Journal
DENTAL MATERIALS
Volume 36, Issue 8, Pages 1038-1051Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.dental.2020.04.022
Keywords
Monolithic dental crown; Extended finite element analysis; Thickness; Cusp angle; Material property
Funding
- Australian Research Council (ARC) [DP160104602]
- Faculty Scholarship at the University of Sydney
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Objectives. This study aimed to investigate the collective influence of material properties and design parameters on the fracture behavior of monolithic dental crowns. Methods. Three-dimensional (3D) models (N=90) with different combinations of design parameters (thickness, cusp angle and occlusal notch geometry) and material type (lithium disilicate, feldspar ceramic, zirconia, hybrid resin ceramic and hybrid polymer-infiltrated ceramic) were developed for the failure analysis using extended finite element method (XFEM) to identify the stress distribution, crack initiation load, fracture surface area and fracture pattern. Analytical formulation, in vitro fracture tests and fractographic analysis of dedicated models were also performed to validate the findings of the XFEM simulation. Results. For all material types considered, crowns with a sharp occlusal notch design had a significantly lower fracture resistance against occlusal loading. In most of the models, greater crown thickness and cusp angle resulted in a higher crack initiation load. However, the effect of cusp angle was dominant when the angle was in the low range of SO for which increasing thickness did not enhance the crack initiation load. Significance. Comparing the critical load of crack initiation for different models with the maximum biting force revealed that for the studied monolithic materials excluding zirconia, a design with a rounded occlusal notch, 70 cusp angle and medium thickness (1.5 mm occlusal) is an optimum combination of design parameters in terms of tooth conservation and fracture resistance. Zirconia crowns exhibited sufficient strength for a more conservative design with less thickness (1.05 mm occlusal) and sharper cusp angle (60). (C) 2020 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.
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