Improved retention of anterior cantilever resin-bonded prostheses by design alteration: an experimental and finite element study. 2006

Shashwat Bhakta, and Richard van Noort, and George Cardew
School of Clinical Dentistry, University of Sheffield, UK.

BACKGROUND Anterior cantilever resin-bonded prostheses fail as a result of a labio-lingual peeling action, which creates a stress concentration within the adhesive layer. OBJECTIVE The purpose of this study was to identify the factors that determine the retention of an anterior resin-bonded prosthesis and to seek to eliminate the stress concentration within the adhesive layer by fundamentally altering the prosthesis design. METHODS The first experiment involved 40 Ni/Cr (Wiron 99) beams with a width of 5 mm, thickness of 0.5 mm, and lengths ranging from to 13 to 22 mm. The beams were cemented onto a block of the same material using an adhesive resin luting agent (Panavia 21). The length of the beam that was bonded ranged from 1 to 10 mm, resulting in a bonded area ranging from 5 to 50 mm(2). A load was applied onto the cantilevered portion of the beam 2 mm from the end, causing a peeling action. The force (N) required to debond these beams was measured using a pull-to-fracture test. Subsequently, a second experiment was undertaken, and 7 beams with an altered point of attachment (new design) were tested. The new design had the point of attachment of the cantilevered portion located centrally on the bonded area of the beam. Implementing this new design clinically would result in a cantilevered resin-bonded fixed partial denture that would have the connector arm attached more centrally on the retainer wing. The data were analyzed using a 1-way analysis of variance (alpha = .05), and a Tukey pairwise comparison test was used when the results was statistically significant. Two finite element analysis (FEA) models, one simulating the first experimental design and the other simulating the new design, were created. A load was then applied on the cantilevered portion of the beams similar to the experimental models, and the stress patterns were examined. The numerical values of these resultant stresses were plotted graphically. RESULTS The direction of load application, which may be transferred to a clinical setting as labio-lingual forces, was identified as the dominant force responsible for debonding. The new design, which addressed this problem, showed a significant increase (P < .001) in retention. The FEA models identified the stress concentrations within the adhesive layer of the traditional design, which were eliminated when the new design was tested. CONCLUSIONS For the in vitro model, loads that may be interpreted clinically as labio-lingual forces resulted in the lowest forces required to cause debonding, and these forces were independent of the surface area of bonding. Altering the point of attachment of the cantilevered portion onto the retainer caused a significant increase in the forces needed to cause debonding.

UI MeSH Term Description Entries
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D010710 Phosphates Inorganic salts of phosphoric acid. Inorganic Phosphate,Phosphates, Inorganic,Inorganic Phosphates,Orthophosphate,Phosphate,Phosphate, Inorganic
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D002858 Chromium Alloys Specific alloys not less than 85% chromium and nickel or cobalt, with traces of either nickel or cobalt, molybdenum, and other substances. They are used in partial dentures, orthopedic implants, etc. Chromium-Cobalt Alloys,Chromium-Nickel Alloys,Cobalt-Chromium Alloys,Nickel-Chromium Alloys,Alloys, Chromium,Alloys, Chromium-Cobalt,Alloys, Chromium-Nickel,Alloys, Cobalt-Chromium,Alloys, Nickel-Chromium,Chromium Cobalt Alloys,Chromium Nickel Alloys,Cobalt Chromium Alloys,Nickel Chromium Alloys
D003198 Computer Simulation Computer-based representation of physical systems and phenomena such as chemical processes. Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D003722 Dental Alloys A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions for use in restorative or prosthetic dentistry. Alloy, Dental,Alloys, Dental,Dental Alloy
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003781 Denture Retention The retention of a denture in place by design, device, or adhesion. Denture Stability,Retention, Denture,Stability, Denture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic

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