{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T16:38:10Z","timestamp":1793032690737,"version":"4.5.0"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T00:00:00Z","timestamp":1792972800000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dentistry"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jdent.2026.107132","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:07:06Z","timestamp":1792796826000},"page":"107132","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preparation design and connector geometry influence the mechanical behavior of additively manufactured periodontal splints"],"prefix":"10.1016","author":[{"given":"Ines","family":"BITRI","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"NASR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"VAYSSE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"DUSSEAU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc","family":"RAYNALDY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"LAURENCIN-DALICIEUX","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0049-7622","authenticated-orcid":false,"given":"Thibault","family":"CANCEILL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6351-7945","authenticated-orcid":false,"given":"Charlotte","family":"THOMAS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jdent.2026.107132_bib0001","doi-asserted-by":"crossref","DOI":"10.1111\/jcpe.12946","article-title":"Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontitis","volume":"45","author":"Papapanou","year":"2018","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0002","doi-asserted-by":"crossref","DOI":"10.1002\/JPER.18-0006","article-title":"Staging and grading of periodontitis: Framework and proposal of a new classification and case definition","volume":"89","author":"Tonetti","year":"2018","journal-title":"J. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0003","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jcpe.13290","article-title":"EFP Workshop Participants and Methodological Consultants, Treatment of stage I\u2013III periodontitis\u2014The EFP S3 level clinical practice guideline","volume":"47","author":"Sanz","year":"2020","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0004","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jcpe.13639","article-title":"EFP Workshop Participants and Methodological Consultant, Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline","volume":"49","author":"Herrera","year":"2022","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2026.106529","article-title":"Evaluation of the 5-year clinical efficacy of cross-arch fixed dental prostheses as periodontal splints on periodontal tissue stability","volume":"167","author":"Wu","year":"2026","journal-title":"J. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0006","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/jcpe.13482","article-title":"Efficacy and risks of tooth-supported prostheses in the treatment of partially edentulous patients with stage IV periodontitis. A systematic review and meta-analysis","volume":"49","author":"Montero","year":"2022","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0007","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1111\/j.1600-051X.2009.01528.x","article-title":"Long-term outcomes for cross-arch stabilizing bridges in periodontal maintenance patients \u2013 a retrospective study","volume":"37","author":"Fardal","year":"2010","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0008","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s00784-012-0681-9","article-title":"Maxillary rehabilitation of periodontally compromised patients with extensive one-piece fixed prostheses supported by natural teeth: a retrospective longitudinal study","volume":"17","author":"Heschl","year":"2013","journal-title":"Clin. Oral Investig."},{"key":"10.1016\/j.jdent.2026.107132_bib0009","doi-asserted-by":"crossref","first-page":"2883","DOI":"10.1016\/j.jbiomech.2014.07.023","article-title":"Finite element simulation of the behavior of the periodontal ligament: A validated nonlinear contact model","volume":"47","author":"Tuna","year":"2014","journal-title":"J. Biomech."},{"key":"10.1016\/j.jdent.2026.107132_bib0010","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.jobcr.2025.01.011","article-title":"Finite element stress analysis to evaluate and compare the effect of splinting in periodontally compromised teeth having 55 % bone loss with different materials","volume":"15","author":"Joshi","year":"2025","journal-title":"J. Oral Biol. Craniofacial Res."},{"key":"10.1016\/j.jdent.2026.107132_bib0011","doi-asserted-by":"crossref","DOI":"10.11607\/prd.1899","article-title":"Stress Distribution in Reduced Periodontal Supporting Tissues Surrounding Splinted Teeth","volume":"34","author":"Kurgan","year":"2014","journal-title":"Int. J. Periodontics Restorative Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0012","doi-asserted-by":"crossref","first-page":"278","DOI":"10.12968\/denu.2000.27.6.278","article-title":"Periodontal Splinting in General Dental Practice","volume":"27","author":"Watkins","year":"2000","journal-title":"Dent. Update"},{"key":"10.1016\/j.jdent.2026.107132_bib0013","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.jdent.2011.09.012","article-title":"Pilot study of unidirectional E-glass fibre-reinforced composite resin splints: Up to 4.5-year clinical follow-up","volume":"39","author":"Kumbuloglu","year":"2011","journal-title":"J. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0014","first-page":"67","article-title":"Rehabilitation of advanced periodontal problems by using a combination of a glass fiber-reinforced composite resin bridge and splint","volume":"10","author":"Kumbuloglu","year":"2008","journal-title":"J. Adhes. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0015","doi-asserted-by":"crossref","first-page":"522","DOI":"10.11607\/ijp.4845","article-title":"Four-Year Clinical Evaluation of GFRC-RBFPDs as Periodontal Splints to Replace Lost Anterior Teeth","volume":"29","author":"Li","year":"2016","journal-title":"Int. J. Prosthodont."},{"key":"10.1016\/j.jdent.2026.107132_bib0016","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmbbm.2023.105873","article-title":"Effect of splinting material type and location on resistance against deflection force of splinted periodontally compromised teeth with hypermobility","volume":"142","author":"Wada","year":"2023","journal-title":"J. Mech. Behav. Biomed. Mater."},{"key":"10.1016\/j.jdent.2026.107132_bib0017","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.prosdent.2018.02.020","article-title":"Digital tools and 3D printing technologies integrated into the workflow of restorative treatment: A clinical report","volume":"121","author":"Revilla-Le\u00f3n","year":"2019","journal-title":"J. Prosthet. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0018","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1111\/jopr.12801","article-title":"Additive Manufacturing Technologies Used for Processing Polymers: Current Status and Potential Application in Prosthetic Dentistry","volume":"28","author":"Revilla-Le\u00f3n","year":"2019","journal-title":"J. Prosthodont."},{"key":"10.1016\/j.jdent.2026.107132_bib0019","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1111\/jerd.13026","article-title":"Digital workflow for periodontal splinting with a guided device","volume":"35","author":"Liu","year":"2023","journal-title":"J. Esthet. Restor. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0020","first-page":"67","article-title":"Influence of Connector Width on the Stress Distribution of Posterior Bridges under Loading","volume":"8","author":"Rezaei","year":"2011","journal-title":"J. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0021","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/jopr.12003","article-title":"Fracture Strength of Yttria-Stabilized Zirconium-Dioxide (Y-TZP) Fixed Dental Prostheses (FDPs) with Different Abutment Core Thicknesses and Connector Dimensions","volume":"22","author":"Ambr\u00e9","year":"2013","journal-title":"J. Prosthodont."},{"key":"10.1016\/j.jdent.2026.107132_bib0022","doi-asserted-by":"crossref","first-page":"3468","DOI":"10.3390\/ma18153468","article-title":"Fracture Resistance of 3D-Printed Fixed Partial Dentures: Influence of Connector Size and Materials","volume":"18","author":"Verniani","year":"2025","journal-title":"Materials"},{"key":"10.1016\/j.jdent.2026.107132_bib0023","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1016\/S0022-3913(99)70103-4","article-title":"Clinically relevant approach to failure testing of all-ceramic restorations","volume":"81","author":"Kelly","year":"1999","journal-title":"J. Prosthet. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0024","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4047\/jap.2023.15.4.171","article-title":"Effect of connector configuration on the fracture load in conventional and translucent zirconia three-unit fixed dental prostheses","volume":"15","author":"Subsomboon","year":"2023","journal-title":"J. Adv. Prosthodont."},{"key":"10.1016\/j.jdent.2026.107132_bib0025","series-title":"Resin-Bonded Fixed Dental Prostheses: Minimally invasive - esthetic - reliable,","author":"Kern","year":"2019"},{"key":"10.1016\/j.jdent.2026.107132_bib0026","first-page":"141","article-title":"Clinical long-term survival of two-retainer and single-retainer all-ceramic resin-bonded fixed partial dentures","volume":"36","author":"Kern","year":"2005","journal-title":"Quintessence Int"},{"key":"10.1016\/j.jdent.2026.107132_bib0027","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/864389","article-title":"Three-Dimensional Finite Element Analysis of Anterior Two-Unit Cantilever Resin-Bonded Fixed Dental Prostheses","volume":"2015","author":"Keulemans","year":"2015","journal-title":"Sci. World J."},{"key":"10.1016\/j.jdent.2026.107132_bib0028","doi-asserted-by":"crossref","first-page":"2835","DOI":"10.3390\/polym14142835","article-title":"Effects of Periodontal Splints on Biomechanical Behaviors in Compromised Periodontal Tissues and Cement Layer: 3D Finite Element Analysis","volume":"14","author":"Liu","year":"2022","journal-title":"Polymers"},{"key":"10.1016\/j.jdent.2026.107132_bib0029","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1067\/mpr.2002.123850","article-title":"Effect of connector design on the fracture resistance of all-ceramic fixed partial dentures","volume":"87","author":"Oh","year":"2002","journal-title":"J. Prosthet. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0030","doi-asserted-by":"crossref","first-page":"65","DOI":"10.2209\/tdcpublication.2015-0034","article-title":"Effect of Connector Design on Fracture Resistance in Zirconia-based Fixed Partial Dentures for Upper Anterior Region","volume":"57","author":"Ogino","year":"2016","journal-title":"Bull. Tokyo Dent. Coll."},{"key":"10.1016\/j.jdent.2026.107132_bib0031","doi-asserted-by":"crossref","DOI":"10.1016\/j.prosdent.2024.01.033","article-title":"Effect of connector height and retainer occlusal thickness on the fracture resistance of posterior 4-unit monolithic 5Y-TZP fixed partial dentures after thermomechanical aging","volume":"131","author":"ElShamoty","year":"2024","journal-title":"J. Prosthet. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0032","first-page":"97","article-title":"Evaluation and comparison of stress distribution around periodontally compromised mobile teeth splinted with different materials: Three-dimensional finite element analysis","volume":"30","author":"Durrani","year":"2019","journal-title":"Indian J. Dent. Res. Off. Publ. Indian Soc. Dent. Res."},{"key":"10.1016\/j.jdent.2026.107132_bib0033","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s10856-006-0661-1","article-title":"Engineering long term clinical success of advanced ceramic prostheses","volume":"18","author":"Rekow","year":"2007","journal-title":"J. Mater. Sci. Mater. Med."},{"key":"10.1016\/j.jdent.2026.107132_bib0034","doi-asserted-by":"crossref","DOI":"10.1155\/ijod\/7119673","article-title":"Maintenance of Periodontally Compromised Teeth Using Periodontal Splints","volume":"2025","author":"Golob Deeb","year":"2025","journal-title":"Int. J. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0035","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.jpor.2018.12.003","article-title":"Influence of elastic modulus mismatch between dentin and post-and-core on sequential bonding failure","volume":"63","author":"Teshigawara","year":"2019","journal-title":"J. Prosthodont. Res."},{"key":"10.1016\/j.jdent.2026.107132_bib0036","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0295582","article-title":"Biomechanical performance of resin composite on dental tissue restoration: A finite element analysis","volume":"18","author":"Ouldyerou","year":"2023","journal-title":"PLOS ONE"},{"key":"10.1016\/j.jdent.2026.107132_bib0037","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/S0003-9969(00)00089-3","article-title":"Mechanical properties of human dental enamel on the nanometre scale","volume":"46","author":"Habelitz","year":"2001","journal-title":"Arch. Oral Biol."},{"key":"10.1016\/j.jdent.2026.107132_bib0038","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1016\/j.dental.2009.06.014","article-title":"Determination of the elastic\/plastic transition of human enamel by nanoindentation","volume":"25","author":"Ang","year":"2009","journal-title":"Dent. Mater."},{"key":"10.1016\/j.jdent.2026.107132_bib0039","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1177\/154411130301400103","article-title":"The mechanical properties of human dentin: a critical review and re-evaluation of the dental literature","volume":"14","author":"Kinney","year":"2003","journal-title":"Crit. Rev. Oral Biol. Med. Off. Publ. Am. Assoc. Oral Biol."},{"key":"10.1016\/j.jdent.2026.107132_bib0040","doi-asserted-by":"crossref","first-page":"580","DOI":"10.3390\/polym18050580","article-title":"Finite Element Analysis in Polymer-Based Adhesive Dental Restorations: A Narrative Review on Material Behavior, Methodological Validity, and Clinical Relevance","volume":"18","author":"Aliberti","year":"2026","journal-title":"Polymers"},{"key":"10.1016\/j.jdent.2026.107132_bib0041","doi-asserted-by":"crossref","first-page":"185","DOI":"10.14219\/jada.archive.2004.0150","article-title":"In vivo versus in vitro microtensile bond strength of axial versus gingival cavity preparation walls in Class II resin-based composite restorations","volume":"135","author":"Purk","year":"2004","journal-title":"J. Am. Dent. Assoc."},{"key":"10.1016\/j.jdent.2026.107132_bib0042","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.prosdent.2023.01.037","article-title":"Polyetherketoneketone, a high-performance polymer for splinting mobile teeth: A clinical report","volume":"133","author":"Qian","year":"2025","journal-title":"J. Prosthet. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0043","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2025.105701","article-title":"Additively manufactured zirconia periodontal splint integrated prosthesis: A proof-of-concept","volume":"156","author":"Wang","year":"2025","journal-title":"J. Dent."},{"key":"10.1016\/j.jdent.2026.107132_bib0044","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1111\/jcpe.13511","article-title":"Efficacy of rehabilitation of stage IV periodontitis patients with full-arch fixed prostheses: Tooth-supported versus Implant-supported\u2014A systematic review","volume":"49","author":"Tomasi","year":"2022","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.107132_bib0045","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.jdent.2018.10.009","article-title":"Long-term survival and maintenance efforts of splinted teeth in periodontitis patients","volume":"80","author":"Graetz","year":"2019","journal-title":"J. Dent."}],"container-title":["Journal of Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0300571226008018?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0300571226008018?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T16:00:48Z","timestamp":1793030448000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0300571226008018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":45,"alternative-id":["S0300571226008018"],"URL":"https:\/\/doi.org\/10.1016\/j.jdent.2026.107132","relation":{},"ISSN":["0300-5712"],"issn-type":[{"value":"0300-5712","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Preparation design and connector geometry influence the mechanical behavior of additively manufactured periodontal splints","name":"articletitle","label":"Article Title"},{"value":"Journal of Dentistry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jdent.2026.107132","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"107132"}}