Stress analysis of an upper central incisor restored with different posts.

The effect of different anatomic shapes and materials of posts in the stress distribution on an endodontically treated incisor was evaluated in this work. This study compared three post shapes (tapered, cylindrical and two-stage cylindrical) made of three different materials (stainless steel, titanium and carbon fibre on Bisphenol A-Glycidyl Methacrylate (Bis-GMA) matrix). Two-dimensional stress analysis was performed using the Finite Element Method. A static load of 100N was applied at 45 degrees inclination with respect to the incisor's edge. The stress concentrations did not significantly affect the region adjacent to the alveolar bone crest at the palatine portion of the tooth, regardless of the post shape or material. However, stress concentrations on the post/dentin interface on the palatine side of the tooth root presented significant variations for different post shapes and materials. Post shapes had relatively small impact on the stress concentrations while post materials introduced higher variations on them. Stainless steel posts presented the highest level of stress concentration, followed by titanium and carbon/Bis-GMA posts.

[1]  P. Henry Photoelastic analysis of post core restorations. , 1977, Australian dental journal.

[2]  R. Thresher,et al.  The stress analysis of human teeth. , 1973, Journal of biomechanics.

[3]  N Stern,et al.  Post and core--the biomechanical aspect. , 1972, Australian dental journal.

[4]  C. Rubin,et al.  Clinical Science , 1983 .

[5]  M. C. Lee,et al.  Three-dimensional finite element analysis of the effects of posts on stress distribution in dentin. , 1994, The Journal of prosthetic dentistry.

[6]  I C Howard,et al.  The Effects of Enamel Anisotropy on the Distribution of Stress in a Tooth , 1993, Journal of dental research.

[7]  S D Yaman,et al.  Analysis of stress distribution in a maxillary central incisor subjected to various post and core applications. , 1998, Journal of endodontics.

[8]  D Pipko,et al.  Three-dimensional finite element stress analysis in and around the Screw-Vent implant. , 1991, The International journal of oral & maxillofacial implants.

[9]  M L Perel,et al.  Clinical criteria for posts and cores. , 1972, The Journal of prosthetic dentistry.

[10]  D T Davy,et al.  Determination of Stress Patterns in Root-filled Teeth Incorporating Various Dowel Designs , 1981, Journal of dental research.

[11]  H Schilder,et al.  Determination of the moisture content of vital and pulpless teeth. , 1972, Oral surgery, oral medicine, and oral pathology.

[12]  Y C Pao,et al.  Dentin Stresses in Post-reconstructed Teeth with Diminishing Bone Support , 1983, Journal of dental research.

[13]  D. Assif,et al.  Photoelastic analysis of stress transfer by endodontically treated teeth to the supporting structure using different restorative techniques. , 1989, The Journal of prosthetic dentistry.

[14]  I. Spears,et al.  A Three-dimensional Finite Element Model of Prismatic Enamel: A Re-appraisal of the Data on the Young's Modulus of Enamel , 1997, Journal of dental research.

[15]  M Abou-Rass,et al.  Tooth fracture--a comparison of endodontic and restorative treatments. , 1978, Journal of endodontics.

[16]  M. C. Lee,et al.  Effects of posts on dentin stress distribution in pulpless teeth. , 1992, The Journal of prosthetic dentistry.

[17]  F. Isidor,et al.  Intermittent loading of teeth restored using prefabricated carbon fiber posts. , 1996, The International journal of prosthodontics.

[18]  J. E. Akin,et al.  A comparison of intracanal stresses in a post-restored tooth utilizing the finite element method. , 1992, Journal of endodontics.

[19]  M. Pines,et al.  A comparative study of restorative techniques for pulpless teeth. , 1977, The Journal of prosthetic dentistry.

[20]  P. Plasmans,et al.  In vitro resistance of composite resin dowel and cores. , 1988, Journal of endodontics.

[21]  M. Gelfand,et al.  Effect of complete veneer crowns on the compressive strength of endodontically treated posterior teeth. , 1984, The Journal of prosthetic dentistry.

[22]  G. B. Pelleu,et al.  Effect of dentinal bonded resin post-core preparations on resistance to vertical root fracture. , 1992, The Journal of prosthetic dentistry.

[23]  J M Leary,et al.  Influence of post dimension on stress distribution in dentin. , 1996, The Journal of prosthetic dentistry.