Journal List > J Korean Acad Prosthodont > v.52(3) > 1034786

Kim and Lee: Effect of the marginal position of prosthesis on stress distribution of teeth with abfraction lesion using finite element analysis

Abstract

Purpose

The aim of this study was to evaluate the stress concentration and distribution whether restoring the cavity or not while restoring with metal ceramic crown on tooth with abfraction lesion using finite element analysis.

Materials and methods

Maxillary first premolar was selected and made a total of 10 finite element model. Model 1 was natural tooth; Model 2 was tooth with metal ceramic crown restoration which margin was positioned above 2 mm from CEJ; Model 3 was tooth with metal ceramic crown restoration which margin was positioned on CEJ; Model 4 was natural tooth which has abfraction lesion; Model 5 and 6 had abfraction lesion and the other condition was same as model 2 and 3, respectively; Model 7 was natural tooth which had abfraction lesion restored with composite resin; Model 8 and 9 was tooth with metal ceramic crown after restoring on abfraction lesion with composite resin; Model 10 was restored tooth on abfraction lesion with composite resin and metal ceramic crown restoration which margin is positioned on lower border of abfraction lesion. Load A and Load B was also designed. Von Mises value was evaluated on each point.

Results

Under load A or load B, on tooth with abfraction lesion, stress was concentrated on the apex of lesion. Under load A or load B, on tooth that abfraction lesion was restored with composite resin, the stress value was reduced on the apex.

Conclusion

In case of abfraction lesion was restored with composite resin, the stress was concentrated on the apical border of restored cavity regard-less of marginal position. It was favorable to place crown margin on the enamel for restoring with metal ceramic crown.

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Fig. 1.
Finite element model used in this study.
jkap-52-202f1.tif
Fig. 2.
Analysis models were designed according to the experimental conditions (Parts shown with the yellow represent composite resin restorations).
jkap-52-202f2.tif
Fig. 3.
Reference points for comparison of stress value and the direction and application point of Load A and B (A: buccalcemento-enamel junction, B: palatal cemen-to-enamel junction, C: the apex of abfraction lesion, D: the apical border of abfraction lesion, E: the buccal margin of metal ceramic crown which is positioned 2 mm above from buccal CEJ, The red arrow means Load A & the blue arrow means Load B).
jkap-52-202f3.tif
Fig. 4.
Stress distribution pattern under Load A.
jkap-52-202f4.tif
Fig. 5.
Stress distribution pattern under Load B.
jkap-52-202f5.tif
Table 1.
Young's modulus and Poisson's ratio used in this study
Young's modulus Poisson's ratio
Enamel Exx = 80 GPa
Eyy = Ezz =20 GPa
Dentin 15 GPa 0.31
Pulp 2.1 MPa 0.45
Composite resin 10 GPa 0.24
Porcelain 69 GPa 0.28
Metal 218 GPa 0.33
Table 2.
Von Mises stress values at the reference point by each load (MPa)
Model Load A (= 100 N) Load B (= 100 N)
A B C D E A B C D E
1 21.5 9.9 11.6 17.9
2 26.5 8.6 3.8 12.8 20.4 2.7
3 22.5 9.4 10.3 25.
4 0.5 19.0 87.4 6.7 0.4 24.6 34.0 4.2
5 1.0 16.6 60.1 4.6 6.5 0.6 24.2 21.2 4.1 4.9
6 2.0 26.8 87.4 5.4 1.0 30.7 33.5 2.5
7 6.0 14.3 9.9 22.8 1.1 21.4 4.4 11.5
8 6.4 10.4 6.0 14.6 1.9 0.9 19.3 3.7 6.6 3.1
9 4.7 18.4 9.7 15.4 2.2 30.4 5.5 7.3
10 9.7 2.5 27.3 21.4 2.2 13.6
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