Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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EFFECT OF RESTORATION TYPE ON THE STRESS DISTRIBUTION OF ENDODONTICALLY TREATED MAXILLARY PREMOLARS; THREE-DIMENSIONAL FINITE ELEMENT STUDY

수복물의 종류가 근관치료된 상악 제2소구치의 응력분포에 미치는 영향: 3차원 유한요소법적 연구

  • Jung, Heun-Sook (Department of Conservative dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Hyeon-Cheol (Department of Conservative dentistry, School of Dentistry, Pusan National University) ;
  • Hur, Bock (Department of Conservative dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Kwang-Hoon (Department of Mechanical design engineering, College of Engineering, Pusan National University) ;
  • Son, Kwon (Department of Mechanical design engineering, College of Engineering, Pusan National University) ;
  • Park, Jeong-Kil (Department of Conservative dentistry, School of Dentistry, Pusan National University)
  • 정현숙 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 김현철 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 허복 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 김광훈 (부산대학교 공과대학 기계설계공학과) ;
  • 손권 (부산대학교 공과대학 기계설계공학과) ;
  • 박정길 (부산대학교 치의학전문대학원 치과보존학교실)
  • Published : 2009.01.30
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Abstract

The purpose of this study was to investigate the effects of four restorative materials under various occlusal loading conditions on the stress distribution at the CEJ of buccal. palatal surface and central groove of occlusal surface of endodontically treated maxillary second premolar, using a 3D finte element analysis. A 3D finite element model of human maxillary second premolar was endodontically treated. After endodontic treatment, access cavity was filled with Amalgam, resin, ceramic or gold of different mechanical properties. A static 500N forces were applied at the buccal (Load-1) and palatal cusp (Load-2) and a static 170N forces were applied at the mesial marginal ridge and palatal cusp simultaneously as centric occlusion (Load-3). Under 3-type Loading condition, the value of tensile stress was analyzed after 4-type restoration at the CEJ of buccal and palatal surface and central groove of occlusal surface Excessive high tensile stresses were observed along the palatal CEJ in Load-1 case and buccal CEJ in Load-2 in all of the restorations. There was no difference in magnitude of stress in relation to the type of restorations. Heavy tensile stress concentrations were observed around the loading point and along the central groove of occlusal surface in all of the restorations. There was slight difference in magnitude of stress between different types of restorations. High tensile stress concentrations around the loading points were observed and there was no difference in magnitude of stress between different types of restorations in Load-3.

본 연구의 목적은 다양한 교합하중 조건하에서 아말감, 복합레진, 세라믹 인레이, 그리고 금 인레이로 수복한 근관치료된 상악 제2소구치의 음력분포를 3차원 유한요소법으로 분석하는 것이다. 발치된 상악 제2소구치를 이용하여 근관치료된 3차원 유한요소모형을 제작하였다. 제작된 소구치 모형의 근관와동을 위 4가지 재료로 각각 수복한 후, 협측교두 (Load-1) 또는 설측교두 (Load-2)에 500 N의 하중을, 설측교두와 근심변연에 총 170 N의 하중 (Load-3)을 가하였다. 세 가지의 하중조건 하에서 각 수복물에 따른 협측과 설측의 치경부 그리고 교합면의 정중구에서 나타나는 인장응력의 분포양상을 ANSYS 프로그램으로 분석하여 다음과 같은 결과를 얻었다. 1. 모든 수복물의 경우에서 Load-1에서는 설측의 치경부, Load-2에서는 협측의 치경부에서 높은 응력이 관찰되었고 수복물 종류에 따른 차이는 관찰되지 않았다. 2. 모든 수복물의 경우에서 교합면의 하중점 근처 와정중구를 따라 높은 응력이 관찰되었고 수복물 종류에 따라 약간의 차이가 관찰되었다. 3. 모든 수복물의 경우에서 Load-3에서는 하중점 근처에서 높은 응력이 관찰되었고 수복물 종류에 따른 차이는 관찰되지 않았다.

Keywords

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