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. 2022 Mar 29;55(Suppl 2):471–494. doi: 10.1111/iej.13722

TABLE 2.

Characteristics of included studies assessing the load capacity of root‐filled teeth using finite element analysis

Year Author Type of access cavities Tooth type Single/Multiple loading points Load magnitude in total Load direction Stress parameters With experiments Results
2020 Wang et al. (2020) Conservative & traditional Maxillary first molar Multiple, four 800 N Vertical Maximum principal stress No Conservative endodontic cavity significantly reduced the concentration of tensile stress of dentine.
2020 Saber et al. (2020) Conservative & traditional & truss Mandibular first molar Multiple 250 N Vertical/oblique Von Mises No

Conservative and truss endodontic cavity designs had higher stress concentrated at the cervical line under oblique loading.

The highest VM stress was recorded for the conservative access design.

2020 Franco et al. (2020) Conservative & conventional Maxillary first premolar Multiple, two 100 N Vertical/oblique Displacement tensile stress No Conventional cavities presented higher displacement tensile stress.
2020 Guler (2020) Ultraconservative & traditional Maxillary first molar Single 480 N, 240 N Vertical/oblique Von Mises No Ultraconservative cavities had higher maximum von Mises stresses than conventional ones.
2019 Zhang et al. (2019) Conservative & modified & traditional Maxillary first molar Multiple (four points) 800 N Vertical Von Mises & maximum principal stress No The fracture resistance of an endodontically treated tooth was increased by preparing the conservative endodontic cavity.
2019 Roperto et al. (2019) Conservative & traditional Maxillary first premolar Single 100 N Oblique Von Mises With fracture test No significant differences in the fracture resistance among different endodontic cavity designs.
2018 Jiang et al. (2018) Conservative & traditional & extended Maxillary first molar Single & Multiple (four points) 800 N, 225 N Vertical/oblique Von Mises No Conservative access cavity reduced stress concentration on pericervical dentine.
2018 Allen et al. (2018) Minimally invasive & straight‐line Mandibular first molar Multiple 100 N Vertical/oblique Von Mises No A traditional endodontic access cavity may render a tooth more susceptible to fracture compared with an minimally invasive access design.
2016 Yuan et al. (2016) Minimally invasive & straight‐line Mandibular first molar Single 250 N Vertical/oblique Von Mises No Minimally invasive access preparation reduced the stress distribution in crown and cervical regions.