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

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.

2016 ◽  
Vol 17 (7) ◽  
pp. 549-552 ◽  
Author(s):  
Mukut Seal ◽  
Pratim Talukdar ◽  
Babita Sangwan ◽  
Rahul Rishi ◽  
Kanav Jain ◽  
...  

ABSTRACT Aims The aim of the present study is to compare and assess the fracture resistance of root canal treated teeth with different restorative materials. Materials and methods The present in vitro study was carried out on seventy-five freshly extracted, noncarious, single-canal human lower-first premolars with similar anatomic characteristics. Teeth were randomly assigned to five groups with 15 teeth being present in each group. Group I is control group (no alteration done), group II is restored with silver amalgam after endodontic therapy, group III is restored with posterior composite after endodontic therapy, group IV is restored with posterior glass ionomer cement (GIC) after endodontic therapy, and group V is restored with miracle mix after endodontic therapy. Universal testing machine was used to assess the fracture strength. Analysis of variance (ANOVA) test followed by Tukey's post hoc test were used to determine the significant difference between each group. A p-value of < 0.05 was considered as statistically significant. Results The mean fracture resistance of control group showed highest fracture resistance with a mean Newton of 1083.33 ± 136.78. Among the restorative material, the highest fracture resistance was shown by teeth restored by composite (845.46 ± 47.36), followed by silver amalgam (845.46 ± 47.36). There was statistically significant difference among all the restorative materials compared with the control group (p < 0.05). However, among the teeth restored with silver amalgam and miracle mix, there was no statistical significance (p > 0.05). Conclusion The present study concludes that composites are found to be having more fracture resistance followed by silver amalgam on endodontically treated premolar teeth. Clinical significance Restoring nonvital teeth represents a major challenge for clinicians as they are extensively damaged due to caries and endodontic access preparations. With various restorative materials in the market, it becomes difficult for the clinician to choose the better restorative material for postendodontic restoration. How to cite this article Sangwan B, Rishi R, Seal M, Jain K, Dutt P, Talukdar P. An in vitro Evaluation of Fracture Resistance of endodontically treated Teeth with Different Restorative Materials. J Contemp Dent Pract 2016;17(7):549-552.


2017 ◽  
Vol 20 (1) ◽  
pp. 6
Author(s):  
Mazen Doumani ◽  
Saleem Abdulrab ◽  
Abdulaziz Samran ◽  
Ahmed Doumani ◽  
Kinda Layous ◽  
...  

<p><strong>Objective: </strong>This study aimed to compare the fracture resistance of endodontically treated roots filled by different obturation systems. <strong>Material and methods: </strong>Ninety-six upper central incisors were used and decoronated, retaining 12 mm of the roots. On the basis of obturation systems, the roots were divided into 4 groups (n=24): Group1 (COGR): control group (unprepared, unfilled), Group 2 (AVGR): ActiV GP points/ActiV GP sealer, Group3 (GPGR): Gutta percha points/AH plus sealer, and Group4 (GAGR): Gutta percha points/ActiV GP sealer. The last three groups were obturated with the single cone technique. The roots were then stored in 100% relative humidity at 37 °C for 2 weeks. A vertical compressive force was exerted with a universal testing machine until a fracture occurred. Data were statistically analyzed with one-way ANOVA. <strong>Results</strong><strong>:</strong> Mean (SD) failure loads for groups ranged from 920.51 ± 210.37 to 1113.44 ± 489.42 N. The fracture resistance between the different study groups indicated no statistical difference. <strong>Conclusions:</strong> ActiV GP system did not exert a significant effect on the fracture resistance of endodontically treated teeth.</p>


2019 ◽  
Vol 7 (23) ◽  
pp. 4089-4093
Author(s):  
Jyothi Bommanagoudar ◽  
Shashidhar Chandrashekhar ◽  
Shilpa Sharma ◽  
Hiten Jain

AIM: To evaluate and compare the effect of enamel preparation designs bevel, chamfer and stair-step chamfer on the fracture resistance of nanocomposite. METHODS: The sample group of this study consisted of 72 non-carious permanent maxillary central incisors. The sample is divided into four groups of 18 each. Group, I control Group II bevel preparation, Group III chamfer preparation, group IV stair step chamfer preparation. After the specific preparation, each tooth is filled with nanocomposite using bulk pack technique. The teeth were subjected to fracture resistance test under Universal testing machine and then were examined under a stereomicroscope to evaluate the type of bond failure. The results were subjected to statistical analysis. RESULTS: Results of the One-Way ANOVA revealed a significant difference in the mean peak failure load values of the four different groups. (P < 0.001) Tukey’s Post-Hoc comparison test revealed that there was a significant difference in the mean peak failure load values of the bevel and chamfer preparation. But there was no significant difference between chamfer and stair-step chamfer preparation designs. CONCLUSION: Stair-step chamfer preparation demonstrated comparable values to Chamfer preparation but also involved the removal of less amount of tooth structure adjacent to the fractured edge and good esthetic technique.


2018 ◽  
Vol 43 (2) ◽  
pp. 162-169 ◽  
Author(s):  
ME Hshad ◽  
EE Dalkılıç ◽  
GC Ozturk ◽  
I Dogruer ◽  
F Koray

SUMMARY Objective: The purpose of this study was to determine the fracture strength of endodontically treated mandibular premolar teeth restored with composites and different reinforcement techniques. Methods and Materials: Forty-eight freshly extracted human mandibular premolar teeth were randomly divided into four groups: group IN, group CR, group FRC, and group PRF. Group IN consisted of teeth with intact crowns and served as the control group. In the other three groups, endodontic treatment was performed and standard mesio-occluso-distal (MOD) cavities were prepared. Then cavities were restored with hybrid resin composite only, flowable composite and hybrid resin composite, and Ribbond, flowable composite and hybrid resin composite in groups CR, FRC and PRF, respectively. All of the teeth were subjected to fracture by means of a universal testing machine, and compressive force was applied with a modified stainless-steel ball at a crosshead speed at 0.5 mm/min. Results: The highest values were observed in group IN, while the lowest values were determined in group CR. There was not any statistically significant difference between group CR and group FCR (p&gt;0.05). When groups CR, FCR, and PRF were compared, group PRF showed significantly better fracture strength than did groups CR and FCR (p&lt;0.05). It was determined that there was not any significant difference between group IN and group PRF (p&gt;0.05). Conclusions: Polyethylene ribbon fiber considerably increases the fracture strength of mandibular premolar teeth with MOD cavities restored with composite.


2014 ◽  
Vol 04 (03) ◽  
pp. 075-079
Author(s):  
Kiran Halkai ◽  
Rahul Halkai ◽  
Mithra N. Hegde ◽  
Vijay Kumar ◽  

Abstract Aim: To compare and evaluate in-vitro the fracture resistance of endodontically treated teeth obturated with resilon & epiphany sealer and guttapercha using different sealers. Epoxy resin based sealer AH-plus and zinc oxide eugenol based sealer-TubliSeal (EWT). Methodology: sixty four human single rooted maxillary anterior teeth, cleaned stored in 0.9% saline. All the teeth were decoronated to root length 14mm and bucco-lingual diameter of 5-7mm, After access openings teeth were instrumented using K3.06 up to final apical size 30/.06 and randomly allocated into 4 experimental groups (n=16 per group). Group 1(Control group): teeth were instrumented but not obturated, Group 2: Resilon cones and epiphany SE-sealer. Group 3: guttapercha cones and epoxy based sealer AH plus. Group 4: guttapercha and Tubli seal EWT. Coronal seal was done using IRM cement. Each of the specimens were tested for fracture resistance by instron universal testing machine. Results: Higher fracture resistance values were observed for group 2 (Resilon & Epiphany SE sealer) followed by group 3(Guttapercha & AH Plus sealer) and group 4(Guttapercha & TubliSeal EWT) when compared to group1 (control-instrumented but not obturated). Conclusion: filling the root canals with contemporary polymer based root canal obturating system- Resilon increased the in vitro fracture resistance of endodontically treated teeth.


2016 ◽  
Vol 7 (3) ◽  
pp. 113-118
Author(s):  
Neveen A Shaheen ◽  
Nahla G El-Din El-Helbawy

ABSTRACT Aim This study aimed to assess and compare the fracture resistance of simulated immature teeth reinforced with Biodentine (BD) and mineral trioxide aggregate (MTA) as apical barriers and two root canal backfilling combination (gutta-percha/AH26, MetaSeal). Materials and methods A total of 70 extracted human maxillary incisors were randomly divided into seven groups (n = 10). The positive control group was not instrumented. For the other groups, coronal access was made and root canals were instrumented using the ProTaper, up to F5 followed by six Peeso reamers which were allowed to pass 1 mm beyond the apex to size 6 (1.7 mm) to simulate immature teeth. The apical 4 mm of their root canals was filled with either MTA or BD apical barrier, then backfilled with gutta-percha/AH26 or MetaSeal obturation combination. The negative control group was left unfilled. Composite resin was used to restore the coronal access cavities. The maximum load for fracture of each tooth was recorded utilizing a universal testing machine. Data were analyzed using two-way analysis of variance. Results The noninstrumented group I had the highest fracture resistance and differed significantly (p < 0.05) from the negative control groups. On the contrary, no significant difference was found between BD and MTA groups, regardless of the backfilling combination (p > 0.05). Conclusion There was no difference between MTA and BD apical barriers and the backfilling combination regarding their resistance to root fracture. How to cite this article Shaheen NA, El-Din El-Helbawy NG. In vitro Comparative Evaluation of the Fracture Resistance of Simulated Immature Teeth reinforced with Different Apical Barriers and Obturation Combination. World J Dent 2016;7(3):113-118.


2017 ◽  
Vol 7 (2) ◽  
pp. 86-90
Author(s):  
Vanitha U Shenoy ◽  
Ritesh B Pawar ◽  
Sumanthini MV ◽  
Saimanaaz AH Shaikh

ABSTRACT Aim The aim of the article is to compare the effects of three different nickel–titanium (NiTi) rotary instruments on the fracture resistance of obturated roots. Materials and methods A total of 100 permanent mandibular premolars were randomly divided into four groups of 25 teeth each and biomechanical preparation was done: group I: stainless steel K-hand files (HFs), group II: ProTaper NiTi instruments (PT), group III: HyFlex CM NiTi instruments (HCM), and group IV: K3XF NiTi instruments. Following root canal preparation, the canals were obturated using lateral condensation. A light body silicone impression material was used to simulate the periodontal ligament (PDL). Fracture resistance was tested in an Instron testing machine. Statistical analysis Data were analyzed with Kruskal–Wallis test. Results There was no difference in significance (p < 0.05) among the different groups tested with respect to their fracture resistances. Conclusion The present study concluded that rotary instrumentation could result in an increased chance for dentinal defects as compared with hand instrumentation. Greater taper rotary NiTi instruments do not increase the fracture susceptibility of roots, which in turn depends on various factors other than instrumentation alone. Clinical significance Greater taper achieved by rotary NiTi files during canal preparation facilitates efficient irrigation and complete debridement. Root fracture might occur as a result of microcracks or craze lines that propagate with repeated stress application by occlusal forces and also during canal preparation. Based on the results obtained, it can be decided whether the use of the newer rotary NiTi system contributes to endodontic success and long-term survival of endodontically treated teeth. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Comparison of the Effects of Three Different Nickel–titanium Rotary Instruments on the Fracture Resistance of Obturated Roots: An in vitro Study. J Contemp Dent 2017;7(2):86-90.


2019 ◽  
Vol 53 (2) ◽  
pp. 117-125
Author(s):  
Jayanti Choudhary ◽  
B Shashikumar ◽  
Anand K Patil

Aims: This study aimed to evaluate and compare the effect of tea tree oil (TTO) mouthwash and chlorhexidine (CHX) mouthwash on frictional resistance. Settings and Design: In vitro. Materials and Methods: In total, 60 extracted premolars were mounted on a custom-made acrylic fixture. These 60 premolars were randomly divided into 3 groups of 20 each, on which 0.022″ × 0.028″ slot MBT stainless steel brackets were bonded and 0.019″ × 0.025″ rectangular stainless steel wire was ligated with an elastomeric module. The 3 groups included a control group where the samples were immersed in artificial saliva and 2 experimental groups immersed in 0.2% CHX and TTO mouthwash, respectively, for 1.5 hours. Postimmersion static frictional resistance was evaluated on a universal testing machine at crosshead speed of 0.5 mm/min. Statistical Analysis Used: Tukey’s post hoc procedure. Results: This study showed a statistically significant difference in the frictional resistance between saliva and CHX groups and CHX and TTO groups ( P < .05). No statistically significant difference was observed between saliva and TTO groups ( P > .05). The frictional resistance was more in the CHX mouthwash group than in the TTO mouthwash group. Conclusions: Frictional resistance was lesser in the TTO mouthwash than in the CHX mouthwash. Based on this result, TTO mouthwash can be used instead of CHX mouthwash as an oral hygiene aid in patients with orthodontic treatments.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ensieh Grayli ◽  
Abbas Dashtban ◽  
Leyla Shadan ◽  
Naser Behnampour ◽  
Elham Afshari

Abstract Background Endodontically treated immature teeth which are restored with cast metal posts are of the most susceptible teeth to fracture. An apical plug is usually used as root end filling in order to seal the wide apical foramen. The current study was performed to evaluate the effect of different apical plug materials (MTA and Calcium enriched mixture cement) at varied thicknesses on fracture resistance of teeth restored with cast metal posts. Methods A total of 40 extracted intact single-rooted human mandibular premolars (removed for orthodontic reasons) were used in the study. The coronal part of each tooth was removed and root canal preparation was performed. A size 4 Gates Glidden drill was used to enlarge the canal and was passed through the apical foramen in order to simulate an immature apex. Samples were randomly divided into 5 groups (n = 8) according to apical plug (control group: No plug, group MTA5: 5 mm MTA plug, group CEM5: 5 mm CEM plug, group MTA3: 3 mm MTA plug, group CEM3: 3 mm CEM plug). Post-space preparations were performed and cast metal post-and-cores were fabricated and cemented. Fracture resistance was assessed using a universal testing machine. Fracture thresholds were recorded and data were analyzed using One-way ANOVA and Dunnett’s T3 tests with significance level at P value < 0.05. Results The analysis showed a significant difference of fracture resistance between groups (P value < 0.05). The mean fracture resistance of samples in control group was significantly lower than MTA5 (P value = 0.003). There was no significant difference between other groups (P value > 0.05). Conclusions Within the limits of this study, the evidence indicated that placement of a 5 mm MTA apical plug increased the fracture resistance in simulated immature teeth which are restored with cast metal posts, compared to control group (gutta-percha and sealer). While the results were not as promising for a 3 mm MTA apical plug or either 3 or 5 mm CEM apical plug.


2021 ◽  
Vol 15 (2) ◽  
pp. 111-114
Author(s):  
Sevinç Aktemur Türker ◽  
Keziban Olcay ◽  
Sena Kaşıkçı ◽  
Fatma Zühal Yurdagül

Background. Regenerative endodontic treatment (RET) is a clinically advanced procedure for necrotic immature teeth. However, root canal walls of these teeth are brittle especially in the cervical region and need reinforcement. This in vitro study is conducted to evaluate the effect of intra-orifice barrier materials on the fracture resistance of immature teeth treated with regenerative procedure. Methods. Forty-eight maxillary central incisors were used. Twelve intact teeth were selected for the control group. Remained teeth were prepared using peeso drills to simulate immature teeth and assigned into three groups according to the intra-orifice barrier material placed over MTA (n=12); Composite resin (CR), ProRoot MTA and Resin-modified glass ionomer cement (RMGIC). Fracture strength test was applied using a universal testing machine. One-way ANOVA and Tukey post hoc tests were used at P=0.05. Results. A significant difference was obtained among groups (P<0.05). MTA showed the lowest fracture resistance (P<0.05). However, no significant difference was found among RMGIC, CR, and control groups (P>0.05). Conclusion. Intra-orifice restorative materials have reinforcement affect in immature teeth treated with regenerative endodontic procedure. RMGIC or CR can be regarded as a viable choice to reduce the occurrence of cervical root fracture of immature teeth treated with a regenerative therapy.


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