Finite element stress analysis in mandibular molars with apical root resorption and crown destruction after root canal treatment using various materials

Aim: The objective of this study is to analyze the stress distribution of root canal treated teeth under occlusal forces and aid in the selection of appropriate materials for teeth with root tip resorption and crown destruction, using the finite element stress analysis method (FEM). Methods: The study was conducted on two-rooted lower molar teeth, divided into five groups. The root length was 14 mm, the crown length was 7.5 mm, and the total length was 21.5 mm. It was assumed that the distal canals were resorbed by 4 mm. Group 1 consisted of untreated intact teeth. Group 2 involved filling the mesial canals with gutta-percha, filling the apical part of the distal canal with 4 mm Mineral Trioxide Aggregate (MTA), and fabricating the crown using glass fiber post and IPS e.max materials. Group 3 involved filling the mesial canals with gutta-percha, filling the apical part of the distal canal with 4 mm Biodentin, and manufacturing the crown using glass fiber post and IPS e.max materials. Group 4: The canals were filled with MTA, and an IPS e.max endocrown was used. Group 5: The canals were filled with Biodentin and an IPS e.max endocrown was used. The study examined the effect of a 100 Newton force applied in the occlusal direction on dental tissues using finite element stress analysis. Results: The study found that the application of fiber posts resulted in less stress accumulation in tooth tissues compared to endocrown. Conclusion: The use of Biodentin or MTA in endocrown teeth did not affect the stress in tooth tissues caused by applied force. In conclusion, while fiber posts increase durability by reducing stress in root-end resorbed teeth, the effect of Biodentin or MTA on stress resistance in dental tissues is limited.   How to cite this article: Duran S, Şirin DA, Topbaş C. Finite element stress analysis in mandibular molars with apical root resorption and crown destruction after root canal treatment using various materials. J Med Dent Invest 2024;5:e240320. https://doi.org/10.5577/jomdi.e240320