2025 BMC oral health

Effect of different restorative design on stress concentration of lithium disilicate and monolithic zirconia endocrown on a mandibular molar - a finite element analysis.

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BMC oral health Vol. 25 (1) : 205 • Feb 2025

BACKGROUND: The purpose of this simulation study was to evaluate effect of different restorative design on stress concentration of endocrown. Different restorative materials were used on a mandibular molar using a finite element analysis. METHODS: A 3D FEA model of mandibular molar was constructed using the average values and was used in this analysis. 2 materials were used which were lithium disilicate and zirconia and 2 different margin design of knife edge and shoulder margins were used in various combinations of material and margin design. A constant 12 degrees of internal wall angulation was considered for all the 4 models and a uniform cement thicknes of 100 mum was considered. A uniform 2 mm of bulk fill composite was used as a base beneath the endocrowns. 300 N load was applied on the cusps for each model and linear static analysis was carried out. RESULTS: Endocrowns of lithium disilicate was found to exert a greater stress concentration in comparison to zirconia endocrowns in both the margin designs of knife edge and shoulder. Knife edge margins were seen to yield greater stress concentration on the remaining tooth structure in comparison to shoulder margins in endocrowns of both the materials used. CONCLUSION: There is a positive influence of margin design selection within the same material used for the fabrication of endocrown.

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