Fracture Resistance of Monolithic Zirconia Crowns on Four Occlusal Convergent Abutments in Implant Prosthesis

Finite element analysis (FEA) of the stress behavior of some dental materials

This study compared the biomechanical behavior of three widely used dental materials-zirconia, lithium disilicate (IPS e.max CAD), and 3D-printed composite (VarseoSmile CrownPlus)- for maxillary anterior bridge restorations. Finite element analysis (FEA) was employed to evaluate the mechanical response of these materials under normal occlusal forces, replicating real clinical conditions. Key factors analyzed included stress distribution, deformation, and potential for failure under high loads. For each material, material constants such as Poisson's ratio and Young's modulus were used in the simulations, with the values chosen from validated literature sources. The findings demonstrated that zirconia exhibited superior mechanical strength and uniform stress distribution, making it an ideal material for posterior restorations subjected to high biomechanical stresses. Lithium disilicate showed balanced stress distribution and proved to be a versatile material suitable for both anterior and moderate-load restorations, with its superior aesthetic properties making it an attractive option for anterior areas. On the other hand, 3D-printed composite materials were found to have higher stress concentrations, particularly in occlusal regions, and exhibited lower elasticity compared to the other materials, limiting their use in permanent restorations but making them suitable for temporary restorations or areas with lower mechanical demands. This study provides valuable insights into the selection of dental materials for different clinical scenarios, emphasizing the importance of FEA in optimizing material choice and restoration design. The results suggest that while zirconia is ideal for long-term durability, lithium disilicate remains the preferred choice for aesthetic requirements, with 3D-printed composites serving as a promising alternative for long-term temporary applications.

Quantitative analysis on the wear of monolithic zirconia crowns on antagonist teeth

BACKGROUND

The present study aimed to quantitate the wear of the highly transparent Yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) ceramic monolithic zirconia crown on the enamel in vivo and discuss the prone position of the wear and the underlying mechanism.

METHODS

A total of 43 patients with 43 posterior teeth were selected for full zirconia crown restoration and examined immediately, at 6 months, and at 1 year after restoration. During the follow-up visit, the fine impression of the patients' monolithic zirconia crowns, the antagonist teeth, the corresponding contralateral natural teeth, the super plaster cast, and epoxy resin model was ontained. The model of epoxy resin was observed under a stereo microscope, and the microstructure parts were observed under a scanning electron microscope.

RESULTS

After 1 year, the mean depth and volume of wearing of the monolithic zirconia crown were the smallest (all P < 0.01), while those of the antagonist teeth were significantly larger than those of the natural teeth (P < 0.0001), and no significant difference was found among the natural teeth (P = 0.3473, P = 0.6996). The amount of wear after one year was remarkably higher than that at 6 months (P < 0.0001). The microscopic observation revealed the tendency of wearing of the monolithic zirconia crown on the antagonist teeth at the protruding early contact points. Electron micrographs of tooth scars showed that the wearing mechanism of the monolithic zirconia crown on natural teeth was mainly abrasive and fatigue wear.

CONCLUSIONS

Although the self-wearing is insignificant, the monolithic zirconia crown can cause wear of the antagonist teeth via occlusal or early contact significantly; the amount of wearing is higher than that of natural teeth and increases over time. The wearing mechanism is mainly abrasive and fatigue wear.

Mechanical Assessment of Fatigue Characteristics between Single- and Multi-Directional Cyclic Loading Modes on a Dental Implant System

Mechanical testing based on ISO 14801 standard is generally used to evaluate the performance of the dental implant system according to material and design changes. However, the test method is difficult to reflect on the clinical environment because the ISO 14801 standard does not take into account the various loads from different directions during chewing motion. In addition, the fracture pattern of the implant system can occur both in the horizontal and the vertical directions. Therefore, the purpose of this study was to compare fatigue characteristics and fracture patterns between single directional loading conditions based on the ISO 14801 standard and multi-directional loading condition. Firstly, the static test was performed on five specimens to derive the fatigue load, and the fatigue load was chosen as 40% of the maximum load measured in the static test. Subsequently, the fatigue test was performed considering the single axial/occlusal (AO), AO with facial/lingual (AOFL) and AO with mesial/distal (AOMD) directions, and five specimens were used for each fatigue loading modes. In order to analyze the fatigue characteristics, the fatigue cycle at the time of specimen fracture and displacement change of the specimen every 500 cycles were measured. Field emission scanning electron microscopy (FE-SEM) was used to analyze the fracture patterns and the fracture surface. Compared to the AO group, the fatigue cycle of the AOFL and AOMD groups showed lower about five times, while the displacement gradually increased with every 500 cycles. From FE-SEM results, there were no different surface morphology characteristics among three groups. However, the AOMD group showed a vertical slip band. Therefore, our results suggest that the multi-directional loading mode under the worst-case environment can reproduce the vertical fracture pattern in the clinical situation and may be essential to reflect on the dental implant design including connection types and surface treatments.

Editorial on Special Issue “Fatigue and Fracture Behaviour of Additive Manufacturing Mechanical Components”

This Special Issue presents the latest advances in the field of fatigue and fracture performances of additively manufactured mechanical components, including components made of traditional materials (metals, sintered steels, etc.) but undergoing complex loading conditions (multiaxial fatigue and mixed mode fracture). This Special Issue is composed of seven papers covering new insights in structural and material engineering. The advent of additive manufacturing (AM) processes applied to the fabrication of structural components creates the need for design methodologies and structural optimization approaches that take into account the specific characteristics of the process. While AM processes give unprecedented geometrical design freedom, which can result in significant reductions of component weight (e.g., through part count reduction), they have implications in the fatigue and fracture strength due to residual stresses and microstructural features. This is due to stress concentration effects and anisotropy that still need research. The papers of this Special Issue report on numerical simulation and experimental work, or a combination of both. The application of damage and fracture mechanics concepts, the appraisal of stress concentration effects, and the consideration of residual stresses and anisotropic behaviour are tackled for a range of structural applications from biomedical engineering to aerospace components.

Comparison of Different Cervical Finish Lines of All-Ceramic Crowns on Primary Molars in Finite Element Analysis

This study aimed to conduct a stress analysis of four types of cervical finish lines in posterior all-ceramic crowns on the primary roots of molar teeth. Four different types of finish lines (shoulder 0.5 mm, feather-edged, chamfer 0.6 mm, and mini chamfer 0.4 mm) and two all-ceramic crown materials (zirconia and lithium disilicate) were used to construct eight finite element primary tooth models with full-coverage crowns. A load of 200 N was applied at two different loading angles (0° and 15°) so as to mimic children’s masticatory force and occlusal tendency. The maximum stress distribution from the three-dimensional finite element models was determined, and the main effect of each factor (loading type, material, and finish line types) was evaluated in terms of the stress values for all of the models. The results indicated that the loading type (90.25%) was the main factor influencing the maximum stress value of the primary root, and that the feather-edged margin showed the highest stress value (p = 0.002). In conclusion, shoulder and chamfer types of finish lines with a 0.4–0.6 mm thickness are recommended for deciduous tooth preparation, according to the biomechanical analysis.