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Pediatric Stainless-Steel Crown Cementation Finite Element Study.
Ahmed S Waly1,2, Yasser R Souror1,3, Salah A Yousief2,4
1Department of Pediatric Dentistry and Dental Public Heath, Faculty of Dental Medicine, Al-Azhar University Assuit Branch, Egypt.
European Journal of Dentistry
|October 1, 2020
Summary
This study analyzed cement types under pediatric stainless steel crowns on primary molars. Stiffer cements increased tooth stress but reduced crown stress, with minimal bone impact.
Area of Science:
- Pediatric Dentistry
- Biomaterials Science
- Dental Mechanics
Background:
- Stainless steel crowns (SSCs) are common for primary molars.
- Cement selection influences restoration performance.
- Understanding cement effects on stress distribution is crucial for pediatric dental restorations.
Purpose of the Study:
- To evaluate the impact of four different cement types on stress distribution under pediatric SSCs.
- To analyze stress and deformation in the mandibular second primary molar using 3D finite element analysis.
Main Methods:
- A 3D finite element model of a pediatric mandibular molar was created.
- Four cement types (zinc phosphate, glass ionomer, resin-modified glass ionomer, resin) were simulated.
- Simulations included loads of 330 N at vertical, 45° oblique, and lateral angulations.
Main Results:
- Stress and deformation patterns were similar across cement types, but values varied.
- All simulated stresses and deformations remained within acceptable physiological ranges.
- Increasing cement stiffness elevated stress in tooth structure while decreasing it in the crown.
Conclusions:
- Cement type significantly affects stress distribution within the tooth and crown.
- Stiffer cements may increase stress on the tooth structure but reduce stress on the crown.
- The surrounding bone tissue showed minimal sensitivity to the type of cement used.

