ABSTRACT
Resin onlay restoration is an esthetic alternative technique used for restoring extensively damaged primary molars. Understanding the behavior of materials under repeated functional stress and how the stress is transmitted to the remaining tooth structure is important. The aim of this study was to compare stresses in primary molars restored with indirect composite and compomer onlay. 3D frame models of the right mandibular and maxillary primary molars and the alveolar bone were created using computerized tomography images of a six-year-old girl. The enamel and dentine layers above the cement layer were unified to generate onlay restoration, and composite and compomer were used as restorative materials. The vertical occlusal load (100 N) was applied to the teeth in the occlusal contact areas. The von Mises stress distributions and normal stress distributions of the y-axis (parallel to the long axis of tooth) were evaluated. The occlusal stress is transmitted to the cervical part of healthy teeth by spreading it through the enamel layer. The composite and compomer restorative materials exhibited similar stress distribution patterns. An indirect technique creates a structure similar to the original morphological form, and it allows restorations to distribute high occlusal stresses and to minimize possible breakages.
Subject(s)
Compomers/pharmacology , Finite Element Analysis , Inlays , Molar/drug effects , Child , Compressive Strength , Crowns , Dental Enamel/drug effects , Dental Stress Analysis , Dentin/drug effects , Female , Humans , Imaging, Three-Dimensional , Models, Anatomic , Molar/anatomy & histology , Tensile StrengthABSTRACT
OBJECTIVE: The aim of this study was to evaluate indirect compomer and composite resin onlay restorations of severely damaged primary molars in vivo. MATERIALS AND METHODS: At the study, 48 restorations, in seven girls and ten boys totally 17 patients aged 4-8, was evaluated clinically with using USPHS criteria for 15 months. RESULTS: The study results revealed that the clinical success rate of compomer and composite onlay restorations was 79% and 96%, respectively. No significant differences were found statistically between the materials. CONCLUSIONS: In the children severely damaged primary molars, onlays are usually worked with an indirect technique in clinics. One of the advantages of indirect technique is being most similar to its original form morphologically.