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: Mechanical failure of biomaterials, which can be initiated by either violent force, or progressive stress fatigue, is a serious issue. Great efforts have been made to improve the mechanical performances of dental restorations. Virtual simulation is a promising approach for biomechanical investigations, which presents significant advantages in improving efficiency than traditional in vivo/in vitro studies. Over the past few decades, a number of virtual studies have been conducted to investigate the biomechanical issues concerning dental biomaterials, but only with limited incorporation of brittle failure phenomena. Motivated by the contradictory findings between several finite element analyses and common clinical observations on the fracture resistance of post-restored teeth, this study aimed to provide an approach using numerical simulations for investigating the fracture failure process through a non-linear fracture mechanics model. The ability of this approach to predict fracture initiation and propagation in a complex biomechanical status based on the intrinsic material properties was investigated. Results of the virtual simulations matched the findings of experimental tests, in terms of the ultimate fracture failure strengths and predictive areas under risk of clinical failure. This study revealed that the failure of dental post-restored restorations is a typical damage-driven continuum-to-discrete process. This approach is anticipated to have ramifications not only for modeling fracture events, but also for the design and optimization of the mechanical properties of biomaterials for specific clinically determined requirements. Copyright © 2015 Elsevier Ltd. All rights reserved.Journal of the Mechanical Behavior of Biomedical Materials 09/2015; 49. DOI:10.1016/j.jmbbm.2015.05.006 · 3.05 Impact Factor
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ABSTRACT: The purpose of this study was to evaluate the influence of the number of proximal contacts and fiber-reinforced-composite (FRC) post insertion on the fracture behavior of endodontically treated premolars with class II (MOD) cavities and direct composite restorations. Forty-eight single-rooted human premolars were endodontically treated and prepared with standardized MOD (mesio-occluso-distal) cavities. One-half of the teeth additionally received FRC-posts (DT Light SL) luted with Panavia F resin cement. All of the specimens were restored with direct composite restorations, and the teeth were embedded in proximal contact with either zero, one or two adjacent tooth-replicas. Eight sound premolars served as control. After thermomechanical ageing, the samples were loaded until fracture at an angle of 30°. The sound teeth showed the highest mean fracture load. Teeth with one or two proximal contacts and FRC-posts showed only statistically insignificantly lower values. All of the other groups had significantly lower values.Dental Materials Journal 11/2013; 32(6). DOI:10.4012/dmj.2013-151 · 0.94 Impact Factor
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ABSTRACT: To compare posts of different flexibility using static load testing. Hypotheses tested were (1) the flexural modulus of endodontic posts does not show a linear relationship with failure load and (2) the flexural modulus of endodontic posts does not show an association with failure mode. Thirty 2 mm diameter rods of a glass fibre material Aesthetiplus (A), a carbon fibre Composipost (C) and stainless steel (S) were cemented into 90 roots of extracted human teeth using resin cement. Composite resin cores were added and the roots embedded in self-curing acrylic resin. Samples were loaded at 90° in a universal testing machine until failure. Failure loads and fracture levels were compared using one-way anova and post-hoc Scheffé tests. Proportions of different failure modes were compared with Chi square tests (α = 0.05). Mean failure loads - MPa (SD) were A - 278.69 (85.79), C - 258.86 (82.05), S - 347.37 (74.50). There was no significant difference in the mean failure load of roots containing the FRC posts (P = 0.639), but it was significantly greater for steel post samples (P < 0.01). The mean level of fracture among the groups was not significantly different (P = 0.879). No root fractures were 'favourable'. Significantly more root fractures and fewer core fractures occurred for group A than for groups C or S (P < 0.01). The elastic modulus of an endodontic post does not appear to be a principal factor influencing load at failure or mode of failure of post-restored teeth.International Endodontic Journal 05/2011; 44(5):458-68. DOI:10.1111/j.1365-2591.2011.01851.x · 2.27 Impact Factor