Influence of occlusal reduction design on the fracture resistance and biomechanical behavior of endocrowns restoring maxillary premolars-Reference-Cited by-同舟云学术

Influence of occlusal reduction design on the fracture resistance and biomechanical behavior of endocrowns restoring maxillary premolars

Published:2024-01-19 Issue:1 Volume:24 Page:
ISSN:1472-6831
Container-title:BMC Oral Health
language:en
Short-container-title:BMC Oral Health

Author:

Abbas Mahy Hassouna,Elerian Fatma Abdallah,Elsherbiny Abdallah Ahmed,Elgohary Nesma Mohamed Magdy,Atout Abeer

Abstract

Abstract Purpose To investigate the effect of different occlusal reduction design on stress distribution and fracture resistance of different endocrown systems. Material and methods Sixty-four maxillary human premolars with endodontic treatment, prepared for endocrowns were divided into 2 groups (n = 32) according to the occlusal design: Butt joint preparation (B group) and Anatomical preparation (A group). Each group were subdivided into four groups according to ceramic systems: IPS E max CAD (EM group), monolithic zirconia (ZR group), Nacera Hyprid (NH group) and PEKKTON (PE group). After manufacturing of endocrowns and adhesive bonding the specimens were thermomechanically loaded and subsequently they were tested in a universal testing machine for evaluating the fracture resistance. The specimens failure mode was qualitatively assessed. The stress distribution in each group was assessed using three-dimensional finite element analysis (FEA). 1-way ANOVA and the Post Hoc Tukey HSD test were used to evaluate the data (a = .05). Results The fracture resistance values between the groups showed statistically significant variations. The B PE and A PE groups had a higher ratio of fracture resistance values. Regarding failure mode, ceramic endocrowns recorded mainly irreparable failures. FEA showed that anatomical occlusal preparation have reduced the stress concentration under all endocrown systems. Conclusion Endocrowns could be used to restore endodontically treated maxillary premolars. PEKKTON endocrowns with anatomical preparations revealed most appropriate restoration. The tested new endocrown systems enhanced the biomechanical performance of the tooth. Clinical significance The innovative endocrown systems (PEKK, Nacera Hyprid) can be seen as a promising choice for restoration of severely-destructed endodontic treated premolars, with less stress transmit to the residual tooth structure. Although the traditional endocrown technology might increase the longevity of tooth bonding, it shouldn’t be used for clenching cases since the risk of failure is too great overall.

Funder

Mansoura University

Publisher

Springer Science and Business Media LLC

Subject

General Dentistry

Link

https://link.springer.com/content/pdf/10.1186/s12903-023-03688-3.pdf

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