Comparative Evaluation of Fracture Resistance under Static and Fatigue Loading of Endodontically Treated Teeth Restored with Carbon Fiber Posts, Glass Fiber Posts, and an Experimental Dentin Post System: An In Vitro Study

Restoring flared endodontically treated teeth continues to be a challenge for clinicians. This study evaluated the effect of post types and restorative techniques on the strain, fracture resistance, and fracture mode of incisors with weakened roots. One hundred five endodontically treated bovine incisors roots (15 mm) were divided into 7 groups (n=15). The two control groups were (C) intact roots restored with Cpc (cast posts and core) or Gfp (glass fiber posts). The five experimental groups were (F) flared roots restored with GfpAp (Gfp associated with accessory glass fiber posts), GfpRc (anatomic Gfp, relined with composite resin), and GfpRcAp (anatomized Gfp with resin and accessory glass fiber posts). All teeth were restored with metal crowns. Mechanical fatigue was performed with 3x10(5)/50 N. Specimens were loaded at 45º, and the strain values (μS) were obtained on root buccal and proximal surfaces. Following that, the fracture resistance (N) was measured. One-way ANOVA and Tukey's HSD tests (α=0.05) were applied, and failure mode was checked. No significant difference in strain values among the groups was found. Cpc presented lower fracture resistance and more catastrophic failures in flared roots. Gfp associated with composite resin or accessory glass fiber posts seems to be an effective method to improve the biomechanical behavior of flared roots.

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Comparison of Different Post Systems for Fracture Resistance: An in vitro Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-2017 ◽

2017 ◽

Vol 18 (3) ◽

pp. 205-208 ◽

Cited By ~ 3

Author(s):

Suneel V Vadavadagi ◽

Kiran M Dhananjaya ◽

Rashmi P Yadahalli ◽

M Lahari ◽

Shilpa R Shetty ◽

...

Keyword(s):

Compressive Strength ◽

Carbon Fiber ◽

Glass Fiber ◽

Fracture Resistance ◽

Quartz Fiber ◽

Fiber Post ◽

Tooth Structure ◽

Fiber Posts ◽

Glass Fiber Post

ABSTRACT Introduction Endodontic restoration becomes a challenging task for the clinician because of severe loss of coronal tooth structure owing to trauma, caries, restorative, and endodontic procedures. The restoration of these teeth requires the use of a post and core as individual units or as abutment supports for fixed or removable restorations in a predictable long-term manner. Aim To compare and assess the compressive bond strength of glass, quartz, and carbon fiber posts restored with porcelainfused- to-metal (PFM) crown. Materials and methods A total of 45 upper central incisor teeth having straight root canals, similar anatomically root segments, and fully developed apices were selected. Teeth were divided into three groups of 15 teeth after endodontic treatment. Group I: Teeth inserted with the prefabricated glass fiber post. Group II: Teeth inserted with the quartz fiber post. Group III: Teeth inserted with carbon fiber post. The posts were placed and core was fabricated using composite restoration followed by PFM crown cementation using adhesive resin. Compressive load required to fracture the tooth was measured using a universal loading machine. The difference between the variables was assessed by one-way analysis of variance, followed by Tukey's post hoc test. Results The compressive strength exhibited by carbon fiber posts was highest with a mean of 668.33 ± 26.397, followed by quartz fiber post (635.80 ± 30.390). Least compressive strength was exhibited by glass fiber post (567.53 ± 26.632). An analysis of variance shows statistically highly significant difference (p < 0.005) among the posts used. Conclusion This study concluded that the carbon fiber posts had higher compressive strength than other quartz, glass fiber posts. Clinical significance Endodontic treatment results in loss of a significant part of the tooth structure. Posts restore these teeth and provide retention. How to cite this article Vadavadagi SV, Dhananjaya KM, Yadahalli RP, Lahari M, Shetty SR, Bhavana BL. Comparison of Different Post Systems for Fracture Resistance: An in vitro Study. J Contemp Dent Pract 2017;18(3):205-208.

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