scholarly journals Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule

2016 ◽  
Vol 41 (1) ◽  
pp. 64-75 ◽  
Author(s):  
P Magne ◽  
J Goldberg ◽  
D Edelhoff ◽  
J-F Güth

SUMMARY Objective The aim of this study was to investigate the restoration of highly damaged, broken-down endodontically treated molars without the ferrule effect using glass ceramic crowns on different dual-cure composite resin core buildups. Methods and Materials Thirty (N=30, n=15) decoronated, endodontically treated teeth (no ferrule) were restored without a ferrule with a direct buildup using the dual-curing composite Multicore HB (group MHB) or the dual-curing composite core buildup Multicore Flow in combination with glass-fiber–reinforced composite post (FRC post; group MFP). All teeth were prepared to receive bonded glass ceramic crowns (Empress CAD luted with Variolink II) and were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the palatal cusp at an angle of 30 degrees and a frequency of 5 Hz, beginning with a load of 200 N (×5000 cycles), followed by stages of 400, 600, 800, 1000, 1200, and 1400 N at a maximum of 30,000 cycles each. Specimens were loaded until failure or to a maximum of 185,000 cycles. Groups were compared using the life table survival analysis (log rank test at p=0.05). Average fracture loads and number of survived cycles were compared with one-way analysis of variance (Scheffé post hoc at p=0.05). Previously published data from the same authors about core buildups made of high-performance polymers (group HPP, n=15) and light-curing composite resin without FRC posts (group TEC, n=15) and with FRC posts (group TECP, n=15) using the same experimental setup were included for comparison. Results None of the tested specimen withstood all 185,000 load cycles. There was no significant difference in mean fracture load (p=0.376), survived cycles (p=0.422), and survival (p=0.613) between MHB (facture load 859.4 N±194.92) and MFP (796.13 N±156.34). Group HPP from a previous study appeared to have significantly higher performance than all other groups except MHB. All groups with posts were affected by an initial failure phenomenon (wide gap at the margin between the buildup/crown assembly and the root). Conclusions HPP and MHB enhanced the performance of all-ceramic leucite-reinforced glass ceramic crowns, and insertion of a fiber-reinforced composite post was not influential when using other materials.

2017 ◽  
Vol 42 (4) ◽  
pp. 396-406 ◽  
Author(s):  
P Magne ◽  
PC Lazari ◽  
MA Carvalho ◽  
T Johnson ◽  
AA Del Bel Cury

ABSTRACT Objectives: The aim of this study was to investigate the restoration of broken-down endodontically treated incisors with the ferrule effect using glass ceramic crowns bonded to composite resin core buildups with or without a fiber post. A no-ferrule group with post was also included for comparison. Methods and Materials: Thirty decoronated endodontically treated bovine incisors with a 2-mm ferrule were restored with a direct buildup using a nanohybrid direct composite resin (Miris 2 and Optibond FL) with or without a glass-fiber–reinforced post. An additional group of 15 teeth without a ferrule were restored with buildup and a fiber post. All teeth were prepared to receive bonded glass ceramic crowns (e.max CAD luted with Variolink Esthetic DC) and were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the incisal edge at an angle of 30° and a frequency of 5 Hz, beginning with a load of 100 N (×5000 cycles). A 100 N load increase was applied each 15,000 cycles. Specimens were loaded until failure or to a maximum of 1000 N (×140,000 cycles). Groups were compared using the Kaplan Meier survival analysis (log rank test at p=0.05). Results: None of the tested specimens withstood all 140,000 load cycles. Specimens with posts but without a ferrule were affected by an initial failure phenomenon (wide gap at the lingual margin between the buildup/crown assembly and the root). There was a significant difference in mean survived cycles between the ferrule groups (Fp=73,332× and FNp=73,244×) and the no-ferrule group (50,121×; p=0.001). The addition of a fiber post was not significant in the presence of the ferrule (p=0.884). In both groups with posts, 100% of failures were unrestorable. The no-post group had 47% of restorable and possibly restorable failures. Conclusions: The survival of broken-down nonvital incisors was improved by the presence of the ferrule but not by the fiber-reinforced post. Fiber posts were always detrimental to the failure mode and were not able to compensate for the absence of a ferrule.


2013 ◽  
Vol 20 (1) ◽  
pp. 45
Author(s):  
Ria Ariani ◽  
Wignyo Hadriyanto

Perawatan saluran akar satu kali kunjungan memberikan keuntungan antara lain memperkecil resiko kontaminasi mikroorganisme dan menghemat waktu perawatan. Pasak fiber reinforced composite memiliki ikatan yang baik dengan dentin menggunakan semen resin dan inti dari resin. Penggunaan pasak bisa mengurangi risiko fraktur. Tujuan penulisan laporan kasus ini adalah untuk mengevaluasi hasil restorasi gigi 11 nekrosis pulpa pasca perawatan saluran akar disertai restorasi dengan pasak fiber reinforced composite. Pasien wanita, 22 tahun datang ke Klinik Konservasi RSGM FKG UGM untuk merawat gigi depan atas kanan yang berlubang. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis gigi 11 nekrosis pulpa. pasca perawatan saluran akar gigi Gigi direstorasi dengan resin komposit dan pasak fiber reinforced composite. Kesimpula dari hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit dan pasien merasa puas.One Visit Treatment of Fiber Reinforced Compositerestoration in Maxillary Right First Incisivus. One visit root canal treatment is advantageous to minimize the risk of microorganism contamination. It saves time and more tolerable for the patients. Fiber reinforced composite post is fabricated, and it has been known to have a good bond with dentinal wall of root space, resin cement and composite resin core. The use of this post could decrease the risk of fracture. The purpose of this paper is to report the results of dental restoration 11 pulp necrosis after root canal treatment with resin composite restorations and post fiber reinforced composite. A 22 year-old female patient who came to Faculty of Dentistry UGM complained about her maxillary right incisor teeth which decayed and needed a treatment. Based on the subjective, objective and radiograph examinations, it was diagnosed that the pulp was necrotic. After one visit root canal treatment and based on clinical evaluation, it is concluded that the right upper incisor that was restored using fiber reinforced composite post and composite resin showed no pain, and patient was satisfied.


Author(s):  
Lucas Moreira Maia ◽  
Wilson Bambirra Júnior ◽  
Kênia Maria Toubes ◽  
Gil Moreira Júnior ◽  
Vinicius de Carvalho Machado ◽  
...  

2012 ◽  
Vol 6 (1) ◽  
pp. 41-45 ◽  
Author(s):  
S Garoushi ◽  
J Tanner ◽  
PK Vallittu ◽  
L Lassila

This preliminary clinical trial evaluated 12 month clinical performance of novel filling composite resin system which combines short fiber-reinforced composite resin and conventional particulate filler composite resin in high stress bearing applications. A total of 37 class I and II restorations (compound and complex type) were placed in 6 premolars and 31 molars. The restorations were reviewed clinically at 6 months (baseline) and 12 months using modified USPHS codes change criteria for marginal adaptation, post-operative sensitivity, pulpal pain and secondary caries criteria. Photographs and x-rays were obtained for restorative analysis. Results of 12 months evaluation showed 5 restorations having little marginal leakage (B score) and 1 patient had minor pulpal symptom and post-operative sensitivity (B score). No secondary caries or bulk fracture was detected. The majority of restorations exhibited A scores of the evaluated criteria. After 12 months, restorations combining base of short fiber reinforced composite resin as substructure and surface layer of hybrid composite resin displayed promising performance in high load bearing areas.


2021 ◽  
Vol 10 (2) ◽  
pp. 103
Author(s):  
Dessy Natalia ◽  
Yulita Kristanti

Gumboil is inflammation reaction in the gum caused by pulp infection. Gumboil is seen as an oral lesion characterized by a soft erythematous papule where a periapical abcess is draining into the oral cavity. An adequate root canal treatment can  cure gumboil and remove bacteria from the root canal. To support the success of root canal treatment, final restoration used in this case is composite resin restoration with reinforcing fiber (short fiber reinforced composite). The purpose of this treatment was to restore the functions of tooth in mastication and preserving the supporting tissue. A female patient age 23 years old came with complaints of pain in the lower right mandibular molar accompanied by swelling of the gums around the teeth since a week ago. Swelling is intermittent since last 3 months. The tooth have been restored for about 3 years ago. Clinical examination showed a positive percussion, positive palpation, negative vitality, and negative mobility. Radiographic examination showed bifurcation and periapical lesions. Root canal treatment is performed with crown down preparation technique and followed by direct composite resin restoration with short fiber reiforced composite. The success of root canal treatment followed by composite resin restoration with short fiber reinforced fiber is marked by the absence of complaints as well as the dissappearance of gumboil.


RSBO ◽  
2017 ◽  
Vol 13 (3) ◽  
pp. 217 ◽  
Author(s):  
Carla Kuroki Kawamoto Pereira ◽  
Vanara Florêncio Passos ◽  
Sérgio Luís Da Silva Pereira

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