Fracture behavior of restored teeth and cavity shape optimization: Numerical and experimental investigation

Since restored teeth are subject to more damages than intact teeth, investigating their fracture behavior is important. However, so far, improvement of the debonding behavior of the restoration and fracture of restored teeth considering the geometry of the restoration and different restorative materials has remained understudied. The aim of this paper is to numerically and experimentally investigate the debonding behavior of the restoration in premolar teeth in order to reduce the stress of restoration thereby reducing the mechanical failure.

the fracture test for intact and Standard Class-II Mesial-Occlusal-Distal (MOD) restoration premolar teeth restored with several types of composite and conventional adhesive was performed in order to investigate their fracture behavior. The mechanical properties and fracture of composites as well as the adhesives used in experimental tests were obtained through separate standard mechanical tests. In addition, a number of composites and other adhesives were also chosen from other references, and by numerically simulating the fracture process of intact teeth and those restored with the materials of interest, the fracture behavior and yield load limit were investigated and predicted for them. Next, in order to reduce the stresses of bonding region and improve the damage behavior, using the stress-induced material transformation (SMT) optimization algorithm applied as code in finite element (FE) software, the shape of the restoration has been optimized based on different restorative materials. In order to confirm the numerical results, the fracture tests of teeth samples were performed with conventional and optimized restoration forms. Furthermore, using scanning electron microscopy (SEM) method, the fracture surface of the tested samples was examined.

since the fracture behavior of teeth restored with different materials is different, the optimized MOD restoration would be also different for each of these restorative materials. By selecting TU-shape for the restoration in each of the samples, the debonding resistance and final fracture of teeth compared to the MOD restoration increased 51% in P_d and 11% in P_f for numerical results and 40% in P_d and 4% in P_f for experimental results. The obtained results suggest that choosing a proper shape for the restoration based on the properties of restorative materials leads to diminished normal and shear stresses and enhanced debonding resistance. Also, the yield load limit of the defective teeth would also improve considerably.

The clinical importance of this study is to predict strength of restored teeth and cavity shape optimization under variable conditions. Also, this paper introduces effective parameters on strength reduction/enhancement to dentists.