Influence of Alveolar Bone Height on Stress Distribution of Endodontically Treated Teeth with Post: A 3D Finite Element Analysis

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Authors

  • Department of Conservative Dentistry and Endodontics, D.A.V. (C) Dental College, Yamuna Nagar, Haryana 135001 ,IN
  • Department of Paedodontics and Preventive Dentistry, D.A.V. (C) Dental College, Yamuna Nagar, Haryana 135001 ,IN
  • Department of Conservative Dentistry and Endodontics, D.A.V. (C) Dental College, Yamuna Nagar, Haryana ,IN
  • Department of Oral Medicine and Radiology, D.A.V. (C) Dental College and Hospital, Yamuna Nagar, Haryana 135001
  • Department of Conservative Dentistry and Endodontics, D.A.V. (C) Dental College, Yamuna Nagar, Haryana 135001 ,IN

Keywords:

Alveolar Bone Height, Titanium Post, Von Mises Stresses
Paedodontics and Preventive Dentistry

Abstract

Objective: Adequate bone support is an essential factor to avoid undue stress to the tooth. This is especially important, when the tooth is endodontically treated and requires a post. The purpose of the present finite element analysis study was to evaluate the stress distribution in endodontically treated teeth with post with different alveolar bone height.

Method and materials: A 3D model was fabricated using software to represent an endodontically treated mandibular second premolar restored with titanium post and a full ceramic crown restoration and was analyzed using finite element analysis. A load of 300 N at an angle of 60 to the vertical was applied to the triangular ridge of the buccal cusp in a buccolingual plane. The relationship of alveolar bone height at 2 mm and 4 mm was calculated using von Mises stresses.

Results: The finite element analysis showed the maximum stresses of 137.43 Mpa in dentin with alveolar bone height of 4 mm as compared to 105.91 Mpa in the model with alveolar bone height of 2 mm from the CEJ.

Conclusion: Stress was observed more in alveolar bone height level of 4 mm from CEJ than 2 mm alveolar bone height level from CEJ.

Published

2018-09-10

How to Cite

Singh, S. V., Pandit, I. K., Gupta, S., Singh, A. V., & Satija, H. (2018). Influence of Alveolar Bone Height on Stress Distribution of Endodontically Treated Teeth with Post: A 3D Finite Element Analysis. Journal of Pierre Fauchard Academy (India Section), 29(1), 5–10. Retrieved from http://informaticsjournals.com/index.php/jpfa/article/view/22190

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References

Rivera EM, Yamauchi M. Site comparisons of dentine collagen cross-links from extracted human teeth. Arch Oral Biol. 1993;38:541-546.

Fennis WMM, Kuijs RH, Kreulen CM, Roeters FJM, Creugers NHJ, Burgersdijk RCW. A survey of cusp fractures in a population of general dental practices. Int J Prosthodont. 2002;15:559-563.

Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review. J Endod. 2004;30:289-301.

Hatzikyriakos AH, Reisis GI, Tsingos NA. 3-year postoperative clinical evaluation of posts and cores beneath existing crowns. J Prosthet Dent. 1992;67:454-458.

Sorensen JA, Martinoff JT. Intracoronal reinforcement and coronal coverage: a study of endodontically treated teeth. J Prosthet Dent. 1984;51:780-784.

Bergman B, Lundquist P, Sjogren U, Sundquist G. Restorative and endodontic results after treatment with cast posts and cores. J Prosthet Dent. 1989;61:10-15.

Iqbal MK, Johansson AA, Akeel RF, Bergenholtz A, Omar R. A retrospective analysis of factors associated with the periapical status of restored, endodontically treated teeth. Int J Prosthodont. 2003;16:31-38.

Caplan DJ, Kolker J, Rivera EM, Walton RE. Relationship between number of proximal contacts and survival of root canal treated teeth. Int Endod J. 2002;35:193-199.

Strub JR, Pontius O, Koutayas S. Survival rate and fracture strength of incisors restored with different post and core systems after exposure in the artificial mouth. J Oral Rehab. 2001;28:120-124.

Trope M, Maltz DO, Tronstad L. Resistance to fracture of restored endodontically treated teeth. Endod Dent Traumatol. 1985;1:108-111.

Howe CA, McKendry DJ. Effect of endodontic access preparation on resistance to crown-root fracture. J Am Dent Assoc. 1990;121:712-715.

Panitvisai P, Messer HH. Cuspal deflection in molars in relation to endodontic and restorative procedures. J Endod. 1995;21:57-61.

Fernandes AS, Dessai GS. Factors affecting the fracture resistance of post-core reconstructed teeth: a review. Int J Prosthodont. 2001;14:355-363.

Vire DE. Failure of endodontically treated teeth: classification and evaluation. J Endod. 1991;17:338-342.

Peroz I, Lange KP. Restoring endodontically treated teeth with posts and cores- a review. Quintessence Int. 2005;36:737-746.

Samet N, jotkowitz A. Classification and prognosis evaluation of individual teeth- a comprehensive approach. Quintessence Int. 2009;40:377-387.

Turner CH. The utilization of roots to carry post-retained crown. J Oral Rehab. 1982;91:193-202.

Turner CH. Post-retained crown failure: a survey. Dent Update. 1982;9:221-234.

Balkenhol M, Wostmann B, Rein C, Ferger P. Survival time of cast post and cores: a 10-year retrospective study. J Dent. 2007;35:50-58.

Lewis R, Smith BG. A clinical survey of failed post retained crowns. Br Dent J. 1988;165:95-97.

Mireku AS, Romberg E, Fouad AF, Arola D. Vertical fracture of root filled teeth restored with posts: the effects of patient age and dentine thickness. Int Endod J. 2010;43:218-225.

Naumann M, Rosentritt M, Preuss A, Dietrich T. The effect of alveolar bone loss on the load capability of restored endodontically treated teeth: a comparative in vitro study. J Dent. 2006;34:790-795.

Dallari A, Rovatti L. Six years of in vitro/in vivo experience with Composipost. Compend Contin Educ Dent Suppl. 1996;20:S57-63.

Ferrari M, Vichi A, Mannocci F, Mason PN. Retrospective study of the clinical performance of fiber posts. Am J Dent. 2000;13:9B-13B.

Ash MM, Nelson SJ, eds. Wheeler's Dental Anatomy, Physiology and Occlusion. 8th ed. St. Louis: Saunder Elsevier; 2003:259.

Li-li L, Zhong-Yi W, Zhong-Cheng B, et al. Three-dimensional finite element analysis of weakened roots restored with different cements in combination with titanium alloy posts. Chin Med J. 2006;119:305-311.

Vasconcellos WA, Cimini Jr CA, Albuquerque RC. Effect of post geometry and material on stress distribution on incisors with posts. J Indian Prosthod Soc. 2006;6:139-144.

Asmussen E, Peutzfeldt A, Sahafi A. Finite element analysis of stresses in endodontically treated, dowel restored teeth. J Prosthet Dent. 2005;94:321-329.

Al-Omiri MK, Mahmoud AA, Rayyan MR, Abu-Hammad O. Fracture resistance of teeth restored with post-retained restorations. J Endod. 2010;36:1439-1449.

Narayanaswamy S, Meena N, Kumari A, Naveen DN. Finite element analysis of stress concentration in class V restorations of four groups of restorative materials in mandibular premolar. J Conserv Dent. 2008;11:121-126.

Vasudeva G, Bogra P, Nikhil V, Singh V. Effect of occlusal restoration on stresses around class V restoration interface: a finite-element study. Indian J Dent Res.

;22:295-302.

Amarante MV, Pereira MV. Virtual analysis of stresses in human teeth restored with esthetic posts. Mat Res. 2008;11:459-463.

Kishen A, Asundi A. Photomechanical investigations on post endodontically rehabilitated teeth. J Biomed Opt. 2002;7: 262-270.

Nyman S, Lindhe J. A longitudinal study of combined periodontal and prosthetic treatment of patients with advanced periodontal disease. J Periodontol. 1979;50:163-169.

Komada W, Miura H, Okada D, Yoshida K. Study on fracture strength of root reconstructed with post and core: alveolar bone resorbed case. Dent Mater J. 2006;25:177-182.

Spazzin AO, Galafassi D, Meira-Ju´ nior AD, Braz R, Garbin CA. Influence of post and resin cement on stress distribution of maxillary central incisors restored with direct resin composite. Oper Dent. 2009;34:223-229.