Kashfi Niloofar Sadat, Jalili Mohammad Mahdi, Soltanianzadeh Mina, Kazemipoor Maryam
Department of Endodontics, School of Dentistry, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Department of Dynamics and Control, School of Mechanical Engineering, Yazd University, Yazd, Iran.
BMC Oral Health. 2025 Jun 5;25(1):924. doi: 10.1186/s12903-025-06184-y.
BACKGROUND & OBJECTIVE: The cervical region of dentin plays a crucial role in the distribution of masticatory forces, with vertical root fractures often initiating and spreading from this area. This study investigates the distribution of occlusal stresses in the cervical region of root dentin, considering varying thicknesses and cross-sections, using Finite Element Analysis.
MATERIALS & METHODS: Sections from central and premolar teeth were imported into CAD to create 3D models. The tooth structure and surrounding tissues were modeled using mechanical properties such as Young's modulus and Poisson's ratio. Four cross-sectional shapes-circular, oval, sand clock, and kidney-were designed. A force of 50 Newtons, representing the occlusal force of the opposing tooth, was applied to the palatal surface of the models at a 60° angle for anterior teeth and a 45° angle for premolars. The stress distribution in the cervical dentin was then analyzed.
Von Mises stress values indicated that stress points were highest in the kidney, sand clock, oval, and circular cross-sections, respectively. Increased thickness of the residual dentinal wall resulted in reduced maximum and minimum stress and a smaller area of stress regions. In all cross-sections, the minimum and maximum stress points were predominantly on the palatal and buccal sides of the cervical dentin, respectively.
The study demonstrated that stress distribution in teeth varies with different root cross-sections, with higher stress observed in the sand clock and kidney cross-sections. Thinner dentin in the cervical region leads to greater stress concentration, especially in the buccal area of the tooth.
牙本质颈部区域在咀嚼力分布中起着关键作用,垂直根折通常从此区域起始并扩散。本研究使用有限元分析,考虑不同厚度和横截面,研究牙根牙本质颈部区域的咬合应力分布。
将中切牙和前磨牙的切片导入CAD以创建三维模型。使用杨氏模量和泊松比等力学性能对牙齿结构和周围组织进行建模。设计了四种横截面形状——圆形、椭圆形、沙漏形和肾形。代表对颌牙咬合力的50牛顿力,以前牙60°角、前磨牙45°角施加于模型的腭面。然后分析颈部牙本质中的应力分布。
冯·米塞斯应力值表明,应力点在肾形、沙漏形、椭圆形和圆形横截面中分别最高。剩余牙本质壁厚度增加导致最大和最小应力降低以及应力区域面积减小。在所有横截面中,最小和最大应力点分别主要位于颈部牙本质的腭侧和颊侧。
该研究表明,牙齿中的应力分布因牙根横截面不同而变化,在沙漏形和肾形横截面中观察到更高的应力。颈部区域较薄的牙本质会导致更大的应力集中,尤其是在牙齿的颊侧区域。