Stress distributions in maxillary central incisors restored with different high-stiffness post models: 3-D FEA

  • Authors

    • Bassam Srayeddin King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) National Guards Health Affairs, Riyadh
    • Ali Almuntashri King Abdullah International Medical Research Center (KAIMRC), Ministry of National Guard Health Affairs, Riyadh
    2018-06-05
    https://doi.org/10.14419/ijdr.v6i1.12243
  • Prefabricated Post, Tapered Post, Post Material, Stress Distribution, FEA
  • Background: Dental root posts are recommended for endodontically treated weakened teeth.

    Objectives: The present computational FEA study aims to evaluate the effect of material and design of the post on the stress distribution under load in different root canal shapes of endodontically treated maxillary central incisor (MCI).

    Methods: Three-dimensional models of (MCI) were created by using CAD modeling software and divided into two groups. Group-I comprised five models of a weakened root restored using different post materials (stainless steel, titanium, gold-alloy, Ni-Cr, and zirconium). Group-II: involved four models of (MCI) with two different root canal shapes (small and wide) restored using cylindrical (C-Post) and two-stage tapered (T-Post) posts. Each tooth model was subjected to a 100 N oblique load at the palatal surface of the crown. Von Mises equivalent stresses on dentin and post, as well as shear stresses on the post cement, were evaluated.

    Results: In Group-I: Ni-Cr produced the lowest stress values on the dentin, where titanium and gold-alloy posts produced the lowest stresses in the post and post/root interfaces. In Group-II: Roots restored with a T-Post showed a lower concentration stress in the dentin and lower shear stresses in the cement layer compared with those restored with a C-Post.

    Conclusion: The geometry of the post and the corresponding material play an important role in the stress behavior of restored teeth. The use of titanium or gold-alloy T-Posts seems a good way to improve the stress distribution profile and reduce the risk of restoration failure.

     

     


     
  • References

    1. [1] Abramovitz L, Lev R, Fuss Z, Metzger Z. 2001. The unpredictability of seal after post space preparation: A fluid transport study. Journal of endodontics. 27(4):292-295.

      [2] https://doi.org/10.1097/00004770-200104000-00016.

      [3] Asmussen E, Peutzfeldt A, Sahafi A. 2005. Finite element analysis of stresses in endodontically treated, dowel-restored teeth. The Journal of prosthetic dentistry. 94(4):321-329. https://doi.org/10.1016/j.prosdent.2005.07.003.

      [4] Balkaya MC, Birdal IS. 2013. Effect of resin-based materials on fracture resistance of endodontically treated thin-walled teeth. The Journal of prosthetic dentistry. 109(5):296-303. https://doi.org/10.1016/S0022-3913(13)60304-2.

      [5] Balkenhol M, Wostmann B, Rein C, Ferger P. 2007. Survival time of cast post and cores: A 10-year retrospective study. Journal of dentistry. 35(1):50-58. https://doi.org/10.1016/j.jdent.2006.04.004.

      [6] De Castro Albuquerque R, Polleto LT, Fontana RH, Cimini CA. 2003. Stress analysis of an upper central incisor restored with different posts. Journal of oral rehabilitation. 30(9):936-943. https://doi.org/10.1046/j.1365-2842.2003.01154.x.

      [7] Dejak B, Mlotkowski A. 2011. Finite element analysis of strength and adhesion of cast posts compared to glass fiber-reinforced composite resin posts in anterior teeth. The Journal of prosthetic dentistry. 105(2):115-126 https://doi.org/10.1016/S0022-3913(11)60011-5.

      [8] Durmus G, Oyar P. 2014. Effects of post core materials on stress distribution in the restoration of mandibular second premolars: A finite element analysis. The Journal of prosthetic dentistry. 112(3):547-554 https://doi.org/10.1016/S0022-3913(11)60011-5.

      [9] Fu G, Deng F, Wang L, Ren A. 2010. The three-dimension finite element analysis of stress in posterior tooth residual root restored with postcore crown. Dental traumatology: official publication of International Association for Dental Traumatology. 26(1):64-69. https://doi.org/10.1111/j.1600-9657.2009.00829.x.

      [10] Genovese K, Lamberti L, Pappalettere C. 2005. Finite element analysis of a new customized composite post system for endodontically treated teeth. Journal of biomechanics. 38 (12):2375-2389. https://doi.org/10.1016/j.jbiomech.2004.10.009.

      [11] Gonzalez-Lluch C, Rodriguez-Cervantes PJ, Sancho-Bru JL, Perez-Gonzalez A, Barjau-Escribano A, Vergara-Monedero M, Forner-Navarro L. 2009. Influence of material and diameter of pre-fabricated posts on maxillary central incisors restored with crown. Journal of oral rehabilitation. 36 (10):737-747. https://doi.org/10.1111/j.1365-2842.2009.01989.x.

      [12] Katranji A, Misch K, Wang HL. 2007. Cortical bone thickness in dentate and edentulous human cadavers. Journal of periodontology. 78(5):874-878. https://doi.org/10.1902/jop.2007.060342.

      [13] Li X, Shi Y, Li Z, Song C, Chen X, Guan Z, al. e. 2008. Three-dimensional finite element analysis of a maxillary central incisor restored with different post-core materials. Int Chin J Dent. 8:21-27. http://www.kssfp.jp/icjd/june08vo8issue2_p02

      [14] Mahmoudi M, Saidi A, Gandjalikhan Nassab SA, Hashemipour MA. 2012. A three-dimensional finite element analysis of the effects of restorative materials and post geometry on stress distribution in mandibular molar tooth restored with post-core crown. Dental materials journal. 31(2):171-179. https://doi.org/10.4012/dmj.2011-138.

      [15] Maroli A, Hoelcher KAL, Reginato VF, Spazzin AO, Caldas RA, Bacchi A. 2017. Biomechanical behavior of teeth without remaining coronal structure restored with different post designs and materials. Materials science & engineering C, Materials for biological applications. 76:839-844. https://doi.org/10.1016/j.msec.2017.03.152.

      [16] Maroulakos G, Nagy WW, Kontogiorgos ED. 2015. Fracture resistance of compromised endodontically treated teeth restored with bonded post and cores: An in vitro study. The Journal of prosthetic dentistry. 114(3):390-397. https://doi.org/10.1016/j.prosdent.2015.03.017.

      [17] Nelson SJ, M. AJ. 2010. Wheeler’s dental anatomy, physiology and occlusion. Elsevier. 9 ed: pp.99-105. https://www.elsevier.com/books/wheelers-dental-anatomy-physiology-and-occlusion/nelson/978-1-4160-6209-7

      [18] Newman MG, Takei H, Klokkevold PR, Carranza FA. 2015. Carranza's clinical periodontology. Elsevier. 12 ed:pp. 27-35. https://www.elsevier.com/books/carranzas-clinical-periodontology/newman/978-0-323-18824-1

      [19] Ortega VL, Pegoraro LF, Conti PCR, Valle AL, Bonfante G. 2004. Evaluation of fracture resistance of endodontically treated maxillary premolars restored with ceromer or heatâ€pressed ceramic inlays and fixed with dualâ€resin cements. Journal of oral rehabilitation. 31(4):393-397. https://doi.org/10.1046/j.1365-2842.2003.01239.x.

      [20] Oyar P. 2014. The effects of post-core and crown material and luting agents on stress distribution in tooth restorations. The Journal of prosthetic dentistry. 112(2):211-219. https://doi.org/10.1016/j.prosdent.2013.10.024.

      [21] Pérez-González A, González-Lluch C, Sancho-Bru JL, Rodríguez-Cervantes PJ, Iserte-Vilar JL. 2011. Biomechanical models of endodontic restorations. Theoretical biomechanics. Vaclav Klika ed, InTech.pp 133-160 https://doi.org/10.5772/24065.

      [22] Schwartz RS, Robbins JW. 2004. Post placement and restoration of endodontically treated teeth: A literature review. Journal of endodontics. 30(5):289-301 https://doi.org/10.1097/00004770-200405000-00001.

      [23] Seo M, Shon W, Lee W, Yoo H-M, Cho B-H, Baek S-H. 2009. Finite element analysis of maxillary central incisors restored with various post-and-core applications. J Korean Acad Conserv Dent. 34(4):324-332. https://doi.org/10.5395/JKACD.2009.34.4.324.

      [24] Tang W, Wu Y, Smales RJ. 2010. Identifying and reducing risks for potential fractures in endodontically treated teeth. Journal of endodontics. 36(4):609-617. https://doi.org/10.1016/j.joen.2009.12.002.

      [25] Uddanwadiker RV, Padole PM, Arya H. 2007. Effect of variation of root post in different layers of tooth: Linear vs nonlinear finite element stress analysis. Journal of bioscience and bioengineering. 104(5):363-370 https://doi.org/10.1263/jbb.104.363.

      [26] Wakabayashi N, Ona M, Suzuki T, Igarashi Y. 2008. Nonlinear finite element analyses: Advances and challenges in dental applications. Journal of dentistry. 36(7):463-471. https://doi.org/10.1016/j.jdent.2008.03.010.

  • Downloads

  • How to Cite

    Srayeddin, B., & Almuntashri, A. (2018). Stress distributions in maxillary central incisors restored with different high-stiffness post models: 3-D FEA. International Journal of Dental Research, 6(1), 45-49. https://doi.org/10.14419/ijdr.v6i1.12243