A Novel Method for Managing Flared Root Canal with Anatomic Post and Core: A Case Report

The compromised tooth structure after endodontic treatment necessitates the use of post and core for structural durability. Management of the flared root canal is still a tough obstacle for the clinicians. Reinforcing the root canal space with the customised anatomic post thus regains the lost structure within the canal and aids in establishing a great strength and stability to the tooth structure. The report of this case scenario aims on clinical technique of fabricating anatomic post with glass - fibre posts and composite resin on a central and lateral incisor.

Evaluation of Bond Strength of Aesthetic Type of Posts at Different Regions of Root Canal after Application of Adhesive Resin Cement

AIM: This study aimed to evaluate the bond strength between esthetic posts and dentin at different regions of the root canal in passive mode or push-out active mode. METHODS: Twenty extracted human bicuspid single canal teeth were used in this study. Teeth were sectioned below the cement-enamel junction. The roots of teeth were endodontically treated. Glass fibre posts (Glassix plus, Harald Nordin SA, Switzerland) and zirconia posts (Zirix, Harald Nordin) were then adhesively luted with total-etch (Variolink N, Ivoclar Vivadent, Schaan, Liechtenstein) and self-adhesive (Multilink Speed, Ivoclar Vivadent) resin cement. The roots were divided into two main groups of 10 samples each, according to the type of post used. Each group subdivided into 2 subgroups of 5 samples each, according to the type of cement used. The specimens were transversally sectioned into three slices of 2 mm thickness to perform the push-out test. The push-out tests were performed at crosshead-speed, 0.5 mm/min). Failure modes were evaluated using a scanning electron microscope at magnification (x 150). RESULTS: The results revealed that push-out bond strengths were significantly affected by the type of luting agent and the type of post (P ≤ 0 .05). The mean push-out bond strength values for fibre post were significantly higher than those for zirconia post independent of the luting strategy used. The score values of total-etch adhesive resin cement were higher than those for self-adhesive resin cement irrespective of other variables. Regarding the effect of the root segment on push-out bond strength, results revealed that bond strength decreased from the coronal to the apical section. The cement-dentin interface found to be the weakest part of the root-cement-post unit. CONCLUSION: Glass fibre posts revealed better results in all root third when they adhesively luted with total-etch or self-etch adhesive resin cement and provided significantly increased bond strength compared to the zirconia posts.

An Optical System to Monitor the Displacement Field of Glass-fibre Posts Subjected to Thermal Loading

Endocanalar posts are necessary to build up and retain coronal restorations but they do not reinforce dental roots. It was observed that the dislodgement of post-retained restorations commonly occurs after several years of function and long-term retention may be influenced by various factors such as temperature changes. Temperature changes, in fact, produce micrometric deformations of post and surrounding tissues/materials that may generate high stress concentrations at the interface thus leading to failure. In this study we present an optical system based on the projection moiré technique that has been utilized to monitor the displacement field of endocanalar glass-fibre posts subjected to temperature changes. Measurements were performed on forty samples and the average displacement values registered at the apical and middle region were determined for six different temperature levels. A total of 480 displacement measurements was hence performed. The values of the standard deviation computed for each of the tested temperatures over the forty samples appear reasonably small which proves the robustness and the reliability of the proposed optical technique. The possible implications for the use of the system in the applicative context were discussed.

Evaluation of Effect by Different Surface Treatment Agents on Retention of Custom Made Cast Metal Post and Prefabricated Glass Fibre Post-A Comparative Study

Posts are widely used for restoring endodontically treated teeth with insufficient coronal tooth structure. Custom made cast metal post and core systems have a long history of successful use due to their superior physical properties. Prefabricated post systems have recently become more popular because they can provide satisfactory results, while saving time and reducing costs. Materials and Method: Post spaces were prepared in 60 extracted caries free teeth, and divided into two main groups of 30 teeth each for cast metal and glass fibre posts. These groups were further divided into 3 subgroups of 10 specimens each I) Control group without any surface treatment, II) Specimens treated with 57% ethanol, III) Specimens air abraded with 50um air borne alumina particles. Teeth were mounted in acrylic blocks prepared from a specially fabricated metal device. Posts were luted in the prepared post spaces with glass ionomer luting cement. Retentive strength was tested by Universal testing machine at 2mm/min crosshead speed. Results: Sand blasting of cast metal posts showed more significant improvement in retention compared to both control group and ethyl alcohol treated groups. In case of glass fibre posts, sand blasting significantly improved its retention compared to control group but no significant difference was observed between control and ethyl alcohol treated groups. There was also no significant difference between ethyl alcohol treated and sand blasted group. Conclusion: It was concluded that, sand blasting is an effective method to improve retention of both cast metal and glass fibre posts.