ArticleJournal of functional biomaterials2026
Finite Element Analysis of Stress Distribution in Healthy and Restored Mandibular Molars with Zirconia and Lithium Disilicate Crowns Under Vertical and Oblique Loading.
Article in Journal of functional biomaterials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
The mechanical compatibility between dental restorative materials and the natural tooth structure is a relevant factor for long-term clinical performance. Although zirconia (yttria-stabilized tetragonal zirconia polycrystal, Y-TZP) and lithium disilicate are widely used for full-coverage crowns, their biomechanical interaction with the underlying dentin and pulp under functional loading remains insufficiently characterized. This study reports a comparative finite element analysis (FEA) of a mandibular first molar under vertical (200 N, axial) and oblique (200 N, 30°) loading, evaluating three configurations: an intact healthy tooth, a zirconia Y-TZP full-coverage crown, and a lithium disilicate full-coverage crown. The three-dimensional geometry was obtained from a cone-beam computed tomography (CBCT) study of a caries-free mandibular first molar, previously described and verified by the present group, and was analyzed in ANSYS Workbench (Static Structural). Von Mises equivalent stress, maximum principal stress and total deformation were obtained for enamel or restoration, dentin, and pulp in each configuration. Zirconia produced the highest stress concentrations in the coronal restoration (88.4 MPa vertical; 174.5 MPa oblique), exceeding the healthy enamel baseline by 57.6% and 89.7%, respectively. Both restorative materials reduced dentin stress relative to the healthy tooth, consistent with the stress-shielding effect driven by elastic-modulus mismatch. Under oblique loading, the maximum principal stress in healthy enamel reached 61.7 MPa, approaching or exceeding the upper bound of the reported tensile strength range (~10-40 MPa) and identifying oblique loading as the more demanding of the two conditions analyzed. Within the limitations of the present finite element model, lithium disilicate demonstrated a more favorable stress distribution, with dentin stress values closer to the intact-tooth baseline. The model does not include a luting cement layer, a periodontal ligament, the dentin-enamel junction, anisotropic tissue behavior or cyclic loading, and no experimental validation was performed; the results are therefore presented as a controlled numerical comparison between three configurations under the specific conditions simulated, and not as direct clinical selection criteria.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.