氧化锆框架最大应力(82.90 MPa),模型B观察到牙齿最大应力(49.34 MPa)。长石瓷的最大应力在A型中最大(21860 MPa)。齿面上的最小应力出现在模型B,为13.33 MPa。在氧化锆框架中,模型b的最低应力为11.54 MPa。结论:在研究结果中,框架设计明显影响了在修复体上产生的力并传递给牙齿。研究结果将有利于牙医确定锆基修复体的基础设施设计。语言乐队的设计已经被发现是成功的。
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