Objectives of the study were to investigate biomechanical properties of severely compromised premolars restored with composite restorations using finite element analysis (FEA), and in vitro fracture resistance test. A 3-D model of an endodontically treated premolar was created in Solidworks. Different composite restorations were modelled (direct restoration-DR; endo-crown-EC; post, core, and crown-C) with two different supporting tissues: periodontal ligament/alveolar bone (B), and polymethyl methacrylate (PMMA). Models were two-point axially loaded occlusally (850 N). Von Mises stresses and strains were calculated. The same groups were further tested for static fracture resistance in vitro (n = 5, 6.0 mm-diameter ball indenter, vertical load). Fracture resistance data were statistically analyzed (p < 0.050). The highest stresses and strains in all FEA models were observed on occlusal and vestibular cervical surfaces, corresponding to fracture propagation demonstrated in vitro. C showed the lowest stress in dentin, while EC showed lower stresses and strains in crown cement. B models demonstrated larger high stress areas in the root than PMMA models. No significant differences in fracture resistance (N) were observed between groups (DR: 747.7 ± 164.0, EC: 867.3 ± 108.1, C: 866.9 ± 126.3; p = 0.307). More conservative restorations seem a feasible alternative for endodontically treated premolars to conventional post-core-crown.

Aim. The aim of this study was to evaluate the radiographic technical quality of endodontic treatment performed by undergraduate students at the School of Dentistry, Faculty of Medicine, University of Novi Sad, Serbia. Materials and Methods. Electronic records of 220 patients treated by final-year undergraduate students during the school year 2011/2012 were examined, and the final sample consisted of 212 patients, 322 teeth, and 565 root canals. The criteria for overall radiographic adequacy of root canal fillings were defined as the presence of adequate length and density and absence of iatrogenic errors (ledge, fractured instrument, untreated canal, and apical transportation). Chi-square test was used to determine statistical significance between different parameters. Results. Adequate root canal fillings were found in 74.22% of the teeth. The percentage of root fillings with adequate length and density was 89.73% and 92.6%, respectively. Fractured instruments and ledges were present in 16 root canals (2.8%), while the presence of missed canal and apical transportation was observed in 2 cases, each (0.3%). Conclusions. Overall, the technical quality of root canal fillings performed by undergraduate students was satisfactory.

AimTo analyze the influence of cavity design preparation on stress values in three-dimensional (3D) solid model of maxillary premolar restored with resin composite.Methods3D solid model of maxillary second premolar was designed using computed-tomography (CT) data. Based on a factorial experiment, 9 different mesio-occlusal-distal (MOD) cavity designs were simulated, with three cavity wall thicknesses (1.5 mm, 2.25 mm, 3.0 mm), and three cusp reduction procedures (without cusp reduction, 2.0 mm palatal cusp reduction, 2.0 mm palatal and buccal cusp reduction). All MOD cavities were simulated with direct resin composite restoration (Gradia Direct Posterior, GC, Japan). Finite element analysis (FEA) was used to calculate von Mises stress values.ResultsThe von Mises stresses in enamel, dentin, and resin composite were 79.3-233.6 MPa, 26.0-32.9 MPa, and 180.2-252.2 MPa, respectively. Considering the influence of cavity design parameters, cuspal reduction (92.97%) and cavity wall thickness (3.06%) significantly (P < 0.05) determined the magnitude of stress values in enamel. The influence of cavity design parameters on stress values in dentin and resin composite was not significant. When stresses for enamel, dentine, and resin composite were considered all together, palatal cusp coverage was revealed as an optimal option. Cavity wall thickness did not show a significant effect on stress values.ConclusionBased on numerical simulations, a palatal cusp reduction could be suggested for revealing lower stress values in dental tissues and restorative material. This type of cavity design should contribute to better biomechanical behavior of tooth-restoration complex, consequently providing the long-lasting clinical results.

The aim of this study was to determine surface roughness and topography of polished dental resin-based nanocomposites. Four representative dental resin-based nanocomposites were tested in the study: two nanohybrids (Filtek Z550 and Tetric EvoCeram) and two nanofilled (Filtek Ultimate Body and Filtek Ultimate Translucent); and two reference materials: one microfilled (Gradia Direct) and one microhybrid (Filtek Z250). Polymerized cylindrical specimens (4 mm x 2 mm) were polished with multi-step polishing system- Super Snap. Immediately after the polishing, topography of each specimen was examined by Veeco di CP-II Atomic Force Microscope. Specimen's surface has been scanned in 6 points in contact mode with CONT20A-CP tips. 1 Hz scan rate and 256 × 256 resolution were used to obtain topography on a 90 µm × 90 µm scanning area. Measured topography data were processed by Image Processing and Data Analysis v2.1.15 software. Following parameters were compared among specimens: average roughness and maximum peak-to-valley distance. All of the tested materials had similar average surface roughness after finishing and polishing procedure. The lowest values occurred in the material Filtek Ultimate Body, and the highest in the Filtek Z550. When interpreting maximum peak-to-valley distance the larger differences in values (up to 100%) occurred in Filtek Z550, Filtek Z250 and Filtek Ultimate Body, which is a result of the deep polishing channels and tracks. Type, size, distribution of fillers and filler loading in tested materials, didn't influence average roughness values, but had an impact on maximum peak-to-valley distance values.

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