Effect of Ferrule and Bonding on the Compressive Fracture Resistance of Post and Core Restorations

2009 ◽  
Vol 10 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Marzieh Alikhasi ◽  
Hassan Dorriz ◽  
Ali Mirfazaelian ◽  
Tabbassom Hooshmand
Keyword(s):  
Fracture Resistance ◽  
Survival Rates ◽  
Testing Machine ◽  
Compressive Load ◽  
Fracture Pattern ◽  
Resin Cement ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Compressive Fracture ◽  
Post And Core

Abstract Aim The purpose of this study was to compare the fracture resistance of endodontically treated teeth restored with different post and core systems in combination with complete metal crowns in teeth with no coronal structure. Methods and Materials Fifty extracted mandibular premolars were divided into five groups. The coronal portion of each tooth was removed at the cementoenamel junction (CEJ) in all groups except Group 1. In this group the teeth were sectioned 1 mm above the CEJ to create a ferrule. After root canal preparations, cast posts were placed in the first four groups. Prefabricated glass fiber posts and composite cores were placed in the fifth group. An opaque porcelain layer was applied to the metal post surfaces in the third group and an alloy primer was applied to the posts in the fourth group before using Panavia F2 resin cement. No bonding agent or surface treatments were used for the first and second groups. A Ni-Cr full cast crown for each sample was prepared and cemented. A compressive load was applied at an angle of 45 degrees to the crown with a universal testing machine. After 500,000 mechanical cycles at 1.5Hz, the maximum load at fracture (N) was recorded. Results Significantly higher fracture resistance values (216.87 N) and survival rates (75%) were demonstrated for non-ferrule teeth restored with opaque layered posts than for other non-ferrule groups. The prefabricated post group showed the most favorable fracture pattern in all test groups (P=0.04). Conclusion Either a ferrule preparation or bonding with the use of an opaque porcelain layer can increase the fracture resistance of teeth with little remaining tooth structure that are restored with cast crowns following endodontic therapy. Clinical Significance Bonding cast posts to the tooth structure has a significant effect on compensating for the lack of a ferrule on endodontically treated teeth. Citation Dorriz H, Alikhasi M, Mirfazaelian A, Hooshmand T. Effect of Ferrule and Bonding on the Compressive Fracture Resistance of Post and Core Restorations. J Contemp Dent Pract 2009 January; (10)1:001-008.

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.

scholarly journals Fracture Resistance and Microleakage of Endocrowns Utilizing Three CAD-CAM Blocks

2015 ◽  
Vol 40 (2) ◽  
pp. 201-210 ◽  
Author(s):  
HM El-Damanhoury ◽  
RN Haj-Ali ◽  
JA Platt
Keyword(s):  
Fracture Mode ◽  
Computer Aided Design ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Resin Cement ◽  
Blue Dye ◽  
Endodontically Treated Teeth ◽  
Modes Of Failure ◽  
Computer Aided ◽  
Cad Cam

SUMMARY This study assessed marginal leakage and fracture resistance of computer-aided design/computer-aided manufacturing (CAD/CAM) fabricated ceramic crowns with intracoronal extensions into the pulp chambers of endodontically treated teeth (endocrowns) using either feldspathic porcelain (CEREC Blocks [CB], Sirona Dental Systems GmbH, Bensheim, Germany), lithium disilicate (e.max [EX], Ivoclar Vivadent, Schaan, Liechtenstein), or resin nanoceramic (Lava Ultimate [LU], 3M ESPE, St Paul, MN, USA).). Thirty extracted human permanent maxillary molars were endodontically treated. Standardized preparations were done with 2-mm intracoronal extensions of the endocrowns into the pulp chamber. Teeth were divided into three groups (n=10); each group was restored with standardized CAD/CAM fabricated endocrowns using one of the three tested materials. After cementation with resin cement, specimens were stored in distilled water at 37°C for one week, subjected to thermocycling, and immersed in a 5% methylene-blue dye solution for 24 hours. A compressive load was applied at 35 degrees to long axis of the teeth using a universal testing machine until failure. Failure load was recorded, and specimens were examined under a stereomicroscope for modes of failure and microleakage. Results were analyzed using one-way analysis of variance and Bonferroni post hoc multiple comparison tests (α=0.05). LU showed significantly (p&lt;0.05) higher fracture resistance and more favorable fracture mode (ie, fracture of the endocrown without fracture of tooth) as well as higher dye penetration than CB and EX. In conclusion, although using resin nanoceramic blocks for fabrication of endocrowns may result in better fracture resistance and a more favorable fracture mode than other investigated ceramic blocks, more microleakage may be expected with this material.

scholarly journals Fracture resistance of endodontically-treated teeth submitted to bleaching treatment with hydrogen peroxide and titanium dioxide nanoparticles photoactivated by LED-laser

2014 ◽  
Vol 43 (3) ◽  
pp. 153-157
Author(s):  
Keren Cristina JORDÃO-BASSO ◽  
Carolina ANDOLFATTO ◽  
Milton Carlos KUGA ◽  
Gisselle Moraima CHÁVEZ-ANDRADE ◽  
Norberto Batista de FARIA-JÚNIOR ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Titanium Dioxide ◽  
Fracture Resistance ◽  
Titanium Dioxide Nanoparticles ◽  
Testing Machine ◽  
Compressive Load ◽  
Sodium Perborate ◽  
Pulp Chamber ◽  
Endodontically Treated Teeth ◽  
Bleaching Treatment

Objective: The aim of this study was evaluate the fracture resistance of endodontically-treated teeth after bleaching treatment using 15% hydrogen peroxide plus titanium dioxide nanoparticles (15HPTiO2) photoactivated by LED-laser, in comparison with protocols using 35% hydrogen peroxide (35HP), 37% carbamide peroxide (37CP) or sodium perborate (SP). Material and method: After endodontic treatment, fifty bovine extracted incisors were divided into five groups (n = 10): G1- without bleaching; G2- 35HP; G3- 37CP; G4- 15HPTiO2 photoactivated by LED-laser and G5- SP. In G2 and G4, the bleaching protocol was applied in 4 sessions, with a 7 day interval between each session. In G3 and G5, the materials were kept in the pulp chamber for 21 days, but replaced every 7 days. After 21 days, the crowns were subjected to compressive load at a cross head speed of 0.5 mm/min, applied at 135° to the long axis of the root using an eletromechanical testing machine, until fracture. The data were submitted to ANOVA and Tukey tests (p = 0.05). Result: The bleaching treatment in endodontically-treated teeth with 15HP plus TiO2 nanoparticles and photoactivated by LED-laser caused reduction of the fracture resistance similarly provided by 35HP, 37CP or SP (p>0.05). All bleaching treatments reduced the fracture resistance compared to unbleached teeth (p<0.05). Conclusion: All bleaching protocols reduced the fracture resistance of endodontically-treated teeth, but there were no differences between each other.

Fracture Resistance of Endodontically-treated Teeth Restored Using Three Root-reinforcement Methods

2008 ◽  
Vol 9 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Soodabeh Kimyai ◽  
Horieh Moosavi ◽  
Fathemeh Maleknejad
Keyword(s):  
Fracture Resistance ◽  
Resin Composite ◽  
Testing Machine ◽  
Acrylic Resin ◽  
Mean Value ◽  
Resin Cement ◽  
Endodontically Treated Teeth ◽  
Root Reinforcement ◽  
Anterior Teeth

Abstract Aim The aim of this in vitro study was to compare the fracture resistance of endodontically-treated anterior teeth with their roots reinforced using three different restorative methods. Methods and Materials Forty sound maxillary human central incisors were randomly assigned to four groups (n=10). The crowns of the teeth were removed at a level 2 mm incisal to the cementoenamel junction (CEJ). After root canal therapy, flared canals were simulated in three groups. In the first, second, and third groups the flared canals were reinforced with resin composite (RCO) (Clearfil DC Core Automix), two Reforpins (REF), and a resin cement (RCE) (Panavia F 2.0), respectively. In the fourth (DEN) group flared canals were not created. The same size fiber reinforced composite (FRC) posts were cemented with resin cement (Panavia F 2.0) in all groups. After post cementation and restoration of the teeth crown with a core build-up composite (Clearfil Photo Core), the roots of the teeth were embedded in acrylic resin blocks up to 1 mm below the CEJ. The samples were loaded in an Instron testing machine with a crosshead speed of 0.5 mm/min at a 45° angle to the long axis of the tooth on the palatal surfaces until failure occurred. Data were analyzed using the Kruskal-Wallis, Mann-Whitney, and Chi-square tests (p=0.05). Results Significant differences were found between fracture resistance in all of the groups (P<0.05) with the exception being among the RCO and REF groups. The least mean value 230 (130) N and the highest mean value 830 (220) N were shown in the fracture resistance of the RCE and DEN groups, respectively. Conclusion Reforpin can be used as an alternative to resin composite for internal reinforcement of weakened roots according to the results of this study. For reinforcement of flared canals, fiber posts along with Reforpin or resin composite proved to have higher fracture resistance than resin cement. Non flared canals had the highest fracture resistance. Citation Moosavi H, Maleknejad F, Kimyai S. Fracture Resistance of Endodontically-treated Teeth Restored Using Three Root-reinforcement Methods. J Contemp Dent Pract 2008 January; (9)1:030-037.

scholarly journals Effects of Ferrule and Diameter of Parallel Cast Post and Core on Fracture Resistance

2019 ◽  
Vol 22 (4) ◽  
pp. 538-545
Author(s):  
Ahmad Maalhagh-Fard ◽  
Rafael Rocha Pacheco ◽  
Karanjot Gill ◽  
Warren Charles Wagner
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Maximum Load ◽  
Endodontically Treated Teeth ◽  
Mean Values ◽  
Failure Data ◽  
Resin Modified Glass Ionomer ◽  
Post And Core ◽  
Different Diameters ◽  
Post Space

Objectives: The aim of this study was to evaluate the effects of using different diameters of parallel cast posts with, or without ferrule, on the overall fracture resistance of Cast Post and Core (CPC).Material and methods: Forty (40) endodontically treated human maxillary central incisors were divided into four groups (n=10): [F1] 1.0 mm diameter post with ferrule; [NF1] 1.0 mm diameter cast post without ferrule; [F1.5] 1.5 mm diameter cast post with ferrule; [NF1.5] 1.5 mm diameter post without ferrule. For all teeth, the post space (9.0 mm, in depth) was prepared using ParaPostTM drill. CPC using base metal alloy were fabricated and were cemented using resin modified glass ionomer (RMGI) cement along with the PFM crowns. A universal testing machine (Instron) was used to apply horizontal force perpendicular to the long axis of the tooth at the center of lingual surface, until catastrophic failure. Data was submitted to two-way ANOVA and Scheffé tests (P<0.05).Results: Both post diameter and ferrule statistically affected the maximum load at fracture (P=0.004 and P=0.013, respectively). The highest mean values were observed for samples with ferrule and wider post size (490N), while the lowest were observed for samples without ferrule and narrower post size (254N). There was no relationship between the presence of a ferrule and post size (P=0.937).Conclusions: For endodontically treated teeth with no ferrule, a wider-diameter cast post increases fracture resistance of a CPC and PFM crown procedure.

scholarly journals Overlays or Ceramic Fragments for Tooth Restoration: An Analysis of Fracture Resistance

2014 ◽  
Vol 15 (1) ◽  
pp. 56-60
Author(s):  
Matheus Coelho Bandéca ◽  
Adriana Santos Malheiros ◽  
Rudys Rodolfo de Jesus Tavarez ◽  
Leily Macedo Firoozmand ◽  
Mônica Barros Silva
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Resin Cement ◽  
Posterior Teeth ◽  
Tooth Structure ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Ceramic Restorations ◽  
Group 1

ABSTRACT Purpose The aim of this study was to evaluate the mode of fracture and resistance of partial ceramic restorations of posterior teeth. Materials and methods Thirty healthy upper premolars were selected and divided into three groups (n = 10): Group 1— control, healthy unrestored teeth, group 2—teeth restored with ceramic fragments; and group 3—teeth restored with ceramic overlays. The restorations were manufactured with feldspathic ceramic and cemented with RelyX ARC resin cement. After being stored in distilled water for 7 days, the teeth were subjected to axial compression mechanical testing with a universal testing machine. Force was applied to the long axis of the tooth at a speed of 0.5 mm/min until fracture. The data were analyzed with one-way ANOVA and Tukey's test (5%). The mode of fracture was scored according to the degree of involvement of the tooth structure and the type of restoration. Results A significant difference (p < 0.05) was showed between groups 2 (1155 N) and 3 (846.6 N), but there was no significant difference between group 1 and the other groups (1046 N), More extensive fractures were prevalent in the healthy teeth group (Group 1), which had no occlusal coverage; less severe fractures were found in groups 2 and 3. Conclusion We conclude that teeth restored with ceramic fragments may offer greater resistance to fractures compared to teeth that have overlay restorations. How to cite this article de Jesus Tavarez RR, Firoozmand LM, Silva MB, Malheiros AS, Bandéca MC. Overlays or Ceramic Fragments for Tooth Restoration: An Analysis of Fracture Resistance. J Contemp Dent Pract 2014;15(1):56-60.

scholarly journals An assessment of fracture resistance of three composite resin core build-up materials on three prefabricated non-metallic posts, cemented in endodontically treated teeth: An in vitro study

2014 ◽  
Author(s):  
Lalit Kumar ◽  
Bhupinder Pal ◽  
Prashant Pujari
Keyword(s):  
Fracture Resistance ◽  
Composite Resin ◽  
In Vitro Study ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Resin Core ◽  
Post And Core ◽  
Strength And Durability ◽  
Core Materials

Endodontically treated teeth with excessive loss of tooth structure would require to be restored with post and core to enhance the strength and durability of the tooth and to achieve retention for the restoration. The non-metallic posts have of a superior esthetic quality. Various core materials can be used to build-up cores on the posts placed in endodontically treated teeth. The core materials would show variation in their bonding with the non-metallic posts and the remaining tooth structure. They will also have an effect on the strength and resistance to fracture of the remaining tooth structure. Aims: The aim of the study was to assess the fracture resistance of three composite resin core build-up materials on three prefabricated non-metallic posts, cemented in extracted endodontically treated teeth. Material and methods: Forty five freshly extracted maxillary central incisors of approximately of the same size and shape were selected for the study. Student’s unpaired ‘t’ test was also used to analyse and compare each group with the other groups individually, and decide whether their comparisons were statistically significant. Results: Luxacore showed the highest fracture resistance among the three core build-up materials with all the three posts systems. Ti-core had intermediate values of fracture resistance and Lumiglass had least values of fracture resistance.

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 An assessment of fracture resistance of three composite resin core build-up materials on three prefabricated non-metallic posts, cemented in endodontically treated teeth: An in vitro study

2014 ◽  
Author(s):  
Lalit Kumar ◽  
Bhupinder Pal ◽  
Prashant Pujari
Keyword(s):  
Fracture Resistance ◽  
Composite Resin ◽  
In Vitro Study ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Resin Core ◽  
Post And Core ◽  
Strength And Durability ◽  
Core Materials

Endodontically treated teeth with excessive loss of tooth structure would require to be restored with post and core to enhance the strength and durability of the tooth and to achieve retention for the restoration. The non-metallic posts have of a superior esthetic quality. Various core materials can be used to build-up cores on the posts placed in endodontically treated teeth. The core materials would show variation in their bonding with the non-metallic posts and the remaining tooth structure. They will also have an effect on the strength and resistance to fracture of the remaining tooth structure. Aims: The aim of the study was to assess the fracture resistance of three composite resin core build-up materials on three prefabricated non-metallic posts, cemented in extracted endodontically treated teeth. Material and methods: Forty five freshly extracted maxillary central incisors of approximately of the same size and shape were selected for the study. Student’s unpaired ‘t’ test was also used to analyse and compare each group with the other groups individually, and decide whether their comparisons were statistically significant. Results: Luxacore showed the highest fracture resistance among the three core build-up materials with all the three posts systems. Ti-core had intermediate values of fracture resistance and Lumiglass had least values of fracture resistance.

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.

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