scholarly journals Could different direct restoration techniques affect interfacial gap and fracture resistance of endodontically treated anterior teeth?

2021 ◽  
Author(s):  
Allegra Comba ◽  
Andrea Baldi ◽  
Carlo Massimo Saratti ◽  
Giovanni Tommaso Rocca ◽  
Carlos Rocha Gomes Torres ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Micro Ct ◽  
Class Iii ◽  
Fiber Post ◽  
Direct Restoration ◽  
Luting Cement ◽  
Restoration Techniques ◽  
Group A ◽  
Cavity Design ◽  
Interfacial Gap

Abstract Objectives To evaluate different direct restoration techniques on various cavity designs in anterior endodontically treated teeth (ETT). Materials and methods Ninety upper central incisors (n = 90) were selected, endodontically treated, and divided into three groups (n = 30) accordingly to the cavity design: minimal endodontic cavity access (group A), endodontic access + mesial class III cavity (group B), and endodontic access + two class III cavities (group C). Three subgroups (n = 10) were then created accordingly to the restoration technique: nano hybrid composite restoration (subgroup a), glass fiber post + dual-cure luting cement (subgroup b), and bundled glass fiber + dual-cure luting cement (subgroup c). Samples underwent micro-CT scan, chewing simulation, and a second micro-CT scan. 3D quantification (mm3) of interfacial gap progression was performed; then, samples underwent fracture resistance test. Data were statistically analyzed setting significance at p < 0.05. Results Groups A and B showed significantly lower interfacial gap progression compared with group C. Subgroup b performed significantly better compared with subgroups a and c. Improved fracture strength was reported for group C compared with group A, while both subgroups b and c performed better than subgroup a. Conclusions Cavity design significantly influenced interfacial gap progression and fracture resistance. Fiber posts significantly lowered gap progression and improved fracture resistance while bundled fibers only increased fracture resistance. A significant reduction of non-repairable fractures was recorded when fibers were applied. Clinical relevance A minimally invasive approach, conserving marginal crests, should be applied whenever possible. Inserting a fiber post is indicated when restoring anterior ETT, in order to reduce gap progression, improve fracture resistance, and avoid catastrophic failures.

scholarly journals External Marginal Gap Variation and Residual Fracture Resistance of Composite and Lithium-Silicate CAD/CAM Overlays after Cyclic Fatigue over Endodontically-Treated Molars

Polymers ◽  
2021 ◽  
Vol 13 (17) ◽  
pp. 3002
Author(s):  
Andrea Baldi ◽  
Allegra Comba ◽  
Riccardo Michelotto Tempesta ◽  
Massimo Carossa ◽  
Gabriel Kalil Rocha Pereira ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Composite Resin ◽  
Cyclic Fatigue ◽  
Lithium Silicate ◽  
Restorative Material ◽  
Micro Ct ◽  
Fiber Post ◽  
Marginal Gap ◽  
The Core ◽  
Interfacial Gap

The purpose of this in vitro study was to evaluate the external marginal gap variation with a 3D quantitative method and the residual fracture resistance after cyclic fatigue in endodontically treated molars restored with overlays of different materials, with and without fiber posts-supported buildups. Forty-eight human maxillary molars were selected, endodontically treated, prepared with standardized MOD cavities and randomly allocated into 6 study groups considering the “core strategy” (build-up with composite resin; build-up with composite resin supported by a fiber post); and the “restorative material” of the indirect adhesive overlay (GrandioBlocks, Voco; Cerasmart, GC; CeltraDuo, Dentsply). All procedures were executed according with manufacturers guidelines. Micro-CT analysis prior and after cyclic fatigue were executed, followed by scanning electron microscope analysis and fracture resistance test. The Two-Way ANOVA analysis showed that interfacial gap progression was significantly influenced by the “core strategy” (p < 0.01) but not of “restorative material” (p = 0.59). Concerning fracture resistance, “restorative material” was statistically significant (p < 0.01), while “core strategy” (p = 0.63) and the interaction (p = 0.84) were not. In conclusion, the fiber post presence within the build-up promoted a lower interfacial gap opening after fatigue, evaluated through micro-CT scans. In terms of fracture resistance, teeth restored with Cerasmart and Celtra Duo were statistically similar, but superior to GrandioBlocks.

Influence of Different Diameters and Materials of Posts on the Fracture Resistance of Endodontically Treated Teeth

2014 ◽  
Vol 633 ◽  
pp. 286-289
Author(s):  
Li Xian Zhang ◽  
Yu Xiao Liu ◽  
Ya Li Liu ◽  
Qiong Rong
Keyword(s):  
Fracture Resistance ◽  
Resistance Testing ◽  
Fiber Post ◽  
Endodontically Treated Teeth ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Different Diameters ◽  
Group D ◽  
Titanium Post

Objective: To evaluate the fracture resistance of endodontically treated teeth reinforced with cast titanium posts and prefabricated glass-fiber posts with different diameters. Materials and Methods: 50 recently extracted human maxillary central incisors were endodontically treated and randomly divided into 5 groups of 10 specimens each: Group A: 1.35mm diameter of cast titanium post; Group B: 1.5mm diameter of cast titanium post; Group C: 1.375mm diameter of prefabricated fiber post; Group D: 1.5mm diameter of prefabricated fiber post; Group E: resin restoration. All specimens were subjected to fracture resistance testing in a universal testing machine, statistical analysis was performed and the fracture modes were analyzed. Results: The mean fracture resistance of five groups as follows: 404.22±73.92N for group A, 488.17±78.68N for group B, 280.32±45.23N for group C, 317.53±50.87N for group D, 222.76±38.67N for group E. The fracture resistance of restored teeth between group C and group D had no significant difference (P>0.05). The fracture resistance of the rest pairwise group comparisons had significant difference (P<0.05). Most of cast post samples fractured at the root middle or apical portion, while most of the fiber post samples fractured at the root cervical or post fracture, which could be retreated. Conclusion: Human maxillary central incisors restored with cast posts could bear higher fracture load and fiber post could protect the root from fracture preferably.

scholarly journals A Comparative Assessment of Orthodontic Treatment Outcomes of Mild Skeletal Class III Malocclusion Between Facemask and Facemask in Combination with a Miniscrew For Anchorage in Growing Patients: A Single-center, Prospective Randomized Controlled trial

2019 ◽  
Vol 90 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masahiro Seiryu ◽  
Hiroto Ida ◽  
Atsushi Mayama ◽  
Satoshi Sasaki ◽  
Shutaro Sasaki ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Controlled Trial ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Randomized Controlled ◽  
Group 12 ◽  
Prospective Randomized Controlled Trial ◽  
Group A ◽  
Negative Side Effects

ABSTRACT Objectives To investigate the hypothesis that there is difference in the treatment outcomes of milder skeletal Class III malocclusion between facemask and facemask in combination with a miniscrew in growing patients. Materials and Methods Patients were randomly divided into two groups. In one group, the patients were treated with facemask therapy (FM group: 12 males, eight females, average age: 10 years, 5 months ± 1 year, 8 months). In the other group, patients were treated with facemask therapy along with a miniscrew (FM+MS group: 12 males, seven females, average age: 11 years, 1 month ± 1 year, 3 months). A lingual arch with hooks was fixed to the maxillary arch in both groups and a protractive force of 500 g was applied from the facemask to the hooks. The patients were instructed to use the facemask for 12 hours per day. In the FM+MS group, a miniscrew was inserted into the palate and fixed to the lingual arch. Results Mobility and loosening of the miniscrew were not observed during treatment. Lateral cephalometric analysis showed that SNA, SN-ANS, and ANB values were significantly increased in the FM+MS group compared with those for the FM group (SNA, 1.1° SN-ANS, 1.3° ANB, 0.8°). Increase in proclination of maxillary incisors was significantly greater in the FM group than in the FM+MS group (U1-SN, 5.0°). Conclusions During treatment of milder skeletal Class III malocclusion, facemask therapy along with a miniscrew exhibits fewer negative side effects and delivers orthopedic forces more efficiently to the maxillary complex than facemask therapy alone.

scholarly journals Micro-CT and Microscopy Study of Internal and Marginal Gap to Tooth Surface of Crenelated versus Conventional Dental Indirect Veneers

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 772
Author(s):  
Alexandra-Cristina Măroiu ◽  
Cosmin Sinescu ◽  
Virgil-Florin Duma ◽  
Florin Topală ◽  
Anca Jivănescu ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Tooth Surface ◽  
Characteristic Functions ◽  
The Novel ◽  
Micro Ct ◽  
Marginal Gap ◽  
Luting Cement ◽  
Computer Aided ◽  
Internal Adaptation ◽  
Internal Gap

1. Background and Objectives: Ceramic veneers represent the most appropriate treatment option for minimally invasive aesthetic rehabilitation. For long-term clinical success, the accurate marginal and internal adaptation of dental restorations are of paramount importance. The aim of this in vitro study is to assess the effect of a novel (patented) design of veneers compared to conventional ones on their marginal and internal gap to the prepared tooth surface. 2. Materials and Methods: Twenty-four lithium disilicate ceramic veneers are obtained using Computer-Aided-Design (CAD) and then milled using Computer-Aided-Manufacturing (CAM). The samples are divided into two groups: 12 conventional (CO) veneers (i.e., with a linear marginal contour) and 12 crenelated (CR) veneers, the latter with the novel sinusoidal marginal design. All samples are bonded to frontal teeth, and the adhesive interfaces are analyzed using two methods, optical microscopy and micro-Computed Tomography (CT): the former for the accuracy of the marginal gap and the latter for the internal gap (as well as for the homogeneity of the luting cement) of ceramic veneers. 3. Results: STATA and one-way ANOVA tests reveal significant differences between CO and CR veneers: (i) the marginal gap is smaller for CR (64 μm) than for CO veneers (236 μm); (ii) the internal adaptation is better for CR veneers: for a cement width of up to 120 μm, the covered surface for the CR group is 81.5%, while for the CO group it is 64.5%; (iii) the mean of the porosities within the cement is not significantly different (3.4 × 106 μm3 for CO and 3.9 × 106 μm3 for CR veneers), with a higher standard deviation for the CO group. Analytical modeling is achieved for internal gaps using the micro-CT results. The characteristic functions obtained allow us to compare the volume of luting cement for the two types of veneers. 4. Conclusion: The novel veneers design produces an improvement in the marginal and internal adaptation of the restorations to the prepared tooth surface. Thus, it provides favorable premises for better clinical performances.

scholarly journals Comparative Evaluation of Fracture Resistance of Endodontically Treated Teeth Restored with Resin Fiber Post and Stainless Steel Post: An In Vitro Study

2015 ◽  
Vol 03 (02) ◽  
pp. 080-084
Author(s):  
Vijay Singh ◽  
Poonam Bogra ◽  
Saurabh Gupta ◽  
Navneet Kukreja ◽  
Neha Gupta
Keyword(s):  
Stainless Steel ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Compressive Force ◽  
Control Group ◽  
Fiber Post ◽  
Endodontically Treated Teeth ◽  
Group I ◽  
Significant Difference

AbstractFracture resistance of endodontically treated teeth restored with post. Aims: This study aims to compare the fracture resistance of endodontically treated teeth restored with resin fiber and stainless steel post. Commercially available prefabricated resin fiber post(Dentsply Maillefer Easy Post), prefabricated stainless steel post(Coltene/Whaledent Parapost) were used. Methods and Material: Forty five maxillary central incisors were obturated and divided into 3 groups: Control Group (Group I) without any post (n = 15), Resin Fiber Post Group (Group II) (n = 15) and Stainless Steel Post Group (Group III) (n = 15). In all Groups except control group, post space was prepared; a post was cemented, and a core build-up was provided. All the specimens were subjected to compressive force under a universal testing machine until fracture. Statistical analysis used: The results were analyzed using the variable analysis test (ANOVA). Results: One-way analysis of variance revealed significant difference among test groups. The control group demonstrated highest fracture resistance (925.2183 N), followed by the resin fiber post group (486.7265 N) and stainless steel post group (423.539N). Conclusions: Teeth restored with resin fiber post showed higher fracture resistance values than prefabricated stainless steel post.

scholarly journals Comparison of Fracture Resistance of Teeth Presenting non-carious Cervical Lesions, Restored with Different Composite Materials

2020 ◽  
Vol 57 (1) ◽  
pp. 299-305
Author(s):  
Ruxandra Margarit ◽  
Livia Alice Tanasescu ◽  
Dana Bodnar ◽  
Camelia Gabriela Ion ◽  
Mihai Burlibasa ◽  
...  
Keyword(s):  
Composite Materials ◽  
Fracture Resistance ◽  
Mean Value ◽  
P Value ◽  
Cervical Lesions ◽  
Nano Composite ◽  
Commercial Grade ◽  
Different Types ◽  
Group A ◽  
Group B

The aim of our study was to compare the fracture resistance of teeth presenting non-carious cervical lesions restored with different types of esthetic composite materials. 20 extracted unspoiled maxillary first molars were mechanically cleaned and immersed in saline solution containing 0.1% thymol at 4�C for a period of 48 hours. Cervical cavities with a cervical-occlusal diameter of 2 mm and a mesial-distal diameter of 3mm were filled with ormocer, flow nano-composite, nano-composite and compomer. Fracture resistance was tested with a universal loading machine (Lloyd Instruments), with a maximum force of 5 kN and a crosshead speed of 1.0 mm/min; the authors used NEXYGEN Data Analysis Software and ANOVA method. For the group A (commercial grade ormocer), the smallest load that determined the sample failure was 650 N and the highest load was 1050 N, the mean value being 858 N � 150.89 N. For the group B (commercial grade flow nano-composite), the smallest load is 530 N, the highest load is 800 N, mean value being 654 N � 112.6 N. For the group C (commercial grade nano-composite), the smallest load is 680 N, the highest load is 1200 N, mean value being 926 N � 209.35 N. For the group D (commercial grade compomer), the smallest load is 1100 N, highest load is 1250N, mean value being 1180 N � 62.04 N. A p value of 0.000311 (p[0.05) shows that there are significant differences between the four groups. Conclusions. The best fracture resistance of teeth presenting non-carious cervical lesions, restored with different types of esthetic composite materials is assured by the compomer, followed by the nano-composite, which proved to be superior to ormocer. The flow nano-composite gives the lowest fracture resistance.

scholarly journals Fracture Resistance in Non-Vital Teeth: Absence of Interproximal Ferrule and Influence of Preparation Depth in CAD/CAM Endocrown Overlays—An In Vitro Study

Materials ◽  
2022 ◽  
Vol 15 (2) ◽  
pp. 436
Author(s):  
Lucía Barallat ◽  
María Arregui ◽  
Sandra Fernandez-Villar ◽  
Blanca Paniagua ◽  
Andrés Pascual-La Rocca
Keyword(s):  
Fracture Strength ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Compressive Force ◽  
Ample Evidence ◽  
Alveolar Crest ◽  
Cad Cam ◽  
Group A ◽  
Group B ◽  
Group D

There is ample evidence to support the use of endocrowns to restore endodontic teeth. However, the influence of the position of the interproximal margins on fracture strength has not yet been studied. The aim was to determine the relationship between the apicocoronal position of the interproximal restorative margins and fracture resistance in nonvital teeth restored with CAD/CAM endocrown overlays. Forty extracted human maxillary premolars were prepared for endocrown overlay restorations without ferrule on the interproximal aspects and classified according to the position of the interproximal restoration margins in relation to the alveolar crest: 2 mm (group A), 1 mm (group B), 0.5 mm (group C), and 0 mm (group D). Fracture strength was measured using a universal testing machine applying a compressive force to the longitudinal tooth axis. Group A had a mean fracture resistance of 859.61 (±267.951) N, group B 1053.9 (±333.985) N, group C 1124.6 (±291.172) N, and group D 780.67 (±183.269) N, with statistical differences between groups. Group C had the highest values for fracture strength compared to the other groups (p < 0.05). The location of the interproximal margins appears to influence the fracture resistance of CAD/CAM endocrown overlays. A distance of 0.5 mm between the interproximal margin and the alveolar crest was associated with increased fracture resistance.

scholarly journals Fracture resistance of simulated immature teeth after apexification with calcium silicate-based materials

2016 ◽  
Vol 10 (02) ◽  
pp. 188-192 ◽  
Author(s):  
Evren Ok ◽  
Mustafa Altunsoy ◽  
Mehmet Tanriver ◽  
Ismail Davut Capar ◽  
Abdussamed Kalkan ◽  
...  
Keyword(s):  
Analysis Of Variance ◽  
Calcium Silicate ◽  
Fracture Resistance ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Control Group ◽  
Fiber Post ◽  
Immature Teeth ◽  
Post Hoc

ABSTRACT Objective: To compare the fracture resistance of simulated immature teeth filled with an apical barrier of mineral trioxide aggregate (MTA), Biodentine, and calcium-enriched mixture (CEM). Materials and Methods: Fifty-two single-rooted human maxillary central incisors were used. For standardization, the teeth were sectioned 6 mm above and 9 mm below the cementoenamel junction to simulate immature apex. Simulations of roots into immature apices were carried out using 1.5 mm diameter drills. The specimens were then randomly divided into three experimental groups (n = 13) and one control group (n = 13). In experimental groups, MTA, Biodentine, and CEM were placed to apical 4 mm of the simulated immature roots. The samples were stored at 37°C and 100% humidity for 1 week. A load was applied on the crown of all teeth at 135° to their long axis until fracture. The data were analyzed using one-way analysis of variance and Tukey post-hoc tests. Results: No statistically significant differences were found among MTA, CEM, and Biodentine (P > 0.05), and these groups demonstrated higher fracture resistance than control group (P < 0.05). Conclusions: Using any of the MTA, Biodentine, and CEM as an apical plug and restoring with fiber post and composite resin increases the fracture resistance of immature teeth.

scholarly journals Evaluation of Two Shaping Systems and Two Ultrasonic Irrigation Devices in Removing Root Canal Filling Material from Mesial Roots of Mandibular Molars: A Micro CT Study

2019 ◽  
Vol 7 (1) ◽  
pp. 2 ◽  
Author(s):  
Marc Krikor Kaloustian ◽  
Walid Nehme ◽  
Claire El Hachem ◽  
Carla Zogheib ◽  
Nabil Ghosn ◽  
...  
Keyword(s):  
Ct Scan ◽  
Filling Material ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Mandibular Molars ◽  
Group A ◽  
Ultrasonic Irrigation ◽  
Group B ◽  
Group D

We assessed the efficiency of two shaping file systems and two passive ultrasonic irrigation (PUI) devices for removing filling material during retreatment. The mesial canals from 44 extracted mandibular molars were prepared and obturated. The teeth were randomly divided into two groups, and then one group was retreated with Reciproc R25 (VDW, Munich, Germany) (n = 44) and the other group was retreated with 2Shape (TS, Micro Mega, Besançon, France) (n = 44). A micro-computed tomography (CT) scan was taken before and after the retreatment to assess the volume of the filling material remnants. The teeth were then randomly divided into four groups to test two different PUI devices: Irrisafe (Satelec Acteon Group, Merignac, France) and Endo Ultra (Vista Dental Products, Racine, WI, USA). The teeth in Group A were retreated with 2Shape to test the Endo Ultra (n = 22) device, the teeth in Group B were retreated with 2Shape in order to test the Irrisafe (n = 22) device, the teeth in Group C were retreated with Reciproc to test the Endo Ultra (n = 22) device, and Group D was retreated with Reciproc to test the Irrisafe (n = 22) device. A third micro-CT scan was taken after the retreatment to test the PUIs. The percentage of Gutta-Percha (GP) and sealer removed was 94.75% for TS2 (p < 0.001) and 89.3% for R25 (p < 0.001). The PUI significantly enhanced the removal of the filling material by 0.76% for Group A (p < 0.001), 1.47% for Group B (p < 0.001), 2.61% for Group C (p < 0.001), and by 1.66% for Group D (p < 0.001). 2Shape was more effective at removing the GP and sealer during retreatment (p = 0.018). The supplementary approach with PUI significantly improved filling material removal, with no statistical difference between the four groups (p = 0.106).

Sign in / Sign up

Export Citation Format

Share Document