Influence of post design and elastic modulus mismatch between dentin and post-core on stress distribution in endodontically treated teeth: a finite element analysis study


Main Article Content

Sharmista Reddy Sirigam
Dinakar Karnatam
Upendra Natha Reddy
Sathish Kumar Neshaneni
Anusha Yalamanchi
Satyavathi Sri

Abstract

Background: ParaPost Fiber Posts are made to use resin-based cement and core build-up materials to provide an optimal Monoblock between the dentin-post-crown, resulting in one cohesive restoration.


Aim: To evaluate the stress distribution pattern of a Severely damaged maxillary central incisor restored with ParaPost Taper lux, fiber lux and E-max crown using Finite element analysis. 


Materials and methods: Two 3-D FEA models of maxillary central incisor were simulated with anatomy-based geometric structures. Different Glass Fiber reinforced composite posts (PTL and PFL) and full coverage restorations (Lithium disilicate) were used. The paracore (dual-cured glass-reinforced composite material) was used for core build-up and cementation of both the Posts and full coronal restorations to create an optimal Monoblock effect.


MODEL 1: Parapost Taper Lux (PTL), Paracore & Lithium disilicate Full coverage restoration. (LidiS).


 MODEL 2: Parapost Fiber Lux (PFL), Paracore & Lithium disilicate Full coverage restoration. (LidiS).


A 3D model of the maxillary central incisor area, including restorative components, was created. The normal masticatory load of 100 N were applied at a 5mm distance from the incisal edge, at an angle of 45? in relation to the long axis of the tooth was simulated onto the imported models. Von Mises [Vm] stresses generated at the Post–Core assembly, Coronal & Radicular dentin were numerically recorded, color-coded, and compared.


Results: The maximum stresses were evidenced both at the mid and coronal thirds of the labial aspects of radicular dentin, and the least stresses were observed at the palatal aspect of apical 3rd.


Conclusion: Parallel-sided post (Parapost Fiber Lux) showed the greatest stress distribution on the middle third of the labial radicular dentin.

Article Details


How to Cite
Sirigam, S. R., Karnatam, D., Reddy, U. N., Neshaneni, S. K., Yalamanchi, A., & Sri, S. (2024). Influence of post design and elastic modulus mismatch between dentin and post-core on stress distribution in endodontically treated teeth: a finite element analysis study. International Journal of Dental Materials, 6(1), 16–21. https://doi.org/10.37983/IJDM.2024.6104
Author Biographies

Sharmista Reddy Sirigam, G Pulla Reddy Dental College and Hospital

Postgraduate Student, Department of Conservative Dentistry and Endodontics, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India.

Dinakar Karnatam, G Pulla Reddy Dental College and Hospital

Postgraduate Student, Department of Conservative Dentistry and Endodontics, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh.

Upendra Natha Reddy, G Pulla Reddy Dental College and Hospital

Professor, Department of Conservative Dentistry and Endodontics, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India.

Sathish Kumar Neshaneni, G Pulla Reddy Dental College and Hospital

Reader, Department of Conservative Dentistry and Endodontics, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India.

Anusha Yalamanchi, G Pulla Reddy Dental College and Hospital

Reader, Department of Conservative Dentistry and Endodontics, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India.

Satyavathi Sri, G Pulla Reddy Dental College and Hospital

Senior Lecturer, Department of Conservative Dentistry and Endodontics, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India.

 

References

  1. Fauchard P. The Surgeon Dentist. 2nd Edition. Vol. II. Birmingham, Alabama, reprinted by the Classics of Dentistry Library; 1980. pp. 173–204.
  2. Toksavul S, Zor M, Toman M, Güngör MA, Nergiz I, Artunç C. Analysis of dentinal stress distribution of maxillary central incisors subjected to various post-and-core applications. Oper Dent. 2006;31(1):89-9. https://doi.org/10.2341/04-192
  3. DeSort KD. The prosthodontic use of endodontically treated teeth: Theory and biomechanics of post preparation. J Prosthet Dent. 1983;49:203. https://doi.org/10.1016/0022-3913(83)90501-2
  4. Chan FW, Harcourt JK, Brockhurst PJ. The effect of post adaptation in the root canal on retention of posts cemented with various cements. Aust Dent J. 1993;38:39- 45. https://doi.org/10.1111/j.1834-7819.1993.tb05449
  5. Triolo PT, Trajtenberg C, Powers JM. Flexural properties and bond strength of an esthetic post. J Dent Res. 1999;78(Abstr):548.
  6. Al-Harbi F, Nathanson D. In vitro assessment of retention of four esthetic dowels to resin core foundation and teeth. J Prosthet Dent. 2003;90:547–555 https://doi.org/10.1016/j.prosdent.2003.09.014
  7. Balbosh A, Kern M. Effect of surface treatment on retention of glass-fiber endodontic posts. J Prosthet Dent. 2006;95:218–223. https://doi.org/10.1016/j.prosdent.2006.01.006
  8. Eskitascioglu G, Belli S, Kalkan M. Evaluation of two post core systems using two different methods (fracture strength test and a finite elemental stress analysis). J Endod. 2002;28:629. https://doi.org/10.1097/00004770-200209000-00001
  9. Barjau-Escribano A, Sancho -Bru JL, Forner-Navarro L, Rodriguez-Cervantes PJ, Perez-Gonzalez A, Sanchez-Marin FT. Influence of prefabricated post material on restored teeth: Fracture strength and stress distribution. Oper Dent. 2006;31:47- 54. https://doi.org/10.2341/04-169
  10. Al Mortadi N, Bataineh K, Al Janaideh M. Fatigue Failure Load of Molars with Thin- Walled Prosthetic Crowns Made of Various Materials: A 3D-FEA Theoretical Study. Clin. Cosmet Investig. Dent. 2020;12:581-93.
  11. Huysmans MC, Van der Varst PG. Finite element analysis of quasistatic and fatigue failure of post and cores. J Dent. 1993;21(1):57-64. https://doi.org/10.1016/03005712(93)90054-T
  12. Mattison GD. Photoelastic stress analysis of cast-gold endodontic posts. The Journal of Prosthetic Dentistry. 1982;48(4):407-11. https://doi.org/10.1016/0022-3913(82)90075-0
  13. Jain Y, Kumar S. Stress analysis using photoelasticity technique–a review. Int J Res Appl Sci Eng Technol. 2017;5(VIII):2066-70. http://doi.org/10.22214/ijraset.2017.8293
  14. Sorensen JA, Engelman MJ. Ferrule design and fracture resistance of endodontically treated teeth. J Prosthet Dent. 1990;63(5):529-36. https://doi.org/10.1016/0022-3913(90)90070-S.
  15. Trivedi S. Finite element analysis: A boon to dentistry. Journal of oral biology and craniofacial research. 2014;4(3):200-3. https://dx.doi.org/10.1016/j.jobcr.2014.11.008
  16. Asmussen E, Peutzfeldt A, Sahafi A. Finite element analysis of stresses in endodontically treated, dowel-restored teeth. J Prosthet Dent 2005;94(4):321-9 https://doi.org/10.1016/j.prosdent.2005.07.003
  17. de Miranda Coelho CS, Biffi JC, da SILVA GR, Abrahão A, Campos RE, Soares CJ. Finite element analysis of weakened roots restored with composite resin and posts. Dent Mater J. 2009;28(6):671-8. https://doi.org/10.4012/dmj.28.671
  18. Mezzomo LA, Corso L, Marczak RJ, Rivaldo EG. Three?dimensional FEA of effects of two dowel?and?core approaches and effects of canal flaring on stress distribution in endodontically treated teeth. J Prosthodont: Implant, Esthetic and Reconstructive Dentistry. 2011;20(2):120-9. https://doi.org/10.1111/j.1532-849X.2010.00669.x
  19. Asmussen E, Peutzfeldt A, Heitmann T. Stiffness, elastic limit, and strength of newer types of endodontic posts. J Dent. 1999;27(4):275-8. https://doi.org/10.1016/S0300-5712(98)00066-9
  20. Nakamura T, Ohyama T, Waki T, Kinuta S, Wakabayashi K, Mutobe Y, Takano N, Yatani H. Stress analysis of endodontically treated anterior teeth restored with different types of post material. Dent Mater J. 2006;25(1):145-50.
  21. Smith CT, Schuman NJ, Wasson W. Biomechanical criteria for evaluating prefabricated post-and-core systems: A guide for the restorative dentist. Quintessence Int. 1998;29(5). 305-312. https://doi.org/10.4012/dmj.25.145
  22. Assif D, Bitenski A, Pilo R, Oren E. Effect of post design on resistance to fracture of endodontically treated teeth with complete crowns. J Prosthet Dent. 1993;69(1):36-40 https://doi.org/10.1016/0022-3913(93)90237-I
  23. Rosentritt M, Fürer C, Behr M, Lang R, Handel G. Comparison of in vitro fracture strength of metallic and tooth?coloured posts and cores. J Oral Rehab. 2000;27(7):595-601. https://doi.org/10.1046/j.1365-2842.2000.00548.x
  24. Mannocci F, Ferrari M, Watson TF. Intermittent loading of teeth restored using quartz fiber, carbon-quartz fiber, and zirconium dioxide ceramic root canal posts. J Adhes Dent. 1999;1(2):153-8.
  25. Ferrari M, Vichi A, Fadda GM, Cagidiaco MC, Tay FR, BreschiL, et al. A randomized controlled trial of endodontically-treated and restored premolars. J Dent Res. 2012; 91:72S–8S. https://doi.org/10.1177/002203451244794
  26. Veríssimo C, Júnior PC, Soares CJ, Noritomi PY, Santos-Filho PC. Effect of the crown, post, and remaining coronal dentin on the biomechanical behavior of endodontically treated maxillary central incisors. J Prosthet Dent. 2014;111(3):234-46. https://doi.org/10.1016/j.prosdent.2013.07.006
  27. Lazari PC, de Carvalho MA, Cury AA, Magne P. Survival of extensively damaged endodontically treated incisors restored with different types of posts-and-core foundation restoration material. J Prosthet Dent. 2018;119(5):769-76. https://doi.org/10.1016/j.prosdent.2017.05.012
  28. Zarone F, Sorrentino R, Apicella D, Valentino B, Ferrari M, Aversa R, Apicella A. Evaluation of the biomechanical behavior of maxillary central incisors restored by means of endocrowns compared to a natural tooth: a 3D static linear finite elements analysis. Dent Mater. 2006;22(11):1035-44. https://doi.org/10.1016/j.dental.2005.11.034