Skip to main content

Advertisement

Log in

A 3D finite element analysis of stress distribution on different thicknesses of mineral trioxide aggregate applied on various sizes of pulp perforation

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

The aim of this study was to evaluate the stress distribution on different thicknesses of mineral trioxide aggregate (MTA) placed on various widths of pulp perforations during the condensation of the composite resin material.

Materials and methods

The mandibular molar tooth was modeled by COSMOSWorks program (SolidWorks, Waltham, MA). Three finite elemental analysis models representing 3 different dimensions of pulp perforations, 1, 2, and 3 mm in diameter, were created. The perforation area was assumed as filled with MTA with different thicknesses, 1, 2, and 3 mm for each pulp perforation width, creating a total of 9 different models. Then, a composite resin material was layered on MTA for each model. A 66.7 N load was applied and an engineering simulation program (ANSYS, Canonsburg, US) was used for the analysis. Results were presented considering von Mises stress criteria.

Results

As MTA thickness increased, the stress values recorded within the area between pulp and MTA decreased. Strain was decreased when the thickness of MTA increased.

Conclusions

Stresses at MTA-pulp interface and strain on MTA decreased with the increase in MTA thickness.

Clinical relevance

In clinical practice, when MTA is required for pulp capping, using a thick layer of the material seems to be a better option in order to reduce the stress under forces of hand condensation of overlying restorative materials.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. American Academy of Pediatric Dentistry (2104) Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent 36: 242–250

  2. Dammaschke T (2008) The history of direct pulp capping. J Hist Dent 56:9–23

    PubMed  Google Scholar 

  3. Witherspoon DE, Small JC, Harris GZ (2006) Mineral trioxide aggregate pulpotomies: a case series outcomes assessment. J Am Dent Assoc 137:610–618

    Article  Google Scholar 

  4. Nowicka A, Lipski M, Parafiniuk M, Sporniak-Tutak K, Lichota D, Kosierkiewicz A, Kaczmarek W, Buczkowska-Radlińska J (2013) Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod 39:743–747

    Article  Google Scholar 

  5. Bogen G, Kim JS, Bakland LK (2008) Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc 139:305–315

    Article  Google Scholar 

  6. Asgary S, Ahmadyar M (2013) Vital pulp therapy using calcium-enriched mixture: an evidence-based review. J Conserv Dent 16:92–98

    Article  Google Scholar 

  7. Parirokh M, Torabinejad M, Dummer PMH (2018) Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part I: vital pulp therapy. Int Endod J 51:177–205

    Article  Google Scholar 

  8. Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR (1995) Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod 21:109–112

    Article  Google Scholar 

  9. Torabinejad M, Parirokh M, Dummer PMH (2018) Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications. Int Endod J 51:284–317

    Article  Google Scholar 

  10. Kayahan MB, Nekoofar MH, Kazandağ M, Canpolat C, Malkondu O, Kaptan F, Dummer PM (2009) Effect of acid-etching procedure on selected physical properties of mineral trioxide aggregate. Int Endod J 42:1004–1014

    Article  Google Scholar 

  11. Kayahan MB, Nekoofar MH, McCann A, Sunay H, Kaptan RF, Meraji N, Dummer PM (2013) Effect of acid etching procedures on the compressive strength of 4 calcium silicate-based endodontic cements. J Endod 39:1646–1648

    Article  Google Scholar 

  12. Basturk FB, Nekoofar MH, Günday M, Dummer PM (2013) The effect of various mixing and placement techniques on the compressive strength of mineral trioxide aggregate. J Endod 39:111–114

    Article  Google Scholar 

  13. Kogan P, He J, Glickman GN, Watanabe I (2006) The effects of various additives on setting properties of MTA. J Endod 32:569–572

    Article  Google Scholar 

  14. Pierpont WF, Gray SE, Hermesch CB, Hilton TJ (1994) The effect of various bases on the fracture resistance of amalgam. Oper Dent 19:211–216

    PubMed  Google Scholar 

  15. Cho BH, Dickens SH, Bae JH, Chang CG, Son HH, Um CM (2002) Effect of interfacial bond quality on the direction of polymerization shrinkage flow in in resin composite restorations. Oper Dent 27:297–304

    PubMed  Google Scholar 

  16. Banomyong D, Palamara JE, Messer HH, Burrow MF (2008) Sealing ability of occlusal resin composite restoration using four restorative procedures. Eur J Oral Sci 116:571–578

    Article  Google Scholar 

  17. Chailert O, Banomyong D, Vongphan N, Ekworapoj P, Burrow MF (2018) Internal adaptation of resin composite restorations with different thicknesses of glass ionomer cement lining. J Investig Clin Dent 9:e12308. https://doi.org/10.1111/jicd.12308

    Article  PubMed  Google Scholar 

  18. Drummond JL, Robledo J, Garcia L, Toepke TR (1993) Thermal conductivity of cement base materials. Dent Mater 9:68–71

    Article  Google Scholar 

  19. Nekoofar MH, Adusei G, Sheykhrezae MS, Hayes SJ, Bryant ST, Dummer PM (2007) The effect of condensation pressure on selected physical properties of mineral trioxide aggregate. Int Endod J 40:453–461

    Article  Google Scholar 

  20. Lee BN, Chun SJ, Chang HS, Hwang YC, Hwang IN, Oh WM (2017) Physical properties and biological effects of mineral trioxide aggregate mixed with methylcellulose and calcium chloride. J Appl Oral Sci 25:680–688

    Article  Google Scholar 

  21. Ha WN, Kahler B, Walsh LJ (2016) The influence of particle size and curing conditions on testing mineral trioxide aggregate cement. Acta Biomater Odontol Scand 2:130–137

    Article  Google Scholar 

  22. Sheykhrezae MS, Meraji N, Ghanbari F, Nekoofar MH, Bolhari B, Dummer PMH (2018) Effect of blood contamination on the compressive strength of three calcium silicate-based cements. Aust Endod J 44:255–259

    Article  Google Scholar 

  23. Alqedairi A, Muñoz-Viveros CA, Pantera EA Jr, Campillo-Funollet M, Alfawaz H, Abou Neel EA, Abuhaimed TS (2017) Superfast set, strong and less degradable mineral trioxide aggregate cement. Int J Dent. https://doi.org/10.1155/2017/3019136

  24. American Academy of Endodontics (2018) Clinical considerations for a regenerative procedure. Revised 04(01):2018

    Google Scholar 

  25. Helal MA, Wang Z (2017) Biomechanical assessment of restored mandibular molar by endocrown in comparison to a glass fiber post-retained conventional crown: 3D finite element analysis. J Prosthodont 25. doi: https://doi.org/10.1111/jopr.12690

  26. Williams KR, Edmundson JT, Rees JS (1987) Finite element stress analysis of restored teeth. Dent Mater 3:200–206

    Article  Google Scholar 

  27. Ash MM, Nelson N. Wheeler’s Dental Anatomy, Physiology and occlusion, 10th Edition, 2014, Philadelphia: Saunders, Chapter 12. The Permanent Mandibular Molars

  28. Dejak B, Mlotkowski A (2008) Three-dimensional finite element analysis of strength and adhesion of composite resin versus ceramic inlays in molars. J Prosthet Dent 99:131–140

    Article  Google Scholar 

  29. Belli S, Eraslan O, Eskitascioglu G (2016) Effect of root filling on stress distribution in premolars with endodontic-periodontal lesion: a finite elemental analysis study. J Endod 42:150–155

    Article  Google Scholar 

  30. Rees JS, Jacobsen PH (1993) The elastic moduli of enamel and dentine. Clin Mater 14:35–39

    Article  Google Scholar 

  31. Craig RG, Peyton FA (1958) Elastic and mechanical properties of human dentin. J Dent Res 37:710–718

    Article  Google Scholar 

  32. Ausiello P, Apicella A, Davidson CL (2002) Effect of adhesive layer properties on stress distribution in composite restorations--a 3D finite element analysis. Dent Mater 18:295–303

    Article  Google Scholar 

  33. Haecker GJ, Garboczi EJ, Bullard JW, Bohn RB, Sun Z, Shah SP, Voigt T (2005) Modeling the linear elastic properties of Portland cement paste. Cem Concr Res 35:1948–1960

    Article  Google Scholar 

  34. Lin SL, Lee SY, Lin YG, Huang YH, Yang JC, Huang HM (2014) Evaluation of mechanical and histological properties of cryopreserved human premolars under short-term preservation: a preliminary study. J Dent Sci 9:244–248

    Article  Google Scholar 

  35. Pitts DL, Matheny HE, Nicholls JI (1983) An in vitro study of spreader loads required to cause vertical root fracture during lateral condensation. J Endod 9:544–550

    Article  Google Scholar 

  36. Negm A, Hassanien E, Abu-Seida A, Nagy M (2016) Physical evaluation of a new pulp capping material developed from portland cement. J Clin Exp Dent 8:e278–e283

    PubMed  PubMed Central  Google Scholar 

  37. Hegde S, Sowmya B, Mathew S, Bhandi SH, Nagaraja S, Dinesh K (2017) Clinical evaluation of mineral trioxide aggregate and biodentine as direct pulp capping agents in carious teeth. J Conserv Dent 20:91–95

    Article  Google Scholar 

  38. Katge FA, Patil DP (2017) Comparative analysis of 2 calcium silicate-based cements (biodentine and mineral trioxide aggregate) as direct pulp-capping agent in young permanent molars: a split mouth study. J Endod 43:507–513

    Article  Google Scholar 

  39. Coelho CS, Biffi JC, Silva GR, Abrahao A, Campos RE, Soares CJ (2009) Finite element analysis of weakened roots restored with composite resin and posts. Dent Mater J 28:671–678

    Article  Google Scholar 

  40. Rodrigues MP, Soares PBF, Valdivia ADCM, Pessoa RS, Veríssimo C, Versluis A, Soares CJ (2017) Patient-specific finite element analysis of fiber post and ferrule design. J Endod 43:1539–1544

    Article  Google Scholar 

  41. Ingamells H, Golenia K, Puryer J, Dorri M (2018) Prevalence of proximal caries in adults and children at Bristol Dental Hospital and South Bristol Community Hospital. Faculty Dental Journal 9:24–29

    Article  Google Scholar 

  42. Torabinejad M, Hong CU, McDonald F, Pitt Ford TR (1995) Physical and chemical properties of a new root-end filling material. J Endod 21:349–353

    Article  Google Scholar 

Download references

Acknowledgments

This study was presented in the 11th World Endodontic Congress organized by IFEA on 4–7 October 2018, Seoul, Korea, and chosen for the best presentation award.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zeynep Ozkurt-Kayahan.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

For this type of study, ethical approval was not required.

Informed consent

For this type of study, informed consent was not required.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ozkurt-Kayahan, Z., Turgut, B., Akin, H. et al. A 3D finite element analysis of stress distribution on different thicknesses of mineral trioxide aggregate applied on various sizes of pulp perforation. Clin Oral Invest 24, 3477–3483 (2020). https://doi.org/10.1007/s00784-020-03218-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-020-03218-3

Keywords

Navigation