ArticleBiomimetics (Basel, Switzerland)2025
Finite Element Analysis of Stress Distribution in Immature Permanent Incisors Following MTA Apexification with Different Coronal Base Materials.
Article in Biomimetics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Biomechanical Analysis of Post-Core Crown Restoration in Dog Maxillary Canine Teeth.Veterinary sciences · 2026Article
- Mechanostat-Informed Strain Mapping of Osseodensification-Inspired Peri-Implant Densification Versus Conventional Drilling in Osteoporotic-like Low-Density Cancellous Bone: A 3D Static Linear Finite Element Analysis.Journal of functional biomaterials · 2026Article
- Effect of Different Restorative Materials and the Ferrule Height on the Biomechanical Behavior of Endocrowns in Endodontically Treated Maxillary and Mandibular Central Incisors: A Finite Element Analysis.International journal of dentistry · 2026Article
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Authors and funding
2 authors.
Funding
Abstract
BACKGROUND/
aimImmature permanent teeth with necrotic pulps present thin dentinal walls and open apices, making them highly susceptible to cervical fractures even after apexification. This study aimed to compare stress distribution patterns produced by different coronal base materials following mineral trioxide aggregate (MTA) apexification using three-dimensional finite element analysis (FEA). MATERIALS AND
methodsA CBCT-based model of a maxillary immature incisor was reconstructed and modified to simulate six restorative scenarios: control (sound tooth), MTA + conventional glass ionomer cement (GIC), MTA + resin-modified glass ionomer cement (RMGIC), MTA + bulk-fill flowable composite, MTA + conventional composite resin, and MTA + flowable composite resin. A 100 N oblique load (45°) was applied, and von Mises stress, displacement, and periodontal ligament strain were analyzed. Inter-model comparisons were performed using one-way ANOVA with Tukey post hoc tests (
resultsAll models exhibited maximum stress concentration in the cervical third of the root. Bulk-fill flowable composite and RMGIC generated lower cervical stress and more homogeneous distribution compared with GIC or conventional composite resin. Conventional composite resin produced the highest stress concentration due to its higher stiffness. Derived biomechanical metrics confirmed statistically significant differences between groups (
conclusionsThe coronal base material strongly affects the biomechanical behavior of immature incisors restored after MTA apexification. Selecting low-modulus, stress-dissipating materials such as bulk-fill flowable composites or RMGICs may minimize cervical stress and potentially reduce fracture risk. These computational findings warrant validation through in vitro and clinical studies.
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