Influence of glass fiber posts on the fracture susceptibility of endodontically treated maxillary anterior teeth with direct veneers: Preliminary results of a randomized clinical trial

Author(s):  
AnaLuiza Barbosa Jurema ◽  
Eduardo Bresciani ◽  
Taciana Marco Ferraz Caneppele
2021 ◽  
Author(s):  
ALC Pires ◽  
V Poletto-Neto ◽  
LA Chisini ◽  
F Schwendicke ◽  
T Pereira-Cenci

SUMMARY Objectives: The aim of this study was to assess four post-retained restorative strategies for endodontically treated teeth using cost-minimization analysis. Methods and Materials: The cost-minimization analysis was based on primary data from a randomized clinical trial and followed the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) guidelines. Two hundred twenty-five teeth (141 patients) restored using four strategies—teeth with ferrules+ restored with either glass fiber posts or direct composite or crowns, and teeth without ferrules- restored with either glass fiber or cast metal posts with crowns—were evaluated annually between 2009 and 2018. Initial costs and incremental costs per year were calculated. Survival curves were created using the Kaplan-Meier method and log-rank test. Kruskal-Wallis analysis was followed by Dunn’s test, which was used to compare restorative treatments, with a significance level of 5%. Results: Initial costs were greater for cast metal posts without crowns (US$153.14). Glass fiber posts with composite (US$27.11) were least costly; the most failures occurred in this group, but they were primarily repairable restoration fractures. The number of extractions, and thus cost, was greater for glass fiber posts with crowns. The mean annual cost was significantly lower for teeth restored with composite (p<0.001). Ferrule presence did not significantly impact annual costs. Conclusions: The use of glass fiber posts and direct composite incurred significantly lower annual costs than did other alternatives involving crowns or metal posts.


2016 ◽  
Vol 9 (2) ◽  
pp. 109-113 ◽  
Author(s):  
Sina Ghertasi Oskouei ◽  
Mohammad A Jafarabadi ◽  
Ali Vafaei ◽  
Bahram Ranjkesh ◽  
Henrik Lovschall ◽  
...  

2008 ◽  
Vol 9 (7) ◽  
pp. 33-40 ◽  
Author(s):  
Güliz Görgül ◽  
Bagdagül Helvacioglu Kivanç

Aim The aim of this study was to investigate the fracture strength of three post systems cemented with a dual cure composite resin luting cement by using different adhesive systems. Methods and Materials In this study 63 extracted anterior teeth with single roots were endodontically prepared and filled. Teeth were randomly assigned to one of three post systems placed into the prepared canals: Group I - titanium posts (n=21) (Filpost); Group II - glass fiber posts (n=21) (Mirafit White); and Group III zirconia posts (n=21) (CosmoPost). Each group was again randomly divided into three subgroups according to the bonding materials used [Single Bond (n=7), Clearfil SE Bond (n=7), and Prompt L Pop (n=7)]. A dual cured resin cement (Rely X ARC) was used for bonding the posts into the root canals. Standard cores were made by a composite resin (Clearfil Photocore) using core build-ups. The samples were tested in the compression test machine for 1 mm/min and fracture resistance of the teeth were recorded. The data was analyzed by using twoway analysis of variance (ANOVA) and Duncan's New Multiple Range Tests. A significance level of p<.05 was used for all comparisons. Results There was a significant difference in fracture resistance between the post systems (p<0.05) and the interaction of adhesive resins and post systems (p<0.05). Mirafit White was more resistant to fracture than other groups; Filpost showed the least resistance to fracture. CosmoPost post system bonded with Single Bond recorded the lowest fracture resistance (p<0.05). Conclusion Endodontically treated anterior teeth restored with glass fiber posts exhibited higher failure loads than teeth restored with zirconia and titanium posts. Self-etching adhesives are better alternatives to etch-andrinse adhesive systems for luting post systems. Clinical Significance Under the condition of this study, glass fiber posts are preferable to restore endodontically treated anterior teeth. Citation Kivanç BH, Görgül G. Fracture Resistance of Teeth Restored with Different Post Systems Using Newgeneration Adhesives. J Contemp Dent Pract 2008 November; (9)7:033-040.


2017 ◽  
Vol 20 (4) ◽  
pp. 78
Author(s):  
Blanca Liliana Torres Léon ◽  
Vitor Lopes Franco ◽  
Emily Vivianne Freitas Silva ◽  
Leonardo Muniz ◽  
Fernando Carneiro Ribeiro

<p class="CorpoA"><strong>Objective.</strong> To evaluate the bond strength of a prefabricated glass fiber post to the root dentin with two resin cements using the push-out test. <strong>Material and Methods.</strong> Thirty fiber posts (White Post ECD) were cemented in human endodontically treated anterior teeth with two resin cements (n=15): Relyx<sup>TM </sup>ARC and AllCem. The roots were transversely sectioned and divided in cervical, middle and apical thirds after 48 h of cementation. The specimens' retention was tested by push-out method. The results were analyzed by 2-way ANOVA and Tukey’s test (<em>p</em>&lt;0.05). <strong>Results.</strong> There were no significant differences in the bond strength between the resin cements. The bond strength was higher in cervical third than in middle and apical thirds for both resin cements. It was observed higher percentages of adhesive failures followed by mixed. <strong>Conclusions.</strong> Both resin cements are indicated in the cementation of glass fiber post.</p><p class="CorpoA"><strong>Keywords</strong></p><p class="CorpoA">Dental prosthesis; Post and core technique; Biomechanical phenomena.</p>


2009 ◽  
Vol 37 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Antonio Signore ◽  
Stefano Benedicenti ◽  
Vassilios Kaitsas ◽  
Michele Barone ◽  
Francesca Angiero ◽  
...  

2020 ◽  
Vol 14 (1) ◽  
pp. 375-383
Author(s):  
Fatemeh Kadkhodaei ◽  
Majid Mehran ◽  
Roza Haghgoo ◽  
Mehrshad Zareiyan

Background: Extensive restorative treatments of anterior primary teeth are challenging in pediatric dentistry. Objective: This study aimed to compare the fracture resistance of three post types for restoring the anterior primary teeth. Methods: This in-vitro study was carried out on 90 extracted maxillary anterior primary teeth with intact roots. They were randomly allocated into six groups to be restored with conventional composite resin post, X-tra fill composite resin post, Tetric N Ceram composite resin post, prefabricated glass fiber post with conventional composite build-up, prefabricated glass fiber post with X-tra fill composite build-up, and prefabricated glass fiber post with Tetric N Ceram composite build up. The samples were polished and placed in acrylic resin blocks with 1 mm of part of cervical root being out, thermocycled (×5000) and tested for fracture resistance. Intra-class correlation test, Kruskal-Wallis test and one-way ANOVA were used for statistical analyses (α=0.05). Results: The mean fracture resistance was significantly different among the six groups. It was the highest in prefabricated glass fiber post with conventional composite build-up (418.64 N), prefabricated glass fiber post with X-tra fill composite build-up (403.63 N) and prefabricated glass fiber post with Tetric N Ceram composite build up (361.63 N); and the lowest in Tetric N Ceram group (280.65 N). The groups were significantly different concerning the fracture strength and fracture state. Conclusion: Since the anterior teeth restored with prefabricated glass fiber posts were far more fracture resistant, and prefabricated glass fiber posts can be promisingly used for the restoration of anterior primary teeth.


2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Bruna Carbonari Massafra ◽  
Dandara Anderle ◽  
Doglas Cecchin ◽  
Bruno Carlini Júnior ◽  
Matheus Albino Souza ◽  
...  

This study objectives to evaluate the fracture strength of upper central incisors (UCI) restored with composite resin (CR) in Class III cavities and endodontically treated teeth with or without glass fiber post (GFP), analyzing their failure mode. Sixty human UCI were randomly divided into four experimental groups: endodontically treated teeth without GFP (G1), endodontically treated teeth with GFP (G2), teeth with mesial/distal Class III cavities restored with CR without GFP (G3), and teeth with mesial/distal Class III cavities restored with CR with GFP (G4). The samples were submitted to the fracture strength test in a universal testing machine with a compression shear load applied at speed of 1.0 mm/min until fracture occurred. The data were submitted to one-way ANOVA (α=0.05) and the samples were analyzed for failure mode. The analysis did not show a significant statistical difference in fracture strength between the groups (p>0.05). The results showed that only endodontically treated teeth (G1) (753.4N) presented behavior similar to teeth with GFP (G2) (702.1N). The same occurred when comparing teeth with Class III cavities without GFP (G3) (670.2 N) and with GFP (G4) (746.1N). It can be concluded that glass fiber posts do not change the fracture strength of incisors with endodontic treatment and Class III cavities.


2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Jesús Alberto Luengo - Fereira

Objective: To compare two fluorinated varnishes for the control of white spot lesions.Material and Methods: A randomized controlled clinical trial was conducted. A total of 103 active whitespot lesions on permanent upper anterior teeth from 24 patients, aged 7 to 9 years were randomly assigned totwo groups, G1: Duraphat® (n=52) and G2: DuraShield® (n=51). Weekly applications were perform for fourconsecutive weeks. Fifth week the dimension, regression and activity of the lesions were evaluated. Student’sT test, Wilcoxon Ranks and Chi square were used at 5% significance. Results: At the end of the study, the lesion reduction was observed in 69.7%, finding significant differences(p<0.05) in the mean of the initial and final dimensions in general (2.74 mm to 1.91 mm) and in each group, G1(2.84 mm to 2.03 mm), G2 (2.64 mm to 1.78 mm). In the activity of the lesions, it was found in the G1, 12 active and6 inactive lesions; while in G2, there were 14 active and 29 inactive; these differences were significant (p<0.05). Conclusions: The two evaluated products showed similar clinical efficacy in the remineralization of activewhite spot lesions after 4 weeks of therapy.


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