Comparative analysis of the biomechanical behavior of the maxillary central incisors restored with glass fiber post and cast metal post and core submitted to orthodontic forces: A study with finite elements

Introduction: Different types of intraradicular restorations and their insertion have an impact on teeth biome-chanics. This study aimed to analyze the biomechanical behavior of maxillary central incisors restored with glass fiber post (GFP) and cast metal post and core (CMP) subjected to buccolingual and mesiodistal orthodontic forces using the finite element method. Methods: Two models of the maxillary central incisor with periodontal lig-ament, cortical bone, and trabecular bone were made. One of the models included intraradicular restoration with GFP, whereas, in the other, the incisor was restored with CMP. After creating the tridimensional mesh of finite el-ements, applying 2 orthodontic forces were simulated: 65 g of buccolingual force and 70 g of mesiodistal force. The forces were applied parallel to the palatal plane in the region of the bracket slot, located 4 mm to the incisal edge. Results: The maximum stresses generated in the GFP-restored root were 3.642 3 10-1 MPa and 4.755 3 10-1 MPa from the buccolingual and mesiodistal forces, respectively. Likewise, the stresses in the CMP restored root were 2.777 3 10-1MPa and 3.826 3 10-1MPa. The radicular area with higher stress on both models was located in the cervical third: on the buccal surface when the buccolingual force was applied and on the mesial surface when the mesiodistal force was applied. The highest stress levels were found on the CMP structure. Conclusions: The incisor restored with cast metal post revealed lower stress values transferred to the root than the one restored with GFP. The stresses on the structure of the GFP were lower and more homogeneous than the ones found on the cast metal post. The difference among the stress values in the materials is within a safe margin for using both materials in relation to orthodontic forces. (Am J Orthod Dentofacial Orthop 2024;165:46-53)