Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study

Autor: Pablo Lenin Benitez Sellan, Larissa Mendes Campaner, João Paulo Mendes Tribst, Amanda Maria de Oliveira Dal Piva, Guilherme Schmitt de Andrade, Alexandre Luiz Souto Borges, Eduardo Bresciani, Antonio Lanzotti, Pietro Ausiello
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Polymers, Vol 13, Iss 21, p 3831 (2021)
Druh dokumentu: article
ISSN: 2073-4360
DOI: 10.3390/polym13213831
Popis: Evidence regarding the effect of the onlay preparation design for different CAD/CAM restorative materials considering the preservation of cusps is lacking. Molars were 3D-modeled in four preparation designs for onlay restoration: traditional design with functional cusp coverage (TFC), non-retentive design with functional cusp coverage (NFC), traditional design with non-functional cusp coverage (TNFC) and non-retentive design with non-functional cusp coverage (NNFC). The restorations were simulated with two CAD/CAM restorative materials: LD—lithium disilicate (IPS e.max CAD) and RC—resin composite (GrandioBloc). A 100 N axial load was applied to the occlusal surface, simulating the centric contact point. Von Mises (VM) and maximum principal (Pmax) stress were evaluated for restorations, cement layer and dental substrate. The non-retentive preparation design reduced the stress concentration in the tooth structure in comparison to the conventional retentive design. For LD onlays, the stress distribution on the restoration intaglio surface showed that the preparation design, as well as the prepared cusp, influenced the stress magnitude. The non-retentive preparation design provided better load distribution in both restorative materials and more advantageous for molar structure. The resin composite restoration on thenon-functional cusp is recommended when the functional cusp is preserved in order to associate conservative dentistry and low-stress magnitude.
Databáze: Directory of Open Access Journals
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