Better Glass-fiber Post Preservation in Teeth with Ferrule When Subjected to Chewing

2021 ◽  
Author(s):  
CP Gré ◽  
DP Lise ◽  
RQ Ramos ◽  
B Van Meerbeck ◽  
LCC Vieira ◽  
...  

SUMMARY Objectives: To evaluate the influence of ferrule effect and mechanical fatigue aging on glass-fiber post push-out bond strength (PBS) to root-canal dentin at different root thirds of premolars. Methods and Materials: Thirty-two sound maxillary premolar teeth were collected, and randomly assigned to two experimental groups (n=16): ‘Remaining Dentin Ferrule’ (RDF) = coronal crown cut 2.0 mm above the cemento-enamel junction (CEJ); ‘Without Dentin Ferrule’ (WDF) = coronal crown cut at the cemento-enamel junction. Teeth were endodontically treated, post spaces were prepared up to 10.0-mm depth from CEJ, and glass-fiber posts were cemented using a dual-cure self-adhesive composite cement. Standardized cores were built using a light-cure composite, upon which tooth cores were prepared using a 1.5-mm taper ogival-end diamond bur. Crowns were handmade using self-cure acrylic resin and cemented using the aforementioned composite cement. Half of the specimens were subjected to 1,200,000 cycles of mechanical fatigue in a chewing simulator (F = ‘Fatigue’), while the other half were stored in distilled water at 37°C for 1 week (C = ‘Control’). All specimens were horizontally sectioned into 1.0-mm thick slices prior to PBS test; the failure modes were assessed using stereomicroscopy and scanning electron microscopy (SEM). Data were analyzed for each root third using two-way analysis of variance (ANOVA) followed by Tukey HSD post-hoc test; frequency distribution was compared by Chi-square test (α=0.05) and post-hoc comparisons with Bonferroni. Results: The mean PBS in MPa (SD) were = RDF_F = 10.4 (2.9); WDF_F = 6.9 (1.7); RDF_C = 14.5 (2.7); WDF_C = 14.2 (2.9). Similar PBS were found for the root thirds. For all root thirds, significant differences were found for both the factors Dentin Ferrule and Fatigue, and their interaction (p<0.05). The lowest PBS was found for specimens without dentin ferrule subjected to chewing fatigue (p<0.001). Most failures occurred at the composite cement/dentin interface, followed by mixed and composite cement/glass-fiber post interfacial failures. There was a significant increase in mixed failures for the WDF_F group (p<0.001). Conclusion: Absence of 2.0-mm remaining dentin ferrule in premolars resulted in a higher decrease of the glass-fiber posts’ PBS to dentin after mechanical fatigue, irrespective of root third.

2021 ◽  
Author(s):  
MER Gama ◽  
GS Balbinot ◽  
GC Ferreira ◽  
EG Mota ◽  
VCB Leitune ◽  
...  

SUMMARY This study aimed to evaluate the cementation and mechanical behavior of flared root canals restored with CAD/CAM milled glass fiber post-and-core systems. Sixty-six endodontically treated human canines with a flared root canal were divided into three different groups according to the type of post: GPF received prefabricated posts; GREL received relined glass fiber posts, and GMILLED received CAD/CAM milled glass fiber posts. Cementation was performed with self-adhesive resin cement. The samples were submitted to x-ray microcomputed tomography analysis for the analysis of voids and gaps. The roots were sectioned and submitted to the push-out bond strength test. The load-to-fracture was evaluated in post-and-core systems. GMILLED presented lower void and lower gap volumes when compared to GPF and GREL. On the load-to-fracture test, GREL presented statistically significant higher values than GMILLED. GPF values had no statistically significant difference from the two other groups. On the push-out bond strength test, GPF presented statistically significant lower values when compared to GREL and GMILLED. The most common failure pattern was between dentin and cement in all groups. CAD/CAM milled glass fiber post-and-core systems presented an enhanced adaptation of glass fiber posts to flared root canal systems. Their results were comparable to relined posts in bond strength, while load-to-fracture-results for GMILLED were lower than those for GPF.


2015 ◽  
Vol 26 (3) ◽  
pp. 222-227 ◽  
Author(s):  
Kátia Bosso ◽  
Alcides Gonini Júnior ◽  
Ricardo Danil Guiraldo ◽  
Sandrine Bittencourt Berger ◽  
Murilo Baena Lopes

Endodontic posts are necessary to provide adequate retention and support when no sufficient remaining structure is available to retain the core. There are different materials and techniques to construct post-and-core, but there is no consensus about which one promotes better stress distribution on the remaining tooth structure. This study aimed to quantify and evaluate the distribution of stress in the root produced by customized glass fiber posts compared to different endodontic posts. Twenty-five simulated roots from photoelastic resin were made and divided into 5 groups: CPC, cast post-and-core; SP, screw post; CF, carbon fiber post; GF, glass fiber post; and CGF, customized glass fiber post. After cementing CPC and SP posts with zinc phosphate cement, and CF, GF and CGF posts with resin cement, resin cores were made for groups 2-5. Specimens were evaluated with vertical or 45° oblique loading. To analyze the fringes, the root was divided into 6 parts: palatal cervical, palatal middle, palatal apical, vestibular cervical, vestibular middle, and vestibular apical. The formed fringes were photographed and quantified. Data were recorded and subjected to two-way ANOVA and Tukey's test (5%). SP (1.95±0.60) showed higher stress (p<0.05) compared to the others (CPC-0.52±0.74; CF-0.50±0.75, GF-0.23±0.48 and CGF-0.45±0.83). All posts showed high stress in apical third (CPC-1.40±0.65; SP-2.30±0.44, CF-1.80±0.45, GF-1.20±0.45, CGF-1.70±1.03) Low stress was found in cervical third (CPC-0.20±0.45; CF-0.00±0.00, GF-0.00±0.00, CGF-0.00±0.00), except by SP (1.90±0.65), which showed statistical difference (p<0.05). Customized post showed high stress concentration at the root and conventional glass fiber posts showed more favorable biomechanical behavior.


Materials ◽  
2021 ◽  
Vol 14 (15) ◽  
pp. 4249
Author(s):  
Alexandre Luiz Souto Borges ◽  
Manassés Tercio Vieira Grangeiro ◽  
Guilherme Schmitt de Andrade ◽  
Renata Marques de Melo ◽  
Kusai Baroudi ◽  
...  

The loss of dental structure caused by endodontic treatment is responsible for a decrease in tooth resistance, which increases susceptibility to fracture. Therefore, it is important that minimally invasive treatments be performed to preserve the dental structure and increase the resistance to fracture of endodontically treated posterior teeth. To evaluate under axial loads, using the finite element method, the stress distribution in endodontically treated molars restored with both transfixed or vertical glass fiber posts (GFP) and resin composite. An endodontically treated molar 3D-model was analyzed using finite element analyses under four different conditions, class II resin composite (G1, control model), vertical glass fiber post (G2), transfixed glass fiber posts (G3) and vertical and transfixed glass fiber posts (G4). Ideal contacts were considered between restoration/resin composite and resin composite/tooth. An axial load (300 N) was applied to the occlusal surface. The resulting tensile stresses were calculated for the enamel and dentin tissue from five different viewports (occlusal, buccal, palatal, mesial and distal views). According to the stress maps, similar stress trends were observed, regardless of the glass fiber post treatment. In addition, for the G1 model (without GFP), a high-stress magnitude can be noticed in the proximal faces of enamel (7.7 to 14 MPa) and dentin (2.1 to 3.3 MPa) tissue. The use of transfixed glass fiber post is not indicated to reduce the stresses, under axial loads, in both enamel and dentin tissue in endodontically treated molar with a class II cavity.


2015 ◽  
Vol 26 (3) ◽  
pp. 211-215 ◽  
Author(s):  
Gustavo Sivieri-Araujo ◽  
Mario Tanomaru-Filho ◽  
Juliane Maria Guerreiro-Tanomaru ◽  
Eduardo Antunes Bortoluzzi ◽  
Érica Gouveia Jorge ◽  
...  

The aim of this study was to evaluate the fracture resistance of simulated immature teeth after different intra-radicular treatments. Crowns and roots of bovine incisors were cut transversally and removed to simulate immature teeth. Root canal preparation and flaring were performed using a bur in crown-apex and apex-crown direction. The samples were distributed into 5 groups (n=10): Positive control (PoC) - no root canal flaring or filling; Negative control (NeC) - teeth were sectioned and their root canals were flared; Direct anatomical glass fiber post (RaP) - #2 Reforpost main glass fiber post relined with composite resin; Double tapered conical glass fiber posts (ExP) - #3 Exacto glass fiber post; and #2 Reforpost main glass fiber + Reforpin accessory glass fiber posts (RrP). In RaP, ExP and RrP, 4.0-mm apical plugs were done with MTA Angelus. The specimens were embedded in polystyrene resin inside cylinders and the periodontal ligament was simulated with a polyether-based impression material. The specimens were submitted to compressive fracture strength test (0.5 mm/min at 135° relative to the long axis of the tooth) in a servo-hydraulic mechanical testing machine MTS 810. Data were subjected to one-way ANOVA and Dunnett's C or Tukey's tests (α=0.05). The control groups (PoC and NeC) showed lower fracture strength than the experimental groups. NeC presented the lowest resistance and ExP presented the highest resistance among the experimental groups. The flaring procedures produced a detrimental effect on the fracture resistance of the bovine teeth. Glass fiber intra-radicular posts increased significantly the fracture resistance of simulated immature teeth.


2015 ◽  
Vol 26 (2) ◽  
pp. 141-145 ◽  
Author(s):  
Marcela G. Borges ◽  
André L. Faria-e-Silva ◽  
Paulo C. F. Santos-Filho ◽  
Fernanda P. Silva ◽  
Luís R. M. Martins ◽  
...  

Despite several advantages associated with pre-fabricated glass-fiber posts, the coronal portion of these posts must be cut to allow their use in various clinical situations. However, cutting the cemented post can generate stress on the bonding interface and affect the bond strength. The aim of this study was to investigate the effect the of fiber post cutting on the bond strength of root canals. Sixty bovine incisor roots were included in resin cylinders with simulated periodontal ligaments. Glass-fiber posts were luted using regular resin cement RelyX ARC (3M ESPE) or self-adhesive cement RelyX Unicem (3M ESPE). The posts were cut prior to cementation, immediately after luting or after building up the core (n=10). After storage for 24 h, the samples were cut and subject to push-out testing using a mechanical testing machine (EMIC DL 2000). Data were analyzed using two-way ANOVA (resin cement x moment of post cutting) and Tukey's post hoc test (α=0.05). The moment of fiber post cutting did not affect the bond strength when Unicem was used. However, the bond strength was reduced when ARC was used and when the post was cut immediately. In conclusion, the moment of fiber post cutting may affect the retention of root canal posts when a regular resin cement is used.


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>


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.


2019 ◽  
Vol 30 (4) ◽  
pp. 350-355 ◽  
Author(s):  
Thiago Lopes de Freitas ◽  
Rafael Pino Vitti ◽  
Milton Edson Miranda ◽  
William Cunha Brandt

Abstract The aim of this study was to evaluate the effect of different glass fiber posts (GFPs) diameters on the push-out bond strength to dentin. Forty unirradicular human teeth were endodontically treated and used for cementation of GFPs (White Post DC, FGM) with different diameters (n=10): P1 - ø 1.6 mm coronal x 0.85 mm apical; P2 - ø 1.8 mm coronal x 1.05 mm apical; P5 - ø 1.4 mm coronal x 0.65 mm apical; and PC - customized post number 0.5 with composite resin (Tetric Ceram A2, Ivoclair Vivadent). All GFPs were cemented into the root canal using a dual-curing luting composite (Variolink II, Ivoclar Vivadent). One slice (1.7 mm) of each root third of cemented GFP (cervical, middle, and apical) was submitted to push-out testing. Failure modes of all specimens were classified as: adhesive failure between resin cement and post; adhesive failure between dentin and resin cement; cohesive failure within resin cement, post or dentin; and mixed failure. The data were analyzed with two-way ANOVA and Tukey’s test (a=0.05). The highest bond strength values were presented for the P2 and PC groups. There was no statistically significant difference between the GFP thirds in each group. The groups P2, P5, and PC showed predominantly adhesive failure. For P1, the most prevalent type of failure was adhesive between resin cement and post. It may be concluded that a glass fiber post that is well adapted to the root canal presents higher bond strength values, regardless of GFP third.


2017 ◽  
Vol 18 (3) ◽  
pp. 205-208 ◽  
Author(s):  
Suneel V Vadavadagi ◽  
Kiran M Dhananjaya ◽  
Rashmi P Yadahalli ◽  
M Lahari ◽  
Shilpa R Shetty ◽  
...  

ABSTRACT Introduction Endodontic restoration becomes a challenging task for the clinician because of severe loss of coronal tooth structure owing to trauma, caries, restorative, and endodontic procedures. The restoration of these teeth requires the use of a post and core as individual units or as abutment supports for fixed or removable restorations in a predictable long-term manner. Aim To compare and assess the compressive bond strength of glass, quartz, and carbon fiber posts restored with porcelainfused- to-metal (PFM) crown. Materials and methods A total of 45 upper central incisor teeth having straight root canals, similar anatomically root segments, and fully developed apices were selected. Teeth were divided into three groups of 15 teeth after endodontic treatment. Group I: Teeth inserted with the prefabricated glass fiber post. Group II: Teeth inserted with the quartz fiber post. Group III: Teeth inserted with carbon fiber post. The posts were placed and core was fabricated using composite restoration followed by PFM crown cementation using adhesive resin. Compressive load required to fracture the tooth was measured using a universal loading machine. The difference between the variables was assessed by one-way analysis of variance, followed by Tukey's post hoc test. Results The compressive strength exhibited by carbon fiber posts was highest with a mean of 668.33 ± 26.397, followed by quartz fiber post (635.80 ± 30.390). Least compressive strength was exhibited by glass fiber post (567.53 ± 26.632). An analysis of variance shows statistically highly significant difference (p < 0.005) among the posts used. Conclusion This study concluded that the carbon fiber posts had higher compressive strength than other quartz, glass fiber posts. Clinical significance Endodontic treatment results in loss of a significant part of the tooth structure. Posts restore these teeth and provide retention. How to cite this article Vadavadagi SV, Dhananjaya KM, Yadahalli RP, Lahari M, Shetty SR, Bhavana BL. Comparison of Different Post Systems for Fracture Resistance: An in vitro Study. J Contemp Dent Pract 2017;18(3):205-208.


2016 ◽  
Vol 17 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Lourenço Correr-Sobrinho ◽  
Daniele M da Silveira-Pedrosa ◽  
Luis RM Martins ◽  
Mário AC Sinhoreti ◽  
Manoel D Sousa-Neto ◽  
...  

ABSTRACT Aim To evaluate the push-out bond strength (BS) of direct anatomic posts (DAPs) and conventional fiber posts (CFPs) cemented with different luting agents in different thirds of flared root canals. Materials and methods A total of 60 human single-rooted canine teeth were transversally sectioned 16 mm from the radicular apex. After endodontic treatment, canals were flared with diamond burs. Samples were divided into six groups according to post type and luting agent: DAP and RelyX U100 (RXU); DAP and RelyX ARC (RXA); DAP and RelyX Luting 2 (RXL); CFP and RXU; CFP and RXA; CFP and RXL. Roots were sectioned transversely into six 1-mm-thick slices. The push-out test was performed and failure modes were observed. Results The DAP groups (7.23 ± 2.05) showed highest BS values (p < 0.05) when compared with CFP (5.93 ± 1.76). RelyX U100 (8.17 ± 1.70) showed higher BS values (p < 0.05) than RXA (6.46 ± 1.38), and RXL (5.10 ± 1.65) showed the lowest values. Bond strength on the apical third was statistically lower (p < 0.05) than that on the other thirds of the root canals. There was a predominance of adhesive failure for all groups. Conclusion The DAPs improved retention in flared root canals, and RXU was the most effective luting agent. The apical third showed the lowest BS values. Clinical significance The relining procedure of fiber posts with composite and the proper selection of luting resin cement are important for increasing bonding effectiveness in flared root canals. How to cite this article da Silveira-Pedrosa DM, Martins LRM, Sinhoreti MAC, Correr-Sobrinho L, Sousa-Neto MD, Costa ED Jr, de F Pedrosa-Filho C, de Carvalho JR Jr. Push-out Bond Strength of Glass Fiber Posts Cemented in Weakened Roots with Different Luting Agents. J Contemp Dent Pract 2016;17(2): 119-124.


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