scholarly journals Fracture resistance of simulated immature teeth after apexification with calcium silicate-based materials

2016 ◽  
Vol 10 (02) ◽  
pp. 188-192 ◽  
Author(s):  
Evren Ok ◽  
Mustafa Altunsoy ◽  
Mehmet Tanriver ◽  
Ismail Davut Capar ◽  
Abdussamed Kalkan ◽  
...  
Keyword(s):  
Analysis Of Variance ◽  
Calcium Silicate ◽  
Fracture Resistance ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Control Group ◽  
Fiber Post ◽  
Immature Teeth ◽  
Post Hoc

ABSTRACT Objective: To compare the fracture resistance of simulated immature teeth filled with an apical barrier of mineral trioxide aggregate (MTA), Biodentine, and calcium-enriched mixture (CEM). Materials and Methods: Fifty-two single-rooted human maxillary central incisors were used. For standardization, the teeth were sectioned 6 mm above and 9 mm below the cementoenamel junction to simulate immature apex. Simulations of roots into immature apices were carried out using 1.5 mm diameter drills. The specimens were then randomly divided into three experimental groups (n = 13) and one control group (n = 13). In experimental groups, MTA, Biodentine, and CEM were placed to apical 4 mm of the simulated immature roots. The samples were stored at 37°C and 100% humidity for 1 week. A load was applied on the crown of all teeth at 135° to their long axis until fracture. The data were analyzed using one-way analysis of variance and Tukey post-hoc tests. Results: No statistically significant differences were found among MTA, CEM, and Biodentine (P > 0.05), and these groups demonstrated higher fracture resistance than control group (P < 0.05). Conclusions: Using any of the MTA, Biodentine, and CEM as an apical plug and restoring with fiber post and composite resin increases the fracture resistance of immature teeth.

scholarly journals Influence of the endodontic access cavity design and restorative technique on hard tissue removal and fracture resistance of mandibular premolars

2022 ◽  
Vol 11 (1) ◽  
pp. e18511124575
Author(s):  
Regina Helena Boscatto ◽  
Maira Prado ◽  
Emmanuel João Nogueira Leal Silva ◽  
Carolina Oliveira de Lima ◽  
Adriana De-Jesus-Soares ◽  
...  
Keyword(s):  
Root Canal ◽  
Fracture Resistance ◽  
Composite Resin ◽  
Repeated Measure ◽  
Control Group ◽  
Micro Computed Tomography ◽  
Fiber Post ◽  
Hard Tissue ◽  
Chi Square ◽  
Post Hoc

This study assessed the influence of traditional (TradAC) and conservative access (ConsAC) with different restorative techniques on the percentage of hard tissue removed (%HTR) and on the fracture resistance of mandibular premolars. 45 premolars were scanned in a micro-computed tomography and assigned into four groups according to access (TradAC or ConsAC) and restorative technique: composite resin (CR) or fiber post (FP) + CR. After post preparation, the teeth were rescanned to determine the volume enlargement and %HTR from the crown and root canal. After restoration, the load at fracture was recorded. Data were analyzed statistically by one-way ANOVA and Tukey’s post-hoc test, ANOVA repeated measure, and chi-square tests (P<0.05). TradAC (RC or FP) resulted in the increase (Δ%) of root canal volume and hard tissue removed up to 14 mm (%) in comparison with ConsAC (RC or FP). TradAC + FP removed a greater percentage of hard tissue from the crown when compared to TradAC + CR. The percentage of hard tissue removed in the crown in the ConsAC groups was statistically lower than in the TradAC groups. The control group showed higher fracture resistance than all experimental groups, with no differences among the latter. Restorable fracture patterns were more prevalent. Traditional endodontic access cavities removed a higher percentage of dentine than conservative endodontic access cavities. However, no differences in fracture resistance were observed. Restorations using composite resin or fiber post associated with composite resin showed similar results of fracture resistance.

scholarly journals Fracture resistance of immature teeth filled with mineral trioxide aggregate, bioaggregate, and biodentine

2016 ◽  
Vol 10 (02) ◽  
pp. 220-224 ◽  
Author(s):  
Emre Bayram ◽  
Huda Melike Bayram
Keyword(s):  
Fracture Resistance ◽  
Mineral Trioxide Aggregate ◽  
Mean Values ◽  
Root Canals ◽  
Immature Teeth ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Post Hoc ◽  
Group 1

ABSTRACT Objective: The purpose of this study was to evaluate fracture resistance of teeth with immature apices treated with coronal placement of mineral trioxide aggregate (MTA), bioaggregate (BA), and Biodentine. Materials and Methods: Forty-one freshly extracted, single-rooted human premolar teeth were used for the study. At first, the root length was standardized to 9 mm. The crown-down technique was used for the preparation of the root canals using the rotary ProTaper system (Dentsply Maillefer, Ballaigues, Switzerland) of F3 (30). Peeso reamer no. 6 was stepped out from the apex to simulate an incompletely formed root. The prepared roots were randomly assigned to one control (n = 5) and three experimental (n = 12) groups, as described below. Group 1: White MTA (Angelus, Londrina, Brazil) was prepared as per the manufacturer's instructions and compacted into the root canal using MAP system (Dentsply Maillefer, Ballaigues, Switzerland) and condensed by pluggers (Angelus, Londrina, Brazil). Group 2: The canals were filled with DiaRoot-BA (DiaDent Group International, Canada). Group 3: Biodentine (Septodont, Saint Maur des Fosses, France) solution was mixed with the capsule powder and condensed using pluggers. Instron was used to determine the maximum horizontal load to fracture the tooth, placing the tip 3 mm incisal to the cementoenamel junction. Mean values of the fracture strength were compared by ANOVA followed by a post hoc test. P < 0.05 was considered statistically significant. Results: No significant difference was observed among the MTA, BA, and biodentine experimental groups. Conclusion: All the three materials tested, may be used as effective strengthening agents for immature teeth.

Fracture Resistance of Endodontically Treated Maxillary Premolars Restored With Different Methods

2019 ◽  
Vol 44 (1) ◽  
pp. E1-E11 ◽  
Author(s):  
VA Mergulhão ◽  
LS de Mendonça ◽  
MS de Albuquerque ◽  
R Braz
Keyword(s):  
Fracture Resistance ◽  
Composite Resin ◽  
Fracture Pattern ◽  
Control Group ◽  
Fisher Exact Test ◽  
Fiber Post ◽  
Maxillary Premolars ◽  
Horizontal Fiber ◽  
Ceramic Inlay

SUMMARY Purpose: The purpose of this in vitro study was to evaluate the resistance and patterns of fracture of endodontically treated maxillary premolars (ETPs) restored with different methods. Methods and Materials: Mesio-occluso-distal cavities were prepared in 50 extracted caries-free human maxillary premolars after endodontic treatment. The teeth were divided into five groups (n=10), according to the restorative method. G1: intact teeth (control group); G2: conventional composite resin; G3: conventional composite resin with a horizontal glass fiber post inserted between buccal and palatal walls; G4: bulk-fill flowable and bulk-fill restorative composites; and G5: ceramic inlay. For direct restorations, Filtek Z350 XT, Filtek Bulk Fill Flowable Restorative, and Filtek Bulk Fill Posterior Restorative were used. Indirect restorations were fabricated from a pressable lithium disilicate glass-ceramic (IPS e-max Press) and adhesively cemented (RelyX Ultimate). All specimens were subjected to thermocycling (5°C to 55°C/5000 cycles) and additionally submitted to cyclic loading 50,000 times in an Electro-Mechanical Fatigue Machine. Next, the specimens were subjected to a compressive load at a crosshead speed of 1 mm/min until fracture. The fractured specimens were analyzed to determine the fracture pattern using a stereomicroscope, and then representative specimens were carbon coated to allow for the studying of the fracture surface under scanning electron microscopy. One-way analysis of variance (ANOVA) was used to compare fracture resistance of the groups. The results of fracture patterns were submitted to the Fisher exact test (α=0.05). Results: All specimens survived fatigue. Mean (standard deviation) failure loads (N) for groups were as follows: G1: 949.6 (331.5); G2: 999.6 (352.5); G3: 934.5 (233.6); G4: 771.0 (147.4); and G5: 856.7 (237.5). The lowest fracture resistance was recorded for G4, and the highest ones were recorded for G2, followed by that of G1 and G3. One-way ANOVA did not reveal significant differences between groups (p&gt;0.05). The highest repairable fracture rates were observed in G1 (100%) and G3 (80%). Conclusions: ETPs restored with conventional composite resin with or without horizontal fiber post, bulk-fill composite, and ceramic inlay showed fracture resistance similar to that of sound teeth. Conventional composite resin restorations exhibited the highest prevalence of unrepairable fractures, and the insertion of a horizontal fiber post decreased this prevalence. Intact teeth showed 100% of repairable fractures. It is difficult to extrapolate the results directly to a clinical situation due to the limitations of this study.

scholarly journals Comparison of Flow and Solubility Properties of Mineral Trioxide Aggregate Cement with Two Additive Plasticizing Agents: An In Vitro Study

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Ricardo Novak Savioli
Keyword(s):  
Physical Properties ◽  
Analysis Of Variance ◽  
Mineral Trioxide Aggregate ◽  
In Vitro Study ◽  
Control Group ◽  
Significance Level ◽  
Sodium Sulfonate ◽  
Tukey Test ◽  
Post Hoc

Proposition: To evaluate the physical properties of flow and solubility of pure and improved mineral trioxide aggregate (MTA) cement with the addition of two plasticizing agents: sodium ether polycarboxylate and sodium naphthalene sulfonate at three different concentrations. Material and Methods: Flow and solubility tests were carried out using the established methodology recommended by the 57 ANSI/ADA and ISO 6876:2012 standards. Pure MTA was used as control group and was compared to the MTA containing sodium ether polycarboxylate and sodium naphthalene sulfonate at concentrations of 0.5%, 1.0% and 1.5%. Data were analyzed by one-way analysis of variance followed by a post-hoc Tukey test at a 5% significance level. Results: Sodium ether polycarboxylate increased the MTA flow at the three concentrations. The flow increased with increasing concentration (P<0.05). Sodium sulfonate naphthalene also facilitated flow, though it was inferior to sodium ether polycarboxylate. Sodium naphthalene sulfonate promoted a significant increase in the solubility of MTA (p=0.000). Conclusions: The additives improved the physical properties of MTA. Sodium ether polycarboxylate was found to be superior to sodium naphthalene sulfonate at all concentrations.

scholarly journals Reinforcing Effects of Calcium Silicate-based Cement and Dual Cure Composite Resin in Simulated Immature Teeth with an Open Apex: An in vitro Study

2017 ◽  
Vol 10 (4) ◽  
pp. 351-357
Author(s):  
Murtuza S Zhabuawala
Keyword(s):  
Calcium Silicate ◽  
Fracture Resistance ◽  
Composite Resin ◽  
In Vitro Study ◽  
Group Iii ◽  
Immature Teeth ◽  
Group I ◽  
Significant Difference ◽  
Reinforcing Effects

ABSTRACT Aim To evaluate the fracture resistance of simulated immature teeth with an apical plug of biodentine followed by composite resin vs total obturation with biodentine tested immediately and after 3 months of aging and also to find out the chemical composition of dentin in contact with these materials. Materials and methods Extracted human maxillary central incisors with simulated immature apex with radicular dentin thickness (RDT) of 1 to 1.5 mm selected and divided into three groups of 20 each. Group I (control)—4 mm biodentine apically and thermoplasticized gutta-percha. Group II—4 mm biodentine apically and composite resin. Group III—complete obturation with biodentine. About 10 samples from each group were tested immediately and remaining 10 stored in phosphate buffered solution (PBS) and tested after 3 months for fracture resistance and chemical analysis of dentin. Results No significant difference in fracture resistance between the groups was observed when tested immediately. After 3 months of aging, only biodentine group showed a significant reduction in fracture resistance with increased Ca/P ratio of root dentine. Conclusion Biodentine group has shown drastic reduction in fracture resistance after 3 months of aging, and hence, cannot be recommended as a reinforcement material in immature teeth with thin dentin walls. How to cite this article Zhabuawala MS, Nadig RR, Pai VS, Gowda Y, Aswathanarayana RM. Reinforcing Effects of Calcium Silicate-based Cement and Dual Cure Composite Resin in Simulated Immature Teeth with an Open Apex: An in vitro Study. Int J Clin Pediatr Dent 2017;10(4):351-357.

scholarly journals Intraradicular rehabilitation of a necrotic, immature tooth using MTA, a fiber post and composite resin - A case report

2021 ◽  
Vol 76 (06) ◽  
pp. 358-362
Author(s):  
Deon Naicker ◽  
Saidah Tootla
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Fiber Post ◽  
Present Case Report ◽  
Immature Teeth ◽  
Fiber Posts ◽  
Fracture Management ◽  
Open Apices ◽  
Adhesive Cement

Endodontic treatment of necrotic, immature teeth with open apices can present challenges to debridement, disinfection, and optimal obturation. These teeth may have widely flared canals and thin radicular dentinal walls that are susceptible to fracture. Management of the open apex can be performed using a mineral trioxide aggregate (MTA) apical plug. To ensure a better prognosis in such structurally compromised teeth, internal radicular reinforcement using fiber posts and a self-adhesive cement has been suggested. The present case report illustrates the management of a necrotic, immature maxillary right central incisor in a 10-year-old patient using the MTA apical barrier technique and canal reinforcement using a fiber post.

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 Does Delayed Restoration Improve Shear Bond Strength of Different Restorative Protocols to Calcium Silicate-Based Cements?

Materials ◽  
2018 ◽  
Vol 11 (11) ◽  
pp. 2216 ◽  
Author(s):  
Paulo Palma ◽  
Joana Marques ◽  
Rui Falacho ◽  
Alexandra Vinagre ◽  
João Santos ◽  
...  
Keyword(s):  
Bond Strength ◽  
Calcium Silicate ◽  
Shear Bond Strength ◽  
Proper Time ◽  
Testing Machine ◽  
Glass Ionomer Cement ◽  
Mineral Trioxide Aggregate ◽  
Bonding System ◽  
Post Hoc ◽  
Ionomer Cement

The purpose of the present study was to assess the proper time to perform a restoration (immediately or delayed) after placement of two calcium silicate-based cements (CSCs) and to test the performance of two different restorative protocols regarding shear bond strength (SBS). Seventy-five acrylic blocks were randomly divided into five groups (n = 15). Specimens were filled with either ProRoot MTA (Dentsply Tulsa Dental) or Biodentine (Septodont). The restoration was performed at an immediate (12 min) or delayed (seven days) timeframe, using a resin-based flowable composite (SDR) (bonded to the CSC using a universal bonding system) or glass ionomer cement (GIC) as restorative materials. SBS was measured using a universal testing machine. Fractured surfaces were evaluated, and the pattern was registered. Statistical analysis was performed using the Dunn–Sidak post hoc test (P < 0.05). Biodentine/immediate SDR showed the highest mean SBS value (4.44 MPa), with statistically significant differences when compared to mineral trioxide aggregate (MTA)/GIC (1.14 MPa) and MTA/immediate SDR (1.33 MPa). MTA/GIC and MTA/immediate SDR did not present significant differences regarding SBS. No statistical differences were verified concerning mean SBS between both CSCs within the 7 day groups. MTA/delayed SDR (3.86 MPa) presented statistical differences compared to MTA/immediate SDR, whereas no differences were observed regarding Biodentine performance (Biodentine/immediate SDR and Biodentine/delayed SDR (3.09 MPa)). Bonding procedures directly on top of MTA might be preferably performed at a delayed timeframe, whereas Biodentine might allow for immediate restoration.

Effect of Fiber Post and Cusp Coverage on Fracture Resistance of Endodontically Treated Maxillary Premolars Directly Restored with Composite Resin

2009 ◽  
Vol 35 (10) ◽  
pp. 1428-1432 ◽  
Author(s):  
Narmin Mohammadi ◽  
Mehdi Abed Kahnamoii ◽  
Parnian Karimi Yeganeh ◽  
Elmira Jafari Navimipour
Keyword(s):  
Fracture Resistance ◽  
Composite Resin ◽  
Fiber Post ◽  
Maxillary Premolars

In vitro Comparative Evaluation of the Fracture Resistance of Simulated Immature Teeth reinforced with Different Apical Barriers and Obturation Combination

2016 ◽  
Vol 7 (3) ◽  
pp. 113-118
Author(s):  
Neveen A Shaheen ◽  
Nahla G El-Din El-Helbawy
Keyword(s):  
Fracture Resistance ◽  
Comparative Evaluation ◽  
Negative Control ◽  
Control Group ◽  
Root Canals ◽  
Immature Teeth ◽  
Gutta Percha ◽  
Group I ◽  
Significant Difference

ABSTRACT Aim This study aimed to assess and compare the fracture resistance of simulated immature teeth reinforced with Biodentine (BD) and mineral trioxide aggregate (MTA) as apical barriers and two root canal backfilling combination (gutta-percha/AH26, MetaSeal). Materials and methods A total of 70 extracted human maxillary incisors were randomly divided into seven groups (n = 10). The positive control group was not instrumented. For the other groups, coronal access was made and root canals were instrumented using the ProTaper, up to F5 followed by six Peeso reamers which were allowed to pass 1 mm beyond the apex to size 6 (1.7 mm) to simulate immature teeth. The apical 4 mm of their root canals was filled with either MTA or BD apical barrier, then backfilled with gutta-percha/AH26 or MetaSeal obturation combination. The negative control group was left unfilled. Composite resin was used to restore the coronal access cavities. The maximum load for fracture of each tooth was recorded utilizing a universal testing machine. Data were analyzed using two-way analysis of variance. Results The noninstrumented group I had the highest fracture resistance and differed significantly (p < 0.05) from the negative control groups. On the contrary, no significant difference was found between BD and MTA groups, regardless of the backfilling combination (p > 0.05). Conclusion There was no difference between MTA and BD apical barriers and the backfilling combination regarding their resistance to root fracture. How to cite this article Shaheen NA, El-Din El-Helbawy NG. In vitro Comparative Evaluation of the Fracture Resistance of Simulated Immature Teeth reinforced with Different Apical Barriers and Obturation Combination. World J Dent 2016;7(3):113-118.

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