Evaluation of failure risks in ceramic restorations for endodontically treated premolar with MOD preparation.

Chun-Li Lin, Yen-Hsiang Chang, Che-An Pai

Journal: Dental materials : official publication of the Academy of Dental Materials 2011;27(5):431-8

PMID: 21227485

Full Text on Elsevier Science View on PubMed

Abstract

OBJECTIVES

This study evaluated the risk of failure for an endodontically treated premolar with MOD preparation and three CEREC ceramic restoration configurations.

METHODS

Simulations were performed based on three 3D finite element (FE) models designed with CEREC ceramic inlay, endocrown and conventional crown restorations. Long-term failure probability in relation to varying load conditions was calculated by incorporating the Weibull function in FE analysis. Additionally, the final fracture strength and corresponding load value of the first acoustic emission (AE) activity in each specimen was recorded by performing in vitro AE analysis in CEREC restored teeth compressive testing.

RESULTS

Simulation results indicated that the stress values on the enamel, dentin and luting cement for endocrown restorations were the lowest ones among the corresponding values for inlay and conventional crown restorations. Weibull analysis indicated that failure probability was 95%, 2% and 2% for the inlay, endocrown and conventional crown restorations, respectively, for normal biting. AE analysis revealed that, although the significantly least load was required for the first AE activity for inlay configuration, the endocrown and conventional crowns did not significantly differ from each other.

SIGNIFICANCE

This in vitro study, i.e. numerical and AE analyses, suggest that endocrown and conventional crown restorations for endodontically treated premolars with MOD preparation present a similar longevity.

Address: Department of Biomedical Engineering, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan. [email protected]

DOI: 10.1016/j.dental.2010.10.026

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MeSH Terms: Algorithms, Bicuspid, Biomechanical Phenomena, Bite Force, Ceramics, Chromium Alloys, Computer Simulation, Computer-Aided Design, Crowns, Dental Cavity Preparation, Dental Cements, Dental Enamel, Dental Porcelain, Dental Restoration Failure, Dental Restoration, Permanent, Dental Stress Analysis, Dentin, Elastic Modulus, Finite Element Analysis, Humans, Imaging, Three-Dimensional, Inlays, Materials Testing, Post and Core Technique, Probability, Risk Factors, Stress, Mechanical, Tooth, Nonvital