Abstract: Restoration of endodontically treated teeth is a
common problem in dentistry, related to the fractures occurring in
such teeth and to concentration of forces little information regarding
variation of basic preparation guidelines in stress distribution has
been available. To date, there is still no agreement in the literature
about which material or technique can optimally restore
endodontically treated teeth. The aim of the present study was to
evaluate the influence of the core height and restoration materials on
corono-radicular restored upper first premolar. The first step of the
study was to achieve 3D models in order to analyze teeth, dowel and
core restorations and overlying full ceramic crowns. The FEM model
was obtained by importing the solid model into ANSYS finite
element analysis software. An occlusal load of 100 N was conducted,
and stresses occurring in the restorations, and teeth structures were
calculated. Numerical simulations provide a biomechanical
explanation for stress distribution in prosthetic restored teeth. Within
the limitations of the present study, it was found that the core height
has no important influence on the stress generated in coronoradicular
restored premolars. It can be drawn that the cervical regions
of the teeth and restorations were subjected to the highest stress
concentrations.
Abstract: Cast metal inlays can be used on molars requiring a
class II restoration instead amalgam and offer a durable alternative.
Because it is known that class II inlays may increase the
susceptibility to fracture, it is important to ensure optimal
performance in selection of the adequate preparation design to reduce
stresses in teeth structures and also in the restorations. The aim of the
study was to investigate the influence of preparation design on stress
distribution in molars with different class II preparations and in cast
metal inlays. The first step of the study was to achieve 3D models in
order to analyze teeth and cast metal class II inlays. The geometry of
the intact tooth was obtained by 3D scanning using a manufactured
device. With a NURBS modeling program the preparations and the
appropriately inlays were designed. 3D models of first upper molars
of the same shape and size were created. Inlay cavities designs were
created using literature data. The geometrical model was exported
and the mesh structure of the solid 3D model was created for
structural simulations. Stresses were located around the occlusal
contact areas. For the studied cases, the stress values were not
significant influenced by the taper of the preparation. it was
demonstrated stresses are higher in the cast metal restorations and
therefore the strength of the teeth is not affected.