Araştırma Makalesi
Mechanical Evaluation of Two Different Zirconia-Reinforced Lithium Silicate Ceramics: A Finite Element Analysis
Öz
Objective: The aim of the study is to evaluate the stress distribution of zirconia-reinforced lithium silicate all-ceramic fixed partial dentures under occlusal loading; in terms of material, restoration, and supporting type.
Methods: Six different models were analyzed; tooth-supported anterior crown, tooth-supported posterior crown, tooth-supported 3-unit bridge, implant-supported anterior crown, implant-supported posterior crown and implant-supported 3-unit bridge. Milling and pressable zirconia-reinforced lithium silicate were used in each model. Structural analyses were simulated with finite element analysis under vertical and oblique loading to evaluate the von Mises and minimum principal stresses.
Results: Tooth-supported restorations showed lower stress values than implant-supported forms of the same restoration. Stresses were higher and distributed over a larger surface under oblique loading compared to vertical loading. Overall stresses generated on the single crown models were higher than the stresses generated on the bridge models. Implant-supported bridge model under oblique loading shows the highest stress. However both milling and pressable forms of zirconia-reinforced lithium silicate didn’t make a difference on the stress concentration and distribution areas.
Conclusion: The stress distribution and mechanical behavior of models was influenced by the type of restoration, direction of the force, and the number of units. However, no significant difference was found between milling and pressable zirconia-reinforced lithium silicate ceramic in terms of the stress values on the restorations.
Anahtar Kelimeler
Dental ceramic finite element analysis fixed partial dentures implant-supported single crown zirconia-reinforced lithium silicate.
Kaynakça
- 1. Ispas A, Iosif L, Popa D, et al. Comparative assessment of the functional parameters for metal-ceramic and all-ceramic teeth restorations in prosthetic dentistry: A literature review. Biology. 2022;11(4):556.
- 2. Shafigh E, Ashrafi M. A review of mechanical behavior of dental ceramic restorations. J Mech Med Biol. 2021;21(8):2150063.
- 3. Zarone F, Ruggiero G, Leone R, Breschi L, Leuci S, Sorrentino R. Zirconia-reinforced lithium silicate (ZLS) mechanical and biological properties: A literature review. J Dent. 2021;109:103661.
- 4. Bergamo ET, Bordin D, Ramalho IS, et al. Zirconia-reinforced lithium silicate crowns: Effect of thickness on survival and failure mode. Dent Mater. 2019;35(7):1007–1016.
- 5. D’Addazio G, Santilli M, Rollo ML, et al. Fracture resistance of zirconia-reinforced lithium silicate ceramic crowns cemented with conventional or adhesive systems: An in vitro study. Materials. 2020;13(9):2012.
- 6. VITA Suprinity PC, Technical and scientific documentation, Vita Zahnfabrik, Bad Säckingen, Germany, 2019.
- 7. VITA Ambria, Technical and scientific documentation, Vita Zahnfabrik, Bad Säckingen, Germany, 2020.
- 8. Cicciù M. Bioengineering methods of analysis and medical devices: A current trends and state of the art. Materials. 2020;13(3):797-801.
- 9. Yeğin E, Atala MH. Comparison of CAD/CAM manufactured implant-supported crowns with different analyses. Int J Implant Dent. 2020;6(1):69-80.
- 10. Karaer O, Yamaguchi S, Imazato S, Terzioğlu H. In silico finite element analysis of ımplant-supported CAD-CAM resin composite crowns. J Prosthodont. 2022;32(3):259-266.
- 11. Topcu Ersöz MB, Mumcu E. Biomechanical investigation of maxillary implant-supported full-arch prostheses produced with different framework materials: a finite elements study. J Adv Prosthodont. 2022;14:346–359.
- 12. Dal Piva AM de O, Tribst JPM, Borges ALS, Souza ROA, Bottino MA. CAD-FEA modeling and analysis of different full crown monolithic restorations. Dent Mater. 2018;34(9):1342–1350.
- 13. Iorio-Siciliano V, Blasi A, Isola G, Sculean A, Salvi GE, Ramaglia L. Resolution of peri-implant mucositis at tissue- and bone-level implants: A 6-month prospective controlled clinical trial. Clin Oral Implants Res. 2023;34(5):450–462.
- 14. Elsaka SE. Influence of surface treatments on the surface properties of different zirconia cores and adhesion of zirconia-veneering ceramic systems. Dent Mater. 2013; 29(10):e239–e251.
- 15. Soares CJ, Raposo LHA, Soares PV, et al. Effect of Different Cements on the Biomechanical Behavior of Teeth Restored with Cast Dowel-and-Cores—In Vitro and FEA Analysis. J Prosthodont. 2010;19(2):130–137.
- 16. Ausiello P, Ciaramella S, Martorelli M, et al. Mechanical behavior of endodontically restored canine teeth: Effects of ferrule, post material and shape. Dent Mater. 2017;33(12):1466–1472.
- 17. Padhye OV, Herekar M, Patil V, Mulani S, Sethi M, Fernandes A. Stress distribution in bone and implants in mandibular 6-implant-supported cantilevered fixed prosthesis: A 3D finite element study. Implant Dent. 2015;24(6):680–685.
- 18. Almeida EO, Rocha EP, Júnior ACF, et al. Tilted and short implants supporting fixed prosthesis in an atrophic maxilla: A 3D-FEA biomechanical evaluation. Clin Implant Dent Relat Res. 2015;17:e332–e342.
- 19. Jongsma LA, de Jager N, Kleverlaan CJ, Pallav P, Feilzer AJ. Shear bond strength of three dual-cured resin cements to dentin analyzed by finite element analysis. Dent Mater. 2012;28(10):1080–1088.
- 20. Tang Z, Zhao X, Wang H, Liu B. Clinical evaluation of monolithic zirconia crowns for posterior teeth restorations. Medicine 2019;98(40):e17385.
- 21. Mazza LC, Lemos CAA, Pesqueira AA, Pellizzer EP. Survival and complications of monolithic ceramic for tooth-supported fixed dental prostheses: A systematic review and meta-analysis. J Prosthet Dent. 2021.
- 22. Romanyk DL, Vafaeian B, Addison O, Adeeb S. The use of finite element analysis in dentistry and orthodontics: critical points for model development and interpreting results. Semin Orthod. 2020;26(3):162–173.
- 23. Villefort RF, Diamantino PJS, Zeidler SLV von, et al. Mechanical response of PEKK and PEEK as frameworks for ımplant-supported full-arch fixed dental prosthesis: 3d finite element analysis. Eur J Dent. 2022;16(1):115–121.
- 24. Tribst J-P-M, Rodrigues V-A, Dal Piva A-MO, Borges ALS, Nishiko RS. The importance of correct implants positioning and masticatory load direction on a fixed prosthesis. J Clin Exp Dent. 2018;10(1):e81–e87.
- 25. Dal Piva AM, Tribst JP, Saavedra GS, et al. Influence of retainer configuration and loading direction on the stress distribution of lithium disilicate resin-bonded fixed dental prostheses: 3D finite element analysis. J Mech Behav Biomed Mater. 2019;100:103389.
- 26. Silveira MPM, Campaner LM, Bottino MA, Nishioka RS, Borges ALS, Tribst JPM. Influence of the dental implant number and load direction on stress distribution in a 3-unit implant-supported fixed dental prosthesis. Dent Med Probl. 2021;58(1):69–74.
- 27. Koyano K, Esaki D. Occlusion on oral implants: current clinical guidelines. J Oral Rehabil. 2015;42(2):153–161.
- 28. Bataineh K, Al Janaideh M, Abu-Naba’a LA. Fatigue resistance of 3-unit CAD-CAM ceramic fixed partial dentures: An FEA study. J Prosthodont. 2022;31(1):1–10.
- 29. Degirmenci K, Kocak-Buyukdere A, Ekici B. Evaluation of reliability of zirconia materials to be used in implant-retained restoration on the atrophic bone of the posterior maxilla: A finite element study. J Adv Prosthodont. 2019;11:112–119.
- 30. Kassardjian V, Varma S, Andiappan M, Creugers NHJ, Bartlett D. A systematic review and meta analysis of the longevity of anterior and posterior all-ceramic crowns. J Dent. 2016;55:1–6.
- 31. Zupancic Cepic L, Frank M, Reisinger A, Pahr D, Zechner W, Schedle A. Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible. Int J Implant Dent. 2022;8(1):1–13.
- 32. Borba M, Duan Y, Griggs JA, Cesar PF, Bona AD. Effect of ceramic infrastructure on the failure behavior and stress distribution of fixed partial dentures. Dent Mater. 2015;31(4):413–422.
- 33. Campaner LM, Ribeiro ADOP, Tribst JPM, Borges ALS. Loading stress distribution in posterior teeth restored by different core materials under fixed zirconia partial denture: A 3D-FEA study. Am J Dentistry. 2021;34(3):157–162.
- 34. Ozdogan MS, Gokce H, Sahin I. Effect of straight and angled abutments on the strain on a zirconia crown and implant in the mandibular second molar region: A FEA-based study. Mater Tehnol. 2020;54:251-257.
- 35. Rand A, Kohorst P, Greuling A, Borchers L, Stiesch M. Stress distribution in all-ceramic posterior 4-unit fixed dental prostheses supported in different ways: finite element analysis. Implant Dent. 2016;25(4):485–491.
Yıl 2025,
Cilt: 35 Sayı: 2, 148 - 153, 20.04.2025
Öz
Kaynakça
- 1. Ispas A, Iosif L, Popa D, et al. Comparative assessment of the functional parameters for metal-ceramic and all-ceramic teeth restorations in prosthetic dentistry: A literature review. Biology. 2022;11(4):556.
- 2. Shafigh E, Ashrafi M. A review of mechanical behavior of dental ceramic restorations. J Mech Med Biol. 2021;21(8):2150063.
- 3. Zarone F, Ruggiero G, Leone R, Breschi L, Leuci S, Sorrentino R. Zirconia-reinforced lithium silicate (ZLS) mechanical and biological properties: A literature review. J Dent. 2021;109:103661.
- 4. Bergamo ET, Bordin D, Ramalho IS, et al. Zirconia-reinforced lithium silicate crowns: Effect of thickness on survival and failure mode. Dent Mater. 2019;35(7):1007–1016.
- 5. D’Addazio G, Santilli M, Rollo ML, et al. Fracture resistance of zirconia-reinforced lithium silicate ceramic crowns cemented with conventional or adhesive systems: An in vitro study. Materials. 2020;13(9):2012.
- 6. VITA Suprinity PC, Technical and scientific documentation, Vita Zahnfabrik, Bad Säckingen, Germany, 2019.
- 7. VITA Ambria, Technical and scientific documentation, Vita Zahnfabrik, Bad Säckingen, Germany, 2020.
- 8. Cicciù M. Bioengineering methods of analysis and medical devices: A current trends and state of the art. Materials. 2020;13(3):797-801.
- 9. Yeğin E, Atala MH. Comparison of CAD/CAM manufactured implant-supported crowns with different analyses. Int J Implant Dent. 2020;6(1):69-80.
- 10. Karaer O, Yamaguchi S, Imazato S, Terzioğlu H. In silico finite element analysis of ımplant-supported CAD-CAM resin composite crowns. J Prosthodont. 2022;32(3):259-266.
- 11. Topcu Ersöz MB, Mumcu E. Biomechanical investigation of maxillary implant-supported full-arch prostheses produced with different framework materials: a finite elements study. J Adv Prosthodont. 2022;14:346–359.
- 12. Dal Piva AM de O, Tribst JPM, Borges ALS, Souza ROA, Bottino MA. CAD-FEA modeling and analysis of different full crown monolithic restorations. Dent Mater. 2018;34(9):1342–1350.
- 13. Iorio-Siciliano V, Blasi A, Isola G, Sculean A, Salvi GE, Ramaglia L. Resolution of peri-implant mucositis at tissue- and bone-level implants: A 6-month prospective controlled clinical trial. Clin Oral Implants Res. 2023;34(5):450–462.
- 14. Elsaka SE. Influence of surface treatments on the surface properties of different zirconia cores and adhesion of zirconia-veneering ceramic systems. Dent Mater. 2013; 29(10):e239–e251.
- 15. Soares CJ, Raposo LHA, Soares PV, et al. Effect of Different Cements on the Biomechanical Behavior of Teeth Restored with Cast Dowel-and-Cores—In Vitro and FEA Analysis. J Prosthodont. 2010;19(2):130–137.
- 16. Ausiello P, Ciaramella S, Martorelli M, et al. Mechanical behavior of endodontically restored canine teeth: Effects of ferrule, post material and shape. Dent Mater. 2017;33(12):1466–1472.
- 17. Padhye OV, Herekar M, Patil V, Mulani S, Sethi M, Fernandes A. Stress distribution in bone and implants in mandibular 6-implant-supported cantilevered fixed prosthesis: A 3D finite element study. Implant Dent. 2015;24(6):680–685.
- 18. Almeida EO, Rocha EP, Júnior ACF, et al. Tilted and short implants supporting fixed prosthesis in an atrophic maxilla: A 3D-FEA biomechanical evaluation. Clin Implant Dent Relat Res. 2015;17:e332–e342.
- 19. Jongsma LA, de Jager N, Kleverlaan CJ, Pallav P, Feilzer AJ. Shear bond strength of three dual-cured resin cements to dentin analyzed by finite element analysis. Dent Mater. 2012;28(10):1080–1088.
- 20. Tang Z, Zhao X, Wang H, Liu B. Clinical evaluation of monolithic zirconia crowns for posterior teeth restorations. Medicine 2019;98(40):e17385.
- 21. Mazza LC, Lemos CAA, Pesqueira AA, Pellizzer EP. Survival and complications of monolithic ceramic for tooth-supported fixed dental prostheses: A systematic review and meta-analysis. J Prosthet Dent. 2021.
- 22. Romanyk DL, Vafaeian B, Addison O, Adeeb S. The use of finite element analysis in dentistry and orthodontics: critical points for model development and interpreting results. Semin Orthod. 2020;26(3):162–173.
- 23. Villefort RF, Diamantino PJS, Zeidler SLV von, et al. Mechanical response of PEKK and PEEK as frameworks for ımplant-supported full-arch fixed dental prosthesis: 3d finite element analysis. Eur J Dent. 2022;16(1):115–121.
- 24. Tribst J-P-M, Rodrigues V-A, Dal Piva A-MO, Borges ALS, Nishiko RS. The importance of correct implants positioning and masticatory load direction on a fixed prosthesis. J Clin Exp Dent. 2018;10(1):e81–e87.
- 25. Dal Piva AM, Tribst JP, Saavedra GS, et al. Influence of retainer configuration and loading direction on the stress distribution of lithium disilicate resin-bonded fixed dental prostheses: 3D finite element analysis. J Mech Behav Biomed Mater. 2019;100:103389.
- 26. Silveira MPM, Campaner LM, Bottino MA, Nishioka RS, Borges ALS, Tribst JPM. Influence of the dental implant number and load direction on stress distribution in a 3-unit implant-supported fixed dental prosthesis. Dent Med Probl. 2021;58(1):69–74.
- 27. Koyano K, Esaki D. Occlusion on oral implants: current clinical guidelines. J Oral Rehabil. 2015;42(2):153–161.
- 28. Bataineh K, Al Janaideh M, Abu-Naba’a LA. Fatigue resistance of 3-unit CAD-CAM ceramic fixed partial dentures: An FEA study. J Prosthodont. 2022;31(1):1–10.
- 29. Degirmenci K, Kocak-Buyukdere A, Ekici B. Evaluation of reliability of zirconia materials to be used in implant-retained restoration on the atrophic bone of the posterior maxilla: A finite element study. J Adv Prosthodont. 2019;11:112–119.
- 30. Kassardjian V, Varma S, Andiappan M, Creugers NHJ, Bartlett D. A systematic review and meta analysis of the longevity of anterior and posterior all-ceramic crowns. J Dent. 2016;55:1–6.
- 31. Zupancic Cepic L, Frank M, Reisinger A, Pahr D, Zechner W, Schedle A. Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible. Int J Implant Dent. 2022;8(1):1–13.
- 32. Borba M, Duan Y, Griggs JA, Cesar PF, Bona AD. Effect of ceramic infrastructure on the failure behavior and stress distribution of fixed partial dentures. Dent Mater. 2015;31(4):413–422.
- 33. Campaner LM, Ribeiro ADOP, Tribst JPM, Borges ALS. Loading stress distribution in posterior teeth restored by different core materials under fixed zirconia partial denture: A 3D-FEA study. Am J Dentistry. 2021;34(3):157–162.
- 34. Ozdogan MS, Gokce H, Sahin I. Effect of straight and angled abutments on the strain on a zirconia crown and implant in the mandibular second molar region: A FEA-based study. Mater Tehnol. 2020;54:251-257.
- 35. Rand A, Kohorst P, Greuling A, Borchers L, Stiesch M. Stress distribution in all-ceramic posterior 4-unit fixed dental prostheses supported in different ways: finite element analysis. Implant Dent. 2016;25(4):485–491.
Toplam 35 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Protez |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Nisan 2025 |
| Gönderilme Tarihi | 12 Şubat 2024 |
| Kabul Tarihi | 29 Mart 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 35 Sayı: 2 |
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