Photoelastic stress analysis of different types of anterior teeth splints.

Murilo Baena Lopes, Klissia Romero Felizardo, Ricardo Danil Guiraldo, Karina Fancio Sella, Sérgio Ramos Junior, Alcides Gonini Junior, Sandrine Bittencourt Berger

Dental traumatology : official publication of International Association for Dental Traumatology 2021 Apr

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Traumatic dental injuries are highly prevalent and are considered an important health problem. The aim of this study was to evaluate the in vitro stress distribution around simulated traumatized teeth subjected to different types of splints by photoelastic analysis. For each group, five models of maxillary and mandibular arches were made in photoelastic resin using prefabricated teeth models, which were fixed and adjusted in a semi-adjustable articulator. All splints were bonded with composite resin on the labial surfaces of the maxillary central incisors, the lateral incisors and the canine teeth, simulating trauma to the 11. The groups were divided according to the type of splint: control-without splint; rigid-brackets and 0.021 × 0.025 inch stainless steel wire; semi-rigid-brackets and 0.016 × 0.016 inch cobalt-chromium wire; fiber-fiberglass ribbon; and flexible-nylon thread. The groups were submitted to an occlusal force in a special device attached to a universal test machine in balanced, protrusive, and lateral occlusions. Then, the incisal edge of the 11 was ground to simulate infra-occlusion, and the tests were performed again. Five points were analyzed around tooth 11 with a polariscope, and the data were submitted to ANOVA and Tukey tests at a 5% level of significance. When centric occlusion was analyzed by comparing normal occlusion to infra-occlusion, all groups showed high stress values in infra-occlusion with statistical differences-except for the control group. When lateral occlusion was analyzed, the nylon splint showed lower statistical differences compared with the control, fiberglass, and rigid splint groups, which did not differ between each other. The semi-rigid splint did not differ from any group. Fiberglass and semi-rigid splints showed better stress distribution around the traumatized tooth under occlusal loads. The nylon splint showed characteristics of non-stress distribution. © 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Citation

Murilo Baena Lopes, Klissia Romero Felizardo, Ricardo Danil Guiraldo, Karina Fancio Sella, Sérgio Ramos Junior, Alcides Gonini Junior, Sandrine Bittencourt Berger. Photoelastic stress analysis of different types of anterior teeth splints. Dental traumatology : official publication of International Association for Dental Traumatology. 2021 Apr;37(2):256-263