A new CAD/CAM tooth mobility simulating model for dental in vitro investigations.

OBJECTIVES: To validate a new tooth mobility simulating in vitro model for biomechanical tests of dental appliances and restorations. MATERIAL AND METHODS: Load-deflection curves for teeth in CAD/CAM models (n = 10/group, 6 teeth/model) of the anterior segment of a lower jaw with either low tooth mobility (LM) or high tooth mobility (HM) were recorded with a universal testing device and a Periotest device. All teeth were tested before and after different ageing protocols. Finally, vertical load capacity (F(max)) was tested in all teeth. RESULTS: At F = 100 N load, vertical/horizontal tooth deflections before ageing were 80 +/- 10 microm/400 +/- 40 microm for LM models and 130 +/- 20 microm/610 +/- 100 microm for HM models. Periotest values were 1.6 +/- 1.4 for LM models and 5.5 +/- 1.5 for HM models. These values were within the range of physiological tooth mobility. No visible damage occurred during ageing and simulated ageing had no significant effect on tooth mobility. F(max) values were 494 +/- 67 N (LM) and 388 +/- 95 N (HM). CONCLUSION: The model is practical, easy to manufacture and can reliably simulate tooth mobility. The model was also validated for long-term testing, so is suitable for investigating various dental appliances and restorations such as retainers, brackets, dental bridges or trauma splints. CLINICAL RELEVANCE: Using this in-vitro model for high standardised investigations of various dental appliances and restorations can protect patients from unnecessary burdens in trials and practice.