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Öğe Are dentin posts biomechanically intensive?: A laboratory and FEA study(TAYLOR & FRANCIS LTD, 2014) Belli, Sema; Celik, Kezban; Akbulut, Makbule Bilge; Guneser, Mehmet Burak; Eraslan, Oguz; Eskitaccioglu, GurcanThe goal of this laboratory and finite elemental stress analysis (FEA) study was to compare fracture strength of dentin post (DP) with stainless steel and glass fiber posts. Single-rooted teeth were decoronated and restored with ParaPost (PP), i-TFC (TFC), and DPs (n=10). Resin cores were created and loaded until failure (1.0mm/min). The data were analyzed (ANOVA, Tukey, Chi-Square tests). Three-dimensional FEA models of the posts were created and the stress distributions were calculated using Solid Works/Cosmos works structural analysis program. A significant difference was found among the groups (p<0.001). TFC group showed the highest and the DP group showed the lowest fracture resistance (p<0.001). PP created more stress at the root dentin and inside the post. Restoration of roots with glass fiber and DPs may reduce stresses within the core material and the remaining root. However, a fracture-resistant restoration cannot be achieved by using a DP.Öğe Biomechanical evaluation of chincup treatment with various force vectors(MOSBY-ELSEVIER, 2008) Basciftci, Faruk Ayhan; Korkmaz, Hasan Huesnue; Uesuemez, Serdar; Eraslan, OguzThe aim of this study was to evaluate the biomechanical effects of chincup treatment by using a 3-dimensional finite element model. Methods: Three-dimensional models of the mandible and the temporomandibular joint were modeled and analyzed. The final mesh consisted of 1572 solid elements with 5432 nodes. The chincup with 500 g of force was applied in a direction from the chin toward the mandibular condyle, the coronoid process, and a point anterior to the coronoid process. Then, the mechanical responses in terms of displacement and von Mises stresses are evaluated. Results: The mandible was displaced backward and downward with the vector passing through the condyle. Forward and upward displacement was recorded with the force vector passing through or anterior to the coronoid process. The mandibular condyle and the coronoid process showed minimal displacement for all force vectors. The highest stress levels were observed in the condylar and posterior ramus regions and increased as the force vector was transferred away from the condyle. Conclusions: With the limitations of modeling, boundary conditions, and solution assumptions, chincups applied in various directions produce different force vectors, which induce different stress locations and displacements. The force vector is an important determinant of the orthopedic effects of the chincup and therefore should be carefully considered. (Am J Orthod Dentofacial Orthop 2008; 134: 773-81)Öğe Can Degradation of Adhesive Interfaces Due to Water Storage Affect Stress Distributions? A Finite-Element Stress Analysis Study(QUINTESSENCE PUBLISHING CO INC, 2016) Belli, Sema; Eraslan, Oguz; Eskitascioglu, GurcanPurpose: The aim of this finite-element stress analysis (FEA) was to determine the effect of degradation due to water storage on stress distributions in root-filled premolar models restored with composite using either a self-etch (SE) or an etch-and-rinse (E&R) adhesive. Materials and Methods: Four premolar FEA models including root filling, MOD cavity, and composite restorations were created. The cavities were assumed to be treated by SE or E&R adhesives and stored in water for 18 months. The elastic properties of the adhesive-dentin interface after 24-h and 18-month water storage were obtained from the literature and applied to the FEA models. A 300-N load was applied on the functional cusps of the models. The SolidWorks/Cosmosworks structural analysis program was used and the results were presented considering the von Mises stresses. Results: Stresses in the cervical region increased over time on the load-application side of the main tooth models (SE: 84.11 MPa to 87.51 MPa; E&R: 100.24 MPa to 120.8 MPa). When the adhesive interfaces (hybrid layer, adhesive layer) and dentin were evaluated separately, the stresses near the root canal orifices increased over time in both models; however, this change was more noticeable in the E&R models. Stresses at the cavity corners decreased in the E&R model (within the adhesive layer), while SE models showed the opposite (within the hybrid layer). Conclusion: Change in the elastic modulus of the adhesive layer, hybrid layer, and dentin due to water storage has an effect on stresses in root-filled premolar models. The location and the level of the stresses differed depending on the adhesive used.Öğe Conservative restoration of severely damaged endodontically treated premolar teeth: a FEM study(SPRINGER HEIDELBERG, 2011) Eraslan, Oznur; Eraslan, Oguz; Eskitascioglu, Gurcan; Belli, SemaThe aim of this finite element method (FEM) study was to test two different restorative techniques used for construction of severely damaged endodontically treated premolar teeth using Finite Element Stress Analysis Method. In this study, four types of three-dimensional (3-D) FEM mathematical models simulating (1) a sound lower single rooted premolar tooth with supporting structures; (2) a root-filled lower premolar tooth without lingual cusp, restored with resin composite; (3) a root-filled lower premolar tooth without lingual cusp restored with resin composite in combination with a polyethylene fiber which is placed circumferentially to help to create a composite lingual wall; (4) a root-filled lower premolar tooth without lingual cusp restored with resin composite in combination with a glass fiber post, were modeled. A 300-N static vertical occlusal load was applied on the node at the center of occlusal surface of the tooth to calculate stress distributions. Solidworks/Cosmosworks structural analysis programs were used for FEM analysis. The analysis of the von Mises stress values revealed that maximum stress concentrations were located at loading areas for all models. Root dentine tissue, lingual cortical bone, and apical bone structures were other stress concentration regions. There were stress concentration differences among the models at root dentine tissue. Although the distribution pattern was similar with composite resin restored tooth model, highest stress values were observed at root dentine in the model restored with post-and-core. Post structure accumulated more stress on its own body. Stress distribution patterns of sound tooth and fiber-reinforced restoration models were found as similar. The present study showed that the use of post material increased the stress values at root dentine structure while reinforcing the restoration with a fiber decreases stress transmission. Fiber-reinforced restoration provided stress distributions similar to sound tooth.Öğe Different Techniques in Fabrication of Ocular Prosthesis(LIPPINCOTT WILLIAMS & WILKINS, 2012) Cevik, Pinar; Dilber, Erhan; Eraslan, OguzIntroduction: Loss of an eye caused by cancer, trauma, or congenital defect creates a deep psychological impact on an individual's life especially social and professional life. Custom-made prosthesis, compared to stock prosthesis, provides a better fit to the eye socket, better cosmetic results, and less discomfort to the patient in the long term. The main objective of this article was to describe 3 different alternative and practical techniques of fabricating custom-made ocular prosthesis. Case Report: An impression of anophthalmic socket was made with the addition of cured silicone-based precision impression material in all techniques. A master cast was prepared and duplicated with condensation silicone. A self-cure acrylic resin was polymerized in the silicone model and was fitted into the patient's eye socket. A digital photograph of the patient's iris was made using a digital camera and printed on good-quality photo paper in various shades and sizes in the first and the second techniques. Then the photo paper was coated with PVC so as not to allow any color flowing. The proper iris was then inserted to the acrylic base. The prosthesis was final processed using orthodontic heat polymerizing clear acrylic resin. In the other technique, after the trying-in process with wax pattern, an acrylic base was fabricated using heat polymerizing scleral acrylic resin. The prosthetic iris was fabricated from a transparent contact lens by painting the lens with watercolor paints and attaching it to an acrylic resin with tissue conditioner. The final process was made with heat polymerizing transparent acrylic resin. Conclusions: Custom-made prosthesis allows better esthetic and functional results to the patient in comparison to stock prosthesis. Further follow-up is necessary to check the condition and fit of the ocular prosthesis in such patients.Öğe The effect of fiber insertion on fracture resistance of endodontically treated molars with MOD cavity and reattached fractured lingual cusps(WILEY, 2006) Belli, Sema; Cobankara, Funda Kont; Eraslan, Oguz; Eskitascioglu, Gurcan; Karbhari, VistaspIn this study, the effect of flowable composite reinforced with a leno wave ultra high modulus (LWUHM) polyethylene fiber (Ribbond) on fracture resistance of endodontically treated molars with MOD cavity and lingual cuspal fracture was evaluated. Sixty sound extracted human mandibular molars were randomly assigned to six groups (n = 10). Group I served as control. Teeth in groups 2-6 received root canal treatment and a MOD cavity preparation. Teeth in group 2 were kept unrestored. Lingual walls of specimens in groups 3-6 were fractured at the CEJ and reattached (C&B Super-Bond). Group 3 was kept unrestored, and group 4 was restored with a composite resin (CR) (AP-X). In group 5, a flowable resin (FR, Protect Liner F) and in group 6, a Ribbond in combination with FR were inserted inside the cavity before CR restoration. After finishing and polishing, the specimens were subjected to compressive loading perpendicular to the occlusal surface at a crosshead speed of 1 mm/min. The mean load necessary to fracture were recorded in Newton and the results were statistically analyzed. MOD cavity preparation reduced fracture resistance of endodontically treated teeth (p < 0.05). Fracture resistance of rebonded fractured specimens was found to be similar to that of the nonfractured samples (p > 0.05). Use of LWUHM polyethylene fiber Ribbond increased fracture strength of endodontically treated molar teeth with MOD cavity preparation and cuspal fracture (p < 0.05). As a result, it was concluded that the insertion of Ribbond inside the cavity has a positive effect on fracture strength of endodontically treated molar teeth with MOD cavity preparation and cuspal fracture. (c) 2006 Wiley Periodicals, Inc.Öğe EFFECT OF PONTIC FRAMEWORK DESIGN ON THE FRACTURE RESISTANCE OF IMPLANT-SUPPORTED ALL-CERAMIC FIXED PARTIAL DENTURES(UNIV SAO PAULO FAC ODONTOLOGIA BAURU, 2009) Inan, Ozgur; Secilmis, Asli; Eraslan, OguzObjective: The purpose of this study was to compare the fracture resistance of implant-supported all-ceramic fixed partial dentures, which have three different pontic designs. Material and Methods: Two implants were placed in a metal model simulating mandibular left second premolar and mandibular left second molar. Thirty standardized 3-unit all-ceramic fixed partial dentures with biconvex, convex or concave pontic designs were fabricated using IPS e.max system (n=10). Afterwards, specimens were centrally loaded on the pontics until failure with a universal testing machine. Results were analyzed by Kruskal-Wallis and Mann-Whitney U tests at 5% significance level. Results: The fracture resistance values of all-ceramic fixed partial dentures designed with biconvex, convex or concave pontics were 349.71, 438.20 and 300.78 N, respectively. There were no statistically significant differences between the fracture resistances of the groups (p>0.05), except for convex and concave groups (p<0.05 and p=0.009, respectively). Conclusions: Convex design showed the best mechanical properties as demonstrated by the high values of fracture resistance.Öğe Effect of post-restoration on stresses in premolars with endodontic-periodontal lesion: an FEA study(TAYLOR & FRANCIS LTD, 2017) Belli, Sema; Eraslan, Oguz; Hakki, Sema Sezgin; Eskitascioglu, Murat; Eskitascioglu, GuercanAim: This finite elemental stress analysis (FEA) study was aimed to test the effect of fiber and metal posts on stress distribution in premolar teeth with endodontic-periodontal (EP) lesion. Methodology: Three FEA models representing different EP lesions (primary endodontic disease (PED), PED with periodontal involvement and true-combined) were created. Tooth-model without EP lesion was used as control. The root-canals were assumed as root-filled, restored using glass-fiber or metal posts, resin composite build-up, and ceramic crown. A 300 N load was applied from the palatal surface of the crown with a 135 degrees angle. The SolidWorks/Cosmosworks structural analysis program was used for FEA analysis. Results were presented by considering von Mises criteria. Results: Maximum stress values for PED, PED with periodontal-involvement and true-combined lesions were 2.26, 1.25, 0.74 MPa for glass-fiber post; 2.08, 1.51, 1.18 MPa for metal post, respectively. If there is PED, fiber-post gave an advantage to the tooth at core structure and coronal third of the root. Metal post kept the stress inside its body however caused small, high stress concentrated areas at cervical. When there is PED with periodontal-involvement, metal post forwarded less stress toward the apical while fiber-post saved the coronal structure. In true-combined lesion model, metal post kept the stresses within its body and forwarded less stress toward the remaining root structure and periodontium. Conclusion: EP lesions have an effect on stress distribution therefore the post material selection should be done based on the severity of the lesion. Metal posts might be preferrable since it forwards less stress toward the surrounding periodontal tissues during wound healing.Öğe Effect of Restoration Technique on Stress Distribution in Roots with Flared Canals: An FEA Study(QUINTESSENCE PUBLISHING CO INC, 2014) Belli, Sema; Eraslan, Oznur; Eraslan, Oguz; Eskitascioglu, GurcanPurpose: The aim of this finite element analysis (FEA) study was to test the effect of different restorative techniques on stress distribution in roots with flared canals. Materials and Methods: Five three-dimensional (3D) FEA models that simulated a maxillary incisor with excessive structure loss and flared root canals were created and restored with the following techniques/materials: 1) a prefabricated post: 2) one main and two accessory posts; 3) i-TFC post-core (Sun Medical); 4) the thickness of the root was increased by using composite resin and the root was then restored using a prefabricated post; 5) an anatomic post was created by using composite resin and a prefabricated glass-fiber post. Composite cores and ceramic crowns were created. A 300-N static load was applied at the center of the palatal surface of the tooth to calculate stress distributions. SolidWorks/Cosmosworks structural analysis programs were used for FEA analysis. Results: The analysis of the von Mises and tensile stress values revealed that prefabricated post, accessory post, and i-TFC post systems showed similar stress distributions. They all showed high stress areas at the buccal side of the root (3.67 MPa) and in the cervical region of the root (> 3.67 MPa) as well as low stress accumulation within the post space (0 to 1 MPa). The anatomic post kept the stress within its body and directed less stress towards the remaining tooth structure. Conclusion: The creation of an anatomic post may save the remaining tooth structure in roots with flared canals by reducing the stress levels.Öğe Effect of Root Filling on Stress Distribution in Premolars with Endodontic-Periodontal Lesion: A Finite Elemental Analysis Study(ELSEVIER SCIENCE INC, 2016) Belli, Sema; Eraslan, Oguz; Eskitascioglu, GurcanIntroduction: Endodontic-periodontal (EP) lesions require both endodontic and periodontal therapies. Impermeable sealing of the root canal system after cleaning and shaping is essential fora successful endodontic treatment. However, complete healing of the hard and soft tissue lesions takes time, and diseased bone, periodontal ligament, and tooth fibrous joints are reported to have an increased failure risk for a given load. Considering that EP lesions may affect the biomechanics of teeth, this finite elemental analysis study aimed to test the effect of root fillings on stress distribution in premolars with EP lesions. Methods: Three finite elemental analysis models representing 3 different types of EP lesions (primary endodontic disease [PED], PED with secondary periodontic involvement, and true combined) were created. The root canals were assumed as nonfilled or filled with gutta-percha, gutta-percha/apical mineral trioxide aggregate (MTA) plug, and MTA-based sealer. Materials used were assumed to be homogenous and isotropic. A 300-N load was applied from the buccal cusp of the crown with a 135 angle. The Cosmoworks structural-analysis program (SolidWorks Corp, Waltham, MA) was used for analysis. Results were presented considering von Mises criteria. Results: Stresses at the root apex increased with an increase in lesion dimensions. Root filling did not affect stress distribution in the PED model. An MTA plug or MTA-based sealer created more stress areas within the root compared with the others in the models representing PED with periodontic involvement and true combined lesions. Conclusions: Stresses at the apical end of the root increase with increases in lesion dimensions. MTA-based sealers or an MTA plug creates more stresses when there is periodontic involvement or a true combined lesion.Öğe The effect of silane applied to glass ceramics on surface structure and bonding strength at different temperatures(KOREAN ACAD PROSTHODONTICS, 2016) Yavuz, Tevfik; Eraslan, OguzPURPOSE. To evaluate the effect of various surface treatments on the surface structure and shear bond strength (SBS) of different ceramics. MATERIALS AND METHODS. 288 specimens (lithium-disilicate, leucite-reinforced, and glass infiltrated zirconia) were first divided into two groups according to the resin cement used, and were later divided into four groups according to the given surface treatments: G1 (hydrofluoric acid (HF)+silane), G2 (silane alone-no heat-treatment), G3 (silane alone-then dried with 60 degrees C heat-treatment), and G4 (silane alone then dried with 100 degrees C heat-treatment). Two different adhesive luting systems were applied onto the ceramic discs in all groups. SBS (in MPa) was calculated from the failure load per bonded area (in N/mm(2)). Subsequently, one specimen from each group was prepared for SEM evaluation of the separated-resin ceramic interface. RESULTS. SBS values of G1 were significantly higher than those of the other groups in the lithium disilicate ceramic and leucite reinforced ceramic, and the SBS values of G4 and G1 were significantly higher than those of G2 and G3 in glass infiltrated zirconia. The three-way ANOVA revealed that the SBS values were significantly affected by the type of resin cement (P<.001). FIN ceramics had the highest rate of cohesive failure on the ceramic surfaces than other ceramic groups. AFM images showed that the surface treatment groups exhibited similar topographies, except the group treated with HF. CONCLUSION. The heat treatment was not sufficient to achieve high SBS values as compared with HF acid etching. The surface topography of ceramics was affected by surface treatments.Öğe Effects of different surface treatments on shear bond strength between ceramic systems and metal brackets(TAYLOR & FRANCIS LTD, 2017) Cevik, Pinar; Karacam, Nejla; Eraslan, Oguz; Sari, ZaferThe aim of this study was to evaluate the shear bond strength of orthodontic brackets bonded to different kinds of ceramic surfaces after different surface conditioning methods. A total of 120 ceramic disks were divided into two main groups in terms of feldspathic or lithium disilicate. Each ceramic group was further subdivided into six subgroups depending on surface treatment (n = 10). The ceramic surfaces were conditioned by one of the following methods: Group C: control group; Group P: %37.5 orthophosphoric acid; Group HF: %9.6 hydrofluoric acid; Group L: Nd-YAG laser irradiation; Group SB: sandblasting with 50 mu m Al2O3 particles; and Group DB: grinding with a diamond bur. Surface roughness value was evaluated with a digital profilometer. Surface topographies of one specimen from each group were observed by atomic force microscopy (AFM) after surface treatments. All samples were primed with silane before the bracket bonding, including the control group. Metal brackets were bonded to the specimens with a light curing composite resin. The samples were stored in distilled water for 24 h and thermocycled 2500x at 5 and 55 degrees C for 30 s. Shear bond strengths between the ceramic surface and the bracket were measured with a universal testing machine at a crosshead speed of 0.5 mm/min. Failure modes were classified as adhesive, cohesive, or mixed. Data were analyzed using ANOVA and Tukey's tests (alpha =.05). Group SB had significantly rougher surface compared with the other groups in each ceramic system (p <.05), and Group SB demonstrated significantly higher shear bond strengths than other groups as well. Within the limitations of this study, surface conditioning methods, except for sandblasting and grinding, were associated with lower shear bond strengths; however, thermocycling may have had negative effects on bond strengths of specimens. Furthermore, in each ceramic system, there was a significant difference between surface-conditioning methods and surface roughness with regard to shear bond strength.Öğe Effects of the Addition of Titanium Dioxide and Silaned Silica Nanoparticles on the Mechanical Properties of Maxillofacial Silicones(WILEY, 2017) Cevik, Pinar; Eraslan, OguzPurposeSilicone-based elastomeric materials are commonly used to fabricate maxillofacial prostheses. The aim of this study was to evaluate the effect of different types of silica and nanosized titanium dioxide addition on the mechanical properties of two RTV silicone elastomers. Materials and MethodsA-2000 and A-2006 silicone elastomers were used, and each was divided into four subgroups (n = 5). The first group was the control without additives. Other groups were titanium dioxide, fumed silica, and silaned silica. Each specimen was prepared in compliance with the manufacturer's instructions for the tensile strength, percent elongation, tear resistance, and the hardness tests according to ISO and ASTM standards. A factorial ANOVA with pairwise interaction indicated that the pattern for all four outcomes of the materials was different for A-2000 and A-2006 (p < 0.05). Therefore, the average outcome values for the materials within silicone elastomers were then analyzed by Tukey HSD. For the hardness test results, Kruskal-Wallis and Mann-Whitney U test methods were used. The level of statistical significance was p < 0.05. ResultsThere was a statistically significant interaction (p < 0.05) between materials and silicone type for all four tests (tensile strength, tear, hardness, percent elongation). The hydrophobic silica group had significantly higher tensile strength than TiO2 for A-2000. The fumed hydrophilic silica group had significantly higher tensile strength than TiO2 for A-2006. Most of silica specimens had higher tensile strength when compared with the control and TiO2 groups for A-2000 and A-2006 silicones. The TiO2 group had the highest hardness value for A-2000 while the lowest hardness value for A-2006 (p < 0.05). There was no significant difference of tear strength among the type of additives (p > 0.05) for A-2000. The fumed silica and TiO2 groups had significantly higher tear strength than the control group for A-2006. The fumed silica and the hydrophobic silica groups had significantly higher percent elongation than the control group (p < 0.05) for A-2000. The TiO2 group had the lowest percent elongation for A-2006. ConclusionsResults in this in vitro study may clarify future studies about the effect of different additives on the physical and mechanical properties of maxillofacial elastomers. There is a great interest in the effect of a new-generation hydrophobic silica incorporation into A-2000 silicone as well as the effect of fumed hydrophilic silica incorporation into A-2006 silicone. Future research should be supported with more in vitro trials in different percentages of such additives used in this study.Öğe The finite element analysis of the effect of ferrule height on stress distribution at post-and-core-restored all-ceramic anterior crowns(SPRINGER HEIDELBERG, 2009) Eraslan, Oguz; Aykent, Filiz; Yucel, M. Tolga; Akman, SerhanThe purpose of this study was to compare the effect of ferrule with different heights on the stress distribution of dentin and the restoration-tooth complex, using the finite element stress analysis method. Three-dimensional finite element models simulating an endodontically treated maxillary central incisor restored with an all-ceramic crown were prepared. Three-dimensional models were varied in their ferrule height (NF: no ferrule, 1F: 1-mm ferrule, and 2F: 2-mm ferrule). A 300-N static occlusal load was applied to the palatal surface of the crown with a 135 degrees angle to the long axis of the tooth. In addition, two post and core materials with different elastic modulus were evaluated. The differences in stress transfer characteristics of the models were analyzed. Maximum stresses were concentrated on force application areas (32.6-32.8 MPa). The stress values observed with the use of a 2-mm ferrule (14.1/16.8 MPa) were lower than the no-ferrule design (14.9/17.1 MPa) for both the glass fiber-reinforced and zirconium oxide ceramic post systems, respectively. The stress values observed with zirconium oxide ceramic were higher than that of glass fiber-reinforced post system. The use of a ferrule in endodontically treated teeth restored with an all-ceramic post-and-core reduces the values of von Mises stresses on tooth-restoration complex. At rigid zirconium oxide ceramic post system, stress levels, both at dentin wall and within the post, were higher than that of fiber posts.Öğe Stress analysis of effects of nonrigid connectors on fixed partial dentures with pier abutments(MOSBY-ELSEVIER, 2008) Oruc, Selcuk; Eraslan, Oguz; Tukay, H. Alper; Atay, ArzuStatement of problem. In some patients, the pattern of missing teeth may require the use of a fixed partial denture (FPD) with an intermediate pier abutment. Information is needed regarding the blomechanical behavior and the position of a nonrigid connector for this treatment option. Purpose. The purpose of this study was to evaluate, by means of finite element method (FEM), the effects of rigid and nonrigid design types on stress distribution for 5-unit FPDs with pier abutments. Material and methods. A 3-dimensional cross-section FEM model (SAP 2000) simulating a 5-unit metal ceramic FPD with a pier abutment with rigid or nonrigid designs (connector location at the mesial region of the second molar, at the distal region of the second premolar, at the mesial region of the second premolar, and at the distal region of the canine) was developed. In the model, the canine, second premolar, and second molar served as abutments. A supporting periodontal ligament and alveolar bone (cortical and trabecular) were modeled. A 50-N static vertical occlusal load was applied on the cusp of each abutment to calculate the stress distributions. Three different types of load were evaluated: loading of all cusps to simulate maximum, centric occlusion contacts, loading of the canine to simulate a single anterior contact, and loading of the second molar to simulate a posterior contact. Results. The analysis of the von Mises stress values revealed that maximum stress concentrations were located at the load areas for all models. Also, for all models, the highest stress values were located at connectors and cervical regions of abutment teeth, especially at the pier abutment. Conclusions. The area of maximum stress concentration at the pier abutment was decreased by the use of a nonrigid connector at the distal region of the second premolar.
