Skip to main content

Advertisement

SpringerLink
Log in

Estimation of stress distribution and risk of failure for maxillary premolar restored by occlusal veneer with different CAD/CAM materials and preparation designs

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

To compare stress distribution and failure probability in maxillary premolars restored by simple occlusal veneer (SOV) and buccal-occlusal veneer (BOV) with 3 different CAD/CAM materials.

Materials and methods

A maxillary premolar was digitized by a micro-CT scanner. Three-dimensional dynamic scan data were transformed, and finite element models of 2 different models (SOV and BOV restored teeth) were designed. Three different CAD/CAM materials, including lithium disilicate glass ceramic (LD) IPS e.max CAD, polymer-infiltrated ceramic-network (PICN) Vita Enamic, and resin nano-ceramic (RNC) Lava Ultimate, were designated to both veneers. Maximum principle stresses were determined by applying a 300-N axial load to the occlusal surface. Weibull analyses were performed to calculate the failure probability of the models.

Results

LD-restored teeth showed the highest stress in the veneer, lowest stress in substrate teeth, and lowest failure probability for the overall system; RNC-restored teeth showed the lowest stress in the veneer, highest stress in substrate teeth, and highest failure probability. No significant differences were found in the cement layer among the different models. No significant differences of stress and failure probability existed between SOV and BOV preparations.

Conclusions

CAD/CAM composite resin occlusal veneers bear lower maximum stress than ceramic veneers. Teeth restored by composite veneers are more prone to failure than those restored by ceramic veneers. Additional reduction of the buccal surface did not increase the stress on the occlusal veneer under axial load.

Clinical relevance

Both occlusal veneers could be used under physiological masticatory force. CAD/CAM glass ceramic was safer than composite resins.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. van Dijken JW, Hasselrot L (2010) A prospective 15-year evaluation of extensive dentin-enamel-bonded pressed ceramic coverages. Dent Mater 26:929–939. https://doi.org/10.1016/j.dental.2010.05.008

    Article  PubMed  Google Scholar 

  2. Sasse M, Krummel A, Klosa K, Kern M (2015) Influence of restoration thickness and dental bonding surface on the fracture resistance of full-coverage occlusal veneers made from lithium disilicate ceramic. Dent Mater 31:907–915. https://doi.org/10.1016/j.dental.2015.04.017

    Article  PubMed  Google Scholar 

  3. Schlichting LH, Maia HP, Baratieri LN, Magne P (2011) Novel-design ultra-thin CAD/CAM composite resin and ceramic occlusal veneers for the treatment of severe dental erosion. J Prosthet Dent 105:217–226. https://doi.org/10.1016/S0022-3913(11)60035-8

    Article  PubMed  Google Scholar 

  4. Zhu J, Rong Q, Wang X, Gao X (2017) Influence of remaining tooth structure and restorative material type on stress distribution in endodontically treated maxillary premolars: a finite element analysis. J Prosthet Dent 117:646–655. https://doi.org/10.1016/j.prosdent.2016.08.023

    Article  PubMed  Google Scholar 

  5. Duan Y, Griggs JA (2015) Effect of elasticity on stress distribution in CAD/CAM dental crowns: glass ceramic vs. polymer-matrix composite. J Dent 43:742–749. https://doi.org/10.1016/j.jdent.2015.01.008

    Article  PubMed  Google Scholar 

  6. Lambert H, Durand JC, Jacquot B, Fages M (2017) Dental biomaterials for chairside CAD/CAM: state of the art. J Adv Prosthodont 9:486–495. https://doi.org/10.4047/jap.2017.9.6.486

    Article  PubMed  PubMed Central  Google Scholar 

  7. Belli R, Wendler M, de Ligny D, Cicconi MR, Petschelt A, Peterlik H et al (2017) Chairside CAD/CAM materials. Part 1: measurement of elastic constants and microstructural characterization. Dent Mater 33:84–98. https://doi.org/10.1016/j.dental.2016.10.009

    Article  PubMed  Google Scholar 

  8. Wendler M, Belli R, Petschelt A, Mevec D, Harrer W, Lube T et al (2017) Chairside CAD/CAM materials. Part 2: flexural strength testing. Dent Mater 33:99–109. https://doi.org/10.1016/j.dental.2016.10.008

    Article  PubMed  Google Scholar 

  9. de Kok P, Pereira G, Fraga S, de Jager N, Venturini AB, Kleverlaan CJ (2017) The effect of internal roughness and bonding on the fracture resistance and structural reliability of lithium disilicate ceramic. Dent Mater 33:1416–1425. https://doi.org/10.1016/j.dental.2017.09.018

    Article  PubMed  Google Scholar 

  10. Pieger S, Salman A, Bidra AS (2014) Clinical outcomes of lithium disilicate single crowns and partial fixed dental prostheses: a systematic review. J Prosthet Dent 112:22–30. https://doi.org/10.1016/j.prosdent.2014.01.005

    Article  PubMed  Google Scholar 

  11. Reich S, Schierz O (2013) Chair-side generated posterior lithium disilicate crowns after 4 years. Clin Oral Investig 17:1765–1772. https://doi.org/10.1007/s00784-012-0868-0

    Article  PubMed  Google Scholar 

  12. El ZA, De Gee AJ, Mohsen MM, Feilzer AJ (2003) Microtensile bond strength testing of luting cements to prefabricated CAD/CAM ceramic and composite blocks. Dent Mater 19:575–583. https://doi.org/10.1016/S0109-5641(02)00107-0

    Article  Google Scholar 

  13. Goujat A, Abouelleil H, Colon P, Jeannin C, Pradelle N, Seux D et al (2018) Mechanical properties and internal fit of 4 CAD-CAM block materials. J Prosthet Dent 119:384–389. https://doi.org/10.1016/j.prosdent.2017.03.001

    Article  PubMed  Google Scholar 

  14. Lauvahutanon S, Takahashi H, Shiozawa M, Iwasaki N, Asakawa Y, Oki M et al (2014) Mechanical properties of composite resin blocks for CAD/CAM. Dent Mater J 33:705–710. https://doi.org/10.4012/dmj.2014-208

    Article  PubMed  Google Scholar 

  15. Coldea A, Swain MV, Thiel N (2013) Mechanical properties of polymer-infiltrated-ceramic-network materials. Dent Mater 29:419–426. https://doi.org/10.1016/j.dental.2013.01.002

    Article  PubMed  Google Scholar 

  16. Sonmez N, Gultekin P, Turp V, Akgungor G, Sen D, Mijiritsky E (2018) Evaluation of five CAD/CAM materials by microstructural characterization and mechanical tests: a comparative in vitro study. BMC Oral Health 18:5. https://doi.org/10.1186/s12903-017-0458-2

    Article  PubMed  PubMed Central  Google Scholar 

  17. Bernhardt O, Gesch D, Schwahn C, Mack F, Meyer G, John U et al (2006) Epidemiological evaluation of the multifactorial aetiology of abfractions. J Oral Rehabil 33:17–25. https://doi.org/10.1111/j.1365-2842.2006.01532.x

    Article  PubMed  Google Scholar 

  18. Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G (2000) Porcelain veneers: a review of the literature. J Dent 28:163–177. https://doi.org/10.1016/S0300-5712(99)00066-4

    Article  PubMed  Google Scholar 

  19. Motta AB, Pereira LC, Duda FP, Anusavice KJ (2014) Influence of substructure design and occlusal reduction on the stress distribution in metal ceramic complete crowns: 3D finite element analysis. J Prosthodont 23:381–389. https://doi.org/10.1111/jopr.12119

    Article  PubMed  Google Scholar 

  20. Sato Y, Yuasa Y, Abe Y, Akagawa Y (1995) Finite element and Weibull analysis to estimate failure risk in resin-bonded retainers. Int J Prosthodont 8:73–78 http://europepmc.org/abstract/MED/7710630

    PubMed  Google Scholar 

  21. Kelly JR, Tesk JA, Sorensen JA (1995) Failure of all-ceramic fixed partial dentures in vitro and in vivo: analysis and modeling. J Dent Res 74:1253–1258. https://doi.org/10.1177/00220345950740060301

    Article  PubMed  Google Scholar 

  22. Arat BS, Baykasoglu C, Bilhan H, Kutay O, Mugan A (2015) Effect of attachment types and number of implants supporting mandibular overdentures on stress distribution: a computed tomography-based 3D finite element analysis. J Biomech 48:130–137. https://doi.org/10.1016/j.jbiomech.2014.10.022

    Article  Google Scholar 

  23. Lin CL, Chang YH, Pa CA (2009) Estimation of the risk of failure for an endodontically treated maxillary premolar with MODP preparation and CAD/CAM ceramic restorations. J Endod 35:1391–1395. https://doi.org/10.1016/j.joen.2009.06.020

    Article  PubMed  Google Scholar 

  24. Magne P, Stanley K, Schlichting LH (2012) Modeling of ultrathin occlusal veneers. Dent Mater 28:777–782. https://doi.org/10.1016/j.dental.2012.04.002

    Article  PubMed  Google Scholar 

  25. Nasrin S, Katsube N, Seghi RR, Rokhlin SI (2017) Survival predictions of ceramic crowns using statistical fracture mechanics. J Dent Res 96:509–515. https://doi.org/10.1177/0022034516688444

    Article  PubMed  PubMed Central  Google Scholar 

  26. Celebi AT, Icer E, Eren MM, Baykasoglu C, Mugan A, Yildiz E (2017) Thermal-stress analysis of ceramic laminate veneer restorations with different incisal preparations using micro-computed tomography-based 3D finite element models. J Mech Behav Biomed Mater 75:302–313. https://doi.org/10.1016/j.jmbbm.2017.07.039

    Article  PubMed  Google Scholar 

  27. Dejak B, Mlotkowski A (2008) Three-dimensional finite element analysis of strength and adhesion of composite resin versus ceramic inlays in molars. J Prosthet Dent 99:131–140. https://doi.org/10.1016/S0022-3913(08)60029-3

    Article  PubMed  Google Scholar 

  28. Hidaka O, Iwasaki M, Saito M, Morimoto T (1999) Influence of clenching intensity on bite force balance, occlusal contact area, and average bite pressure. J Dent Res 78:1336–1344. https://doi.org/10.1177/00220345990780070801

    Article  PubMed  Google Scholar 

  29. Gonzaga CC, Cesar PF, Miranda WJ, Yoshimura HN (2011) Slow crack growth and reliability of dental ceramics. Dent Mater 27:394–406. https://doi.org/10.1016/j.dental.2010.10.025

    Article  PubMed  Google Scholar 

  30. Shahrbaf S, Van Noort R, Mirzakouchaki B, Ghassemieh E, Martin N (2013) Effect of the crown design and interface lute parameters on the stress-state of a machined crown-tooth system: a finite element analysis. Dent Mater 29:e123–e131. https://doi.org/10.1016/j.dental.2013.04.002

    Article  PubMed  Google Scholar 

  31. Qian L, Todo M, Morita Y, Matsushita Y, Koyano K (2009) Deformation analysis of the periodontium considering the viscoelasticity of the periodontal ligament. Dent Mater 25:1285–1292. https://doi.org/10.1016/j.dental.2009.03.014

    Article  PubMed  Google Scholar 

  32. Daher R, Feilzer AJ, Krejci I (2016) Novel non-invasive reinforcement of MOD cavities on endodontically treated teeth. J Dent 54:77–85. https://doi.org/10.1016/j.jdent.2016.09.008

    Article  PubMed  Google Scholar 

  33. Rodrigues RF, Ramos CM, Francisconi PA, Borges AF (2015) The shear bond strength of self-adhesive resin cements to dentin and enamel: an in vitro study. J Prosthet Dent 113:220–227. https://doi.org/10.1016/j.prosdent.2014.08.008

    Article  PubMed  Google Scholar 

  34. Ozturk E, Bolay S, Hickel R, Ilie N (2013) Shear bond strength of porcelain laminate veneers to enamel, dentine and enamel-dentine complex bonded with different adhesive luting systems. J Dent 41:97–105. https://doi.org/10.1016/j.jdent.2012.04.005

    Article  PubMed  Google Scholar 

  35. Morimoto S, Rebello DSF, Braga MM, Sesma N, Ozcan M (2016) Survival rate of resin and ceramic inlays, onlays, and overlays: a systematic review and meta-analysis. J Dent Res 95:985–994. https://doi.org/10.1177/0022034516652848

    Article  PubMed  Google Scholar 

  36. Vanoorbeek S, Vandamme K, Lijnen I, Naert I (2010) Computer-aided designed/computer-assisted manufactured composite resin versus ceramic single-tooth restorations: a 3-year clinical study. Int J Prosthodont 23:223–230 http://europepmc.org/abstract/MED/20552087

    PubMed  Google Scholar 

  37. Sorrentino R, Apicella D, Riccio C, Gherlone E, Zarone F, Aversa R et al (2009) Nonlinear visco-elastic finite element analysis of different porcelain veneers configuration. J Biomed Mater Res B Appl Biomater 91:727–736. https://doi.org/10.1002/jbm.b.31449

    Article  PubMed  Google Scholar 

  38. Barao VA, Delben JA, Lima J, Cabral T, Assuncao WG (2013) Comparison of different designs of implant-retained overdentures and fixed full-arch implant-supported prosthesis on stress distribution in edentulous mandible--a computed tomography-based three-dimensional finite element analysis. J Biomech 46:1312–1320. https://doi.org/10.1016/j.jbiomech.2013.02.008

    Article  PubMed  Google Scholar 

Download references

Funding

This study was supported by the Sun Yat-sen University Clinical Research 5010 Programme (grant number 2016006).

Author information

Author notes

  1. Yan Li and Shu-yi Wu contributed equally to this work.

Authors and Affiliations

  1. Department of Prosthodontics, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, No. 56 Lingyuan West Road, Guangzhou, 510055, China

    Xiao-qiong Huang, Nan-rui Hong, Lei-yan Zou, Shu-yi Wu & Yan Li

  2. Department of Stomatology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China

    Nan-rui Hong

Authors
  1. Xiao-qiong Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nan-rui Hong
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lei-yan Zou
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shu-yi Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yan Li
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Shu-yi Wu or Yan Li.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(PDF 136 kb)

ESM 2

(PDF 70 kb)

ESM 3

(PDF 316 kb)

ESM 4

(PDF 310 kb)

ESM 5

(PDF 306 kb)

ESM 6

(PDF 325 kb)

ESM 7

(PDF 332 kb)

ESM 8

(PDF 529 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Huang, Xq., Hong, Nr., Zou, Ly. et al. Estimation of stress distribution and risk of failure for maxillary premolar restored by occlusal veneer with different CAD/CAM materials and preparation designs. Clin Oral Invest 24, 3157–3167 (2020). https://doi.org/10.1007/s00784-019-03190-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-019-03190-7

Keywords

Search

Navigation