Evidence map›Paper›PMID 41013414›Full record

ArticleBMC oral health2025

How does endodontic access cavity design affect the biomechanics of a maxillary premolar?? a finite element analysis study.

Gülşah Uslu, Burçin Arıcan, Mustafa Gündoğar, Taha Özyürek

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Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Gülşah UsluFaculty of Dentistry, Department of Endodontics, Çanakkale Onsekiz Mart University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-3176-1251
Burçin ArıcanSchool of Dental Medicine, Department of Endodontics, Bahçeşehir University, Istanbul, Turkey. dr.burcinarican@gmail.com.ORCID http://orcid.org/0000-0001-5757-0571
Mustafa GündoğarSchool of Dentistry, Department of Endodontics, Medipol University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-6394-0791
Taha ÖzyürekSchool of Dental Medicine, Department of Endodontics, Bahçeşehir University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-3299-3361

Funding

Çanakkale Onsekiz Mart Üniversitesi TSA-2019-3071
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the effect of different endodontic access cavity designs on biomechanical properties of endodontically treated maxillary premolars under various static loads by finite element analysis method.

methodsBased on cone beam computed tomography data of maxillary first premolar, the models of endodontically treated teeth with traditional access cavity (TEC-I), traditional access cavity with Class-II mesio-occlusal cavity design (TEC-II), conventional access cavity (CEC), ninja access cavity (NEC), caries-driven access cavity (Cd-EC), buccal access cavity (BEC) and bucco-occlusal access cavity (BOEC). Three different static loads which were single-point vertical load (Static I), multi-point vertical load (Static II) and multi-point oblique load (Static III) were applied. The stress distribution and maximum Von Misses stress values were recorded.

resultsFor the enamel surface, the stress concentration was seen around the central fossa in Static I, on the marginal edge and palatal tubercle in Static II, and on the palatal cusp tip in Static III loads. For the dentin surface, the stress concentration was observed on pericervical area and buccal root surface in Static I, on all around the root surface in Static II, and on buccal and palatal root surfaces and furcation area in Static III loads. While the minimum stress distribution was detected in control group, followed by NEC and CEC designs, the maximum stress distribution was generally monitored in Cd-EC and TEC-II cavity designs.

conclusionThe increased tissue loss in maxillary premolars due to endodontic access cavity preparation meant the higher stress distribution on the tooth surface.

Indexed as

BicuspidDental Cavity PreparationDental Pulp CavityFinite Element AnalysisTooth, NonvitalBiomechanical PhenomenaCone-Beam Computed TomographyDental EnamelDental Stress AnalysisDentinHumansMaxillaStress, MechanicalEndodontic access cavityFinite element analysisMaxillary premolarMinimal invasive endodontic

Identifiers

PMID41013414
PMCPMC12465137

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