scholarly journals Fracture Resistance of Teeth with Truss Endodontic Access: An In Vitro Study and Literature Review

Author(s):  
Mohmed Isaqali Karobari ◽  
Ahmad Fareez Abdul Aziz ◽  
Saleem D. Makandar ◽  
Nik Rozainah Nik Abdul Ghani ◽  
Mohamad Syahrizal Halim ◽  
...  

Abstract Objective This article evaluates the fracture resistance of teeth with different endodontic access cavities and conducts literature review on the effects of truss endodontic cavity. Material and Methods Eighty human mandibular first molars were assigned randomly to four groups (n = 20); group 1: truss access cavity (TrussAC); group 2: conservative access cavity (ConsAC); group 3: traditional access cavity (TradAC); and group 4: served as control (no access). Accesses were prepared in groups 1 to 3, respectively. Endodontic treatment was performed on all accessed teeth and composite restoration placed. Teeth in all groups were loaded until fracture using a mechanical testing machine. The maximum load at fracture and patterns of fracture were recorded. Additionally, a literature search was performed on studies related to TrussAC and its importance. Statistical Analysis Fracture strengths were compared using one-way analysis of variance complemented by Bonferroni test. Fracture patterns were analyzed using chi-square test. Results TradAC showed significantly lower mean load at fracture than TrussAC, ConsAC, and intact teeth. Fracture resistance of teeth with TrussAC and ConsAC was not significantly different. All three test groups showed significantly more frequent unrestorable fractures. The literature review revealed that TrussAC did not improve the fracture strength significantly; however, pulp chamber debridement was significantly impaired. Conclusion TrussAC improved the fracture strength of endodontically treated teeth, but not significantly as compared to ConsAC. Restorable fractures were more in intact teeth compared with all prepared ones.

Author(s):  
Thendral S ◽  
Rajesh Gopal V ◽  
Benin Paulaian Paulaian ◽  
Sudharsana S ◽  
Jaikolden K

Objective: To compare the fracture resistance of endodontically treated teeth restored with Parapost, Everstick and Ribbond post systems. Materials and Methods: Root canal therapy was performed in 40 maxillary anteriors. The coronal portion of the teeth were sectioned at the junction of coronal and middle third of the crown and they were divided into four groups [n=10] .Group I served as a positive control. In group II, III and IV Parapost, Everstick and Ribbond were used respectively to restore the tooth. In group II the sectioned coronal fragment was reattached and in group III and IV core build up was done using composite. Specimens were loaded until failure in a universal testing machine and the resistance to fracture was calculated. Statistical Analysis: Datas were analysed using One Way ANOVA and Dunnett test. Results: Mean fracture resistance was as follows: Control – 393.0 N, Parapost – 238.0 N, Ribbond – 134.0 N, Everstick - 222N. The fracture strength of Parapost with reattached fracture fragment showed statistically significant fracture strength values when compared with Ribbond and Everstick where composite was used as a core build up material Keywords: Fracture resistance, Reattachment, Everstick, Ribbond, Parapost


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.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rafat Bagheri ◽  
Abbas Abbaszadegan ◽  
Mohammad R. Nabavizadeh ◽  
Maryam Ferooz ◽  
Peter Parashos

Abstract Background The aim of this study was to develop a mathematically valid method of assessing fracture resistance of roots. The model developed used mesial roots of lower molars instrumented using stainless steel hand files (SS) and two rotary nickel-titanium (NiTi) systems. Methods Eighty human lower molars were selected and randomly divided into four groups (n = 20). After instrumentation, the root canals were obturated using thermoplasticized gutta percha. The roots were covered with a simulated periodontal ligament and mounted vertically in autopolymerizing acrylic in PVC tubes. Using a universal testing machine, the force to fracture (N) was applied and the maximum load (FL) was recorded. Remaining dentine volume was calculated and the fracture resistance (FR) was recorded. The data were analyzed using SPSS version 22 with P < .05. Results There were no significant differences among the instrumentation methods for FL but in FR the roots instrumented using rotary NiTi showed significantly lower values than control groups and SS files (P < 0.001). Conclusions Considering the effect of root length, volume of the root, and volume of the instrumented canal as well as the maximum failure load may be a more objective method of reporting fracture resistance of roots.


2021 ◽  
Author(s):  
Rafat Bagheri ◽  
Abbas Abbaszadegan ◽  
Mohammad R Nabavizadeh ◽  
Maryam Ferooz ◽  
Peter Parashos

Abstract Background: This study aimed to develop a mathematically valid method of assessing fracture resistance of roots. The model developed used mesial roots of lower molars instrumented using stainless steel hand files (SS) and two rotary nickel-titanium (NiTi) systems. Methods: Eighty human lower molars were selected and randomly divided into four groups (n=20). After instrumentation, the root canals were obturated using thermoplasticized gutta percha. The roots were covered with a simulated periodontal ligament and mounted vertically in autopolymerizing acrylic in PVC tubes. Using a universal testing machine, the force to fracture (N) was applied and the maximum load (FL) was recorded. Remaining dentin volume was calculated and the fracture resistance (FR) was recorded. The data were analyzed using SPSS version 22 with P < .05.Results: There were no significant differences among the instrumentation methods for FL but in FR the roots instrumented using rotary NiTi showed significantly lower values than control groups and SS files (P <0.001). Conclusions: Considering the effect of root length, volume of the root, and volume of the instrumented canal as well as the maximum failure load may be a more objective method of reporting fracture resistance of roots.


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>


2020 ◽  
Vol 8 (D) ◽  
pp. 198-202
Author(s):  
Fariborz Vafaee ◽  
Amirarsalan Hooshyarfard ◽  
Armaghan Shahbazi ◽  
Farnoush Fotovat ◽  
Masoumeh Khoshhal ◽  
...  

BACKGROUND: Metal-ceramics restorations were considered a preferable option for fabrication fixed partial dentures (FPDs) that have an acceptable durability, but they are not able to provide the same beauty as the entire ceramic material. Full-contour zirconia, such as Zolid, does not have problems with chipping of layered zirconia, along with translucency and staining capabilities. AIM: This study aimed to assess the fatigue fracture strength of three-unit implant-supported full-contour zirconia and metal-ceramics posterior FPDs. MATERIALS AND METHODS: In this in vitro study, 24 posterior three-unit implant-supported FPDs were fabricated of full-contour zirconia and metal-ceramics and were cemented on implant abutments. To simulate the oral environment, FPDs were subjected to 10,000 thermal cycles between 5 and 55°C for 30 s and were then transferred to a chewing simulator (100,000 cycles, 50 N, 0.5 Hz). Afterward, fatigue fracture strength was measured using a universal testing machine. Data were analyzed using an independent sample t-test. RESULTS: The obtained results showed that the mean and standard deviation of fatigue fracture strength was higher for the metal-ceramics group (2567.8 ± 689.7 N) compared to those for the full-coverage zirconia group (2108.6 ± 455.2 N). However, the difference was not statistically significant (p ˃ 0.05). CONCLUSIONS: Fracture resistance due to fatigue in the metal-ceramics group was not significantly different from full-coverage zirconia group. Full-coverage zirconia seems promising as a metal-ceramics material for the fabrication of posterior three-unit FPDs.


2017 ◽  
Vol 21 (1) ◽  
pp. 44-49
Author(s):  
Sasho Jovanovski ◽  
Julie Popovski ◽  
Alesh Dakskobler ◽  
Ljubo Marion ◽  
Peter Jevnikar

SummaryBackground: Prefabricated zirconia posts can contribute to increasing the fracture resistance of the endodontically treated teeth. Purpose. This in vitro study compared the fracture resistance of endodontically treated central maxillary incisors prepared with 2 mm ferrule length to the ones without ferrule.Material and methods: Twenty-four caries-free maxillary central incisors were divided into 2 groups of 12. In group A circumferential external dentin shoulders were prepared for 2 mm external dentin ferrule length. There was no ferrule preparation in Group B. Zirconia VALLPOST BO-S (Ø 1,6 mm), Ljubljana, Slovenia were used with retention forms in the coronary part. Core build-up was made of pressed ceramics (IPS e.max Press, Ivoclar, Liechtenstein). Crowns were manufactured from the same ceramic material (IPS e.max Press, Ivoclar). After root canal treatment and post space preparation, all posts were cemented with an adhesive resin cement (Multilink Automix, Ivoclar). The specimens were embedded in acrylic resin blocks (ProBase Polymer/Monomer, Ivoclar) and loaded at an angle of 45° to the long axis in an Instron Testing Machine 4301 (Instron Corp., USA) at a crosshead speed of 1 mm/min until fracture. Fracture patterns and loads were recorded. A significance level of p<0.05 was used for all comparisons. Two-way analysis of variance was used for statistical analysis. Failure patterns were analyzed with the optical microscope Stereo Discovery V.8 (Carl Zeiss, Germany) and compared using the chi-square nonparametric test.Results: The mean values (±SD) of fracture loads (N) for the Groups A and B were 664.63N (±49.14) and 519.36N (±71.65) recpectively. Significantly lower failure loads were recorded for the specimens in the group B. Failure patterns within the groups revealed non-catastrophic failure in 70% of the specimens for group A and 85% for group B.Conclusions: Within the limitations of this in vitro study, it can be concluded that zirconia VALLPOST BO-S (Ø 1,6 mm) with press-ceramic cores and crowns, can be used for restoration of endodontically treated teeth. The teeth prepared with 2 mm external dentin ferrule length were found to be more fracture resistant than teeth without ferrule.


Polymers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1234
Author(s):  
António Sérgio Silva ◽  
Aurora Carvalho ◽  
Pedro Barreiros ◽  
Juliana de Sá ◽  
Carlos Aroso ◽  
...  

Thermal and self-curing acrylic resins are frequently and versatilely used in dental medicine since they are biocompatible, have no flavor or odor, have satisfactory thermal qualities and polishing capacity, and are easy and fast. Thus, given their widespread use, their fracture resistance behavior is especially important. In this research work, we comparatively analyzed the fracture resistance capacity of thermo and self-curing acrylic resins in vitro. Materials and Methods: Five prosthesis bases were created for each of the following acrylic resins: Lucitone®, ProBase®, and Megacryl®, which were submitted to different forces through the use of the CS® Dental Testing Machine, usually mobilized in the context of fatigue tests. To this end, a point was defined in the center of the anterior edge of the aforementioned acrylic resin bases, for which the peak tended until a fracture occurred. Thermosetting resins were, on average, more resistant to fracture than self-curable resins, although the difference was not statistically significant. The thermosetting resins of the Lucitone® and Probase® brands demonstrated behavior that was more resistant to fracture than the self-curing homologues, although the difference was not statistically significant. Thermosetting resins tended to be, on average, more resistant to fracture and exhibited the maximum values for impact strength, compressive strength, tensile strength, hardness, and dimensional accuracy than self-curing resins, regardless of brand.


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.


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