In vitro fracture behavior of maxillary premolars with metal crowns and several post-and-core systems.
ABSTRACT The in vitro fracture behavior of severely damaged premolars, restored with metal crowns with limited ferrule and several post-and-core systems, was investigated. Crowns of maxillary premolars were removed and canals were prepared with Gates Glidden drills and with Parapost drills. Groups of 11 samples were each treated with cast post-and-cores (Parapost XP, Wironium Plus) (group 1), prefabricated metal posts (Parapost XH) (group 2), prefabricated glass fiber posts (Parapost FiberWhite) (group 3), and custom-made glass fiber posts (EverStick Post) (group 4). Posts and composite cores and metal crowns in groups 2, 3, and 4 were adhesively cemented. Post-and-cores and crowns in group 1 were cemented with phosphate cement. Thermocycling was performed (6,000x, 5-55 degrees C). Two static load tests (30 degrees ) were applied. During the first load test (preloading) no failures occurred. Failure modes from the second load test were categorized into favorable and unfavorable failures. Mean failure loads among the four groups (group 1, 1,845 N; group 2, 1,718 N; group 3, 1,812 N; and group 4, 1,514 N) were not significantly different. Unfavorable failures were root fractures and favorable failures were postcrown displacements. No differences in frequencies of unfavorable/favorable failures were seen among the groups. The results suggest that different post-and-core systems have no influence on the fracture behavior of severely damaged premolars restored with metal crowns with limited ferrule.
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ABSTRACT: Dental fractures can occur in endodontically treated teeth restored with posts. The purpose of this study was to evaluate the in vitro fracture resistance of roots with glass-fiber and metal posts of different lengths. Sixty endodontically treated maxillary canines were embedded in acrylic resin, except for 4 mm of the cervical area, after removing the clinical crowns. The post spaces were opened with a cylindrical bur at low speed attached to a surveyor, resulting in preparations with lengths of 6 mm (group 6 mm), 8 mm (group 8 mm), or 10 mm (group 10 mm). Each group was divided into 2 subgroups according to the post material: cast post and core or glass-fiber post (n=30). The posts were luted with dual-polymerizing resin cement (Panavia F). Cast posts and cores of Co-Cr (Resilient Plus) crowns were made and cemented with zinc phosphate. Specimens were subjected to increasing compressive load (N) until fracture. Data were analyzed with 2-way ANOVA and the Tukey-Kramer test (alpha =.05). The ANOVA analysis indicated significant differences (P<.05) among the groups, and the Tukey test revealed no significant difference among the metal posts of 6-mm length (26.5 N +/-13.4), 8-mm length (25.2 N +/-13.9), and 10-mm length (17.1 N +/-5.2). Also, in the glass-fiber post group, there was no significant difference when posts of 8-mm length (13.4 N +/-11.0) were compared with the 6-mm (6.9 N +/-4.6) and 10-mm (31.7 N +/-13.1) groups. The 10-mm-long post displayed superior fracture resistance, and the 6-mm-long post showed significantly lower mean values (P<.001). Within the limitations of this study, it was concluded that the glass-fiber post represents a viable alternative to the cast metal post, increasing the resistance to fracture of endodontically treated canines.The Journal of prosthetic dentistry 04/2009; 101(3):183-8. · 1.22 Impact Factor
Article: High volume individual fibre post versus low volume fibre post: the fracture load of the restored tooth.[show abstract] [hide abstract]
ABSTRACT: The purpose of this study was to evaluate the fracture loads of post-and-core systems with two different individually formed fibre post designs and polymerization conditions. Totally seventy-two (n=8/group) bovine teeth were cut and made up the root length of 15.0mm. They were divided into 3 main groups (Group A, B, C). A: one glass fibre post was light-cured before cementation, B: fibres were bundled to fill the entire root canal opening and light-cured before cementation, C: one unpolymerized glass fibre post was inserted into cement-filled root canal and light-cured with luting cement (ParaCem). Moreover specimens of each group were divided into 3 subgroups according to the post length: subgroup 1: 10mm; subgroup 2: 7.5mm; subgroup 3: 5.0mm. After cementation, the core was built up, and then made the composite resin crown (Filtek Z250). Fabricated specimen was loaded from 45° of palatal side at a crosshead speed of 1.0mm/min. The first load drop and maximum fracture loads were statistically analyzed by ANOVA and Tukey's test. Maximum fracture load of Group B (433 N) and C (418 N) are significantly higher than Group A (284 N) (p<0.01). Short post (5mm) provided higher fracture loads in all main groups, especially in Group C. Using short and thick fibre post system (the same diameter as the root canal) showed higher strength than one fibre post only. In addition, by curing the cement and the fibre material simultaneously, the strength of the restored tooth was increased.Journal of dentistry 10/2010; 39(1):65-71. · 2.00 Impact Factor
Article: An Evaluation of Fracture Strength of Zirconium Oxide Posts Fabricated Using CAD-CAM Technology Compared with Prefabricated Glass Fibre Posts.[show abstract] [hide abstract]
ABSTRACT: Post and core therapy is regarded as the treatment of choice for restoring severely damaged endodontically treated teeth. Critical control of endodontic materials in the coronal third of the canal and pulp chamber is essential in order to maintain its colour and translucency. In addition to this, the duplication of the optical characteristics of an intact tooth, including shade translucency and fluorescence is often made difficult by the use of metal infrastructures. As a result of this tooth colored posts have gained popularity especially in aesthetic areas. Besides aesthetics, the post is also responsible for transmitting the occlusal forces to the remaining tooth structure making the mechanical properties of the post critical. However, there is no clear consensus regarding an ideal system as far as strength of the post is concerned. Hence this study aims to analyses and compares the fracture strength of traditional prefabricated glass fibre posts with zirconium oxide posts constructed using CAD CAM technology.The Journal of Indian Prosthodontic Society 12/2010; 10(4):213-8.