본문 바로가기
KERD
논문KCI 등재

5급 복합레진수복물의 응력분포에 관한 3차원 유한요소법적 연구

Stress distribution of Class V composite resin restorations: A three-dimensional finite element study

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류치의학

초록

This study was to investigate the influence of composite resins with different elastic modulus, cavity modification and occlusal loading condition on the stress distribution of restored notch-shaped noncarious cervical lesion using 3-dimensional (3D) finite element (FE) analysis. The extracted maxillary second premolar was scanned serially with Micro-CT. The 3D images were processed by 3D-DOCTOR. ANSYS was used to mesh and analyze 3D FE model. A notch-shaped cavity and a modified cavity with a rounded apex were modeled. Unmodified and modified cavities were filled with hybrid or flowable resin. After restoration, a static load of 500N was applied in a point-load condition at buccal cusp and palatal cusp. The stress data were analyzed using analysis of principal stress. The results were as follows: 1. In the unrestored cavity, the stresses were highly concentrated at mesial CEJ and lesion apex and the peak stress was observed at the mesial point angle under both loading conditions. 2. After restoration of the cavity, stresses were significantly reduced at the lesion apex, however cervical cavosurface margin, stresses were more increased than before restoration under both loading conditions. 3. When restoring the notch-shaped lesion, material with high elastic modulus worked well at the lesion apex and material with low elastic modulus worked well at the cervical cavosurface margin. 4. Cavity modification the rounding apex did not reduce compressive stress, but tensile stress was reduced.

Abstract

This study was to investigate the influence of composite resins with different elastic modulus, cavity modification and occlusal loading condition on the stress distribution of restored notch-shaped noncarious cervical lesion using 3-dimensional (3D) finite element (FE) analysis. The extracted maxillary second premolar was scanned serially with Micro-CT. The 3D images were processed by 3D-DOCTOR. ANSYS was used to mesh and analyze 3D FE model. A notch-shaped cavity and a modified cavity with a rounded apex were modeled. Unmodified and modified cavities were filled with hybrid or flowable resin. After restoration, a static load of 500N was applied in a point-load condition at buccal cusp and palatal cusp. The stress data were analyzed using analysis of principal stress. The results were as follows: 1. In the unrestored cavity, the stresses were highly concentrated at mesial CEJ and lesion apex and the peak stress was observed at the mesial point angle under both loading conditions. 2. After restoration of the cavity, stresses were significantly reduced at the lesion apex, however cervical cavosurface margin, stresses were more increased than before restoration under both loading conditions. 3. When restoring the notch-shaped lesion, material with high elastic modulus worked well at the lesion apex and material with low elastic modulus worked well at the cervical cavosurface margin. 4. Cavity modification the rounding apex did not reduce compressive stress, but tensile stress was reduced.

참고문헌 (32)

  1. Levitch LC, "Non-carious cervical lesion", J Dent, 22, pp.195~207 (1994)
  2. Litonjua LA, "Effects of occlusal load on cervical lesion", J Oral Rehabil, 31, pp.225~232 (2004)
  3. Telles D, "Prevalence of noncarions cervical lesions and their relation to occlusal aspects: a clinical study", J Esthet Dent, 12, pp.10~15 (2000)
  4. Palamara D, "Strain patterns in cervical enamel of teeth subjected to occlusal loading", Dent Mater, 16, pp.412~419 (2000)
  5. Lee WC, "Possible role of tensile stress in etiology of cervical erosive lesions of teeth", J Prosthet Dent, 52, pp.374~380 (1984)
  6. Grippo JO, "Abfractions: A new classification of hard tissue lesions of tooth", J Esthet Dent, 3, pp.14~19 (1991)
  7. Rees JS, "An investigation into the importance of the periodontal ligament and alveolar bone as supporting structures in finite element studies", J Oral Rehabil, 28, pp.425~432 (2001)
  8. Rees JS, "The effect of variation in occlusal loading on the development of abfraction lesions: a finite element study", J Oral Rehabil, 29, pp.188~193 (2002)
  9. King PA, "Adhesive techniques", Br Dent J, 186, pp.321~326 (1999)
  10. Osborne-Smith KL, "The aetiology of the non-carious cervical lesion", Int Dent J, 49, pp.139~143 (1999)
  11. Vandewalle KS, "Guidelines for the restoration of class V lesions", Gen Dent, 45, pp.254~260 (1997)
  12. Marzouk MA, "Influence of enamel cavosurface configuration on marginal leakage in class V composite resin restorations", Am J Dent, 2, pp.165~169 (1989)
  13. Saunders WP, "Microleakage of composite restorations with Syntac Bond and Denthesive", Am J Dent, 5, pp.255~257 (1992)
  14. Lee WC, "Stress-induced cervical lesions: review of advances in the past 10 years", J Prosthet Dent, 75, pp.487~494 (1996)
  15. Leinfelder KF, "Restoration of abfracted lesions", Compendium, 15, pp.1396~1400 (1994)
  16. Hakimeh S, "Microleakage of compomer class V restorations: effect of load cycling, thermal cycling, and cavity shape differences", J Prosthet Dent, 83, pp.194~203 (2000)
  17. Katona TR, "Stress analysis of a bulkfilled class V light-cured composite restoration", J Dent Res, 73, pp.1470~1477 (1994)
  18. Geramy A, "Abfraction: 3D analysis by means of the finite element method", Quintessence Int, 34, pp.526~533 (2003)
  19. Le SY, "Thermo-debonding mechanisms in dentin bonding systems using finite element analysis", Biomaterials, 22, pp.113~123 (2001)
  20. Litonjua LA, "An assessment of stress analyses in the theory of abfraction", Biomed Mater Eng, 14, pp.311~321 (2004), 311-321
  21. Kuroe T, "Biomechanics of cervical tooth structure lesions and their restoration", Quintessence Int, 31, pp.267~274 (2000), 267-274
  22. Kemp-Scholte CM, "Marginal integrity related to bond strength and strain capacity of composite resin restorative systems", J Prosthet Dent, 64, pp.658~664 (1990)
  23. Yaman SD, "Finite element analysis of strength characteristics of various resin based restorative materials in class V cavities", J Oral Rehabil, 30, pp.630~641 (2003)
  24. Nakayama WT, "Elastic properties of dental resin restorative materials", J Dent Res, 53, pp.1121~1126 (1974)
  25. Willems G, "A classification of dental composites according to their morphological and mechanical characteristics", Dent Mater, 8, pp.310~319 (1992)
  26. Heymann HO, "Examining tooth flexure effects on cervical restorations: a two-year clinical study", J Am Dent Assoc, 122, pp.41~47 (1991)
  27. Browning WD, "Retention of microfilled and hybrid resin-based composite in noncarious class 5 lesions: a double-blind, randomized clinical trial", Oper Dent, 24, pp.26~30 (1999)
  28. Hubsch PF, "Asymptotic analysis of the stress field in adhering dental restorations", J Biomech Eng, 122, pp.408~415 (2000)
  29. Ugural AC, "Advanced strength and applied elasticity 4th ed", pp.163~168 (2003), Pearson Education Inc
  30. Ghfiri R, "Fatigue life estimation after crack repair in 6005 A-T6 aluminium alloy using the cold expansion hole technique", Fatigue Fract Engng Mater Struct, 23, pp.911~916 (2000)
  31. Bowen RL, "Tensile strength and modulus of elasticity of tooth structure and several restorative materials", J Am Dent Assoc, 64, pp.378~387 (1962)
  32. Lehman ML, "Tensile strength of human dentin", J Dent Res, 46, pp.197~201 (1967)

관련 논문AI추천

탄성계수가 다른 복합레진의 혼합수복이 5급 수복물의 응력분포에 미치는 영향에 관한 3차원 유한요소법적 연구허복, 김성교, 박정길대한치과보존학회 · Restorative Dentistry and Endodontics2008 · 제33권 제3호교합력이 치경부 복합레진 수복물의 응력분포에 미치는 영향에 관한 3차원 유한요소법적 연구손권, 허복, 김광훈, 김현철, 박정길, 박찬석대한치과보존학회 · Restorative Dentistry and Endodontics2008 · 제33권 제3호쐐기형 5급 와동과 근관와동을 복합레진으로 수복한 상악 소구치에 대한 응력 분석: 3차원 유한요소법적 연구손권, 허복, 김광훈, 김현철, 박정길, 이선화대한치과보존학회 · Restorative Dentistry and Endodontics2008 · 제33권 제6호수복재료가 5급 복합레진 수복물의 응력분포에 미치는 영향에 관한 3차원유한요소법적 연구허복, 김현철, 박정길, 안형렬대한치과보존학회 · Restorative Dentistry and Endodontics2006 · 제31권 제1호복합레진 수복물이 쐐기형 비우식성 치경부 병소의 응력 분포에 미치는 영향에 관한 3차원 유한요소법적 연구손권, 허복, 김광훈, 김현철, 박정길, 우성관, 이채경대한치과보존학회 · Restorative Dentistry and Endodontics2007 · 제32권 제1호상아질 접착제의 두께가 치아와 복합레진 경계의 응력발생에 미치는 영향에 관한 유한요소법 연구김예미, 노병덕, 박상일대한치과보존학회 · Restorative Dentistry and Endodontics2009 · 제34권 제5호

이 간행물의 다른 논문 (7건)