3D fnite element analysis of stress distribution as a result of oblique and horizontal forces after regenerative endodontic treatment part II: comparison of material thickness
Beril DEMİRCAN | Pınar DEMİR
Makale/Derleme | 2023 | BMC Oral Health , pp.1 - 9
Abstract Aim This study aimed to evaluate the stress distribution caused by secondary trauma forces after regenerative endodontic treatment (RET) using diferent thicknesses of coronary barrier material with three-dimensional fnite element analysis(FEA). Method A control model was created using the tomography image of the immature maxillary central tooth with computer software.Study models were created with the modulus of elasticity and Poisson’s ratio of the materials used in RET.Enamel, dentin, cementum, periodontal ligament, cortical, and cancellous bone were modeled. Coronary barrier materials were applied in 3 mm and 5 mm thic . . .knesses (Model 1: control model, model 2:3 mm/Calcium Enriched Mixture(CEM), model 3:3 mm/Mineral Trioxide Aggregate(MTA), model 4:3 mm/Biodentin, model 5:5 mm/ CEM, model 6:5 mm/MTA, model 7:5 mm/Biodentin). For the trauma force simulation, 300 N force in the horizontal direction was applied to the buccal surface of the tooth in the frst scenario. For the second scenario, maximum bite force simulation, a force of 240 N in the oblique direction was applied to the palatal surface of the tooth. FEA was performed with Algor Fempro. The resulting stresses were recorded as Von Mises, maximum, and minimum principal stresses. Results Lower stress values were obtained in 5 mm models compared to 3 mm models. However, the diference between them was insignifcant. Lower stress values were obtained in all RET models compared to the control model. The lowest stress values in dental tissues and bone tissue were obtained in the CEM models. Conclusion This is the frst study in which the stress caused by diferent thicknesses of CEM on dental tissues was evaluated with FEA. RET strengthens immature teeth biomechanically. CEM and Biodentin are more successful materials in stress distribution than MTA. Considering the cost of treatment, 3 mm material thickness is ideal for RET since there is no signifcant diference between the stress values resulting from the use of 5 mm and 3 mm coronary barrier material. Keywords Regenerative endodontic treatment, Finite element analysis, Mineral trioxide aggregate, Calcium enriched mixture, Dental traumatolog
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