Comparison of the resistance of three ceramic systems in anterior fixed prosthetic segments: a finite element analysis
DOI:
https://doi.org/10.17533/udea.rfo.11886Keywords:
Dentures, Crowns, Ceramics, Aluminum oxideAbstract
Introduction: the purpose of this study was to evaluate stress distribution on three-unit fixed partial dentures (FPD) in the anterior region, made of three ceramic systems with connector variations. The study was performed by the finite element method. Methods: four segments of FPD were modeled; three of them were made on ceramic systems: lithium disilicate, alumina, and zirconia, and the fourth model was of lithium disilicate with a connector of 9 mm2 in area. The modeling included three variables: elastic modulus, Poisson’s ratio, and ultimate tensile strength. An initial load of 200 N was applied and increased up to 1000 N calculating von Mises, maximum tensile, compressive, and shear stresses. Results and conclusions: all the ceramic systems showed a suitable behavior for FPDs in the anterior area; the structure’s elastic modulus influences stress behavior; if it is higher, it reduces stresses in feldspar ceramics and periodontal ligament. We noted that in presence of a connector of 16 mm2 in area, the periodontal ligament received greater stresses as a compensation effect, but they significantly decreased in the structure. By reducing the connector area to 9 mm2, the stresses increased to 48%, but did not reach yield strength when subjected to loads of 1000 N, providing the system with proper margin tolerance without fracturing.
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References
Rosenstiel S, Land M, Fujimoto J. All ceramic restorations. En: Contemporary fixed prosthodontics. 4.a ed. Barcelona: Elsevier; 2009. p. 774-804.
Shillingburg HT, Hobo S, Whitsett L, Jacobi R, Brackett S. Fixed partial denture configurations. En: Fundamentals of fixed prosthodontics. 3.a ed. Chicago: Quintessence; 1997. p. 105-118.
Raigrodski AJ. Contemporary all-ceramic fixed partial dentures: a review. Dent Clin North Am 2004; 48(2): 531-544.
Massironi D, Pascetta R, Romeo G. Using ceramic in prosthetic restoration. En: Precision in dental esthetics: clinical and laboratory procedures. Milán: Quintessence; 2007. p. 342-373.
Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications in fixed prosthodontics. J Prosthet Dent 2003; 90(1): 31-41.
Raigrodski AJ, Chiche GJ. The safety and efficacy of anterior ceramic fixed partial dentures: A review of the literature. J Prosthet Dent 2001; 86(5): 520-525
Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007; 98(5): 389-404.
Tinschert O, Natt G, Mautsch W, Augthun M, Spiekermann H. Fracture resistance of lithium disilicate, alumina, and zircona-based three-unit fixed partial dentures: a laboratory study. Int J Prosthodont 2001; 14 (3): 231-238.
Wassermann A, Kaiser M, Strub JR. Clinical long-term results of VITA in-ceram classic crowns and fixed partial dentures: a systematic literature review. Int J Prosthodont 2006; 19(4): 355-363.
Pascal M, Urs B. Understanding the intact tooth and the biomimetic principle. En: bonded porcelain restorations in the anterior dentition: a biomimetic approach. Barcelona: Quintessence; 2004. p. 23-56.
Asmussen E, Peutzfeldt A, Sahafi A. Finite elements analysis of stresses in endodontically treated, dowel-restored teeth. J Prosthet Dent 2005; 94 (4): 321-329.
Srirekha A, Bashetty K. Infinite to finite: an overview of finite element analysis. Indian J Dent Res 2010; 21(3): 425-432.
Graber TM, Vanarsdall RL, Katherine WL. Diagnosis and treatment planning in orthodontics. In: Orthodontics: current principles and techniques. 3.a ed. Philadelfia: Mosby; 2000. p. 28.
JOE Editorial Board. Root canal anatomy: an online study guide. J Endod 2008; 34 (5 Suppl): e7-e16.
Moyer R, Bookstein F, Hunter WS. Analysis of the craniofacial skeleton: cefalometrics. En: Handbook of Orthodontics. 4.a ed. Ann Arbor: Year book Medical Publishers; 1988. p. 247-301.
Ivoclar Vivadent. Ficha técnica IPS e.max Press [Internet]. [Consultado 2011 mayo 05]. Disponible en: http://www.ivoclarvivadent.com/en/.../ips-emax.../ips-emax-press
VITA. Ficha técnica VITA In-ceram alúmina [internet]. [Consultado 2011 mayo 05]. Disponible en: http://www.vita-zahnfabrik.com-resourcesvita-shop-en-en-3053408.pdf
Nobel Biocare. Ficha técnica Procera Circona [Internet]. [Consultado 2011 mayo 02]. Disponible en: http://www.nobelbiocare.com/.../Pre-prog_Brazil_WEB_ESL_C1.pdf
Rho JY, Ashman RB, Turner CH. Young’s modulus of trabecular and cortical bone material: Ultrasonic and microtensile measurements. J Biomech 1993; 26: 111-119.
Reinhardt RA, Krejci RF, Pao YC, Stannard JG. Dentin stress in post-reconstructed teeth with diminishing bone support. J Dent Res 1983; 62(9): 1002-1008.
M ESPE. Ficha técnica RelyXTMUnicem. AplicapTM/MaxicapTM [Internet]. [Consultado 2011 abril 18]. Disponible en: http://www.ddsltdlab.com/pdf/CementationTechniques.pdf
Woelfel JB. Anterior Teeth anatomy. In: Dental anatomy: its relevance to dentistry. 5.a ed. Philadelphia: Williams & Wilkins; 1997. p. 119-170.
Roomed S, Fok S, Wilson N. A comparison of 2D and 3D finite element analysis of a restored tooth. J Oral Rehabil 2006; 33: 209-215.
Carter SM, Wilson PR. The effect of die spacing on crown retention. Int J Prosthodont 1996; 9(1): 21-29.
Mottram JT, Shaw CT. Finite element method. In: Mottram JT. Using finite elements in mechanical design. New York: McGraw-Hill; 1996. p. 13-14.
Reddy JN. Boundary element method. In: Reddy JN. An introduction to the finite element method. 3.a ed. New York: McGraw-Hill; 2005. p. 442-43.
Helkimo E, Carlsson GE, Helkimo M. Bite force and state of dentition. Acta Odontol Scand 1977; 35(6): 297-303.
Raadsheer MC, Van Eijden TM, Van Ginkel FC, Prahl-Andersen B. Contribution of jaw muscle size and craniofacial morphology to human bite magnitude. J Dent Res 1999; 78(1): 31-42.
Waltimo A, Kemppainen P, Könönen M. Maximal contraction force and endurance of human jaw-closing muscles in isometric clenching. Scand J Dent Res 1993; 101: 416-421.
Linderholm H, Wennström A. Isometric bite force and its relation to general muscle force and body build. Acta Odontol Scand 1970; 28: 679-689.
Ringqvist M. Isometric bite forces and its relation to dimensions of facial skeleton. Acta Odontol Scand 1973; 31: 35-42.
Campbell SD, Sozio RB. Evaluation of the fit and strength of an all-ceramic fixed partial denture. J Prosthet Dent 1988; 59: 301-306.
Kelly JR, Teskl JA, Sorensen JA. Failure of all-ceramic fixed partial dentures in vitro and in vivo: analysis and modeling. J Dent Res 1995; 74(6): 1253-1258.
Sorensen JA, Kang S-K, Torres TJ, Knode H. In-Ceram fixed partial dentures: Three-year clinical trial results. J Calif Dent Assoc 1998; 26: 207-214.
Kamposiora P, Papavasiliou G, Bayne SC, Fellon DA. Stress concentration in all-ceramic posterior fixed partial dentures. Quintessence Int 1996; 27: 701-706.
Barreira A, Pereira LC, Da Cunha A, Pereira F. The influence of the loading mode on the stress distribution on the connector region of metal-ceramic and all-ceramic fixed partial denture. Artif Organs 2008; 32(4): 283-291.
Pospiech P, Rammelsberg P, Goldhofer G, Gernet W. All-ceramic resin-bonded bridges. A 3-dimensional finite-element analysis study. Eur J Oral Sci 1996; 104: 390-395.
Pilathadka S, Vahalová D. Contemporary all-ceramic materials part-1. Acta Médica 2007; 50(2): 101-104.
Manicone PF, Iommetti R, Raffaelli L. An overview of circona ceramics: basis proprieties and clinical applications. J Dent 2007; 35(11): 819-826.
Edelhoff D, Beuer F, Weber V, Johnen C. HIP circona fixed partial dentures-Clinical results after 3 years of clinical service. Quintessence Int 2008; 39: 459-471.
Anuvisace K. Standardizing failure, success, and survival decisions in clinical studies of ceramic and metal-ceramic fixed dental prostheses. Dent Mater 2012; 28(1): 102-111.
Quinn J, Quinn G. A practical and systematic review of Weibull statistics for reporting strengths of dental materials. Dent Mater 2010; 26(2): 135-147.
Möllers K, Pätzold W, Parkot D, Kirsten A, Güth JF, Edelhoff D et al. Influence of connector design and material composition and veneering on the stress distribution of allceramic fixed dental prostheses: a finite element study. Dent Mater 2011; 27(8): e171-e175.
Fischer H, Weber M, Marx R. Lifetime prediction of all-ceramic bridges by computational methods. J Dent Res 2003; 82: 238-242.
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