Stress distribution of endodontically treated teeth with titanium alloy post and carbon fiber post with different alveolar bone height: A three-dimensional finite element analysis

ABSTRACT Objective: A three-dimensional (3D) finite element analysis (FEA) on the stress distribution of endodontically treated teeth with titanium alloy post and carbon fiber post with different alveolar bone height. Materials and Methods: The 3D model was fabricated using software to represent an endodontically treated mandibular second premolar with post and restored with a full ceramic crown restoration, which was then analyzed using FEA using FEA ANSYS Workbench V13.0 (ANSYS Inc., Canonsburg, Pennsylvania, U.S.A) software. Results: The FEA showed the maximum stresses of 137.43 Mpa in dentin with alveolar bone height of 4 mm when the titanium post was used, 138.48 Mpa when carbon fiber post was used as compared to 105.91 Mpa in the model with alveolar bone height of 2 mm from the cement enamel junction (CEJ) when the titanium post was used and 107.37 Mpa when the carbon fiber post was used. Conclusions: Stress was observed more in alveolar bone height level of 4 mm from CEJ than 2 mm from CEJ. Stresses in the dentin were almost similar when the carbon fiber post was compared to titanium post. However, stresses in the post and the cement were much higher when titanium post was used as compared to carbon fiber post.

Influence of Different Diameters and Materials of Posts on the Fracture Resistance of Endodontically Treated Teeth

Objective: To evaluate the fracture resistance of endodontically treated teeth reinforced with cast titanium posts and prefabricated glass-fiber posts with different diameters. Materials and Methods: 50 recently extracted human maxillary central incisors were endodontically treated and randomly divided into 5 groups of 10 specimens each: Group A: 1.35mm diameter of cast titanium post; Group B: 1.5mm diameter of cast titanium post; Group C: 1.375mm diameter of prefabricated fiber post; Group D: 1.5mm diameter of prefabricated fiber post; Group E: resin restoration. All specimens were subjected to fracture resistance testing in a universal testing machine, statistical analysis was performed and the fracture modes were analyzed. Results: The mean fracture resistance of five groups as follows: 404.22±73.92N for group A, 488.17±78.68N for group B, 280.32±45.23N for group C, 317.53±50.87N for group D, 222.76±38.67N for group E. The fracture resistance of restored teeth between group C and group D had no significant difference (P>0.05). The fracture resistance of the rest pairwise group comparisons had significant difference (P<0.05). Most of cast post samples fractured at the root middle or apical portion, while most of the fiber post samples fractured at the root cervical or post fracture, which could be retreated. Conclusion: Human maxillary central incisors restored with cast posts could bear higher fracture load and fiber post could protect the root from fracture preferably.

Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup

The general dental practitioner must consider orthodontic extrusion of a tooth when a subgingival defect, such as, crown fracture occurs before prosthetic rehabilitation, especially in the aesthetic zone. Extrusion enables the root portion to be elevated which exposes sound tooth structure for placement of restorative margins. This case report describes the multidisciplinary management of a fractured upper first premolar in a general dental practice. The forced orthodontic eruption is achieved by an endodontic attachment and sectional fixed appliance with an offset placed in the wire. The ability to extrude premolars with this method is complicated by heavy occlusal forces, occlusal interferences, and short clinical crown length. The tooth was restored with a titanium post, composite core, and porcelain fused to metal crown. The entire course of treatment was carried out under National Health Scheme, UK and as a part of vocational training. The 21 months followup showed no change in occlusal contacts or gingival level.

Finite element analysis of endodontically treated tooth restored with different posts under thermal and mechanical loading

Aim: This study compared the stress distributions of endodontically treated tooth restored with carbon and titanium post under thermal and mechanical loading conditions. Methodology: A 3-dimensional finite element model was created to represent in a labiolingual cross-sectional view of an endodontically treated maxillary central incisor tooth with its supporting structures. It was modified according to two post systems with different physical properties consisting titanium, and carbon fiber. Stress distribution and stress values were then calculated by considering the three dimensional von Mises stress criteria. Results: A 100-N static vertical occlusal load was applied on the node at the center of occlusal surface of the tooth. The von Mises stress values for carbon post model was on the coronal third and the cervical area of the root in the range of 436,16 and 3,59 MPa, for titanium post model was 590,55 and 3,05 MPa. Thermal stress values for carbon post model showed that maximum stress concentrations were noted on the coronal third and the top of the post area of the root in the range of 509,94 and 6,38 MPa. Titanium post model showed that maximum stress concentrations were noted on the coronal third and top of the post area of the root in the range of 1165,06 and 3,06 MPa. Conclusion: This study shows that the titanium post yields larger stresses than the carbon post under thermal conditions. How to cite this article: Adıgüzel Ö, Yiğit Özer S, Bahşi E, Yavuz İ. Finite element analysis of endodontically treated tooth restored with different posts under thermal and mechanical loading. Int Dent Res 2011;3:75-80. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Three-dimensional Finite Element Analysis of Endodontically Treated Tooth Restored with Carbon and Titanium Posts

Aim: This study compared the stress distributions of endodontically treated tooth restored with carbon and titanium post during different loading conditions. Methodology: A 3-dimensional finite element model was created to represent an endodontically treated maxillary central incisor tooth with its supporting structures. Stress distribution and stress values were then calculated by considering the three dimensional von Mises stress criteria. Results: A 100-N static vertical occlusal load was applied on the node at the center of occlusal surface of the tooth. The von Mises stress values for carbon post model was on the coronal third and the cervical area of the root in the range of 353.149 and 13.878 MPa, for titanium post model was 540.736 and 22.777 MPa. Conclusion: This study shows that the titanium post yields larger stresses than the carbon post. How to cite this article: Adıgüzel Ö, Kaya S, Yiğit Özer S, Değer Y, Göncü Başaran E, Yavuz İ. Three-dimensional Finite Element Analysis of Endodontically Treated Tooth Restored with Carbon and Titanium Posts. Int Dent Res 2011;2:55-59. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.