Factorial analysis of variables influencing stress in all-ceramic crowns.
OBJECTIVE
The objective of this investigation was to evaluate the relative contribution of variables in the crown-cement-tooth system that can influence magnitude of maximum principal stress in all-ceramic crowns. METHODS.: Factorial analysis was performed to calculate the coefficients of main and interactive effects of seven variables on maximum stress distribution in a series of finite element models of an axisymmetric stylized ceramic crown-cement-tooth system. Variables investigated at two levels were selected for their clinical relevance and included those relating to crown material and geometry (thickness and cuspal incline), cement modulus and thickness, supporting tooth core, and position at which the occlusal load was applied.


RESULTS
The average principal stress for all combinations of all variables was 135.1 MPa but stress magnitude ranged from 73.7 to 214.0 MPa. Crown material and thickness are of primary importance in stress magnitude but other variables (cement modulus, load position, and supporting tooth core) also contribute to the stress magnitude. Interactions between these variables can have an important influence, particularly since the stress in the crown is not necessarily sensitive to the same factors for all crown material systems.


CONCLUSIONS
Comprehensive evaluation of stress in a crown of a crown-cement-tooth system must integrate the influence of single variables and their interactions.
Rekow
E Dianne
ED
Basic Sciences Department, New York University, New York, NY 10010, USA. edr1@nyu.edu
Harsono
Masly
M
Janal
Mal
M
Thompson
Van P
VP
Zhang
Guangming
G
D000538:Aluminum Silicates / Q000737:chemistry; D001732:Bite Force; D002516:Ceramics / Q000737:chemistry*; D003442:Crowns; D003722:Dental Alloys / Q000737:chemistry; D001840:Dental Bonding; D003764:Dental Materials / Q000737:chemistry*; D003776:Dental Porcelain / Q000737:chemistry; D003804:Dentin / Q000033:anatomy & histology / Q000502:physiology; D004548:Elasticity; D005163:Factor Analysis, Statistical; D020342:Finite Element Analysis; D006801:Humans; D008422:Materials Testing; D008954:Models, Biological; D011176:Post and Core Technique / Q000295:instrumentation; D019279:Resin Cements / Q000737:chemistry; D013314:Stress, Mechanical; D013499:Surface Properties; D019231:Tooth Preparation, Prosthodontic; D015036:Zinc Phosphate Cement / Q000737:chemistry; D015040:Zirconium / Q000737:chemistry
D000538:Aluminum Silicates; D003722:Dental Alloys; D003764:Dental Materials; C075815:IPS-Empress ceramic; D019279:Resin Cements; D003776:Dental Porcelain; D015036:Zinc Phosphate Cement; D015040:Zirconium; C028541:zirconium oxide