scholarly journals Effects of intracanal medicaments and the remaining cavity wall on fracture strength of endodontically treated molars

2018 ◽  
Vol 21 (1) ◽  
pp. 79
Author(s):  
Keziban Olcay ◽  
Ata Nisa Coban ◽  
Sema Belli
Keyword(s):  
Fracture Strength ◽  
Testing Machine ◽  
Cavity Wall ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Significant Difference ◽  
Maxillary Molar ◽  
Univariate Anova ◽  
Molar Teeth ◽  
Post Hoc

<p><strong> </strong></p><p><strong>Objective:</strong> The aim of this study was to investigate the effects of the short-term intracanal application of two medicaments on the fracture strength of root-filled molar teeth with different levels of tooth structure loss. <strong>Material and Methods:</strong> Standard access cavities of totally 84 intact maxillary molar teeth were prepared in 72 teeth and were divided into 3 main groups. Standard access cavities were kept in the first group, while mesio-occlusal-distal cavities (MOD) were prepared in the second and third groups. One-half of the palatinal walls were removed in the third group. Twelve sound teeth were used in the fourth group as control. Each group was then assigned into two subgroups according to the medicament used (n=12): 2% chlorhexidine gel and calcium hydroxide. Samples were stored at 37°C and 100% humidity for 1 week. Then the teeth were inserted into a universal testing machine and vertically loaded (5 mm/min) from the occlusal surface. The data was recorded in Newtons and statistically evaluated using a Univariate ANOVA and a Tukey as post hoc test. <strong>Results:</strong> A significant difference was found among the test groups (p&lt;0.01). No significant difference was found according to the medicament used (p&gt;0.05), however the number of remaining walls significantly affected the fracture strength (p&lt;0.01). The first group with access cavity showed mostly repairable fractures (60%–80%) whereas the others showed mostly non-repairable fracture patterns (60%–90%). <strong>Conclusion:</strong> In conclusion, the fracture strength of endodontically treated teeth is related to the structure loss rather than the intracanal medicament used.</p><p> </p><p><strong>Keywords</strong></p><p>Endodontically treated teeth; Fracture strength; Intracanal medicament; Remaining cavity wall; Root facture.</p>

scholarly journals Comparative Analysis of Fracture Strength of Remaining Tooth Structure after Endodontic Treatment with Various Access Cavity Preparation Techniques

2020 ◽  
Vol 14 (1) ◽  
pp. 681-686
Author(s):  
Mohammed Mustafa ◽  
Zaid A. AlJeaidi ◽  
Ali Robaian AlQahtani ◽  
Mohammed Ali Salem Abuelqomsan ◽  
Raneem Suleiman Alofi ◽  
...  
Keyword(s):  
Fracture Strength ◽  
Fracture Resistance ◽  
Statistical Tests ◽  
Testing Machine ◽  
Endodontic Treatment ◽  
Cavity Preparation ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Root Canals ◽  
Significant Difference

Background: A perfect balance needs to be maintained between various types of endodontic access cavity preparation designs like - Traditional and conservative designed preparation to have access to the root canal system for proper cleaning and shaping of root canals without compromising the fracture resistance of the tooth structure. Aims and Objectives: We aimed to assess as well as draw comparisons of resistance against fracture of remaining tooth structure post the endodontic treatment after preparing access cavity through a variety of techniques so that we can estimate which type of cavity design technique will help endodontically treated teeth to withstand excessive load without fracture. Methods: Forty-two intact teeth (mandibular molars) were randomly selected and then were assigned to 07 different groups, inclusive of control and test groups. Various designs of access cavity preparation were done on sample teeth. The groups were divided based on different access cavity preparation designs as well as residual walls. The samples were then mounted on a composite cylinder, which was loaded under a mechanical testing machine at 0.5mm/min speed till the tooth structure fractured. This measurement of force was denoted in newton. The later analysis was carried out with the help of two-way Analysis of Variance (ANOVA) as well as Tukey’s post-hoc statistical tests. Results: There was negligible statistically relevant variance in strength towards fracture between traditional and conservative designs in teeth having three remaining walls. However, teeth with only two remaining walls fractured easily. Conclusion: Fracture resistance of teeth with remaining 03 residual walls did not show any significant difference among Traditional (TEC) and Conservative Cavity (CEC) design groups, but increased fracture strength was reported in CEC with 02 residual walls.

scholarly journals Tooth structure and fracture strength of cavities

2007 ◽  
Vol 18 (2) ◽  
pp. 134-138 ◽  
Author(s):  
José Mondelli ◽  
Fábio Sene ◽  
Renata Pereira Ramos ◽  
Ana Raquel Benetti
Keyword(s):  
Mass Loss ◽  
Fracture Strength ◽  
Composite Resin ◽  
Testing Machine ◽  
Cavity Preparation ◽  
Tooth Structure ◽  
Universal Testing ◽  
Significant Difference ◽  
Before And After

This study evaluated, in vitro, the loss of tooth substance after cavity preparation for direct and indirect restorations and its relationship with fracture strength of the prepared teeth. Sixty sound human maxillary first premolars were assigned to 6 groups (n=10). MOD direct composite cavities (Groups I, II and III) and indirect inlay cavities (Groups IV, V and VI) were prepared maintaining standardized dimensions: 2-mm deep pulpal floors, 1.5-mm wide gingival walls and 2-mm high axial walls. Buccolingual width of the occlusal box was established at 1/4 (Groups I and IV), 1/3 (Groups II and V) or 1/2 (Groups III and VI) of the intercuspal distance. Teeth were weighed (digital balance accurate to 0.001 g) before and after preparation to record tooth substance mass lost during cavity preparation. The prepared teeth were submitted to occlusal loading to determine their fracture strength using a universal testing machine at a crosshead speed of 0.5 mm/min. Data were analyzed by two-way ANOVA and Tukey test (alpha= 0.05). 1/4-inlay cavities had higher percent mean mass loss (9.71%) than composite resin cavities with the same width (7.07%). 1/3-inlay preparations also produced higher percent mean mass loss (13.91%) than composite resin preparations with the same width (10.02%). 1/2-inlay cavities had 21.34% of mass loss versus 16.19% for the 1/2-composite resin cavities. Fracture strength means (in kgf) were: GI = 187.65; GII = 143.62; GIII = 74.10; GIV = 164.22; GV = 101.92; GVI = 50.35. Statistically significant difference (p<0.05) were observed between Groups I and IV, II and V, III and VI. Higher tooth structure loss and lower fracture strength were recorded after preparation of inlay cavities, regardless of the width of the occlusal box, compared to the direct composite resin cavities.

scholarly journals Can Fiber Application Affect the Fracture Strength of Endodontically Treated Teeth Restored with a Low Viscosity Bulk-Fill Composite?

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Evrim Eliguzeloglu Dalkılıç ◽  
Magrur Kazak ◽  
Duygu Hisarbeyli ◽  
Mehmet Ali Fildisi ◽  
Nazmiye Donmez ◽  
...  
Keyword(s):  
Fracture Strength ◽  
Fracture Resistance ◽  
Testing Machine ◽  
The Other ◽  
Control Groups ◽  
Endodontically Treated Teeth ◽  
Low Viscosity ◽  
Universal Testing ◽  
Significant Difference ◽  
Insertion Techniques

Objective. The aim of this study is to evaluate the effects of different fiber insertion techniques and thermomechanical aging on the fracture resistance of endodontically treated mandibular premolar teeth restored using bulk-fill composites. Materials and Methods. Eighty human mandibular premolar teeth were randomly divided into eight groups: Group IN, Group BF, Group PRF1, Group PRF2, Group IN-TMA, Group BF-TMA, Group PRF1-TMA ,and Group PRF2-TMA. Group IN (intact) and Group IN-TMA (intact but subjected to thermomechanical aging) served as control groups. In the other six groups, endodontic treatment was performed and standardized mesio-occluso-distal (MOD) cavities were prepared. In BF, PRF1, and PRF2, the cavities were restored with bulk-fill composite only, bulk-fill/Ribbond, and bulk-fill/additional Ribbond, respectively. In BF-TMA, PRF1-TMA, and PRF2-TMA, the teeth were subjected to thermomechanical aging after the restorations. All of the teeth were fractured on the universal testing machine. Fracture surfaces were analyzed with a stereomicroscope. Results. Control groups showed significantly higher fracture strengths than tested groups (P<0.05). No statistically significant difference was observed among the tested groups (P>0.05). Most of the favorable fractures were seen in PRF1, PRF2, and PRF2-TMA. Most of the unfavorable fractures were seen in BF-TMA. Conclusions. Although fiber insertion with different techniques did not increase the fracture strength of teeth restored with bulk-fill composites, it increased the favorable fracture modes. Thermomechanical aging did not change the fracture strength of the groups.

scholarly journals Fracture Strength of Weakened Anterior Teeth Associated to Different Reconstructive Techniques

2016 ◽  
Vol 27 (5) ◽  
pp. 556-561 ◽  
Author(s):  
Mariana Carolina de Lara Ferro ◽  
◽  
Vivian Colucci ◽  
Artur Gaiotto Marques ◽  
Ricardo Faria Ribeiro ◽  
...  
Keyword(s):  
Fracture Strength ◽  
Testing Machine ◽  
Resin Cement ◽  
Internal Wall ◽  
Endodontically Treated Teeth ◽  
Static Tests ◽  
Chewing Simulation ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Reconstructive Techniques

Abstract This study evaluated the fracture strength of endodontically treated teeth submitted to reconstructive techniques through dynamic and static tests. Forty human anterior teeth were divided into 4 groups (n=10): GNW (non-weakened) - root restored with glass fiber post (GFP), GW - weakened root restored with GFP, GDA - weakened root restored with direct anatomic GFP, and GIA - weakened root restored with indirect anatomic GFP. The teeth were endodontically treated considering that experimental groups (GW, GDA and GIA) simulated weakened roots for restoration with GFP using different techniques. The GFP was luted with resin cement and the coronal portion was restored with composite resin and metallic crowns. All samples were submitted to chewing simulation at 60 cycles/min in a total of 300,000 cycles. The survival samples were further exposed to compressive loading at a crosshead speed of 1.0 mm/min in a universal testing machine. The load was applied at 135° to the long axis of the tooth until failure. Data were analyzed by ANOVA (a=0.05). After chewing simulation were observed: GNW: 100% of survival roots; GW: 70% of survival roots, and GDA and GIA: 80% of survival roots. The mean fracture strength values (N) were 280.6 (GNW), 239.0 (GW), 221.3 (GDA), and 234.1 (GIA) without significant difference among the groups (p=0.7476). The results suggested similar fracture strength in both weakened and non-weakened teeth regardless the reconstructive technique of root internal wall. Higher incidence of catastrophic fracture was observed in weakened teeth without restoration of the root internal wall.

scholarly journals Evaluation of fracture resistance of endodontically treated teeth restored with prefabricated posts and composites with varying quantities of remaining coronal tooth structure

2005 ◽  
Vol 13 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Murilo Pereira de Melo ◽  
Accácio Lins do Valle ◽  
Jefferson Ricardo Pereira ◽  
Wellington Cardoso Bonachela ◽  
Luiz Fernando Pegoraro ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Acrylic Resin ◽  
Group Iv ◽  
Coronal Structure ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Group Iii ◽  
Group I ◽  
Significant Difference

OBJECTIVES: The aim of this study was to evaluate the influence of remaining coronal tooth structure on endodontically treated teeth restored with prefabricated posts and two different composites for core build-up: dual-cured resin (Enforce Core) and light-cured resin (Z-250). METHODS: Fourty freshly extracted canines were endodontically treated and divided into four groups: Group I - teeth with 3mm remaining coronal structure, restored with Enforce Core; Group II - teeth with 3mm remaining coronal structure, restored with Z-250; Group III - teeth with no remaining coronal structure, restored with Enforce; Group IV - teeth with no remaining coronal structure, restored with Z-250. After restoration, the teeth were embedded in acrylic resin and the fracture resistance was measured on a universal testing machine at 45 degrees to the long axis of the tooth until failure. RESULTS: Data were analyzed by two-way analysis of variance, which showed significant differences between groups (p=0.00). The Tukey test did not show significant differences between specimens with and without remaining coronal structure. Conversely, significant difference was observed between groups with different core build-up. The highest values of fracture resistance were found in the group restored with light-cured resin. SIGNIFICANCE: The remaining coronal tooth structure did not influence the resistance of endodontically treated teeth; however, the change of core build-up was able to modify this resistence.

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 Shear bond strength of novel calcium aluminate-based cement (EndoBinder) to root dentine

2014 ◽  
Vol 08 (04) ◽  
pp. 498-503 ◽  
Author(s):  
Lucas da Fonseca Roberti Garcia ◽  
Hebert Luis Rossetto ◽  
Fernanda de Carvalho Panzeri Pires-de-Souza
Keyword(s):  
Bond Strength ◽  
Calcium Aluminate ◽  
Shear Bond Strength ◽  
Testing Machine ◽  
Mineral Trioxide Aggregate ◽  
Acrylic Resin ◽  
Promising Alternative ◽  
Mean Values ◽  
Significant Difference ◽  
Molar Teeth

ABSTRACT Objective: To evaluate the shear bond strength of a novel calcium aluminate-based cement, EndoBinder (EB), to dentine in comparison with Grey and White Mineral Trioxide Aggregate (MTA). Materials and Methods: Root canal hemi-sections obtained from 30 extracted molar teeth were embedded in self-polymerized acrylic resin and were grounded wet in order to obtain a flat dentine surface. Next, the roots were randomly assigned into three groups (n = 10), according to the cement used, as follows: EB: EndoBinder; WMTA: White MTA and GMTA: Grey MTA. The shear bond strength test was performed using a Universal Testing Machine (0.5 mm/min) and the data were submitted to statistical analysis (1-way ANOVA and Tukey tests, P < 0.05). Results: EB presented the highest shear bond strength values; however, there was no statistically significant difference in comparison with GMTA (P > 0.05). WMTA presented the lowest mean values, which were significant in comparison with EB (P < 0.05). Conclusions: The novel calcium aluminate-based cement presented higher shear bond strength than WMTA, and should be considered as a promising alternative in endodontic therapy.

Effect of Endocrowns on Fracture Strength and Microleakage of Endodontically Treated Primary Molar Teeth

2019 ◽  
Vol 10 (2) ◽  
pp. 113-119
Author(s):  
Tarek Seddik ◽  
Sera Derelioglu
Keyword(s):  
Fracture Strength ◽  
Compressive Loading ◽  
Class Ii ◽  
Control Group ◽  
Second Primary ◽  
Endodontically Treated Teeth ◽  
Primary Molar ◽  
Molar Teeth ◽  
Group 2 ◽  
Group 1

Objectives: Optimal restoration of endodontically treated teeth is very important for the durability of the endodontic treatment. The focus of this study was to evaluate the fracture strength and microleakage of composite endocrowns compared with Class II composite restorations in endodontically treated primary molar teeth. Materials and Methods: 48 extracted second primary molars were divided into 2 groups. Group 1 (control): teeth with Class II and endodontic access cavities restored with G-aenial composite; group 2: endocrown restorations with G-aenial composite. After completing restorative procedures, teeth were subjected to thermal cycling (500 cycles). Compressive loading was applied to half of the samples, although the other half were immersed in 0.5% basic fucsin solution for 24 h, sectioned, and examined for dye penetration under stereomicroscope. Data were subjected to statistical analysis by the Mann-Whitney U test (α = 0.05). Results: The fracture strength of endocrowns (1741 ± 379.35 N) was significantly higher than that of the control group (1126.5 ± 405.39 N) ( P < .05). No statistical difference was found in microleakage between the 2 groups ( P > .05). Conclusion: Endocrown preparation increases the fracture strength of the final composite restoration when used in primary molar teeth. Composite endocrown restorations can be a practical and an esthetic option for restoring endodontically treated primary molar teeth.

scholarly journals Effect of post type on the fracture resistance of endodontically treated premolars

2018 ◽  
Vol 145 ◽  
pp. 04003
Author(s):  
Ekaterina Karteva ◽  
Neshka Manchorova ◽  
Dessislava Pashkouleva ◽  
Donka Keskinova ◽  
Stoyan Vladimirov
Keyword(s):  
Fracture Resistance ◽  
Survival Rates ◽  
Testing Machine ◽  
Endodontically Treated Teeth ◽  
Honestly Significant Difference ◽  
Significant Difference ◽  
Tukey Honestly Significant Difference ◽  
Root Fractures ◽  
Restoration Method ◽  
Resistance Rates

Endodontically treated teeth (ETT) are more susceptible to fracture during mastication. The aim of our study was to investigate the fracture resistance of premolars, restored with different techniques. Eighteen human premolars, extracted for orthodontic or periodontal reasons, were used. Mesio-occlusal cavities were prepared on all of them. They were divided into 3 groups according to the restoration method: with a cemented fiber post (FP), with a cemented metal post (MP) and without a post, but restored with a fiber reinforced composite core (FRC). After thermocycling, their fracture resistance was evaluated in a standard testing machine. The results were analyzed with one-way ANOVA and Tukey Honestly Significant Difference (HSD) tests (p<0.05). The fracture modes were also determined. The MP group showed the lowest fracture resistance rates and the highest number of unrestorable root fractures. In conclusion, teeth restored with FRC cores or FP show better survival rates than those restored with metal posts.

Influence of Different Restoration Techniques on Fracture Resistance of Root-filled Teeth: In Vitro Investigation

2018 ◽  
Vol 43 (2) ◽  
pp. 162-169 ◽  
Author(s):  
ME Hshad ◽  
EE Dalkılıç ◽  
GC Ozturk ◽  
I Dogruer ◽  
F Koray
Keyword(s):  
Fracture Strength ◽  
Resin Composite ◽  
Testing Machine ◽  
Compressive Force ◽  
Control Group ◽  
Hybrid Resin ◽  
Flowable Composite ◽  
In Vitro Investigation ◽  
Significant Difference

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.

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