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      Influence of Connector Width on the Stress Distribution of Posterior Bridges under Loading

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          Abstract

          Objective:

          In all ceramic fixed partial dentures the connector area is a common fracture location. The survival time of three-unit fixed partial dentures may be improved by altering the connector design in regions of maximum tension. The purpose of this study was to determine the effect of buccolingual increase of the connector width on the stress distribution in posterior fixed partial dentures made of IPS Empress 2. To simulate the anatomical condition, we used three-dimensional finite element analysis to generate.

          Materials and Methods:

          Three models of three-unit bridges replacing the first molar were prepared. The buccolingual connector width varied from 3.0 to 5.0 mm. Bridges were vertically loaded with 600 N at one point on the central fossa of the pontic, at 12 points along the cusp-fossa contact (50 N each), or at eight points along the cusp-marginal ridge contact (75 N each). Alternatively, a load of 225 N was applied at a 45º angle from the lingual side.

          Results:

          Stress concentrations were observed within or near the connectors. The von Mises stress decreased by increasing connector width, regardless of whether the loading was applied vertically or at an angle.

          Conclusion:

          Within the limitations of this study, we conclude that increasing the connector width decreases the failure probability when a vertical or angled load is applied.

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          Most cited references21

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          Failure of all-ceramic fixed partial dentures in vitro and in vivo: analysis and modeling.

          Hertzian cone cracks visible at the loading site of 20 all-ceramic fixed partial dentures (FPDs), tested in vitro, led to the hypotheses that failure was due to the propagation of localized contact damage crack systems (Hertzian stress state) and that such damage was an unlikely clinical failure mode. Fractographic analysis of the 20 laboratory-failed and nine clinically-failed all-ceramic FPDs allowed for definitive testing of these hypotheses and a comparison between in vitro and in vivo failure behavior. In all cases, failure occurred in the FPD connectors (none from contact damage), with approximately 70 to 78% originating from the interface between the core and veneer ceramics. The coincidence between failure origins provides strong evidence that the in vitro test modeled aspects of structural behavior having clinical importance. The fractographic observations, coupled with the in vitro failure load data, furnished very specific boundary conditions which were applied to constrain mathematical models of FPD connector failure. Finite element analysis (FEA) of the laboratory FPDs found that maximum principal tensile stresses would occur at locations consistent with the fractographic observations only if: (1) there were appropriate elastic moduli differences between the ceramics; and (2) a small amount of abutment rotation was allowed. Weibull failure probability (Pf) calculations, incorporating FEA stress profiles, very closely replicated the laboratory failure distribution only when: (1) the veneer ceramic was much weaker than the core ceramic; and (2) the Weibull modulus of the core-veneer interface was much lower than that for the free veneer surface (i.e., the interface is of lower quality with regard to defects).(ABSTRACT TRUNCATED AT 250 WORDS)
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            Influence of stress simulation parameters on the fracture strength of all-ceramic fixed-partial dentures.

            This in vitro study tested the influence of diverse stress simulation parameters on the fracture strength of all-ceramic three-unit fixed partial dentures (FPDs). All-ceramic FPDs made of Empress 2 (Ivoclar-Vivadent, FL) were exposed to thermal cycling and mechanical loading (TCML) with varying loading parameters such as chewing force (amount, frequency), thermal loading, lateral jaw motion, abutment material, artificial periodontium or antagonistic denture. To investigate the influence of the abutment material, human teeth, polymer abutments and alloy abutments were used. Two different TCML devices with pneumatic or weight loading were compared. FPDs without aging were used as a control. Combined thermal and mechanical loading significantly reduced the FPD fracture resistance from 1832N to 410N. Duplication of chewing frequency, phase load increase or additional lateral movement did not effect the results. Increasing chewing force, artificial periodontium, and antagonist or abutment material reduced the fracture resistance of the tested FPDs. Different devices with weight or pneumatic loading had no significant influence on the loading capacity of the FPDs. Artificial aging should be performed combining thermal cycling with mechanical loading. Simulation of the artificial periodontium, human antagonists and abutments should be included to achieve a significant aging.
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              Effect of connector design on the fracture resistance of all-ceramic fixed partial dentures.

              Fracture of all-ceramic fixed partial dentures (FPDs) tends to occur in the connector area. The objective of this study was to test the hypothesis that the radii of curvature at the connector affects the fracture resistance of 3-unit FPDs. With the use of a standardized silicone mold, 40 three-unit FPD wax patterns were fabricated with the same dimensions and divided into 4 groups of 10 specimens per group. Each pattern was modified at the connector areas of the occlusal embrasure (OE) and the gingival embrasure (GE); 2 wax carvers with radii of curvature at their tips of 0.90 mm and 0.25 mm were used. The dimensions of the connectors were standardized with an electronic caliper to 4 +/- 0.12 mm in height and 5 +/- 0.13 mm in width. Connector designs were as follows: Design I: OE and GE 0.90 mm; Design II: OE 0.90 mm and GE 0.25 mm; Design III: OE 0.25 mm and GE 0.90 mm; and Design IV (control): OE and GE 0.25 mm. An experimental hot-pressed core ceramic was used to make the FPD frameworks, which were consequently cemented on epoxy dies with dual-polymerizing composite (Variolink II) and loaded to fracture in a universal testing machine at a crosshead speed of 0.5 mm/min. The failure load data were analyzed with analysis of variance (ANOVA; P=.05) and Duncan's test (alpha=.01). The mean failure loads and standard deviations were as follows: 943 +/- 151 N for Design I; 746 +/- 106 N for Design II; 944 +/- 144 N for Design III; and 673 +/- 55 N for Design IV. ANOVA revealed a significant difference (P< or = .0001) between the mean failure loads of different connector designs. The mean loads to failure for Designs I and III were significantly higher than those for Designs II and IV (Duncan's test). Within the limitations of this study and for the experimental ceramic tested, as the radius at the gingival embrasure increased from 0.25 to 0.90 mm, the mean failure load increased by 140%. The radius of curvature at the occlusal embrasure had only a minor effect on the fracture susceptibility of 3-unit FPDs.
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                Author and article information

                Journal
                J Dent (Tehran)
                Journal of Dentistry (Tehran, Iran)
                Tehran University of Medical Sciences
                1735-2150
                2008-2185
                Spring 2011
                30 June 2011
                2011
                : 8
                : 2
                : 67-74
                Affiliations
                [1 ]Associate Professor, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
                [2 ]Mechanical Engineer, Private Sector
                [3 ]Assistant Professor, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
                [4 ]Dentist, Private Practice
                Author notes
                Corresponding author: F. Fallahi Arezodar, Mechanical Engineer, Private Sector, Tehran, Iran. f.fallahi.a@ 123456gmail.com
                Article
                jod-8-067
                3184740
                21998811
                e7cb26a3-e844-4514-85fb-1d9ee08d716f
                Copyright © Dental Research Center, Tehran University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

                History
                : 25 February 2011
                : 23 March 2011
                Categories
                Original Article

                Dentistry
                ceramics,denture, partial, fixed,finite element analysis
                Dentistry
                ceramics, denture, partial, fixed, finite element analysis

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