Effect of different coping designs on all-ceramic crown stress distribution: a finite element analysis. 2013

Jian Hu, and Ning Dai, and Yidong Bao, and Weiping Gu, and Junchi Ma, and Feimin Zhang
Institute of Stomatology, Nanjing Medical University, NanJing 210029, China.

OBJECTIVE To investigate the effect of differential coping designs on the stress distributions of an all-ceramic crown on, the upper central incisor under varying loads. METHODS 3D finite element models with three differential coping designs of an all-ceramic crown on, the upper central incisor were constructed using CAD (computer aided design) software. The coping, designs included: CC (conventional coping), MCL (modified coping without veneer coverage in lingual, surface) and MCM (modified coping without veneer coverage in lingual margin). Loading that, simulated the maximum bite force (200 N) was applied to the crown at differential locations (incisal, edge, lingual fossa and lingual margin). The first principal stress values for the full crown were, calculated and expressed as stress intensity in MPa. RESULTS The simulations showed the stress distribution tendencies of the all-ceramic crown with, differential coping materials were similar. The stress concentration was found in the cervical region, coping/veneer layer interface and the loading area for both the coping layer and the veneer layer. Maximal stress value was observed in the loading area. Stress values varied for the three types of, coping designs; however, compared with CC and MCM, MCL exhibited the lowest stress values. CONCLUSIONS Modified coping without veneer coverage in the lingual side (MCL) proved promising in, preventing all-ceramic crown failures that originate from veneering porcelain, especially under, abnormal occlusal force.

UI MeSH Term Description Entries
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D003442 Crowns A prosthetic restoration that reproduces the entire surface anatomy of the visible natural crown of a tooth. It may be partial (covering three or more surfaces of a tooth) or complete (covering all surfaces). It is made of gold or other metal, porcelain, or resin. Dental Crowns,Crown, Dental,Crowns, Dental,Dental Crown,Crown
D003801 Dental Veneers The use of a layer of tooth-colored material, usually porcelain or acrylic resin, applied to the surface of natural teeth, crowns, or pontics by fusion, cementation, or mechanical retention. Dental Laminates,Dental Laminate,Dental Veneer,Laminate, Dental,Laminates, Dental,Veneer, Dental,Veneers, Dental
D013314 Stress, Mechanical A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area. Mechanical Stress,Mechanical Stresses,Stresses, Mechanical
D020342 Finite Element Analysis A computer based method of simulating or analyzing the behavior of structures or components. Analysis, Finite Element,Analyses, Finite Element,Element Analyses, Finite,Element Analysis, Finite,Finite Element Analyses

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