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

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...

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Autores principales: 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
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/53568d609cf5434f9389a8a7f360331a
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spelling oai:doaj.org-article:53568d609cf5434f9389a8a7f360331a2021-11-11T18:48:32ZFunctional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study10.3390/polym132138312073-4360https://doaj.org/article/53568d609cf5434f9389a8a7f360331a2021-11-01T00:00:00Zhttps://www.mdpi.com/2073-4360/13/21/3831https://doaj.org/toc/2073-4360Evidence 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.Pablo Lenin Benitez SellanLarissa Mendes CampanerJoão Paulo Mendes TribstAmanda Maria de Oliveira Dal PivaGuilherme Schmitt de AndradeAlexandre Luiz Souto BorgesEduardo BrescianiAntonio LanzottiPietro AusielloMDPI AGarticledental materialsfinite element analysisprosthodonticsbiomechanicsOrganic chemistryQD241-441ENPolymers, Vol 13, Iss 3831, p 3831 (2021)
institution DOAJ
collection DOAJ
language EN
topic dental materials
finite element analysis
prosthodontics
biomechanics
Organic chemistry
QD241-441
spellingShingle dental materials
finite element analysis
prosthodontics
biomechanics
Organic chemistry
QD241-441
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
Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study
description 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.
format article
author 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
author_facet 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
author_sort Pablo Lenin Benitez Sellan
title Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study
title_short Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study
title_full Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study
title_fullStr Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study
title_full_unstemmed Functional or Nonfunctional Cusps Preservation for Molars Restored with Indirect Composite or Glass-Ceramic Onlays: 3D FEA Study
title_sort functional or nonfunctional cusps preservation for molars restored with indirect composite or glass-ceramic onlays: 3d fea study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/53568d609cf5434f9389a8a7f360331a
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