[Stress analysis of mandibular second premolar with three different restorations].
OBJECTIVE
To investigate the stress intensity and distribution in the dentine of intact endodontically treated mandibular second premolar under three different restorations.


METHODS
Four three-dimensional finite element models were constructed by the data of spiral CT: 1) Mandibular second premolar restored directly by full crown: 2) Fill the perforating cavity with resin material and full crown restoration; 3) Cast nickel chromium (NiCr) alloy post core plus full crown restoration; 4) Fiber post and resin core plus full crown restoration. Load was applied on the buccal inclined surface near the top of the buccal cusp and the intensity and distribution of the maximum tensile stress and von Mises stress in the dentine were compared.


RESULTS
When the tooth was restored with NiCr alloy post core, an obvious stress concentration area was observed in the dentine next to the top of the post. When the fiber post was used, there was little stress concentration area around the top of the post, and the stress distribution in the dentine was almost the same as the control group. No difference of the intensity and distribution of the stress was found with the control group when no post was used and the perforating cavity was just filled with resin material.


CONCLUSIONS
Compared with cast metal post, fiber post is more suitable for post-core crown restorations. In cases with sufficient coronal tooth substance, post is not absolutely necessary and just filling the perforating cavity with resin material followed by crown restoration can be one of the alternative restorations.
Cao
Jun
J
Dept. of Prosthodontics, West China College of Stomatology, Sichuan University, Chengdu 610041, China.
Wang
Shao-an
SA
Tang
Bi-hua
BH
D001641:Bicuspid; D002858:Chromium Alloys; D003188:Composite Resins; D003442:Crowns; D003799:Dental Stress Analysis; D003804:Dentin; D020342:Finite Element Analysis; D006801:Humans; D011176:Post and Core Technique
D002858:Chromium Alloys; D003188:Composite Resins; C066018:nichrome