Orthodontically induced root resorption: A critical analysis of finite element studies' input and output.

INTRODUCTION: Orthodontically induced inflammatory root resorption (OIIRR) constitutes an undesirable risk connected to orthodontic treatment. Finite element analysis (FEA) is a powerful tool to study the risk of OIIRR. However, its efficiency in predicting OIIRR depends on the insertion of the correct inputs and the selection of an output coherent with the clinical failure mechanism. METHODS: By combining a systematic review with a 3-dimensional FEA, this article discusses which are the implications of using certain periodontal ligament (PDL) properties (linear and nonlinear models) and failure criteria. Six orthodontic loading regimes were simulated in a maxillary premolar: pure intrusion, buccal tipping, and their combination applied with either a light (25 cN) or a heavy (225 cN) force. Three stress parameters in the PDL were compared: von Mises stress, minimum principal stress, and hydrostatic stress (σH). RESULTS: The comparison between linear and nonlinear models showed notable differences in stress distribution patterns and magnitudes. For the nonlinear PDL, none of the light-force models reached the critical compressive hydrostatic stress of 4.7 kPa, whereas all the heavy-force models reached it. In addition, the regions of critical compressive σH matched with the regions with resorption craters in clinical studies. In linear models, the σH critical value of 4.7 kPa was reached even in the light-force scenario. CONCLUSIONS: Only compressive hydrostatic stress in PDL satisfied the requirements to be used as an FEA indicator of OIIRR. However, the requirements were satisfied only when a nonlinear PDL model was considered.

Experimental and finite element study of residual thermal stresses in veneered Y-TZP structures.

The main complications of zirconia-based laminated systems are chipping and delamination of veneering porcelain, which has been found to be directly associated with the development of residual thermal stresses in the porcelain layer. This study investigates the effects of cooling rate and specimen geometry on the residual stress states in porcelain-veneered zirconia structures. Bilayers of three different shapes (bars, semi-cylindrical shells, and arch-cubic structures) with 1.5 mm and 0.7 mm thickness of dentin porcelain and zirconia framework, respectively, were subjected to two cooling protocols: slow cooling (SC) at 32 °C/min and extremely-slow cooling (XSC) at 2 °C/min. The residual thermal stresses were determined using the Vickers indentation method and validated by finite element analysis. The residual stress profiles were similar among geometries in the same cooling protocol. XSC groups presented significantly higher tensile stresses (p = 0.000), especially for curved interfaces. XSC is a time-consuming process that showed no beneficial effect regarding residual stresses compared to the manufacturer recommended slow cooling rate.

Association of orthodontic force system and root resorption: A systematic review.

INTRODUCTION: In this systematic review, we assessed the literature to determine which evidence level supports the association of orthodontic force system and root resorption. METHODS: PubMed, Cochrane, and Embase databases were searched with no restrictions on year, publication status, or language. Selection criteria included human studies conducted with fixed orthodontic appliances or aligners, with at least 10 patients and the force system well described. RESULTS: A total of 259 articles were retrieved in the initial search. After the review process, 21 full-text articles met the inclusion criteria. Sample sizes ranged from 10 to 73 patients. Most articles were classified as having high evidence levels and low risks of bias. CONCLUSIONS: Although a meta-analysis was not performed, from the available literature, it seems that positive correlations exist between increased force levels and increased root resorption, as well as between increased treatment time and increased root resorption. Moreover, a pause in tooth movement seems to be beneficial in reducing root resorption because it allows the resorbed cementum to heal. The absence of a control group, selection criteria of patients, and adequate examinations before and after treatment are the most common methodology flaws.

Elastic modulus of posts and the risk of root fracture.

The definition of an optimal elastic modulus for a post is controversial. This work hypothesized that the influence of the posts' elastic modulus on dentin stress concentration is dependent on the load direction. The objective was to evaluate, using finite element analysis, the maximum principal stress (sigma(max)) on the root, using posts with different elastic modulus submitted to different loading directions. Nine 3D models were built, representing the dentin root, gutta-percha, a conical post and the cortical bone. The softwares used were: MSC.PATRAN2005r2 (preprocessing) and MSC.Marc2005r2 (processing). Load of 100 N was applied, varying the directions (0 degrees, 45 degrees and 90 degrees) in relation to the post's long axis. The magnitude and direction of the sigma(max) were recorded. At the 45 degrees and 90 degrees loading, the highest values of sigma(max) were recorded for the lowest modulus posts, on the cervical region, with a direction that suggests debonding of the post. For the 0 degrees loading, the highest values of sigma(max) were recorded for higher modulus posts, on the apical region, and the circumferential direction suggests vertical root fracture. The hypothesis was accepted: the effect of the elastic modulus on the magnitude and direction of the sigma(max) generated on the root was dependent on the loading direction.

Why a zero CTE mismatch may be better for veneered Y-TZP structures.

OBJECTIVE: Compare residual stress distribution of bilayered structures with a mismatch between the coefficient of thermal expansion (CTE) of framework and veneering ceramic. A positive mismatch, which is recommended for metal-ceramic dental crowns, was hypothesized to contribute to a greater chipping frequency in veneered Y-TZP structures. In addition, the multidirectional nature of residual stresses in bars and crowns is presented to explore some apparent contradictions among different studies. METHODS: Planar bar and crown-shaped bilayered specimens with 0.7 mm framework thickness and 1.5 mm porcelain veneer thickness were investigated using finite element elastic analysis. Eight CTE mismatch conditions were simulated, representing two framework materials (zirconia and metal) and six veneering porcelains (distinguished by CTE values). Besides metal-ceramic and zirconia-ceramic combinations indicated by the manufacturer, models presenting similar mismatch values (1 ppm/°C) with different framework materials (metal or zirconia) and zirconia-based models with metal-compatible porcelain veneers were also tested. A slow cooling protocol from 600 °C to room temperature was simulated. The distributions of residual maximum and minimum principal stresses, as well as stress components parallel to the long axis of the specimens, were analysed. RESULTS: Planar and crown specimens generated different residual stress distributions. When manufacturer recommended combinations were analysed, residual stresses obtained for zirconia models were significantly higher than those for metal-based models. When zirconia frameworks were combined with metal-compatible porcelains, the residual stress values were even higher. Residual stresses were not different between metal-based and zirconia-based models if the CTE mismatch was similar. SIGNIFICANCE: Some conclusions obtained with planar specimens cannot be extrapolated to clinical situations because specimen shape strongly influences residual stress patterns. Since positive mismatch generates compressive hoop stresses and tensile radial stresses and since zirconia-based crowns tend to be more vulnerable to chipping, a tensile stress-free state generated with a zero CTE mismatch could be advantageous.

Influence of residual thermal stresses on the edge chipping resistance of PFM and veneered zirconia structures: Experimental and FEA study.

OBJECTIVE: Chipping fractures of the veneering porcelain are frequently reported for veneered all-ceramic crowns. In the present study, the edge chipping test is used to measure the toughness and the edge chipping resistance of veneered zirconia and porcelain-fused-to-metal (PFM). The aim is to describe an edge chipping method developed with the use of a universal testing machine and to verify the accuracy of this method to determine the influence of residual thermal stresses on the chipping fracture resistance of veneering porcelain. A finite element analysis (FEA) was used to study the residual stress profiles within the veneering porcelain. METHODS: Veneered zirconia and PFM bar specimens were subjected to either a fast or a slow cooling protocol. The chipping resistances were measured using the edge chipping method. The load was applied in two different directions, in which the Vickers indenter was placed in the veneering porcelain either parallel or perpendicular to the veneer/framework interface. The mean edge chipping resistance (ReA) and fracture toughness (KC) values were analysed. ReA was calculated by dividing the critical force to cause the chip by the edge distance. KC was given by a fracture analysis that correlates the critical chipping load (FC) regarding edge distance (d) and material toughness via KC=FC/(ßd1.5). RESULTS: The ReA revealed similar values (p>0.005) of chipping resistance for loads applied in the parallel direction regardless of framework material and cooling protocol. For loads applied in the perpendicular direction to the veneer/framework interface, the most chip resistant materials were slow cooled veneered zirconia (251.0N/mm) and the PFM fast cooled (190.1N/mm). KC values are similar to that for monolithic porcelain (0.9MPa.√m), with slightly higher values (1.2MPa.√m) for thermally stressed PFM fast cooled and veneered zirconia slow cooled groups. SIGNIFICANCE: The developed and reported edge chipping method allows for the precise alignment of the indenter in any predetermined distance from the edge. The edge chipping method could be useful in determining the different states of residual thermal stresses on the veneering porcelain.

The suitability of different FEA models for studying root fractures caused by wedge effect.

Finite element analysis (FEA) utilizing models with different levels of complexity are found in the literature to study the tendency to vertical root fracture caused by post intrusion ("wedge effect"). The objective of this investigation was to verify if some simplifications used in bi-dimensional FEA models are acceptable regarding the analysis of stresses caused by wedge effect. Three plane strain (PS) and two axisymmetric (Axi) models were studied. One PS model represented the apical third of the root entirely in dentin (PS-nG). The other models included gutta-percha in the apical third, and differed regarding dentin-post relationship: bonded (PS-B and Axi-B) or nonbonded (PS-nB and Axi-nB). Mesh discretization and material properties were similar for all cases. Maximum principal stress (sigma max) was analyzed as a response to a 165 N longitudinal load. Stress magnitude and orientation varied widely (PS-nG: 10.3 MPa; PS-B: 0.8 MPa; PS-nB: 10.4 MPa; Axi-B: 0.2 MPa; Axi-nB: 10.8 MPa). Axi-nB was the only model where all sigma max vectors at the apical third were perpendicular to the model plane. Therefore, it is adequate to demonstrate the tendency to vertical root fractures caused by wedge effect. Axi-B showed only part of the sigma max perpendicular to the model plane while PS models showed sigma max on the model plane. In these models, sigma max)orientation did not represent a situation where vertical root fracture would occur due to wedge effect. Adhesion between post and dentin significantly reduced sigma max.

Polymerization stress of resin composites as a function of system compliance.

OBJECTIVES: Evaluate the effect of testing system compliance on polymerization stress and stress distribution of composites. METHODS: Composites tested were Filtek Z250 (FZ), Herculite (HL), Tetric Ceram (TC), Helio Fill-AP (HF) and Heliomolar (HM). Stress was determined in 1-mm thick specimens, inserted between two rods of either poly(methyl methacrylate), PMMA, or glass. Experimental nominal stress (sigmaexp) was calculated by dividing the maximum force recorded 5 min after photoactivation by the cross-sectional area of the rod. Composites' elastic modulus (E) was obtained by three-point bending. Data were submitted to one-way ANOVA/Tukey's test (alpha=0.05). Stress distribution on longitudinal (sigmay) and transverse (sigmax) axes of models representing the composites with the highest and lowest E (FZ and HM, respectively) were evaluated by finite element analysis (FEA). RESULTS: sigmaexp ranged from 5.5 to 8.8 MPa in glass and from 2.6 to 3.4 MPa in PMMA. Composite ranking was not identical in both substrates, since FZ showed sigmaexp statistically higher than HM in glass, while in PMMA FZ showed values similar to the other composites. A strong correlation was found between stress reduction (%) from glass to PMMA and composite's E (r2=0.946). FEA revealed that system compliance was influenced by the composite (FZ led to higher compliance than HM). sigmax distribution was similar in both substrates, while sigmay distribution showed larger areas of compressive stresses in specimens built on PMMA. SIGNIFICANCE: sigmaexp determined in PMMA was 53-68% lower than in glass. Composite ranking varied slightly due to differences in substrates' longitudinal and transverse deformation.

Composite shrinkage stress as a function of specimen dimensions and compliance of the testing system.

OBJECTIVES: Verify the influence of specimen dimensions on composite shrinkage stress in testing systems of known compliance and in situations where axial strain of bonding substrates was suppressed. Stress distribution was evaluated using finite element analysis (FEA). METHODS: A chemically activated composite (Bisfill 2B, Bisco) was inserted between the flat surfaces of two glass rods (2, 4 or 6mm diameter, D) attached to a universal testing machine. Specimen height (H) was defined by adjusting the distance between the rods (0.5, 1, 2 or 4mm). An extensometer was used to monitor the distance between them. Maximum force after 30min of polymerization was divided by the cross-sectional area of the rod to obtain nominal stress (sigma(n)). Mathematical equations were employed in order to estimate the 'corrected nominal stress' (sigma(cor)) that would be obtained in ideally rigid systems. Data were analyzed by two-way ANOVA/Tukey test (alpha=0.05) and regression analysis (stress versus 'C factor' and stress versus specimen volume). Axysimetrical 2D models were used to evaluate X-component stress distribution (sigma(x)) in the zero compliance condition. RESULTS: The interactions between D and H were significant for sigma(n) and sigma(cor) (p<0.001). For D=2mm, height influenced only sigma(cor) values. A direct correlation was found between stress and C factor (sigma(n):R(2)=0.959; sigma(cor):R(2)=0.923), but not between stress and volume. FEA evidenced the effect of boundary restraints on sigma(x). SIGNIFICANCE: Specimen dimensions influenced test results, mostly regarding sigma(cor). Stress values strongly increased with the confinement of the specimen probably due to stress concentration adjacent to the bonded interface.

Shear versus micro-shear bond strength test: a finite element stress analysis.

OBJECTIVES: This study aimed at comparing the stress distribution in shear and micro-shear test set-ups using finite element analysis, and suggesting some parameter standardization that might have important influence on the results. METHODS: Two-dimensional plane strain finite element analysis was performed using MSCPatran and MSCMarc softwares. Model configurations were based on published experimental shear and micro-shear test set-ups and material properties were assumed to be isotropic, homogeneous and linear-elastic. Typical values of elastic modulus and Poisson's ratios were assigned to composite, dentin and adhesive. Loading conditions considered a single-node concentrated load at different distances from the dentin-adhesive interface, and proportional geometry (1:5 scale, but fixed adhesive layer thickness in 50microm) with similar calculated nominal strength. The maximum tensile and shear stresses, and stress distribution along dentin-adhesive interfacial nodes were analyzed. RESULTS: Stress distribution was always non-uniform and greatly differed between shear and micro-shear models. A pronounced stress concentration was observed at the interfacial edges due to the geometric change: stress values farther exceeded the nominal strength and tensile stresses were much higher than shear stresses. For micro-shear test, the relatively thicker adhesive layer and use of low modulus composites may lead to relevant stress intensification. An appropriate loading distance was established for each test (1mm for shear and 0.1mm for micro-shear) in which stress concentration would be minimal, and should be standardized for experimental assays. SIGNIFICANCE: The elastic modulus of bonded composites, relative adhesive layer thickness and load application distance are important parameters to be standardized, once they influence stress concentration.

Influence of local factors on composite shrinkage stress development--a finite element analysis.

PURPOSE: Using finite element analysis (FEA), to determine the nominal shrinkage stress of a composite under different restriction conditions defined by the longitudinal compliance (LC) and C-factor (C) of the testing system, and by the elastic modulus of the bonding substrate (E). MATERIALS AND METHODS: Eight axisymmetric models representing an experimental setup used to determine composite shrinkage stress were simulated. Composite thicknesses of 0.5 mm and 4 mm were tested, defining different C and volumes (C = 6 and vol = 14 mm3 or C = 0.8 and vol = 113 mm3, respectively). The E of the substrate was tested in two levels, 12 GPa and 207 GPa. Two LC values (1 x 10(-6) or 28 x 10(-6) mm/N) were defined for each E value by varying the length of the rods used as bonding substrate (0.3 mm and 9.5 mm for E = 12 GPa; 6.0 mm and 163.9 mm for E = 207 GPa). Materials were considered elastic, homogeneous, and isotropic. Shrinkage was simulated by thermal analogy. Nominal stress (nodal force/cross-sectional area) was calculated for each condition. Results were analyzed using Taguchi's method. RESULTS: Nominal stress values varied between 1.7 MPa and 30.3 MPa. The main variables were statistically significant (LC: p = 0.0046; C: p = 0.0153; E: p = 0.0155), as well as the LC x E interaction (p = 0.0354). Stress reduction between low and high LC was more pronounced for E = 207 GPa compared to E = 12 GPa. Stress was lower for the high C conditions for both compliance levels. CONCLUSION: Not only the C-factor of the testing assembly, but also its LC and the E of the bonding substrate influence stresses generated by composite shrinkage.

How mechanical stresses modulate enamel demineralization in non-carious cervical lesions?

OBJECTIVE: To introduce an experimental non-carious cervical lesion (NCCL) model for studying the influence of presence and type of stress (tension or compression) on acid effects involved in NCCL formation on the enamel near the cement-enamel junction (CEJ). METHODS: 108 bovine incisors were cut into 18 × 3×3 mm3 beams, with a notch in the cervical region to generate a standardized area of stress concentration. Half of the specimens were immersed in distilled water and the other half in acetic acid solution (pH 4.5) for 72h. Each group was divided into three subgroups. Two subgroups underwent 800gf static loading, with the specimen positioned in a bending jig with the buccocervical region under either tension or compression. The load was applied simultaneously to immersion (in water or in acid). The third subgroup was not subjected to loading. Transversal and longitudinal 0.05 mm plates of the specimens were analyzed under a light microscope (40, 100 and 200×) to measure the enamel demineralization depth and to assess the presence of cracks, fractures and gaps at the enamel-dentin junction. The demineralization depth data were submitted to ANOVA and Tukey's test at a 5% significance level. RESULTS: Enamel demineralization depth (µm) was higher under tension (158±19 in transversal sections and 229±32 in longitudinal sections) than under compression (transversal: 129±16 and longitudinal: 167±10) or unstressed condition (transversal: 138±21 and longitudinal: 187±21). Specimens immersed in acid and subjected to tensile stress presented enamel micro fractures and wider gaps in the dentin-enamel junction. SIGNIFICANCE: Enamel demineralization was significantly higher in the presence of tensile stress, due to wider gaps between dentin and enamel, stress corrosion cracking and increased enamel permeability to acid.

Stress concentration in microtensile tests using uniform material.

PURPOSE: The objective of this study was to analyze the stress concentration factor (Kt) in specimens of uniform material with the most commonly used geometry (square hourglass) during microtensile tests using finite element analysis. Standardization is emphasized with the aim of obtaining the most representative nominal strength of the material. METHODS: Eighty cases were simulated using three-dimensional models, in which we varied the fixation of specimens in the jig (f = 1 or 2 sides), the height of this fixed region (h = 1 or 2.75 mm), the specimen width (D = 1.5, 2, 3, 4 or 5 mm), and the radius of curvature of the notch (r = 0.2, 0.5, 0.7 or 1 mm). The cross-sectional area (1 mm2) remained constant in all analyses. The stress concentration factor Kt (maximum tensile stress/nominal tensile stress) was calculated. RESULTS: A 150% difference was observed from the lowest Kt value (1.3) to the highest one (3.2). Results indicated that the radius of curvature is a very influential geometric parameter in microtensile strength tests (variation in Kt values up to 47.4%). For two-side fixed specimens, the Kt values varied from 3 to 4%, while the one-side fixed models resulted in variations from 11 to 15%. CONCLUSION: Variations in the specimen geometry and mode of load application can be responsible for part of the different strength values obtained in microtensile tests. The specimen fixation by two sides is a simple and easily performed method to reduce the stress concentration factor and its variations induced by specimen geometry and test assembly.

Residual stresses in Y-TZP crowns due to changes in the thermal contraction coefficient of veneers.

OBJECTIVE: To test the hypothesis that the difference in the coefficient of thermal contraction of the veneering porcelain above (αliquid) and below (αsolid) its Tg plays an important role in stress development during a fast cooling protocol of Y-TZP crowns. METHODS: Three-dimensional finite element models of veneered Y-TZP crowns were developed. Heat transfer analyses were conducted with two cooling protocols: slow (group A) and fast (groups B-F). Calculated temperatures as a function of time were used to determine the thermal stresses. Porcelain αsolid was kept constant while its αliquid was varied, creating different Δα/αsolid conditions: 0, 1, 1.5, 2 and 3 (groups B-F, respectively). Maximum (σ1) and minimum (σ3) residual principal stress distributions in the porcelain layer were compared. RESULTS: For the slowly cooled crown, positive σ1 were observed in the porcelain, orientated perpendicular to the core-veneer interface ("radial" orientation). Simultaneously, negative σ3 were observed within the porcelain, mostly in a hoop orientation ("hoop-arch"). For rapidly cooled crowns, stress patterns varied depending on Δα/αsolid ratios. For groups B and C, the patterns were similar to those found in group A for σ1 ("radial") and σ3 ("hoop-arch"). For groups D-F, stress distribution changed significantly, with σ1 forming a "hoop-arch" pattern while σ3 developed a "radial" pattern. SIGNIFICANCE: Hoop tensile stresses generated in the veneering layer during fast cooling protocols due to porcelain high Δα/αsolid ratio will facilitate flaw propagation from the surface toward the core, which negatively affects the potential clinical longevity of a crown.

A method to investigate the shrinkage stress developed by resin-composites bonded to a single flat surface.

OBJECTIVES: To purpose a method for predicting the shrinkage stress development in the adhesive layer of resin-composite cylinders that shrink bonded to a single flat surface, by measuring the deflection of a glass coverslip caused by the shrinkage of the bonded cylinders. The correlation between the volume of the bonded resin-composite and the stress-peak was also investigated. METHODS: A glass coverslip deflection caused by the shrinkage of a bonded resin-composite cylinder (diameter: d=8 mm, 4 mm, or 2 mm, height: h=4 mm, 2 mm, 1 mm, or 0.5 mm) was measured, and the same set-up was simulated by finite element analysis (3D-FEA). Stresses generated in the adhesive layer were plotted versus two geometric variables of the resin-composite cylinder (C-Factor and volume) to verify the existence of correlations between them and stresses. RESULTS: The FEA models were validated. A significant correlation (p<0.01, Pearson's test) between the stress-peak and the coverslip deflection when the resin-composites were grouped by diameter was found for diameters of 2 and 4 mm. The stress-peak of the whole set of data showed a logarithmic correlation with the bonded resin-composite volume (p<0.001, Pearson's test), but did not correlate with the C-Factor. SIGNIFICANCE: The described method should be considered for standardizing the stress generated by the shrinkage of resin-composite blocks bonded to a single flat surface.

A critical view on biaxial and short-beam uniaxial flexural strength tests applied to resin composites using Weibull, fractographic and finite element analyses.

OBJECTIVE: To evaluate the biaxial and short-beam uniaxial strength tests applied to resin composites based upon their Weibull parameters, fractographic features and stress distribution. METHODS: Disk- (15 mm x 1 mm) and beam-shaped specimens (10 mm x 2 mm x 1 mm) of three commercial composites (Concept/Vigodent, CA; Heliomolar/Ivoclar-Vivadent, HE; Z250/3M ESPE, FZ) were prepared. After 48h dry storage at 37 degrees C, disks and beams were submitted to piston-on-three-balls (BI) and three-point bending (UNI) tests, respectively. Data were analyzed by Weibull statistics. Fractured surfaces were observed under stereomicroscope and scanning electron microscope. Maximum principal stress (sigma(1)) distribution was determined by finite element analysis (FEA). Maximum sigma(1-BI) and sigma(1-UNI) were compared to FZ strengths calculated by applying the average failure loads to the analytical equations (sigma(a-BI) and sigma(a-UNI)). RESULTS: For BI, characteristic strengths were: 169.9a (FZ), 122.4b (CA) and 104.8c (HE), and for UNI were: 160.3a (FZ), 98.2b (CA) and 91.6b (HE). Weibull moduli (m) were similar within the same test. CA and HE presented statistically higher m for BI. Surface pores (BI) and edge flaws (UNI) were the most frequent fracture origins. sigma(1-BI) was 14% lower than sigma(a-BI). sigma(1-UNI) was 43% higher than sigma(a-UNI). SIGNIFICANCE: Compared to the short-beam uniaxial test, the biaxial test detected more differences among composites and displayed less data scattering for two of the tested materials. Also, biaxial strength was closer to the material's strength estimated by FEA.

Adhesion to tooth structure: a critical review of "macro" test methods.

OBJECTIVES: Bond strength between adhesive systems and the tooth structure is influenced by a large number of variables, which makes the comparison among studies virtually impossible. Also, failure often times propagates into the dental substrate or the composite, deeming the results questionable at best. In spite of the increased popularity gained by micro-tensile and micro-shear tests, in vitro evaluations using specimens with relatively large bonding areas remain frequent. This review focuses on aspects related to specimen geometry and test mechanics of "macro" shear and tensile bond strength tests. METHODS: Besides information drawn from the literature, the effect of some parameters on stress distribution at the bonded interface was assessed using finite element analysis (FEA). RESULTS: Bond strength tends to increase with smaller bonding areas and with the use of high elastic modulus composites. Stress concentration at the bonded interface is much more severe in shear compared to tension. Among shear methods, the use of the chisel shows the highest stress concentration. Within the limits suggested by the ISO/TS 11405, crosshead speed does not seem to influence bond strength values. Pooled data from currently available adhesives tested in either shear or tension showed 44% of adhesive failures, 31% mixed and 25% cohesive in the substrate (tooth or composite). A comparative bond strength study involving three adhesive systems revealed similarities between "macro" and "micro" counterparts regarding material ranking, whereas "macro" tests presented a higher incidence of cohesive failures. SIGNIFICANCE: Simplicity warrants "macro" bond strength tests an enduring popularity, in spite of their evident limitations. From a mechanical standpoint, knowing the stress distribution at the bonded interface and how it is affected by the materials and loading method used is key to explain the results.

Vertical root fracture in upper premolars with endodontic posts: finite element analysis.

Upper premolars restored with endodontic posts present a high incidence of vertical root fracture (VRF). Two hypotheses were tested: (1) the smaller mesiodistal diameter favors stress concentration in the root and (2) the lack of an effective bonding between root and post increases the risk of VRF. Using finite element analysis, maximum principal stress was analyzed in 3-dimensional intact upper second premolar models. From the intact models, new models were built including endodontic posts of different elastic modulus (E = 37 or E = 200 GPa) with circular or oval cross-section, either bonded or nonbonded to circular or oval cross-section root canals. The first hypothesis was partially confirmed because the conditions involving nonbonded, low-modulus posts showed lower tensile stress for oval canals compared to circular canals. Tensile stress peaks for the nonbonded models were approximately three times higher than for the bonded or intact models, therefore confirming the second hypothesis.