Influence of height discrepancy between pulp chamber floor and crestal bone in the mechanical fatigue performance of endodontically-treated teeth restored with resin composite endocrowns
To explore and characterize the effect of the discrepancy between crestal bone height (CB) and pulp chamber floor (PCF) in the fatigue performance of endodontically-treated teeth rehabilitated with an endocrown restoration. A total of 75 human molars free of defects, caries history or cracks were se...
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| Veröffentlicht in: | Journal of the mechanical behavior of biomedical materials 2023-06, Vol.142, p.105854-105854, Article 105854 |
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| creator | Ribeiro, Vinícius Fogliato da Rosa, Lucas Saldanha Tribst, João Paulo Mendes Bier, Carlos Alexandre Souza Morgental, Renata Dornelles Valandro, Luiz Felipe Baldi, Andrea Scotti, Nicola Pereira, Gabriel Kalil Rocha |
| description | To explore and characterize the effect of the discrepancy between crestal bone height (CB) and pulp chamber floor (PCF) in the fatigue performance of endodontically-treated teeth rehabilitated with an endocrown restoration.
A total of 75 human molars free of defects, caries history or cracks were selected, then endodontically treated and randomly allocated into 5 groups (N = 15) according to the difference between PCF and CB, as follows: PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below. Endocrown restorations were made with composite resin (Tetric N-Ceram, shade B3, Ivoclar) in 1.5 mm thickness and luted with a resin cement (Multilink N, Ivoclar) onto the dental elements. Monotonic testing was performed to define the fatigue parameters, and a cyclic fatigue test was used until failure of the assembly. The collected data were submitted to statistical survival analysis (Kaplan-Meier followed by Mantel-Cox and Weibull), fractographic analysis and finite element analysis (FEA) were performed as complementary analyzes.
The PCF 2 mm below and PCF 1 mm below groups presented the best results regarding fatigue failure load (FFL) and number of cycles for failure (CFF) (p 0.05). The PCF leveled and PCF 1 mm above groups presented no statistical difference between them (p > 0.05), but performed better than the PCF 2 mm above group (p |
| doi_str_mv | 10.1016/j.jmbbm.2023.105854 |
| format | Article |
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A total of 75 human molars free of defects, caries history or cracks were selected, then endodontically treated and randomly allocated into 5 groups (N = 15) according to the difference between PCF and CB, as follows: PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below. Endocrown restorations were made with composite resin (Tetric N-Ceram, shade B3, Ivoclar) in 1.5 mm thickness and luted with a resin cement (Multilink N, Ivoclar) onto the dental elements. Monotonic testing was performed to define the fatigue parameters, and a cyclic fatigue test was used until failure of the assembly. The collected data were submitted to statistical survival analysis (Kaplan-Meier followed by Mantel-Cox and Weibull), fractographic analysis and finite element analysis (FEA) were performed as complementary analyzes.
The PCF 2 mm below and PCF 1 mm below groups presented the best results regarding fatigue failure load (FFL) and number of cycles for failure (CFF) (p < 0.05), but presented no difference between each other (p > 0.05). The PCF leveled and PCF 1 mm above groups presented no statistical difference between them (p > 0.05), but performed better than the PCF 2 mm above group (p < 0.05). The rate of favorable failures of PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below groups were 91.7%, 100%, 75%, 66.7% and 41.7%, respectively. FEA showed different stress magnitudes according to the pulp-chamber design.
The insertion level of the dental element to be rehabilitated with an endocrown interferes in the mechanical fatigue performance of the set. The discrepancy between the CB height and the PCF has a direct effect, where the higher the PCF in relation to the CB, the greater the risk of mechanical failure of the restored dental element.
•The insertion level of the rehabilitated dental element interferes in the mechanical fatigue performance of the set.•The discrepancy between the CB height and the PCF has a direct effect on the risk of mechanical failure.•A relationship in which PCF is below CB results in a higher risk of unfavorable failures.</description><identifier>ISSN: 1751-6161</identifier><identifier>EISSN: 1878-0180</identifier><identifier>DOI: 10.1016/j.jmbbm.2023.105854</identifier><identifier>PMID: 37130494</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Ceramics ; Composite Resins ; Computer-Aided Design ; Crowns ; Dental Porcelain ; Dental Pulp Cavity ; Dental Restoration Failure ; Dental Stress Analysis ; Endocrown ; Fatigue ; Finite element analysis ; Humans ; Materials Testing ; Mechanical properties ; Molar ; Resin composite ; Surface Properties ; Tooth, Nonvital</subject><ispartof>Journal of the mechanical behavior of biomedical materials, 2023-06, Vol.142, p.105854-105854, Article 105854</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c289t-b0aa1140c92b27abd39ef6c1ed844d2f1b9eccf50285386bef74ffbb994e29c43</citedby><cites>FETCH-LOGICAL-c289t-b0aa1140c92b27abd39ef6c1ed844d2f1b9eccf50285386bef74ffbb994e29c43</cites><orcidid>0000-0002-2159-3787 ; 0000-0002-9077-9067 ; 0000-0001-7380-1675 ; 0000-0001-7203-6924 ; 0000-0002-5412-3546 ; 0000-0002-1126-666X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmbbm.2023.105854$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37130494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ribeiro, Vinícius Fogliato</creatorcontrib><creatorcontrib>da Rosa, Lucas Saldanha</creatorcontrib><creatorcontrib>Tribst, João Paulo Mendes</creatorcontrib><creatorcontrib>Bier, Carlos Alexandre Souza</creatorcontrib><creatorcontrib>Morgental, Renata Dornelles</creatorcontrib><creatorcontrib>Valandro, Luiz Felipe</creatorcontrib><creatorcontrib>Baldi, Andrea</creatorcontrib><creatorcontrib>Scotti, Nicola</creatorcontrib><creatorcontrib>Pereira, Gabriel Kalil Rocha</creatorcontrib><title>Influence of height discrepancy between pulp chamber floor and crestal bone in the mechanical fatigue performance of endodontically-treated teeth restored with resin composite endocrowns</title><title>Journal of the mechanical behavior of biomedical materials</title><addtitle>J Mech Behav Biomed Mater</addtitle><description>To explore and characterize the effect of the discrepancy between crestal bone height (CB) and pulp chamber floor (PCF) in the fatigue performance of endodontically-treated teeth rehabilitated with an endocrown restoration.
A total of 75 human molars free of defects, caries history or cracks were selected, then endodontically treated and randomly allocated into 5 groups (N = 15) according to the difference between PCF and CB, as follows: PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below. Endocrown restorations were made with composite resin (Tetric N-Ceram, shade B3, Ivoclar) in 1.5 mm thickness and luted with a resin cement (Multilink N, Ivoclar) onto the dental elements. Monotonic testing was performed to define the fatigue parameters, and a cyclic fatigue test was used until failure of the assembly. The collected data were submitted to statistical survival analysis (Kaplan-Meier followed by Mantel-Cox and Weibull), fractographic analysis and finite element analysis (FEA) were performed as complementary analyzes.
The PCF 2 mm below and PCF 1 mm below groups presented the best results regarding fatigue failure load (FFL) and number of cycles for failure (CFF) (p < 0.05), but presented no difference between each other (p > 0.05). The PCF leveled and PCF 1 mm above groups presented no statistical difference between them (p > 0.05), but performed better than the PCF 2 mm above group (p < 0.05). The rate of favorable failures of PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below groups were 91.7%, 100%, 75%, 66.7% and 41.7%, respectively. FEA showed different stress magnitudes according to the pulp-chamber design.
The insertion level of the dental element to be rehabilitated with an endocrown interferes in the mechanical fatigue performance of the set. The discrepancy between the CB height and the PCF has a direct effect, where the higher the PCF in relation to the CB, the greater the risk of mechanical failure of the restored dental element.
•The insertion level of the rehabilitated dental element interferes in the mechanical fatigue performance of the set.•The discrepancy between the CB height and the PCF has a direct effect on the risk of mechanical failure.•A relationship in which PCF is below CB results in a higher risk of unfavorable failures.</description><subject>Ceramics</subject><subject>Composite Resins</subject><subject>Computer-Aided Design</subject><subject>Crowns</subject><subject>Dental Porcelain</subject><subject>Dental Pulp Cavity</subject><subject>Dental Restoration Failure</subject><subject>Dental Stress Analysis</subject><subject>Endocrown</subject><subject>Fatigue</subject><subject>Finite element analysis</subject><subject>Humans</subject><subject>Materials Testing</subject><subject>Mechanical properties</subject><subject>Molar</subject><subject>Resin composite</subject><subject>Surface Properties</subject><subject>Tooth, Nonvital</subject><issn>1751-6161</issn><issn>1878-0180</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-O1SAUxhujccbRJzAxLN30Ci1t6cKFmYw6ySRudE34c5hyU6AC9ea-mk8nnV5duoJz8vvOd-CrqrcEHwgm_Yfj4eikdIcGN23pdKyjz6prwgZWY8Lw83IfOlL3pCdX1auUjhj3GDP2srpqB9JiOtLr6ve9N_MKXgEKBk1gH6eMtE0qwiK8OiMJ-QTg0bLOC1KTcBIiMnMIEQmvUeFSFjOSwQOyHuUJkIPCeatK24hsH1dAC0QTohMXH_A66ODzxsznOkcQGTTKAHlC28QQS3mye1XGquCWkGyGJ6mK4eTT6-qFEXOCN5fzpvrx-e777df64duX-9tPD7Vq2JhriYUghGI1NrIZhNTtCKZXBDSjVDeGyBGUMh1uWNeyXoIZqDFSjiOFZlS0vane73OXGH6uZTnuyv_APAsPYU28YXjEmHZsKGi7o2XDlCIYvkTrRDxzgvkWGj_yp9D4FhrfQyuqdxeDVTrQ_zR_UyrAxx2A8sxfFiJPym6ZaRtBZa6D_a_BHyd7r38</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Ribeiro, Vinícius Fogliato</creator><creator>da Rosa, Lucas Saldanha</creator><creator>Tribst, João Paulo Mendes</creator><creator>Bier, Carlos Alexandre Souza</creator><creator>Morgental, Renata Dornelles</creator><creator>Valandro, Luiz Felipe</creator><creator>Baldi, Andrea</creator><creator>Scotti, Nicola</creator><creator>Pereira, Gabriel Kalil Rocha</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2159-3787</orcidid><orcidid>https://orcid.org/0000-0002-9077-9067</orcidid><orcidid>https://orcid.org/0000-0001-7380-1675</orcidid><orcidid>https://orcid.org/0000-0001-7203-6924</orcidid><orcidid>https://orcid.org/0000-0002-5412-3546</orcidid><orcidid>https://orcid.org/0000-0002-1126-666X</orcidid></search><sort><creationdate>202306</creationdate><title>Influence of height discrepancy between pulp chamber floor and crestal bone in the mechanical fatigue performance of endodontically-treated teeth restored with resin composite endocrowns</title><author>Ribeiro, Vinícius Fogliato ; da Rosa, Lucas Saldanha ; Tribst, João Paulo Mendes ; Bier, Carlos Alexandre Souza ; Morgental, Renata Dornelles ; Valandro, Luiz Felipe ; Baldi, Andrea ; Scotti, Nicola ; Pereira, Gabriel Kalil Rocha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-b0aa1140c92b27abd39ef6c1ed844d2f1b9eccf50285386bef74ffbb994e29c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Ceramics</topic><topic>Composite Resins</topic><topic>Computer-Aided Design</topic><topic>Crowns</topic><topic>Dental Porcelain</topic><topic>Dental Pulp Cavity</topic><topic>Dental Restoration Failure</topic><topic>Dental Stress Analysis</topic><topic>Endocrown</topic><topic>Fatigue</topic><topic>Finite element analysis</topic><topic>Humans</topic><topic>Materials Testing</topic><topic>Mechanical properties</topic><topic>Molar</topic><topic>Resin composite</topic><topic>Surface Properties</topic><topic>Tooth, Nonvital</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ribeiro, Vinícius Fogliato</creatorcontrib><creatorcontrib>da Rosa, Lucas Saldanha</creatorcontrib><creatorcontrib>Tribst, João Paulo Mendes</creatorcontrib><creatorcontrib>Bier, Carlos Alexandre Souza</creatorcontrib><creatorcontrib>Morgental, Renata Dornelles</creatorcontrib><creatorcontrib>Valandro, Luiz Felipe</creatorcontrib><creatorcontrib>Baldi, Andrea</creatorcontrib><creatorcontrib>Scotti, Nicola</creatorcontrib><creatorcontrib>Pereira, Gabriel Kalil Rocha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the mechanical behavior of biomedical materials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ribeiro, Vinícius Fogliato</au><au>da Rosa, Lucas Saldanha</au><au>Tribst, João Paulo Mendes</au><au>Bier, Carlos Alexandre Souza</au><au>Morgental, Renata Dornelles</au><au>Valandro, Luiz Felipe</au><au>Baldi, Andrea</au><au>Scotti, Nicola</au><au>Pereira, Gabriel Kalil Rocha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of height discrepancy between pulp chamber floor and crestal bone in the mechanical fatigue performance of endodontically-treated teeth restored with resin composite endocrowns</atitle><jtitle>Journal of the mechanical behavior of biomedical materials</jtitle><addtitle>J Mech Behav Biomed Mater</addtitle><date>2023-06</date><risdate>2023</risdate><volume>142</volume><spage>105854</spage><epage>105854</epage><pages>105854-105854</pages><artnum>105854</artnum><issn>1751-6161</issn><eissn>1878-0180</eissn><abstract>To explore and characterize the effect of the discrepancy between crestal bone height (CB) and pulp chamber floor (PCF) in the fatigue performance of endodontically-treated teeth rehabilitated with an endocrown restoration.
A total of 75 human molars free of defects, caries history or cracks were selected, then endodontically treated and randomly allocated into 5 groups (N = 15) according to the difference between PCF and CB, as follows: PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below. Endocrown restorations were made with composite resin (Tetric N-Ceram, shade B3, Ivoclar) in 1.5 mm thickness and luted with a resin cement (Multilink N, Ivoclar) onto the dental elements. Monotonic testing was performed to define the fatigue parameters, and a cyclic fatigue test was used until failure of the assembly. The collected data were submitted to statistical survival analysis (Kaplan-Meier followed by Mantel-Cox and Weibull), fractographic analysis and finite element analysis (FEA) were performed as complementary analyzes.
The PCF 2 mm below and PCF 1 mm below groups presented the best results regarding fatigue failure load (FFL) and number of cycles for failure (CFF) (p < 0.05), but presented no difference between each other (p > 0.05). The PCF leveled and PCF 1 mm above groups presented no statistical difference between them (p > 0.05), but performed better than the PCF 2 mm above group (p < 0.05). The rate of favorable failures of PCF 2 mm above, PCF 1 mm above, PCF leveled, PCF 1 mm below and PCF 2 mm below groups were 91.7%, 100%, 75%, 66.7% and 41.7%, respectively. FEA showed different stress magnitudes according to the pulp-chamber design.
The insertion level of the dental element to be rehabilitated with an endocrown interferes in the mechanical fatigue performance of the set. The discrepancy between the CB height and the PCF has a direct effect, where the higher the PCF in relation to the CB, the greater the risk of mechanical failure of the restored dental element.
•The insertion level of the rehabilitated dental element interferes in the mechanical fatigue performance of the set.•The discrepancy between the CB height and the PCF has a direct effect on the risk of mechanical failure.•A relationship in which PCF is below CB results in a higher risk of unfavorable failures.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>37130494</pmid><doi>10.1016/j.jmbbm.2023.105854</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2159-3787</orcidid><orcidid>https://orcid.org/0000-0002-9077-9067</orcidid><orcidid>https://orcid.org/0000-0001-7380-1675</orcidid><orcidid>https://orcid.org/0000-0001-7203-6924</orcidid><orcidid>https://orcid.org/0000-0002-5412-3546</orcidid><orcidid>https://orcid.org/0000-0002-1126-666X</orcidid></addata></record> |
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| ispartof | Journal of the mechanical behavior of biomedical materials, 2023-06, Vol.142, p.105854-105854, Article 105854 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Ceramics Composite Resins Computer-Aided Design Crowns Dental Porcelain Dental Pulp Cavity Dental Restoration Failure Dental Stress Analysis Endocrown Fatigue Finite element analysis Humans Materials Testing Mechanical properties Molar Resin composite Surface Properties Tooth, Nonvital |
| title | Influence of height discrepancy between pulp chamber floor and crestal bone in the mechanical fatigue performance of endodontically-treated teeth restored with resin composite endocrowns |
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