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Influence of the restorative procedure factors on stress values in premolar with MOD cavity: a finite element study

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Abstract

In order to investigate the influence of cusp reduction, cavity isthmus width, and restorative material on stress values in premolar with mesio-occlusal-distal (MOD) cavity, numerical simulations were done on three-dimensional (3D) models of a maxillary second premolar designed using computerized tomography (CT) scan images. The use of four restorative materials (direct resin composite, direct resin composite with resin-modified glass-ionomer cement as the base, indirect resin composite, ceramic), three cavity preparation designs (without cusp coverage, 2-mm palatal cusp coverage, 2-mm palatal and buccal cusp coverage), and two cavity isthmus widths (1/2 and 2/3 intercuspal width) were simulated. After applying a static load of 200 N on the occlusal surface of the tooth, von Mises stresses in the enamel, dentin, and restoration were calculated using finite element analysis (FEA). Stress values in the enamel were primarily influenced by cavity preparation design, while restorative material showed higher contribution in dentin. The lowest stress values were obtained in models with cusp coverage and indirect restorations. Cavity isthmus width had minimal influence on stress values in tooth structures. None of the investigated factors determined stress values in the restoration. In conclusion, the use of ceramic restoration covering both palatal and buccal cusp provided the most favourable stress distribution of premolars with MOD cavity.

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Funding

This study was supported by the Ministry of Education, Science and Technological Development of the Republic of Serbia (project numbers III45016 and TR35020).

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Authors and Affiliations

  1. School of Dentistry, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000, Novi Sad, Serbia

    Ivana Kantardžić, Tatjana Maravić & Larisa Blažić

  2. Photonics Centre, Institute of Physics, University of Belgrade, Pregravica 118, 11080, Belgrade, Serbia

    Darko Vasiljević

  3. Department of Production Engineering, Faculty of Technical Sciences, University of Novi Sad, Trg Dositeja Obradovica 6, 21000, Novi Sad, Serbia

    Ognjan Lužanin

  4. Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Bologna, Italy

    Tatjana Maravić

  5. Department of Conservative Dentistry and Endodontics, Clinic of Dentistry of Vojvodina, Hajduk Veljkova 12, 21000, Novi Sad, Serbia

    Larisa Blažić

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  1. Ivana Kantardžić
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Correspondence to Ivana Kantardžić.

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The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors. The human premolar used in the study was gathered with informed consent as approved by the Ethical Committee of Clinic of Dentistry of Vojvodina (file number 01-3/17-2010).

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Kantardžić, I., Vasiljević, D., Lužanin, O. et al. Influence of the restorative procedure factors on stress values in premolar with MOD cavity: a finite element study. Med Biol Eng Comput 56, 1875–1886 (2018). https://doi.org/10.1007/s11517-018-1824-1

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  • DOI: https://doi.org/10.1007/s11517-018-1824-1

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