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Purpose: The purpose of this study was to evaluate the stress distribution under various
loading conditions within posterior metal-free crowns made of new composite materials.
Materials and Methods: A three-dimensional finite element model representing a
mandibular first molar was constructed. Variations of the model had crowns of two types
of composite, a glass ceramic, and porcelain fused to metal. A load of 600 N, simulating
the maximum bite force, was applied vertically to the crowns. Loads of 225 N, simulating
masticatory force, were applied from three directions (vertically, at a 45-degree angle,
and horizontally). Results: The stress distributions in both types of composite crown were
similar to that of the glass-ceramic crown. In the test simulating maximum bite force, the
maximum tensile stresses on all crowns (17.9 to 18.3 MPa) concentrated around the
loading points. In the masticatory force–simulation test, the specimens experienced
maximum tensile stresses of 20.3 to 26.6 MPa under a horizontal load and 10.9 to 11.0
MPa under a vertical load. When the load was applied horizontally, the maximum tensile
stress was observed around the loading points on the surface in the case of composite
and glass-ceramic crowns, and in the cervical area of the metal coping in the porcelainfused-
to-metal crowns. Conclusion: It would appear that the strength of occlusal contact
points is important to the integrity of posterior metal-free crowns made of new composite
materials and that bite forces applied from the horizontal direction are a critical factor
determining success and failure.
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