scholarly journals Endodontically Treated Maxillary Premolars Restored with Glass Fiber Post under All Ceramic Crown

2021 ◽  
Vol 11 (12) ◽  
pp. 53-58
Author(s):  
Ameni Adli ◽  
Yosra Gassara ◽  
N. Daouahi

Glass fiber posts and core are increasingly used in order to restore severely damaged endodontically treated teeth and particularly maxillary premolars that are prone to fracture. Their low modulus of elasticity which is similar to that of dentin allows the post to absorb stress and prevent root fracture. In addition, the glass fiber posts provide a natural hue by integrally bonding to the composite, thereby improving the aesthetics without compromising much on the strength. Various factors are involved in the longevity of such treatment option, remaining tooth structure seems to be the most important. Key words: glass fiber posts, premolars, endodontically treated teeth, composite resin, fracture resistance, crown, ferrule, failure .

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.


2021 ◽  
Vol 10 (20) ◽  
pp. 1496-1500
Author(s):  
Mohit Bhatnagar ◽  
Leena Tomer ◽  
Pramiti Saxena ◽  
Arti Singh ◽  
Veenuka Sharma ◽  
...  

BACKGROUND Endodontically treated teeth are usually associated with insufficient coronal and radicular tooth structure and hence, are restored with both cast metal and fiber posts. However, there are limitations in both treatment options. Glass fiber posts have known to show better performance than cast metal posts due to similarity in elastic modulus with dentin. The purpose of this study was to compare and evaluate the performance of glass fiber and cast metal posts in endodontically treated teeth that required intraradicular retention. METHODS 40 endodontically treated teeth were selected in patients and divided into two groups, glass fiber, and cast metal respectively. The participants were randomly allocated to both groups by using their registration number with an allocation ratio of 1:1. Participants were recalled at 3 and 6 months after cementation (baseline) for follow up. Radiographs were taken and evaluation was done according to FDI criteria. The intergroup comparison for the difference of mean scores between the two independent groups was done using the unpaired / independent t test. RESULTS Of the 40 endodontically treated teeth, 20 were restored with fiber posts and 20 were restored with cast metal posts. In total, 8 incisors, 6 canines, 21 premolars, and 5 molar teeth were included. The 6-month clinical survival of fiber posts was 100 % while that of cast metal posts was 95 %. The results were found to be nonsignificant (P = 0.159, 0.231, 0.805 at baseline, 3 months, and 6 months respectively). CONCLUSIONS The overall performance of the glass fiber posts was better than that of cast metal posts within the 6 months’ study period. However, no statistically significant differences were seen. Hence, in short follow up periods, both showed similar results and performed equally well. KEY WORDS Glass Fiber Posts Cast Metal Post Post and Core Technique Endodontically Treated Teeth


2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Bruna Carbonari Massafra ◽  
Dandara Anderle ◽  
Doglas Cecchin ◽  
Bruno Carlini Júnior ◽  
Matheus Albino Souza ◽  
...  

This study objectives to evaluate the fracture strength of upper central incisors (UCI) restored with composite resin (CR) in Class III cavities and endodontically treated teeth with or without glass fiber post (GFP), analyzing their failure mode. Sixty human UCI were randomly divided into four experimental groups: endodontically treated teeth without GFP (G1), endodontically treated teeth with GFP (G2), teeth with mesial/distal Class III cavities restored with CR without GFP (G3), and teeth with mesial/distal Class III cavities restored with CR with GFP (G4). The samples were submitted to the fracture strength test in a universal testing machine with a compression shear load applied at speed of 1.0 mm/min until fracture occurred. The data were submitted to one-way ANOVA (α=0.05) and the samples were analyzed for failure mode. The analysis did not show a significant statistical difference in fracture strength between the groups (p>0.05). The results showed that only endodontically treated teeth (G1) (753.4N) presented behavior similar to teeth with GFP (G2) (702.1N). The same occurred when comparing teeth with Class III cavities without GFP (G3) (670.2 N) and with GFP (G4) (746.1N). It can be concluded that glass fiber posts do not change the fracture strength of incisors with endodontic treatment and Class III cavities.


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.


2014 ◽  
Vol 28 (11) ◽  
pp. 1034-1045
Author(s):  
Erdem Özdemir ◽  
Kamran Gülşahı ◽  
Yonca Korkmaz ◽  
Selim Erkut ◽  
Abidin Hakan Tuncer

2011 ◽  
Vol 22 (3) ◽  
pp. 230-237 ◽  
Author(s):  
Gisele Rodrigues da Silva ◽  
Paulo César de Freitas Santos-Filho ◽  
Paulo Cézar Simamoto-Júnior ◽  
Luis Roberto Marcondes Martins ◽  
Adérito Soares da Mota ◽  
...  

Restoring flared endodontically treated teeth continues to be a challenge for clinicians. This study evaluated the effect of post types and restorative techniques on the strain, fracture resistance, and fracture mode of incisors with weakened roots. One hundred five endodontically treated bovine incisors roots (15 mm) were divided into 7 groups (n=15). The two control groups were (C) intact roots restored with Cpc (cast posts and core) or Gfp (glass fiber posts). The five experimental groups were (F) flared roots restored with GfpAp (Gfp associated with accessory glass fiber posts), GfpRc (anatomic Gfp, relined with composite resin), and GfpRcAp (anatomized Gfp with resin and accessory glass fiber posts). All teeth were restored with metal crowns. Mechanical fatigue was performed with 3x10(5)/50 N. Specimens were loaded at 45º, and the strain values (μS) were obtained on root buccal and proximal surfaces. Following that, the fracture resistance (N) was measured. One-way ANOVA and Tukey's HSD tests (α=0.05) were applied, and failure mode was checked. No significant difference in strain values among the groups was found. Cpc presented lower fracture resistance and more catastrophic failures in flared roots. Gfp associated with composite resin or accessory glass fiber posts seems to be an effective method to improve the biomechanical behavior of flared roots.


2016 ◽  
Vol 41 (4) ◽  
pp. 363-369 ◽  
Author(s):  
AFM Cardenas ◽  
FSF Siqueira ◽  
A Davila-Sanchez ◽  
GM Gomes ◽  
A Reis ◽  
...  

SUMMARY Knowledge about the stability of fiber posts cemented in widened canal spaces over time is scarce in the literature. Thus, the purpose of this case report was to evaluate the performance of a direct anatomical post in a widened canal space over the course of four years. The present clinical case describes the rehabilitation of a widened canal space using a direct anatomical post (a resin composite combined with a prefabricated glass fiber post) associated with an all-ceramic crown and other restorative procedures. This technique is easy to perform and may solve some of the problems associated with the cementation of a poorly adapted fiber post in a widened canal space.


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.


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.


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