Evidence map›Paper›PMID 40802449›Full record

ArticleBrazilian dental journal2025

Influence of occlusal loading type and cyclic fatigue on the mechanical behavior of sound maxillary premolars: a laboratory and 3D finite element analysis.

Alexandre Coelho Machado, Paulo Vinícius Soares, Christian de Almeida Soares, Bruno Rodrigues Reis, Lívia Fávaro Zeola, Luís Henrique Araújo Raposo

Abstract read
In one paragraph

Article in Brazilian dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Alexandre Coelho MachadoDepartment of Operative Dentistry and Dental Materials, Technical School of Health, Federal University of Uberlândia. Uberlândia- Minas Gerais, Brazil.ORCID 0000-0003-0160-5688
Paulo Vinícius SoaresDepartment of Operative Dentistry and Dental Materials, Technical School of Health, Federal University of Uberlândia. Uberlândia- Minas Gerais, Brazil.ORCID 0000-0001-7071-826X
Christian de Almeida SoaresDepartment Occlusion, Fixed Prosthodontics and Dental Materials, School of Dentistry, University of Uberlândia. Uberlândia - Minas Gerais, Brazil.ORCID 0000-0001-7479-6812
Bruno Rodrigues ReisDepartment of Operative Dentistry and Dental Materials, Technical School of Health, Federal University of Uberlândia. Uberlândia- Minas Gerais, Brazil.ORCID 0000-0002-3394-0010
Lívia Fávaro ZeolaDepartment of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais. Belo Horizonte- Minas Gerais, Brazil.ORCID 0000-0003-1572-2850
Luís Henrique Araújo RaposoDepartment Occlusion, Fixed Prosthodontics and Dental Materials, School of Dentistry, University of Uberlândia. Uberlândia - Minas Gerais, Brazil.ORCID 0000-0003-2726-9133

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated the influence of different occlusal loading and cyclic fatigue on the biomechanical behavior of sound maxillary premolars using three-dimensional (3D) finite element analysis (FE) and strain-gauge tests. The 3D models were submitted to two occlusal loading (150 N): axial load (AL) and oblique load (OL), applied at the inner ridges. Dynamic fatigue was simulated in post-processing and analyzed by life criterion. For the experimental laboratory test, 30 sound premolars with similar dimensions had two strain gauges positioned parallel to the long axis of enamel and dentin to record the strains under AL and OL loading, before and after mechanical fatigue. FE maximum principal criteria showed higher stress concentration in the cervical enamel and dentin for OL (67.26 MPa and 17.43 MPa, respectively) compared to AL (0.87 MPa and 0.02 MPa, respectively). The equivalent elastic strain criterion showed higher strain values in dentin for OL (1.77e-4). The FE fatigue simulation showed higher damage for enamel near the cementoenamel junction with OL, predicting a lifespan of less than 200,000 cycles. Strain-gauge analysis showed that OL loading and mechanical fatigue resulted in higher strains, both enamel (p<0.001) and dentin (p<0.001). Very strong (0.927) and weak (0.184) correlations were found between the number of cycles and strain magnitude for enamel (p<0.0001) and dentin (p=0.0374), respectively. Non-axial occlusal loading, combined with cyclic mechanical fatigue, promotes high stress and strain concentration in the cervical enamel and dentin of sound premolars, potentially causing more damage to dental structures.

Indexed as

BicuspidBite ForceDental Stress AnalysisBiomechanical PhenomenaDental EnamelDentinFinite Element AnalysisHumansImaging, Three-DimensionalMaxillaStress, Mechanical

Identifiers

PMID40802449
PMCPMC12342115

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Registered trials

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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.