Evidence map›Paper›PMID 34949478›Full record

ArticleDental materials : official publication of the Academy of Dental Materials2022

Fatigue analysis of restored teeth longitudinally cracked under cyclic loading.

Fei Lin, Ronald Ordinola-Zapata, Ning Ye, Haiping Xu, Alex S L Fok

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Article in Dental materials : official publication of the Academy of Dental Materials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Fei LinDepartment of Cariology and Endodontology, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Ronald Ordinola-ZapataDivision of Endodontics, Department of Restorative Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, 55455, USA.
Ning YeMinnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN, 55455, USA; Department of Mechanical Engineering, College of Science and Engineering, University of Minnesota, Minneapolis, MN, 55455, USA.
Haiping XuDepartment of Stomatology, Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266003, China.
Alex S L FokMinnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, Minneapolis, MN, 55455, USA. Electronic address: alexfok@umn.edu.
University of Minnesota · USAffiliated Hospital of Qingdao University · CNPeking University · CN

Funding

Probabilistic multifactorial lifetime assessment for resin-based composite restorationsR01DE027043 · NIDCR · UNIVERSITY OF MINNESOTA · PI FOK, ALEX SIU-LUN · 2019 to 2021
$1.3M
NIDCR NIH HHS R01 DE027043
6 · The paper itself

Abstract

objectiveTo investigate the fatigue behavior of restored teeth, in particular the mechanisms of longitudinal dentinal cracking under cyclic mechanical loading, using finite element analysis (FEA) and the stress-life (S-N) approach.

methodsTen root-filled premolars restored with resin composites were subjected to step-stress cyclic loading to produce longitudinal cracks. Fracture loads and number of cycles completed at each load level were recorded. FEA was used to predict the stress amplitude of each component under the global cyclic load. Both intact and debonded conditions were considered for the dentin-composite interface in the FEA. The predicted stress concentrations were compared with the fracture patterns to help elucidate the failure mechanisms. The S-N approach was further used to predict the lifetimes of the different components in the restored teeth. Cumulative fatigue damage was represented by the sum of the fractions of life spent under the different stress amplitudes.

resultsLongitudinal cracks were seen in ~50% of the samples with a mean fracture load of 770 ± 45 N and a mean number of cycles to failure of 32,297 ± 12,624. The longitudinal dentinal cracks seemed to start near the line angle of the cavity, and propagated longitudinally towards the root. The sum of fractions of life spent for the dentin-composite interface exceeded 1 after ~7000 cycles when that for dentin was much lower than 1, indicating that interfacial debonding would occur prior to dentin fracture. This was supported by micro-CT images showing widened interfacial space in the cracked samples. In the debonded tooth, FEA showed dentinal stress concentrations at the gingival wall of the cavity, which coincided with the longitudinal cracks found in the cyclic loading test. The sum of fractions of life spent for dentin was close to 1 at ~30,000 cycles, similar to the experimental value. SIGNIFICANCE: Debonding of the dentin-composite interface may occur prior to longitudinal cracking of dentin in root-filled teeth under cyclic loading. The approximate time of occurrence for these events could be estimated using fatigue analysis with stresses provided by FEA. This methodology can therefore be used to evaluate the longevity of restoration designs for root-filled teeth.

Indexed as

Tooth FracturesBicuspidComposite ResinsDental Restoration, PermanentDental Stress AnalysisHumansStress, MechanicalComposite ResinsCyclic loadingDebondingFatigue analysisFinite element analysisLongitudinal crack

Identifiers

PMID34949478
PMCPMC8792291
OpenAlexW4200246951

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.