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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>A Novel Computational Approach to CAD-Driven Biomechanical Analysis of 3D-Printed Dental Crowns</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Ruaa Rafil Waheeb</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ehsan Sabah Al-Ameen</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>1Mechanical Engineering Department, College of Engineering, Mustansiriyah University</institution>
          ,
          <addr-line>Baghdad</addr-line>
          ,
          <country country="IQ">Iraq</country>
        </aff>
      </contrib-group>
      <fpage>60</fpage>
      <lpage>66</lpage>
      <abstract>
        <p>Stereolithography (SLA) resin 3D printing technology has changed many aspects of dental crown fabrication. The current work focuses on the finite element analysis study of mechanical behavior in under-axial loading conditions and quantifies Von Mises stresses in a SLA resin 3D printed crown. The results illustrated severe stress concentrations at the tips of the cusps with peak Von Mises stress around 136.3 MPa and maximum deformation around 0.02653 mm. The results showed that SLA resin crowns had higher levels of stress (75.0 MPa) compared to zirconia (65.0 MPa) and ceramic (70.0 MPa) crowns, indicating that the danger of failure under the influence of stressful factors is greater for this type of crown material. Still, SLA resin crowns showed lower deformation than zirconia (0.030 mm) and ceramic (0.035 mm). However, the need for shape optimization and improvement in material to increase the lifetime of SLA resin crowns was shown. However, there is a need for further research to match their performance to that of conventional materials. The future line of work should consider the development of new resin formulations that would better mechanical properties and the optimization of printing parameters to reduce stress and deformation in 3D-printed crowns.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Forecasted Economics</kwd>
        <kwd>Artificial Neural Networks</kwd>
        <kwd>Open Government Data</kwd>
        <kwd>Business Dynamics</kwd>
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  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        shown both materials to have a similar set of mechanical
properties and the data satisfied [
        <xref ref-type="bibr" rid="ref8">8, 12, 13, 14</xref>
        ].
      </p>
      <p>
        Prosthodontics, as a branch of dentistry, has experienced This means that the process of additive
manufactura sea change with the assimilation of additive manu- ing can indeed be carried out for dental materials. Their
facturing technologies, more commonly described as applications in dentistry have, therefore, advanced the
3D printing [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Wide applications benefit from addi- ways and means in prosthesis manufacture. Revilla-León
tive manufacturing, including the communication sector and Özcan (2018) [15] in their study provide a
compre[
        <xref ref-type="bibr" rid="ref2 ref3 ref4 ref5 ref6">2, 3, 4, 5, 6</xref>
        ]. These have brought a revolution in the fab- hensive overview of various 3D printing technologies
rication of dental prostheses [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. SLA resin 3D printing used in prosthodontics with their advantages and
limitais one of the best technologies in producing functional tions. They underscore the potential of the technologies
and esthetical dental crowns due to its very high level for enhanced precision and eficiency in the production
of accuracy and smooth finish [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. The high degree of of dental restorations. The mechanical properties of
3Dcustomization that 3D printing allows entails the produc- printed dental materials have been widely studied [16].
tion of dental restoration on a need-to basis. However, The oral environment provides a complex
biomechanunderstanding the mechanical behavior of 3D-printed ical milieu with forces exerted on dental restorations.
crowns under physiological loading is an essential aspect The value of the results of these studies is immense in
in ensuring durability and clinical eficacy [
        <xref ref-type="bibr" rid="ref10 ref7 ref8 ref9">7, 9, 8, 10</xref>
        ] predicting clinical performance [17, 18, 19] as well as
and quality [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]. Tahayeri et al. [12] in the study compar- reliability of these prostheses [20, 21]. Finite element
ative analysis carried out between 3D-printed and con- analysis is a very strong non-invasive tool that helps to
ventionally cured provisional crown materials displayed understand the mechanical behavior of dental structures
within-materials comparable mechanical properties, re- and restorations [
        <xref ref-type="bibr" rid="ref12">22, 23, 24</xref>
        ]. The adoption of 3D printing
spectively, that suggest the potential viability of additive in dentistry has been extensively studied, with a focus
manufacturing within dental prosthetics. The introduc- on both the mechanical and biological properties of the
tion of such technologies into dentistry has revolution- materials used. For instance, Atria et al [
        <xref ref-type="bibr" rid="ref13">25</xref>
        ] evaluated
ized the methodologies used in fabricating prosthetics. the mechanical properties of various 3D-printed resins
The 3D-printed provisional crown materials compared to for provisional dental restorations, finding that the
exthe traditionally cured provisional crown materials have perimental Permanent Bridge (PB) resin demonstrated
superior mechanical properties compared to other
commercially available resins. The use of high-fidelity FEA
for diferent fields [
        <xref ref-type="bibr" rid="ref14 ref15 ref16 ref17">26, 27, 28, 29</xref>
        ], specific in the bio
mechanics material like dental prostheses is still an
emergused in conventional prosthodontics. The unique mi- adult human molars, as reported by [
        <xref ref-type="bibr" rid="ref18">30</xref>
        ] as shown in
crostructure of the printed resins and associated material Figure (1).
properties call for a rethink of established biomechanical
principles in crown design and manufacture. Previous
studies have shown that stress distribution can vary
significantly with diferent cusp angles in dental crowns
[
        <xref ref-type="bibr" rid="ref18">30</xref>
        ]. This study employs finite element analysis (FEA)
to investigate the mechanical behaviour of SLA resin
3Dprinted dental crowns under vertical loading conditions.
      </p>
      <p>
        Achour et al. [
        <xref ref-type="bibr" rid="ref19">31</xref>
        ] studied FEA applications in the realm
of dental implant research. It was determined that the
tool is helpful in optimizing implant design as well as
predicting its clinical performance. However, a significant
shortage of works notes stress analysis of 3D-printed
dental crowns through high-fidelity FEA models.
Porojan and Topală [
        <xref ref-type="bibr" rid="ref20">32</xref>
        ] used the finite element method to
study the failure mechanism of monolithic posterior
aesthetic crowns; needful material choice and designs that
would minimize stress concentrations were being
discussed. Yoon et al. [
        <xref ref-type="bibr" rid="ref21">33</xref>
        ] further emphasized that crowns
made from materials with higher elastic moduli, such as
ceramics, were more efective in reducing stress on tooth
structures. The convergence of additive manufacturing
and FEA has opened new avenues for optimizing dental
prosthetics, as discussed by [
        <xref ref-type="bibr" rid="ref22">34</xref>
        ], who explored the efects
of diferent materials and designs on stress distribution Figure 1: Crown implement geometry
in dental restorations. This paper tries to fill this gap by
running advanced finite element high-fidelity models to The material properties used in the FEA model were
detail the stress analysis in SLA resin 3D-printed den- based on a photopolymerizable resin specifically
detal crown structures. In this study, the various loading signed for 3D printing of dental prostheses (NextDent
scenarios have been applied using the Abaqus software C&amp;B, 3D Systems). The key mechanical properties, as
package for making judgments on the distribution of reported by the manufacturer and verified through
instresses and deformation patterns in 3D-printed crowns. dependent testing, as reported from the previous study
This paper gives new perspectives on the mechanical [35] where the behavior is like the composite material
behavior of the specificities and functioning of the char- and has the elastic properties [36, 37].
acteristics of SLA resin crown by means of better design
and fabrication techniques that provide better clinical 2.2. Finite Element Model Development
results. It presents a comprehensive FEA study on SLA
resin 3D printed dental crowns under normal loading The 3D model was imported into Abaqus CAE (Dassault
conditions to provide insights into their mechanical be- Systèmes) for mesh generation and analysis. A
tetrahavior. But as per this research, the SLA resin crowns hedral mesh was generated, consisting total number of
can have some prospects in dental restorations, but in element 25570 linear tetrahedral elements of type C3D4
many aspects, they are behind the materials like zirconia as shown in the Figure (2). A mesh convergence study
and ceramic. was conducted to ensure result accuracy while
maintaining computational eficiency [
        <xref ref-type="bibr" rid="ref12">23, 24</xref>
        ], while an interesting
improvement can be obtained by using neural approaches
2. Materials and Methods [38, 39]. Boundary conditions were applied to simulate
the crown cemented to an idealized tooth preparation.
2.1. Crown Design and Material The interface between the crown and the tooth
preparaProperties tion was modeled as a perfectly bonded connection [40].
      </p>
      <p>The base of the tooth preparation was fixed in all degrees
of freedom to simulate the constraints provided by the
surrounding bone structure.</p>
      <sec id="sec-1-1">
        <title>A three-dimensional model of a mandibular first molar crown was created using computer-aided design (CAD) software. The crown geometry was based on average anatomical measurements derived from a sample of 50</title>
        <sec id="sec-1-1-1">
          <title>2.2.1. Loading Conditions</title>
        </sec>
      </sec>
      <sec id="sec-1-2">
        <title>The distinct loading scenarios were simulated to repre</title>
        <p>
          sent a range of physiological and parafunctional forces,
vertical load: A total force of 600 N was applied
uniformly across the occlusal surface as shown in Figure (3),
simulating normal mastication forces [
          <xref ref-type="bibr" rid="ref21">33</xref>
          ].
        </p>
        <sec id="sec-1-2-1">
          <title>2.2.2. Analysis Parameters</title>
          <p>The analysis was conducted using Abaqus/Standard,
employing a static, linear elastic model. The von Mises stress
criterion was used as the primary metric for evaluating
stress distribution within the crown. Additional output
variables included maximum principal stress, minimum
principal stress, and total deformation.</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>3. Results and Discussion</title>
      <p>3.1. Stress Distribution Patterns</p>
      <sec id="sec-2-1">
        <title>The finite element analysis (FEA) conducted under verti</title>
        <p>cal loading conditions revealed distinct stress distribution
patterns in the 3D-printed dental crown. Utilizing the
von Mises stress criterion [41, 42], the analysis
identiifed areas of high stress concentration, primarily at the
cusp tips and the central fossa region of the crown. •
Stress Concentrations: Under a vertical load of 600
N, stress was predominantly concentrated at the
mesiobuccal cusp tip. The maximum von Mises stress recorded
was approximately 136.3 MPa as shown in Figure (4). This
high-stress concentration at the cusp tips indicates that
these areas are critical points that bear the highest loads
during normal mastication, making them susceptible to
potential stress-induced failures.</p>
        <p>The stress contour plots visually demonstrate the
regions where the material is most likely to experience
failure, emphasizing the importance of these findings in
optimizing the design of dental crowns to enhance their
durability.
3.2. Deformation Analysis
The deformation analysis provided additional insights
into the structural integrity of the 3D-printed dental
crown under the applied load. The results indicated that
the deformation patterns closely followed the stress
distribution, with the highest deformation observed at the
same critical regions identified in the stress analysis. The
deformation distribution under a vertical load scenario
shows that the highest deformation occurs at the cusp
tips, particularly the mesio-buccal cusp tip, and the
central fossa. Maximum Deformation, vertical load scenario
resulted in a maximum deformation value of 0.02653 mm
as shown in Figure (5).</p>
        <p>This value is within the acceptable range for
dental restorations, indicating that the crown can
withstand functional loads while maintaining its structural
integrity.</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>4. Discussion</title>
      <p>analysis as illustrated in Figure (6) showed that the SLA
resin crowns have elevated stress concentrations,
espeThe current study was aimed at conducting finite element cially at the cusp tips, compared to zirconia and ceramic.
analysis to examine the mechanical behavior of SLA resin The maximum registered stress for SLA resin was 136.3
3D-printed dental crowns under a vertical loading con- MPa, as opposed to 65.0 MPa for zirconia and 70.0 MPa for
dition. Important results can be derived by this means ceramic. These results indicated that SLA resin crowns
regarding the patterns of stress distribution and deforma- might have a higher tendency for specific areas of
stresstion, which could possibly be predicted due to this new related failures, and therefore the optimization of design
manufacturing way, in order to make possible further im- was required in order to ensure their durability.
provements on such a material. Comparison with Past Deformation Analysis: From Figure (7) can be
obStudies: In this section, the current results are compared served that the deformation study revealed that the
maxin detail with the findings from past studies for diferent imum deformation of SLA resin crowns was 0.02653 mm,
crown materials such as zirconia and ceramic. The quan- lower than that found for zirconia at 0.030 mm, followed
tities of importance for the stress and deformation from by ceramic at 0.035 mm. This indicates that stress
concenthese comparisons are listed in Table 1. trations are higher and deformation is lower in loading
Implications of Stress Results: The von Mises stress conditions for SLA resin crowns within clinically
accept</p>
    </sec>
    <sec id="sec-4">
      <title>5. Conclusion</title>
      <p>This study presents a comprehensive finite element
analysis (FEA) of SLA resin 3D-printed dental crowns under
vertical loading conditions, revealing key insights into
their mechanical behavior. The analysis indicates that
while SLA resin crowns show promising potential for
60–66</p>
      <p>
        Key Findings
Higher stress at cusp tips, moderate
deformation
Lower stress concentration, high
durability
Balanced stress distribution,
suitable for crowns
Reference
This Study
Yoon et al. [
        <xref ref-type="bibr" rid="ref21">33</xref>
        ]
Porojan
Topală, [
        <xref ref-type="bibr" rid="ref20">32</xref>
        ]
and
dental restorations, there are notable areas for
improvement, especially when compared to traditional materials
like zirconia and ceramic.
      </p>
      <p>• Important Findings:
1. Stress Distribution: From the von Mises stress
analysis, it has been revealed that increased levels of stresses
occurred at the cusp tips in the SLA resin crowns, with
a maximum of around 136.3 MPa. This is indeed much
higher in comparison with those observed for zirconia
and ceramic crowns, respectively, the value indicating a
much higher susceptibility to stress-induced failures of
the SLA resin crowns</p>
      <p>2. Patterns of Deformation: The highest deformation
that was recorded on SLA resin crowns was 0.02653 mm,
which was just slightly lower when compared with that
from both zirconia and ceramic crowns, again confirming
the fact that SLA resin crowns can withstand the dynamic
behavior of forces applied during normal functioning of
the system.</p>
      <p>• Future Research Directions , Future research
should aim to: Explore New Materials: Investigate
advanced photopolymerizable resins with superior
mechanical properties to reduce stress and deformation.
Optimize Printing Parameters: Study the efects of diferent
printing parameters, such as layer thickness and
orientation, on the mechanical properties of 3D-printed crowns.
Conduct Long-term Clinical Studies: Perform long-term
clinical trials to validate the in-vivo performance of SLA
resin crowns and their suitability for permanent
restorations. In conclusion, while SLA resin crowns ofer a viable
solution for dental restorations, particularly for
temporary and provisional applications, further optimization
in design and material properties is essential.
Continued research and development in additive manufacturing
technologies will be crucial in advancing the clinical
efectiveness and durability of 3D-printed dental prostheses.</p>
    </sec>
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