ArticleClinical oral investigations2021
Effect of revascularisation and apexification procedures on biomechanical behaviour of immature maxillary central incisor teeth: a three-dimensional finite element analysis study.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Finite element analysis of the human mandible: a systematic review with meta-analysis of the essential input parameters.Scientific reports · 2025Pooled it
- Comparative analysis of postoperative mechanical behavior of immature premolars: apexification vs regeneration.Odontology · 2026Article
- Effect of Intracapsular Pressure on Pulp Sensitivity in Teeth Affected by Jaw Cysts: A Clinical Study Combined With Finite Element Analysis.International dental journal · 2026Article
- Stress in Immature Incisor Treated With Regenerative Endodontics or Restored With Bulk-Fill Resin Composite: A 2D Finite Element Analysis.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2025Article
- Finite Element Analysis of Stress Distribution in Immature Permanent Incisors Following MTA Apexification with Different Coronal Base Materials.Biomimetics (Basel, Switzerland) · 2025Article
- Stress Distribution in Immature Incisors with Regenerative Endodontic Treatment: Which Coronal Restoration Performs Best? An FEA Study.Biomimetics (Basel, Switzerland) · 2025Article
- Stress Behaviour of an Immature Maxillary Central Incisor: A 3D Finite Element Analysis.Materials (Basel, Switzerland) · 2025Article
- Finite element analysis of mandibular fracture fixation authenticated by 3D printed mandible mechanical testing.Scientific reports · 2025Article
- Using the appropriate modulus of elasticity of periodontal ligament matters in stress analysis of human first premolar tooth and periodontium structures.Scientific reports · 2025Article
- Biological and mechanical challenges in the endodontic treatment of immature teeth with pulp necrosis: insights based on a Series of Atypical Clinical Cases.Biomaterial investigations in dentistry · 2025Article
- Endodontic bioceramics: current and futurity aspects.Frontiers in oral health · 2025Review
- Evaluation of microleakage of mineral trioxide aggregate and biodentine as apical barriers in simulated young permanent teeth.BMC oral health · 2024Article
- Biomechanical assessment of mandibular fracture fixation using finite element analysis validated by polymeric mandible mechanical testing.Scientific reports · 2024Article
- 3D finite element analysis of stress distribution as a result of oblique and horizontal forces after regenerative endodontic treatment part II: comparison of material thickness.BMC oral health · 2023Article
- Assessment of biomechanical behavior of immature non-vital incisors with various treatment modalities by means of three-dimensional quasi-static finite element analysis.Scientific reports · 2023Article
- Measurement of the Dentin Wall Thickness of the Maxillary Central Incisor in Relation to the Stage of Root Development: A Pilot Study.Acta stomatologica Croatica · 2023Article
- Bioceramics in Endodontics: Updates and Future Perspectives.Bioengineering (Basel, Switzerland) · 2023Review
- Determination of the compressive modulus of elasticity of periodontal ligament derived from human first premolars.Heliyon · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThis study aimed to assess the effects of revascularisation and apexification procedures on biomechanical behaviour of immature teeth using 3-dimensional finite element analysis (3D FEA). MATERIALS AND
methodsFive 3D FEA permanent maxillary incisor models were developed from CBCT scans and available literature data: Model MT: Mature tooth, Model IT: Immature tooth (Cvek's stage 3), Model AT: Apexified tooth-mineral trioxide aggregate (MTA) apexification, Model RTB: Revascularised tooth with blood, and Model RTS: Revascularised tooth with supplementary scaffold. Using FEA, a masticatory load of 240N at 120° was simulated, and the Von Mises and maximum principal stresses within the models were evaluated. Failure index (FI) and weakening% were also calculated for each model.
resultsOn dentinal stress analysis, model MT (96.16MPa) and IT (158.38MPa) had lowest and highest stress values, respectively. Among the experimental groups, model RTS (131.12MPa) had lower stresses than AT (136.33MPa) and RTB (133.7MPa), with no significant difference among the three. Peak dentinal stresses in all the models were observed in the cervical third of the root and near the apical opening in model IT. The extent of high dentinal stress area in model RTB and RTS was lesser than that of AT. The FI and weakening% values were highest for model AT followed by RTB and RTS, among the experimental groups. However, all these treatments strengthened an immature tooth by more than 20%.
conclusionsAT, RTB, and RTS treatments lowered the stress values and risk of fracture in immature teeth with no significant difference among the three groups. CLINICAL RELEVANCE: Stress distribution evaluation following revascularisation/apexification was essential, with potential to influence clinical decision-making. MTA apexification and revascularisation with blood clot/supplementary scaffold lowered the stresses in immature teeth, with no significant difference among the three.
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