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J Endod ; 35(1): 117-20, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19084139

RESUMO

Upper premolars restored with endodontic posts present a high incidence of vertical root fracture (VRF). Two hypotheses were tested: (1) the smaller mesiodistal diameter favors stress concentration in the root and (2) the lack of an effective bonding between root and post increases the risk of VRF. Using finite element analysis, maximum principal stress was analyzed in 3-dimensional intact upper second premolar models. From the intact models, new models were built including endodontic posts of different elastic modulus (E = 37 or E = 200 GPa) with circular or oval cross-section, either bonded or nonbonded to circular or oval cross-section root canals. The first hypothesis was partially confirmed because the conditions involving nonbonded, low-modulus posts showed lower tensile stress for oval canals compared to circular canals. Tensile stress peaks for the nonbonded models were approximately three times higher than for the bonded or intact models, therefore confirming the second hypothesis.


Assuntos
Colagem Dentária/efeitos adversos , Falha de Restauração Dentária , Técnica para Retentor Intrarradicular/efeitos adversos , Fraturas dos Dentes/etiologia , Raiz Dentária/lesões , Dente Pré-Molar/lesões , Simulação por Computador , Cavidade Pulpar/anatomia & histologia , Análise do Estresse Dentário/métodos , Módulo de Elasticidade , Análise de Elementos Finitos , Humanos , Modelos Dentários , Resistência à Tração
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