Scientific article
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Novel non-invasive reinforcement of MOD cavities on endodontically treated teeth

Published inJournal of dentistry, vol. 54, p. 77-85
Publication date2016
Abstract

Objectives: To evaluate the biomechanical influence of reconnecting the buccal and lingual walls of endodontically treated lower molar with a large MOD cavity. Methods: 3D models were created from a micro-CT scan of an extracted intact lower human molar. Finite element analysis was then used to compare the stress distribution and displacement of the structures between different models: Unrestored MOD on ETT (Unrest), MOD on ETT restored with composite resin (Norm), MOD on ETT reinforced with a non-invasive ring (Ring) and intact tooth as the control (Int). Results: This study showed that the Unrest model presented the highest stress values at the cervical level. The non-invasive Ring model showed the lowest stress values at the cervical level, and the lowest deflection of the cusps. Conclusions: Mechanically reconnecting the remaining tooth structures has a direct positive effect on stress distribution and deformation of the remaining structures. Clinical relevance: Reinforcing ETT in a non-invasive direct approach is efficient in terms of preserving sound tooth structures, reducing the time of treatment and eliminating the laboratory steps required to create the restorations.

Citation (ISO format)
DAHER, René, FEILZER, Albert, KREJCI, Ivo. Novel non-invasive reinforcement of MOD cavities on endodontically treated teeth. In: Journal of dentistry, 2016, vol. 54, p. 77–85. doi: 10.1016/j.jdent.2016.09.008
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Journal ISSN0300-5712
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