Influence of the Fiber Post Length on the Fracture Strength of Endodontically Treated Teeth.

Background and Objectives: Although fiber posts are widely used in the restoration of endodontically treated teeth (ETT), their ideal cementation depth into the root canal is still debated in literature. The aim of the present study was to evaluate whether the different intra-radicular insertion lengths of the fiber posts influence the fracture strength of ETT. Materials and Methods: A total of 10 permanent human lower incisors with straight roots of similar length and volume extracted for periodontal reason were sectioned 2 mm above the cement-enamel junction (CEJ) to a total length of 18 mm and endodontically treated in the same manner, then randomly divided into two groups of five each (Groups 1 and 2, n = 5). Two sound incisors, with no endodontic treatment, were used as the control group (Group 3, n = 2). After one week of storage in a humid environment, spaces for fiber post no. 1 (Reforpost, Angelus, Londrina, PR, Brazil) were prepared in the first two groups at a depth of 5 mm (Group 1) and 7 mm (Group 2), and the fiber posts were adhesively cemented using self-adhesive resin cement (Maxcem Elite, Kerr GmbH, Herzogenrath, Germany). After 7 days, the samples were vertically positioned and fixed in a self-curing transparent acrylic resin, up to 2 mm below the CEJ level, and mechanically tested in compression after another week of storage using a displacement-controlled testing machine up to each sample's fracture. The force-displacement curves were recorded for each sample, the means were calculated for each group and a statistical comparative analysis between groups was conducted. Results: Although no statistically significant differences between groups were observed, the highest mean fracture force (N) was recorded in Group 2 (1099.41 ± 481.89) in comparison to Group 1 (985.09 ± 330.28), even when compared to the sound, non-treated teeth (1045.69 ± 146.19). Conclusions: Within the limitations of this in vitro study, teeth where fiber posts were placed deeper into the root canal (7 mm) recorded slightly higher fracture forces in comparison with shorter lengths (5 mm). However, similar biomechanical performances obtained in the mechanical tests showed no statistical differences between the 7 mm and the 5 mm inserted posts.

Comparative Study on Interface Fracture of 4th Generation 3-Steps Adhesive and 7th Generation Universal Adhesive.

The purpose of this paper is to compare the fracture behavior of interfaces obtained using fourth-generation and universal dental adhesives. The study relies on optic and SEM to evaluate the dentin-adhesive-restoration material interface of the samples and also on FEA simulation of fracture behavior. Specimen fabrication relied on 20 extracted teeth, in which class I cavities were created according to a protocol established based on the rules of minimally invasive therapy. For the direct adhesive technique, the adhesives used were: three-step All Bond, three-batch A and one-step Clearfil Universal Bond Quick-batch B. The restoration was performed with the same composite for both adhesives: Gradia direct posterior. The simulation used a 3D reconstructed molar on which geometric operations were performed to obtain an assembly that replicated a physical specimen. Material properties were applied to each component based on the information found in the literature. A simplified model for crack propagation was constructed, and using the fracture mechanics tool in Ansys 2019, the stress intensity factors that act at the crack tip of the adhesive interface were obtained. Mechanical simulation and microscopic investigation showed us how the interface of the dentine-adhesive-filling material performed in cases of both dental adhesives and for a certain loading condition. Important differences were identified among the adhesives, the fourth generation being superior to the fourth generation especially due to the separate steps in which the tooth surface was prepared for adhesion.

Adhesive-Ceramic Interface Behavior in Dental Restorations. FEM Study and SEM Investigation.

The purpose of this study is to identify the stress levels that act in inlay and onlay restorations, according to the direction and value of the external force applied. The study was conducted using the Finite Element Method (FEM) of three types of ceramics: pressed lithium disilicate and monolith, zirconia, and three different adhesive systems: self-adhesive, universal, and dual-cure cements. In addition to FEM, the inlay/onlay-dental structure interface analysis was performed by means of Scanning Electron Microscopy (SEM). The geometric models were reconstructed based on computer tomography images of an undamaged molar followed by geometrical procedures of inducing the inlay and onlay reconstructions. The two functional models were then simulated for different orientations of external force and different material properties, according to the considered adhesives and ceramics. The Scanning Electron Microscopy (SEM) was conducted on 30 extracted teeth, divided into three groups according to the adhesive cement type. Both FEM simulation and SEM investigations reveal very good mechanical behavior of the adhesive-dental structure and adhesive-ceramic interfaces for inlay and onlay reconstructions. All results lead to the conclusion that a physiological mastication force applied, regardless of direction, cannot produce a mechanical failure of either inlay or onlay reconstructions. The adhesive bond between the restorations and the dental structure can stabilize the ceramic restorations, resulting in a higher strength to the action of external forces.

Mode I Fracture Toughness of Polyamide and Alumide Samples obtained by Selective Laser Sintering Additive Process.

Selective Laser Sintering is a flexible additive manufacturing technology that can be used for the fabrication of high-resolution parts. Alongside the shape and dimension of the parts, the mechanical properties are essential for the majority of applications. Therefore, this paper investigates dimensional accuracy and mode I fracture toughness (KIC) of Single Edge Notch Bending samples under a Three Point Bending fixture, according to the ASTM D5045-14 standard. The work focuses on the influence of two major aspects of additive manufacturing: material type (Polyamide PA2200 and Alumide) and part orientation in the building environment (orientations of 0°, 45° and 90° are considered). The rest of the controllable parameters remains constant for all samples. The results reveal a direct link between the sample densities and the dimensional accuracy with orientation. The dimensional accuracy of the samples is also material dependent. For both materials, the angular orientation leads to significant anisotropic behavior in terms of KIC. Moreover, the type of material fundamentally influences the KIC values and the fracture mode. The obtained results can be used in the development of additive manufactured parts in order to obtain predictable dimensional tolerances and fracture properties.

Correlations between Process Parameters and Outcome Properties of Laser-Sintered Polyamide.

As additive manufacturing (AM) becomes more accessible, correlating process parameters with geometric and mechanical properties is an important topic. Because the number of process variables in AM is large, extensive studies must be conducted in order to underline every particular influence. The study focuses on two variables-part orientation in the orthogonal horizontal plane and energy density-and targets two outcomes-geometric and tensile properties of the parts. The AM process was conducted on selective laser sintering (SLS) machine EOS Formiga P100 using EOS white powder polyamide (PA2200). After finishing the sinterization process, the parts were postprocessed, measured, weighted, and mechanically tested. The geometric evaluation and mass measurements of every sample allowed us to compute the density of all parts according to the sinterization energy and orientation, and to determine the relative error of every dimension. By conducting the tensile testing, the elastic and strength properties were determined according to process variables. A linear trend regarding sample density and energy density was identified. Also, large relative dimensional errors were recorded for the lowest energy density. Mechanical properties encountered the highest value for the highest energy density at a 45° orientation angle.

Failure Analysis of a Humeral Shaft Locking Compression Plate-Surface Investigation and Simulation by Finite Element Method.

A case study of a failed humeral shaft locking compression plate is presented, starting with a clinical case where failure occurred and an implant replacement was required. This study uses finite element method (FEM) in order to determine the failure modes for the clinical case. Four loading scenarios that simulate daily life activities were considered for determining the stress distribution in a humeral shaft locking compression plate (LCP). Referring to the simulation results, the failure analysis was performed on the explant. Using fracture surface investigation methods, stereomicroscopy and scanning electron microscopy (SEM), a mixed mode failure was determined. An initial fatigue failure occurred followed by a sudden failure of the plate implant as a consequence of patient's fall. The fracture morphology was mostly masked by galling; the fractured components were in a sliding contact. Using information from simulations, the loading was inferred and correlated with fracture site and surface features.

Influence of Manufacturing Parameters on Mechanical Properties of Porous Materials by Selective Laser Sintering.

This paper presents a study on the tensile properties of Alumide and polyamide PA2200 standard samples produced by Additive manufacturing (AM) based on selective laser sintering (SLS). Because of the orthogonal trajectories of the laser beam during exposure, different orientations of the samples may lead to different mechanical properties. In order to reveal this process issue, four orientations of the samples in building envelope were investigated. For data reliability, all the other process parameters were constant for each material and every orientation. The tensile tests highlight small differences in elastic properties of the two materials, while significant differences in strength properties and energy absorption were observed. Nevertheless, Young modulus indicates high stiffness of the Alumide comparing to PA2200 samples. The stereo microscopy reveals a brittle fracture site for Alumide and a ductile fracture with longitudinal splitting zones for PA2200. From the orientation point of view, similar properties of samples oriented at 0 and 90 degrees for all investigated mechanical properties were observed. However, tensile strength was less influenced by the sample orientations.

Clavicle anatomical osteosynthesis plate breakage - failure analysis report based on patient morphological parameters.

Clavicle fracture reported incidence is about 5% of fractures in adult; among them, those located in the middle third of the shaft represent more than 80% from the total of cases. Due to the special morphological and biomechanical constraints of the clavicle, several methods for restoring morphological integrity in these fractures are described, including conservative, non-surgical treatment. The last 10 years of clinical studies in the field have favored the surgical treatment for selected cases; several osteosynthesis implants are in use - mostly anatomical plates with specific advantages and documented complications. A failed anatomical clavicle plate was explanted and analyzed after a protocol using stereomicroscopy, scanning electron microscopy and energy dispersive spectrometry. Based on the computed tomography (CT) scan determination of patient morphological parameters, a finite elements analysis of the failure scenario was completed. The failure analysis has proved that the plate breakage had occurred in the point of maximal elastic stress and minor deformation. The clinical implication is that no hole should remain free of screw during clavicle plate fixation and the implant should be chosen based on patient morphological parameters. In comminuted clavicle fracture, anatomic bridging with locked plate technique may lead to implant failure due to increase of the stress in the midshaft area. Thorough knowledge of anatomy and morphology of complex bones like the clavicle is necessary. Modern osteosynthesis anatomical implants are still to be improved.