Nonlinear finite element contact analysis is used to mathematically estimate stress and strain in a time- and status-dependent mechanical model. However, the benefits and limitations of this method have not been thoroughly examined. The current review summarizes the utility of contact analysis in characterizing individual stressors: (1) tooth-to-tooth contact, (2) restorative interface, and (3) bone-implant integration. Opposing tooth contact, friction, and sliding phenomena were simulated to estimate stress distribution and assess the failure risk for tooth enamel, composite, and ceramic restorations. Mechanical tests such as the flexural tests were simulated with the contact analysis to determine the rationale underlying experimental findings. The tooth-restoration complex was modeled with interface contact elements that simulate imperfect bonding, and the normal and tangential stresses were calculated to predict failure progression. Previous studies have used a friction coefficient to represent osseointegration adjacent to dental implants, but the relationship between interface friction and the bone quality is unknown. An understanding of the local stress and strain may better predict loss of osseointegration, however, the effective stress as a critical contributor to bone degradation and formation has not been established. Contact analysis provides numerous benefits for dental and oral health sciences, however, a fundamental understanding and improved methodology are necessary.
Although three-dimensional (3D) printing is clinically convenient to fabricate occlusal splints, it is still unclear how the post-curing method and the printer type can affect 3D-printed splints. This study aimed to evaluate the effect of stroboscopic post-curing at a nitrogen gas (N2) atmosphere versus post-curing in an air atmosphere, as well as the printer type (liquid crystal display (LCD) and digital light processing (DLP)) on the mechanical properties of a 3D-printed hard-type occlusal splint material. Flexural strength, flexural modulus, Vickers hardness number (VHN), fracture toughness, degree of double bond conversion (DC), 3D microlayer structure, water sorption, and water solubility were evaluated. The post-curing method significantly affected all evaluated properties except fracture toughness and 3D microlayer structure, while the printer type significantly affected all evaluated properties except flexural strength and flexural modulus. VHN and DC were significantly higher, and the smoother surface was noticeably obtained when printed by LCD printer and post-cured at an N2 atmosphere. The current results suggested that the post-curing method and the printer type would play a role in the mechanical properties of the evaluated material and that the combination of post-curing at an N2 atmosphere and LCD printer could enhance its mechanical properties and surface smoothness.