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

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>0.05). When groups CR, FCR, and PRF were compared, group PRF showed significantly better fracture strength than did groups CR and FCR (p<0.05). It was determined that there was not any significant difference between group IN and group PRF (p>0.05). Conclusions: Polyethylene ribbon fiber considerably increases the fracture strength of mandibular premolar teeth with MOD cavities restored with composite.

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.


2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Amr Mohsen Mohamed ◽  
Sameh Mahoud Nabih ◽  
Mohamed Ahmed Wakwak

Objective: The purpose of this study was to evaluate the effect of chitosan nanoparticles on microtensile bond strength of resin composite to dentin using self etch adhesive after aging. Material and Methods: A total number of 90 freshly extracted, sound human molar teeth. Flat tooth surface was gained after cut of the occlusal surface. Three main groups according to pretreatment of dentin before adhesive application; 0.2 % chitosan, 2.5 % chitosan and no treatment control group. Universal self etch adhesive were applied according to manufacture instruction and 4 mm of Feltik Z250 xt composite. Storage of specimens for 1 day, 3 months and 6 months in 37O C distilled water. After that, the tooth was sectioned to beams of 1 mm x8 mm sticks for microtensile bond strength test using universal testing machine. Scanning electron microscope (SEM) was used to evalute the effect of chitosan nanoparticles on dentin and smear layer. Kruskal-Wallis test was used to compare between the three groups as well as the three aging periods. Dunn’s test was used for pair-wise comparisons. The significance level was set at P ≤ 0.05. Results: chitosan 0.2% is statistically significant increase in bond strength than chitosan 2.5% and control in one day group. Three months chitosan 0.2 % groups have statistically significant increase in bond strength than chitosan 2.5%. It was found in 6 months that control and chitosan 0.2 % have statistically significant increase in bond strength than chitosan 2.5%. There was statistically significant difference found between the three studied groups regarding bond strength at different storage times . Conclusion: Microtensile bond strength was influenced by different chitosan concentration. Different aging periods had no effect on the microtensile bond strength without application of chitosan and with application of 2.5% chitosan concentration.KEYWORDSChitosan nanoparticles; Microtensile bond strength; MMPs.


Materials ◽  
2021 ◽  
Vol 14 (24) ◽  
pp. 7733
Author(s):  
Roland Frankenberger ◽  
Julia Winter ◽  
Marie-Christine Dudek ◽  
Michael Naumann ◽  
Stefanie Amend ◽  
...  

Objectives: To investigate in vitro post-fatigue fracture behavior of endodontically treated molars having been differently restored. Methods: A total of 120 extracted human molars were used. A total of 120 specimens in 14 test groups and one control group (n = 8) were root canal treated. After postendodontic sealing and build-up (AdheSE Universal, SDR), additional MOD preparations were cut. Postendodontic restorations were: Direct restorations (Tetric EvoCeram BulkFill bonded with AdheSE Universal and EverX Posterior/Essentia bonded with G-Premio Bond; as filling (F) or direct partial crown (DPC) after reducing the cusps 2 mm; indirect adhesive restorations (partial crown/PC vs. full crown/FC): e.max CAD, Celtra Duo, both luted with Variolink Esthetic; indirect zirconia restorations (partial crown/PC vs. full crown/FC), luted with RelyX Unicem 2; indirect non-bonded cast gold restorations (partial crown/PC vs. full crown/FC; Degunorm), luted with Ketac Cem. Before and after 300,000 thermocycles (5/55 °C) and 1.2 Mio. A total of 100 N load cycles, replicas were analyzed under a SEM for marginal quality in enamel and dentin (where applicable) and finally, specimens were loaded until fracture. Results: In direct groups, there was no difference between RC and FRC in fracture strength (p > 0.05); however, direct partial crowns showed higher post-fatigue fracture resistance. Regarding marginal quality, intracoronal FRC restorations exhibited more gap-free margins in enamel than RC. In the indirect groups, there was no significant difference between partial and full crowns in any of the adhesively luted ceramic groups regarding post-fatigue fracture resistance. Zirconia partial crowns exhibited significantly lower marginal quality in enamel. Indirect groups performed significantly better than direct groups in fracture resistance. Within the indirect restorations, both cast gold groups and zirconia full crowns exhibited the highest fracture resistance being superior to control teeth. Significances: Within the limits of this in vitro investigation, it can be concluded that any kind of indirect restoration with cusp replacement is suitable for ETT restoration when a certain cavity extension is exceeded. All indirect restorations, i.e., endocrowns, partial crowns, and full crowns showed a promising performance after in vitro fatigue-loading.


2017 ◽  
Vol 1 (1) ◽  
pp. 20-25
Author(s):  
Pooja Kabra

ABSTRACT Aim The purpose of this study was to evaluate the fracture strength of roots instrumented with the self-adjusting file (SAF; ReDent-Nova, Ra'anana, Israel) and the Reciproc reciprocating file and that were and were not obturated using the warm vertical lateral compaction technique. Materials and methods In total, 75 mandibular premolar teeth were sectioned at or below the cementoenamel junction to obtain roots 13 mm in length. The roots were balanced with respect to buccolingual and mesiodistal diameters and weight. They were distributed into four experimental groups and one control group (n = 15): No instrumentation (group I), instrumentation with SAF files but no obturation (group II), instrumentation with SAF files and obturated with warm vertical lateral compaction (group III), instrumentation with Reciproc File but no obturation (group IV), and instrumentation with Reciproc File and obturated with warm vertical lateral compaction (group V). AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) was used along with gutta-percha points. One week later, a vertical load was applied to the specimen's canal until fracture occurred. Data were statistically analyzed using one-way analysis of variance (p = 0.05). Results The mean fracture load was 312.83 N for group I, 297.35 N for group II, 359.15 N for group III, 231.51 N for group IV, and 275.81 N for group V. Conclusion The fracture resistances exhibited a statistically significant difference between all the groups. Teeth instrumented by SAF exhibited a better fracture resistance. How to cite this article Tyagi S, Choudhary E, Kabra P, Chauhan R. An in vitro comparative Evaluation of Fracture Strength of Roots Instrumentated with Self-adjusting File and Reciproc Reciprocating File, with and without Obturation. Int J Clin Dent Res 2017;1(1):20-25.


Materials ◽  
2020 ◽  
Vol 13 (12) ◽  
pp. 2710 ◽  
Author(s):  
Maroun Ghaleb ◽  
Giovanna Orsini ◽  
Angelo Putignano ◽  
Sarah Dabbagh ◽  
Georges Haber ◽  
...  

This in vitro study aims to evaluate whether a solution of 10% sodium ascorbate (SA) may exert a beneficial effect on the bonding of composite to enamel after using different bleaching agents and protocols. Microtensile bond strength (µTBS) was evaluated on 72 freshly extracted human central incisors, divided into eight experimental groups and one control group (total n = 9): Group 1 serves as control (nonbleached). Group 2 was bleached with 5% carbamide peroxide. Group 3 was bleached with 5% carbamide peroxide and then treated with 10% SA. Group 4 was bleached with 10% carbamide peroxide. Group 5 was bleached with 10% carbamide peroxide, then treated with 10% SA. Group 6 was bleached with 16% carbamide peroxide. Group 7 was bleached with 16% carbamide peroxide, then treated with 10% SA. Group 8 was bleached with 6% hydrogen peroxide. Group 9 was bleached with 6% hydrogen peroxide, then treated with 10% SA. All groups were restored immediately after the different treatments using a resin composite. The µTBS values were measured using a universal testing machine and statistical analysis was performed by means of normality and variance analyses, SIDAK test for univariate test and multiple comparisons, and Student test to compare µTBS values of each group with the control. The mean µTBS values in groups 2, 4, 6, 8 were significantly lower than controls. For groups 3, 5, 7, 9, subjected to antioxidant (10% SA) application, all µTBS values increased significantly. However, only for Groups 3 and 5 there was no significant difference with the control. Applying 10% SA for 10 min may improve the bond strength composite/bleached enamel just when whitening is performed with 5% and 10% carbamide peroxide.


2021 ◽  
Author(s):  
Ladan Ranjbar Omrani ◽  
Saba Tohidkhah ◽  
Elham Ahmadi ◽  
Mahdi Abbasi ◽  
Reza Morvaridi Farimani

Abstract Background: The aim of the current study was to evaluate and compare the influence of Dycal, Lime-lite, Theracal LC, Biodentine, Resin-modified glass ionomer cement (RMGIC), and Activa Bioactive as the pulp capping material on the shear bond strength of resin composite to dentin.Methods: A total of 70 extracted caries-free molars were randomly assigned to seven groups. Six test groups were covered with various protective liners: Dycal (GD), Theracal LC (GT), lime-lite (GL), Activa Bioactive (GA), Biodentine (GB), RMGIC (GR). The control group (GC)received no liner pretreatment. Each sample was bonded to resin composite using the total-etch tetric N bond adhesive. The samples were then tested for shear bond strength using the universal testing machine at a cross-head speed of 1 mm/min until bond failure occurred. The data were analyzed using the one-way ANOVA test followed by the Tamhane post-hoc test for pairwise comparisons of the groupsResults: Independent of the type of the applied liner, all groups exhibited inferior SBS to dentine compared to the control group. GT and GR showed significantly higher shear bond strength than GB and GD, which showed the lowest shear bond strength. GL and GA also had significantly lower SBS results than GT. The mode of fracture was predominantly cohesive in GD, GB, and GT and adhesive in GA.Conclusion: This present study concludes that the bond strength of resin-composite to dentine can be affected differently using various types of liners.


2022 ◽  
Vol 12 (3) ◽  
pp. 569-573
Author(s):  
Ahlam Samran ◽  
Adnan Habib ◽  
Mazen Doumani ◽  
Abdulaziz Samran

<sec> <title>Objective:</title> This laboratory study aimed to evaluate the effect of self-adhesive root canal sealers on the fracture strength of root canals filled with Resilon or EndoREZ. </sec> <sec> <title>Materials and Methods:</title> A total of eighty extracted mandibular premolar teeth were selected in this in-vitro study. All teeth were instrumented using a crown-down technique by FlexMaster rotary NiTi files. Specimens were divided into 4 test groups (n = 20) according to the sealer material: RS; RealSeal, RSS; RealSeal SE, MS; MetaSeal, and CG; (control group) zinc oxide eugenol-based sealer. Each main group was distributed into two subgroups (n = 10) according to the filling material either Resilon or EndoREZ and gutta-percha (n = 20) in the control group. Each root was mounted in acrylic resin blocks and subjected to fracture in a universal testing machine. The load values at root specimens fractured were registered in Newton’s and the data were analyzed using two-way analysis of variance and the Tukey HSD test (α = 0.05). </sec> <sec> <title>Results:</title> The two-way analysis of variance analysis indicated that the filling material had a significant effect on the fracture strength of endodontically treated teeth (p < 0.05) but not the sealer materials (p≥.05). Higher mean fracture strength was recorded in MetaSeal and Resilon group (1281.90±200.34 N) and lower mean fracture strength was shown in RealSeal and EndoREZ group (847.55±191.04 N). </sec> <sec> <title>Conclusion:</title> Self-adhesive (fourth-generation) resin sealers increased the fracture strength of root teeth more than self-etching (third-generation) root canal sealers when used with EndoREZ points. </sec>


2004 ◽  
Vol 5 (4) ◽  
pp. 32-41 ◽  
Author(s):  
Luis Guilherme Sensi ◽  
Fabiano Carlos Marson ◽  
Sylvio Monteiro ◽  
Luiz Narciso Baratieri ◽  
Mauro Amaral Caldeira de Andrada

Abstract Objective The purpose of this in vitro study was to investigate the microleakage at dentin margins of a flowable resin composite associated with an adhesive, either light cured separately or co-cured, in Class V cavities. Materials and Methods Twenty four recently extracted human molars were prepared with standardized boxshaped Class V cavities of 3.0 mm (mesial-distal), 2.0 mm (occlusal-gingival), and 2.0 mm depth with margins located on enamel and dentin/cementum on the buccal or lingual surfaces. The cavities were randomly assigned into three groups (n=8): Group I – Single Bond + Filtek Z250 (control); Group II – Single Bond + Filtek Flow (light cured separately) + Filtek Z250; and Group III – Single Bond + Filtek Flow co-cured (light cured simultaneously) + Filtek Z250. After being immersed in tap water for 24 h, the specimens were thermocycled (1000x, 5°-55°C, 30 sec dwell time) and immersed in a 0.5% basic fuchsine solution for 24 h. The restorations were sectioned longitudinally and gingival margins were evaluated for microleakage using a 0-4 scale. Data were subjected to the Kruskal-Wallis test at p<0.05. Results A statistically significant difference at p = 0.0044 between Groups 1 and 3 and Groups 2 and 3 was observed. Although Group 2 performed slightly better than Group 1, no significant difference was observed. Conclusion The use of a flowable resin composite cured simultaneously with an adhesive yielded the worst results in this study. As no statistical differences were seen between Groups 1 and 2, the use of a flowable composite as a means of minimizing microleakage at dentin margins may be questioned. Citation Sensi LG, Marson FC, Monteiro S Jr., Baratieri LN, de Andrada MAC. Flowable Composites as “Filled Adhesives:” A Microleakage Study . J Contemp Dent Pract 2004 November;(5)4:032-041.


2014 ◽  
Vol 1025-1026 ◽  
pp. 385-390
Author(s):  
Niwat Anuwongnukroh ◽  
Surachai Dechkunakorn ◽  
Jirawat Arunakol ◽  
Wassana Wichai

One of the problems that often occurred during orthodontic treatment is bracket failure. This is usually the result either of the patient’s accidentally, applying inappropriate forces to the bracket or of a poor bonding technique. Thus, a significant number of teeth have to be rebonded in an orthodontic practice. Objective: The aim of this study was to evaluate the in vitro initial repeated shear bond strength of the three adhesive systems at two and five minutes after placement of a bracket. Materials and Methods: The three bonding agent adhesives are System1+, Rely-a-bond, Unite. Two hundred and forty human premolar teeth were divided into two groups, a control and an experimental group. Each group was further divided into three subgroups for bonding brackets with the three different adhesives. Only the teeth in the experimental group were sequentially bonded and debonded two times with the same adhesive. The teeth in control and experimental groups were tested for shear bond strength (at two and five minutes after the bracket was bonded) with an Instron testing machine. Results: The studies were found that : (1) there were differences between the shear bond strength of each adhesive in the control and experimental group. Unite had the highest shear bond strength followed by Rely-a-bond and System1+ at two minutes and five minutes, (2) the experiment group ( rebonded brackets) had higher shear bond strength than control group and Unite had in significant difference (p<0.05) of initial repeated bond strength with System1+ and Rely-a-bond at two minutes and five minutes and (3) there were mostly significant difference (p<0.05) between repeated shear bond strength at two minutes and repeated shear bond strength at five minutes. Conclusion: There were significant difference of the initial repeated shear bond strength of each adhesive. The orthodontists should be aware of applying force for tooth movement into the repeated bonding brackets.


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.


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