Masticatory tooth contact patterns: cuspid and first molar contacts during mastication of three types of food

Development of reduced volume endosseous cuspid tooth implant using topology optimization by SIMP technique for improved osseointegration

The article aims to design and develop a topology-optimized endosseous cuspid tooth implant of the maxilla region. The manuscript presents a numerical analysis of the resulting von Mises stresses and effective strain resulting in the topology-optimized implant with occlusal loading of 110 N. Solid Isotropic Material with Penalization (SIMP) method is employed for topology optimization and four different models, namely model-1, model-2, model-3, and model-4, are developed based on volume reduction rates of 8%, 16%, 24%, and 32%, respectively. FEA results highlight that the maximum stress and strain in the screw increases with volume reduction rates. The comparative analyses of the resulting stresses in the compact and cancellous bone along with the strain in the screw led to the conclusion that model-1, model-2, and model-3 resulted in moderate stresses on compact and cancellous bone compared to the original model of the implant. However, the screw and bones are subjected to maximum stress and strain in the model-4. The study concludes that model-2, with 16% reduced volume and 14.2% reduced mass as compared to the original implant, may be considered as the optimized design of the model. The resulting model offers a significant reduction in the weight and volume with a minor increase in effective stress and strain without negatively impacting the functionality and bio-mechanical performance of the implant. The optimized dental implant prototype is also fabricated as a proof of concept by the Fused Deposition Modelling process.

A comparison of mvM stress of inlays, onlays and endocrowns made from various materials and their bonding with molars in a computer simulation of mastication - FEA

OBJECTIVES

The purpose of the study was to compare the mvM stresses occurring in inlays, onlays and endocrowns made from different materials and their bonding with molars in a computer simulation of mastication.

METHODS

The study was conducted using the finite elements method with contact elements. Sixteen 3D first molar models were created of a intact tooth - T; a tooth with a ceramic inlay - IN; a tooth with an onlay - ON; and a tooth with an endocrown - EN. The restorations were made of: Comp - resin nanoceramic; Hc - hybrid ceramic; Le - leucite ceramic; Dlit - lithium disilicate; and Zr - zirconia. Computer simulations of mastication were performed. The equivalent stresses according to the modified von Mises criterion (mvM) were calculated in model materials and contact stresses at the interface cement-dental tissue around the examined restorations.

RESULTS

The highest equivalent mvM stresses were concentrated in buccal margins of inlays. The mvM stresses recorded in onlays were 1.6-5 times lower than those found in inlays, while in endocrowns they were 2.3-6.5 times lower. Around the onlays and endocrowns, in tooth structures and luting cement, mvM stresses were significantly lower compared to teeth restored with inlays. The tensile and shear contact stresses between inlays and teeth were several times lower than under another restorations. The highest stresses (58.5MPa) occurred in the zirconia inlay. The stresses observed in the enamel of a tooth restored with an INZr inlay were half those noted in INComp, and a third of those observed in cement. Tensile contact stresses at the interface between the INZr inlay and dental tissue were 4.5 times lower than in the INComp, and the shear stresses were more than 7 times lower.

SIGNIFICANCE

The highest values and unfavorable of stress levels occurred in teeth restored with inlays. Cavities MOD in molars should be reconstructed with cusp-covering restorations. The endocrown in molars should withstand physiological loading. The higher the modulus of elasticity of the restoration material, the higher the stresses in the restorations, while the lower stresses were observed in the tooth structures, luting cement and at the interface between the restoration and the dental tissue. Ceramic restorations should provide better protection and marginal seal of the reconstructed tooth than composite ones.

Masticatory function in temporomandibular dysfunction patients: electromyographic evaluation

Temporomandibular dysfunction (TMD) is a complex disturbance that involves the masticatory muscles and/or temporomandibular joint, causing damage to the masticatory function. This study evaluated the electromyographic activity of the masseter muscle during habitual mastication of bread, apple, banana, cashew nut and paraffin film (Parafilm M) in 25 adult subjects, of both gender, with TMD. The results were compared to those of a control group, composed of 15 adult subjects, of both sexes, free of signs and/or symptoms of TMD. The MYO-TRONICS Inc., K6-I computer software was used for electromyographic processing and analyzed the following parameters: duration of the act, duration of the masticatory cycle and number of cycles. No significant differences were found between subjects in the control group and individuals with TMD as to duration of the masticatory act and of the masticatory cycle, considering all materials used for mastication. The duration of the masticatory act and cycle was longer during mastication of paraffin film in both groups. The number of masticatory cycles was higher for mastication of apple in comparison to mastication of banana, in both groups. It can be concluded that the consistency of foods influences the duration parameters of the act, duration of the cycle and the number of masticatory cycles, and the behavior of the masticatory muscles in individuals with TMD during habitual mastication is similar to that verified in individuals without TMD.