Impact of different restorative techniques on the stress distribution of endodontically-treated maxillary first premolars: a 2-dimensional finite element analysis

Abstract

The aim of this study was to investigate, through finite element analysis, the impact of different restorative techniques on stress distribution in endodontically-treated maxillary first premolars. A human maxillary first premolar was modeled following the real anatomical dimensions, through a periapical radiography, using the Rhinoceros software, version 4.0SR8. The model was then replicated to compose the groups according to the coronary restorative technique: C (coltosol), GI.C (glass ionomer + coltosol), GI (glass ionomer), CR.GI (conventional resin + glass ionomer), and BR.GI (Bulk Fill resin + glass ionomer). After the models were finished, they were imported as IGES files into ANSYS software, version 17.2. Fixation was defined at the base of the cortical bone and the load was applied with 300 N axially to the buccal and palatal cusps. The results generated were in maximum principal stress (MPS), with the CR.GI and BR.GI groups presenting the lowest values of tension concentration and more homogeneous stress distribution, followed by GI, GI.C and C. All restorative techniques affected the stress distribution in endodontically-treated maxillary first premolars, promoting greater tension in the occlusal third, at the interface with the buccal wall, and in the cervical third. Conventional or Bulk Fill resins associated with a glass ionomer base have a superior biomechanical behavior in relation to coltosol or glass ionomer.