Home Medicine The influence of the root cross-section on the stress distribution in teeth restored with a positive-locking post and core design: a finite element study
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The influence of the root cross-section on the stress distribution in teeth restored with a positive-locking post and core design: a finite element study

  • Kai-Uwe Schilling , Kurt Rottner , Julian Boldt , Peter Proff , Tomasz Gredes , Ernst-Jürgen Richter and Claudia Reicheneder
Published/Copyright: September 22, 2008
Biomedical Engineering / Biomedizinische Technik
From the journal Volume 53 Issue 5

Abstract

Human teeth with substantial coronal defects are subject to reconstruction by means of post and core restorations. Typically, such a restoration comprises a slightly cylindrical post onto which an abutment of varying shape, depending on the designated restoration, is attached. As clinical results are not satisfactory to date, we proposed a new proprietary post and core design which makes use of positive locking. As this prefabricated system is not customised to an individual root's cross-sectional geometry (usually oval), a varying amount of radicular dentin is left in periphery of the core's outer edge. The aim of this study was to assess the implications of this fact, i.e., whether the root has to endure higher overall stress levels which ultimately may lead to failure of one of the components involved. A series of finite element simulations were performed to evaluate stress and strain on the system, in which the proposed post and core was embedded into a virtual dentin cylinder of different diameters, ranging from flush mounting of the restoration to a dentin excess of 4 mm, and subsequently loaded with forces with two angles of attack (90° and 130°). The results show that flush mounting yields an agreeable stress and strain distribution within the radicular dentin, but overall stress levels drop significantly with an excess of 0.5 mm of surrounding dentin. More than 1 mm excess was not found to have profound positive effects.


Corresponding author: Prof. Dr. Peter Proff, Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany Phone: +49-(0)941-944 6095 Fax: +49-(0)941-944 6169

Received: 2007-5-28
Accepted: 2008-7-16
Published Online: 2008-09-22
Published Online: 2008-09-22
Published in Print: 2008-10-01

©2008 by Walter de Gruyter Berlin New York

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