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Stress Distribution in Immature Incisors with Regenerative Endodontic Treatment: Which Coronal Restoration Performs Best? An FEA Study

Biomimetics · Ekim 2025

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YÖKSİS Kayıtları
Stress Distribution in Immature Incisors with Regenerative Endodontic Treatment: Which Coronal Restoration Performs Best? An FEA Study
Biomimetics · 2025 SCI-Expanded
Dr. Öğr. Üyesi ÖZNUR ERASLAN →

Makale Bilgileri

Dergi Biomimetics
Yayın TarihiEkim 2025
Cilt / Sayfa10
Erişim🔓 Açık Erişim
Özet Purpose: This study aimed to evaluate the effect of different coronal restoration methods on stresses in immature central incisors with regenerative endodontic treatment and excessive loss of coronal structure. Methods: A three-dimensional (3D) Finite Element Analysis (FEA) model of a maxillary central incisor treated with a 3 mm MTA coronal plug after regenerative endodontic treatment was created. Six different models were simulated: (1) intact immature tooth (control), (2) direct composite resin build-up, (3) fibre-reinforced composite build-up, (4) hybrid ceramic endocrown, (5) LiSi ceramic endocrown, and (6) endocore and ceramic crown restoration. Analyses were performed with SolidWorks/CosmosWorks, and a 150 N load was applied at a 135° angle. Results: Maximum tensile stresses were concentrated in the cervical region (4.577 MPa). Direct composite and fibre-reinforced restorations showed high stress in root dentin (3.891 and 3.841 MPa, respectively). The endocore/ceramic crown restoration (1.578 MPa) provided the closest stress distribution to the natural tooth (1.322 MPa). Conclusions: The biomechanical performance of the restoration–tooth complex depends on both the restorative material and the restoration design. In immature teeth undergoing regenerative endodontic treatment, the most biomechanically favourable restoration option was an endocore/ceramic crown.

Yazarlar (4)

1
Öznur Eraslan
2
Mukadder İnci Başer Kolcu
ORCID: 0000-0002-2996-7632
3
Oǧuz Eraslan
4
Sema Belli

Anahtar Kelimeler

endocore endocrown FEA immature tooth regenerative endodontic treatment

Kurumlar

Selçuk Üniversitesi
Selçuklu Turkey
Süleyman Demirel University, Faculty of Medicine
Isparta Turkey