Effect of Translucency and Opacity of Fiber Reinforced Intracanal Posts on Fracture Resistance of Compromised Teeth (original) (raw)

Fracture resistance of endodontically-treated teeth restored using three root-reinforcement methods

The Journal of Contemporary Dental Practice, 2008

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.

Fracture resistance of weakened roots restored with composite resin and glass fiber post

Brazilian Dental …, 2008

This study evaluated the fracture resistance of weakened roots restored with glass fiber posts, composite resin cores and complete metal crowns. Thirty maxillary canines were randomly divided into 3 groups of 10 teeth each: teeth without weakened roots (control); teeth with partially weakened roots (PWR) and teeth with and largely weakened roots (LWR). The control group was restored with glass fiber posts and a composite resin core. Teeth in the PWR and LWR groups were flared internally to standardized dimensions in order to simulate root weakness. Thereafter, the roots were partially filled with composite resin and restored in the same way as in the control group. The specimens were exposed to 250,000 cycles in a controlled chewing simulator. All intact specimens were subjected to a static load (N) in a universal testing machine at 45 degrees to the long axis of the tooth until failure. Data were analyzed by one-way ANOVA and Dunnett's test for multiple comparisons (p=0.05). There were statistically significant difference differences (p<0.01) among the groups (control group = 566.73 N; PWR = 409.64 N; and LWR = 410.91 N), with significantly higher fracture strength for the control group. There was no statistically significant difference (p>0.05) between the weakened groups. The results of this study showed that thicker root dentin walls significantly increase the fracture resistance of endodontically treated teeth.

Resistance to fracture of teeth with weakened roots using posts with and without root fi lling. A systematic review Resistencia a la fractura de dientes con raíces debilitadas usando postes con y sin relleno radicular. Revisión sistemática

2015

Teeth with thin root walls exhibit high fracture rate; it is therefore a challenge to fithe ideal method to provide them with resistance. To this end, posts, either unfilled or filled with intra-root filling have been used, nevertheless, to this date, no certainty has been established on the differences among these therapeutic options. The main purpose of the present review was to compare evidence results on resistance to fracture of teeth with weakened roots which had been reinforced with either fi lled or unfi lled posts, after being subjected to compressive forces. An electronic search was conducted in different databases (Medline, Embase, PubMed and Ovid). The search was unrestricted with respect to year or language. Aforementioned search produced 148 articles. Each author independently conducted data extraction and quality assessment of each article, following parameters established in calibration (gauging). Finally, seven articles meeting with inclusion criteria were selected....

An In Vitro study of Fracture Resistance of Weakened Tooth Roots Reinforced with Two Types of Adhesive Restorative Materials

Bangladesh Journal of Medical Science, 2013

Introduction: Composite resin (CR) is among the commonly used material for intraradicular reinforcement of weakened tooth roots. Purpose: This study was to compare the fracture resistance of experimentally weakened tooth roots reinforced using auto-polymerized composite resin and light-polymerized composite resin. Materials and Methods: Fifty-six extracted human maxillary incisors were divided into 2 groups (n = 28) and the root canals were over prepared to weaken it. The samples in Group A were restored using lightcured CR Z100 and light-transmitting polymerizing post (Luminex), whereas Group B using auto-cured CR Alpha-dent. Both groups were placed with metal parapost cemented with a resin luting cement (Nexus 2). Specimens were subjected to compressive load (N) using Instron machine until fracture. Data were submitted to independent t test analysis of variance (p < 0.05). Results: There was no significant difference (p = 0.233) in fracture resistance between the teeth reinforced with light-polymerizing and auto-polymerizing CR are 549.3 (± 95.44) and 490.7 (± 110.37) respectively. Conclusion: The use of less technique sensitive autopolymerizing CR give equivalent benefit effect on reinforcing weakened roots, as the more commonly lightpolymerized composite resin.

Fracture Resistance of Roots Restored with Four Different Fiber-Reinforced Composite Posts

Medical Principles and Practice, 2015

398.5 N) and 1b (DT Light SL + Variolink II + ExciTE DSC; 431.1 N) had significantly higher resistance to fracture than the control group (334.1 N; p < 0.05). DT Light SL and FRC Postec Plus were more resistant to fracture when Variolink II was used as the luting cement. DT Light and Everstick had higher fracture resistance when they were luted with RelyX Unicem (p < 0.05). Conclusion: The results of this study indicate that the use of quartz fiber posts (DT Light and DT Light SL) with an adhesive luting cement in root-filled teeth may reinforce the root to some extent.

In vitro fracture resistance of endodontically treated roots filled with a bonded filling material or different types of posts

2013

Aim: This study aimed to compare the fracture resistance of roots filled with a bonded material, fiber posts, or titanium post systems. Methods: Canals in the first group were filled with AH Plus and gutta-percha cones, and roots in the second group were filled with Epiphany sealer and Resilon cones. The root fillings (60 roots) were removed up to 4 mm from the canal apex to obtain 10-mm-deep post spaces, and posts were cemented. The groups were as follows: AH Plus control group, Epiphany control group, AH Plus fiber post group, AH Plus titanium post group, Epiphany fiber post group, and Epiphany titanium post group. Fracture tests were performed by using an Instron testing machine. The force was applied at a 45 axial angle with a constant speed of 1 mm/min. For each sample, the force at which fracture occurred was recorded in units of newtons. Statistical analysis was carried out by using analysis of variance test. Results: There was no statistically significant difference between all groups (P > .05). Conclusions: Titanium posts, fiber posts, and Epiphany root canal filling systems were found to have no reinforcing effect on endodontically treated roots. (J Endod

Comparison of Fracture Resistance of Endodontically Treated Teeth with Flared Root Canal, Restored with Different Number of Fiber Posts

2016

Endodontically treated tooth with flared root canal poses the greater risk of fracture than the tooth undergone regular endodontic treatment. In order to increase success rate of restoration, several researchers proposed different solutions; building up the whole tooth structure with resin composite core material, resin composite core in combination with preformed glass fibers, or resin composite core in combination with a fiber post to strengthen the tooth structure. However, the solution with the single fiber post in flared root canal resulted in excessive resin cement in the flared root canal that may weaken the tooth structure. Objective: The purpose of this study was to compare the fracture resistance of endodontically treated teeth with flared root canals restored with different number of fiber post. Method: Fifteen mandibular first premolar teeth were endodontically treated and divided into 3 groups of 5. Group 1 was the control, restored with a resin composite core material ...

Evaluation of the strength of glass fiber-reinforced composite posts placed in root canals in different quantitative configurations and exposed to crushing forces

Polimery, 2017

The strength of fiber glass reinforced composite (FRC) posts, inserted in root canals in different quantitative configurations and exposed to crushing forces, assuming no adhesive connection in the coronal area, was evaluated. Three systems of FRC posts and one core build-up material were used in this study. The test was performed on FRC posts in three different quantitative configurations. The posts were cemented in the root canals in 36 premolars. 21 teeth were exposed to vertical forces, while 15 teeth were exposed to forces at an angle of 45° with respect to the vertical axis. After the strength tests, each sample was analyzed in the micro computed tomography (micro-CT) in order to verify that the forces do not cause defects in the areas of the adhesive connection. The largest values of the crushing forces (over 1000 N), which caused the destruction of posts were observed in case of Ena Post used in the form of single post with the greatest diameter or composed of three posts with different diameter, as well as for triple Postec Plus posts. In the case of the force acting at the angle of 45° no statistically significant differences were observed for all post configurations. No defects were found in micro-CT images of the analyzed areas of adhesive connections. The obtained results do not confirm the concept that the use of more than one post per canal may significantly improve the clinical effectiveness of FRC posts-the differences in the values of the destructive force per one post and multiple posts were not statistically significant.