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Dong S, Peng M, Wu G, Yao C, Huang C, Liang S. Does an incomplete ferrule affect the fracture of endodontically treated teeth? A systematic review of in vitro studies. J Dent 2024; 146:105068. [PMID: 38740250 DOI: 10.1016/j.jdent.2024.105068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 05/08/2024] [Accepted: 05/10/2024] [Indexed: 05/16/2024] Open
Abstract
OBJECTIVE The purpose of this systematic review was to assess the impact of the incomplete ferrule on the fracture of endodontically treated teeth (ETT). DATA The keywords such as "incomplete ferrule," "ferrule," "ferrule effect," "residual dentin," "remaining dentin," or "remaining coronal dentin" were used for searching, and only in vitro studies investigating the incomplete ferrule effect on natural teeth were included. SOURCES PubMed, Medline, Embase, Cochrane Library, and Science Direct databases, and manual-searching. STUDY SELECTION The search strategy yielded 1633 hits, and a total of 19 in vitro studies closely related to the effect of incomplete ferrule on ETT were included. CONCLUSION The presence of an incomplete ferrule may significantly increase the fracture resistance of restored ETT, compared with restored ETT without ferrule. The number of residual axial walls of the incomplete ferrule may have an impact on the fracture resistance and fracture mode. The location of residual axial walls of the incomplete ferrule may affect the fracture resistance but not the fracture mode. CLINICAL IMPLICATIONS Limited data suggest that the presence of incomplete ferrule has a positive effect on the fracture resistance of restored ETT. An incomplete ferrule can be an alternative for restoring ETT when a complete ferrule is not present. Nevertheless, further high-quality studies are still needed to offer more robust evidence and to take potential confounding factors into account.
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Affiliation(s)
- Shiying Dong
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237# Luoyu Road, Hongshan District, Wuhan 430079, PR China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, PR China
| | - Mengdong Peng
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237# Luoyu Road, Hongshan District, Wuhan 430079, PR China
| | - Guomin Wu
- College & Hospital of Stomatology, Anhui Medical University, Key Lab of Oral Diseases Research of Anhui Province, Hefei 230032, PR China
| | - Chenmin Yao
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237# Luoyu Road, Hongshan District, Wuhan 430079, PR China
| | - Cui Huang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237# Luoyu Road, Hongshan District, Wuhan 430079, PR China
| | - Shanshan Liang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237# Luoyu Road, Hongshan District, Wuhan 430079, PR China.
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Santos Pantaleón D, Tribst JPM, García-Godoy F. Influence of size-anatomy of the maxillary central incisor on the biomechanical performance of post-and-core restoration with different ferrule heights. J Adv Prosthodont 2024; 16:77-90. [PMID: 38694191 PMCID: PMC11058349 DOI: 10.4047/jap.2024.16.2.77] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 03/08/2024] [Accepted: 04/09/2024] [Indexed: 05/04/2024] Open
Abstract
PURPOSE The study aims to investigate the influence of the ferrule effect and types of posts on the stress distribution in three morphological types of the maxillary central incisor. MATERIALS AND METHODS Nine models were created for 3 maxillary central incisor morphology types: "Fat" type - crown 12.5 mm, root 13 mm, and buccolingual cervical diameter 7.5 mm, "Medium" type - crown 11 mm, root 14 mm, and buccolingual cervical diameter 6.5 mm, and "Slim" type - crown 9.5 mm, root 15 mm, and buccolingual cervical diameter 5.5 mm. Each model received an anatomical castable post-and-core or glass-fiber post with resin composite core and three ferrule heights (nonexistent, 1 mm, and 2 mm). Then, a load of 14 N was applied at the cingulum with a 45° slope to the long axis of the tooth. The Maximum Principal Stress and the Minimum Principal Stress were calculated in the root dentin, crown, and core. RESULTS Higher tensile and compression stress values were observed in root dentin using the metallic post compared to the fiber post, being higher in the slim type maxillary central incisor than in the medium and fat types. Concerning the three anatomical types of maxillary central incisors, the slim type without ferrule height in mm presented the highest tensile stress in the dentin, for both types of metal and fiber posts. CONCLUSION Post system and tooth morphology were able to modify the biomechanical response of restored endodontically-treated incisors, showing the importance of personalized dental treatment for each case.
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Affiliation(s)
- Domingo Santos Pantaleón
- Health Research Institute, Faculty Health Sciences, Autonomous University of Santo Domingo, and Institute for Dental Education and Research, San Francisco de Macorís, Dominican Republic
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Free University Amsterdam, The Netherlands
| | - Franklin García-Godoy
- Bioscience Research Center, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA
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Koosha S, Jebelizadeh MS, Mostafavi AS. Effect of Ferrule Location on Fracture Resistance of Maxillary Premolars: An In Vitro Study. Int J Dent 2023; 2023:9513804. [PMID: 37593681 PMCID: PMC10432005 DOI: 10.1155/2023/9513804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 06/19/2023] [Accepted: 06/26/2023] [Indexed: 08/19/2023] Open
Abstract
Objectives The present study aimed to assess the effect of ferrule location on fracture resistance of maxillary premolars. Materials and Methods A total of 72 extracted human maxillary premolars were selected and randomly assigned to six groups (n = 12 in each) considering ferrule location: circumferential ferrule (CF), without ferrule (WF), buccal ferrule (BF), lingual ferrule (LF), mesial ferrule (MF), and buccal-lingual ferrule (BLF). Cast posts were cemented into the prepared post spaces. Following conventional impression, Ni-Cr crowns were cemented to the specimens. After thermocycling (5,000 cycles, 5-55°C), the specimens were loaded at 45° in a universal testing machine until fracture. Data were analyzed with one-way ANOVA, Kolmogorov-Smirnov, and Tamhane tests. Results The maximum and minimum mean fracture resistance were related to the CF (1,143.84 N) and WF (514.89 N) groups, respectively, (P = 0.039). Fracture resistance in the BF (933.67 N) and BLF (874.01 N) groups was significantly higher than in the MF group (617.54 N) (P = 0.001). There was no significant difference between the MF, LF (722.89 N), and WF groups in terms of fracture resistance (P > 0.05). Conclusion Teeth with CF showed maximum fracture resistance. The location of the ferrule effects on the fracture resistance of maxillary premolars and also the mode of failure.
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Affiliation(s)
- Sara Koosha
- Department of Prosthodontics, School of Dentistry, Azad Islamic University, Tehran, Iran
| | | | - Azam S. Mostafavi
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Wille S, Möller R, Kern M. Influence of shading on zirconia's phase transformation and flexural strength after artificial aging. Dent Mater 2023; 39:702. [PMID: 37385942 DOI: 10.1016/j.dental.2023.06.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 05/17/2023] [Accepted: 06/14/2023] [Indexed: 07/01/2023]
Abstract
OBJECTIVES The aim of this study was to determine the phase transformation and the influence of aging on the flexural strength of different colored zirconia. The effect of hydrothermal aging in an autoclave was compared with the effect of mechanical stress by simulating chewing. METHODS High-strength zirconia (3Y-TZP) was investigated in three different colors: uncolored, A3, and D3. Disc-shaped specimens (N = 3) were analyzed by X-ray diffraction (XRD), and flexural strength was determined on bar-shaped specimens (N = 15) in a 4-point bending test before and after performing two different aging protocols: aging in an autoclave (134 °C, 70 h) and aging in a chewing simulator (5 kg load, 1.2 million cycles). During autoclave aging, the fraction of monoclinic phase on the surface was determined every 5 h. Once this exceeded 25 vol%, aging of the bar specimens was stopped. RESULTS While in the unstained group the mean value of the proportion of monoclinic phase already exceeded 25 vol% after 30 h in the autoclave, this was the case in both stained groups only after 70 h. No measurable phase transformation could be detected after chewing simulation. Only color A3 showed a statistically significant (p ≤ 0.05) decrease in flexural strength after aging in the chewing simulator. SIGNIFICANCE The colored zirconia showed a higher resistance to phase transformation through hydrothermal aging. The metal oxides in the staining solutions are assumed to hinder the phase transformation in the zirconia. Therefore, the significant reduction in the stained zirconia after chewing simulation is particularly interesting.
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Affiliation(s)
- Sebastian Wille
- Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University at Kiel, Germany.
| | - Rüdiger Möller
- Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University at Kiel, Germany.
| | - Matthias Kern
- Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University at Kiel, Germany.
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Al-Sanabani FA, Al-Makramani BM, Alaajam WH, Al-Ak'hali MS, Alhajj MN, Nassani MZ, Assad M, Al-Maweri SA. Effect of partial ferrule on fracture resistance of endodontically treated teeth: A meta-analysis of in-vitro studies. J Prosthodont Res 2023; 67:348-359. [PMID: 36642507 DOI: 10.2186/jpr.jpr_d_22_00170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
PURPOSE The present meta-analysis aimed to answer the following research question: In endodontically treated teeth (ETT), what is the effect of partial ferrule (PF) on fracture resistance compared to complete ferrule (CF) and/or no ferrule (NF)? STUDY SELECTION PubMed, Scopus, Web of Science, and Google Scholar were searched for relevant studies published until May 20, 2022. In vitro studies that compared the effect of partial ferrule with that of complete ferrule and/or no ferrule on fracture resistance of ETT were included. The studies were assessed for risk of bias, and a meta-analysis was performed. RESULTS Seventeen in vitro studies comprising 807 teeth were included. Nine studies were at a high risk of bias and eight presented a moderate risk of bias. Overall, the results showed that CF was superior to PF in increasing fracture resistance (SMD= 0.93, CI95%= 0.57-1.29, P< 0.0001), with no change in the effect based on the type of teeth (P< 0.001). However, the subgroup analysis found that PF 2 mm buccal, lingual, and buccal and lingual ferrule were comparable to CF (P= 0.06). Additionally, the PF group showed significantly higher fracture resistance than the NF group (SMD= 2.02, CI95%= 1.54-2.49, P< 0.00001). CONCLUSIONS Although CF design provided the highest fracture resistance to restored ETT, PF can still be a viable option for restoring ETT in cases where CF is not feasible.
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Affiliation(s)
- Fuad Ateik Al-Sanabani
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Restorative Dentistry, Faculty of Dentistry, Sana'a University, Sana'a, Yemen
| | - Bandar Mohammed Al-Makramani
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Restorative Dentistry, Faculty of Dentistry, Sana'a University, Sana'a, Yemen
| | - Wafa Hassan Alaajam
- Department of Restorative Dental Science, College of Dentistry, King Khalid University, Abha, Saudi Arabia
- Department of Conservative Dentistry, Faculty of Dentistry, Sana'a University, Sana'a, Yemen
| | - Mohammed Sultan Al-Ak'hali
- Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Periodontology, Faculty of Dentistry, Sana'a University, Sana'a, Yemen
| | | | - Mohammad Zakaria Nassani
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Mounzer Assad
- Department of Oral Surgery, Faculty of Dentistry, Tishreen University, Lattakia, Syria
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Ferrari M, Lettieri E, Pontoriero DIK, Vallittu P, Ferrari Cagidiaco E. Particulate Filler and Discontinuous Fiber Filler Resin Composite's Adaptation and Bonding to Intra-Radicular Dentin. Polymers (Basel) 2023; 15:3180. [PMID: 37571074 PMCID: PMC10421007 DOI: 10.3390/polym15153180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 07/06/2023] [Accepted: 07/21/2023] [Indexed: 08/13/2023] Open
Abstract
The aim of this study was to assess adaptation and bonding to root canal dentin of discontinuous (short) glass fiber-reinforced composite to intra-radicular dentin (DSGFRC). METHODS Seventy virgin human teeth were extracted and then endodontically treated; then samples were randomly divided into 7 groups (n = 10), based on the materials' combinations as follows: Group 1, a two-bottle universal adhesive + DSGFRC; Group 2, a single-component universal adhesive + DSGFRC; Groups 3 and 4, the same materials of Goups 1 and 2 were used but after cleaning of the canal walls with 17% EDTA and final irrigation with 5.25% NaOCl Ultrasound Activated (UA); Group 5, traditional prefabricated fiber posts were luted after being silanized with G-Multi Primer; Groups 6 and 7, like Group 5 but after ultrasonic irrigation (UA). All sample roots were cut 1 mm thick (n = 10) to be evaluated regarding root canal adaptation using a light microscope and scanning electron microscope (SEM) and push-out bond strength. These results were statistically analyzed by Kruskal-Wallis analysis of variance by ranks. The level of significance was set at p < 0.05. RESULTS Bond strength forces varied between 6.66 and 8.37 MPa and no statistically significant differences were recorded among the groups. By microscopic examination, it was noted that ultrasonic irrigation increased the adaptation of the materials to the dentin surface. CONCLUSIONS Within the limitations of this in vitro study, it may be concluded that when DSGFRC was used for intracanal anchorage in the post-endodontic reconstruction, similar push-out retentive force and strength to those of traditional fiber posts cemented with particulate filler resin composite cements were achieved.
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Affiliation(s)
- Marco Ferrari
- Department of Prosthodontics and Biomaterials, University of Siena, 53100 Siena, Italy
| | - Eugenia Lettieri
- Department of Oral Surgery, University of Siena, 53100 Siena, Italy
| | | | - Pekka Vallittu
- Department of Biomaterials Science, University of Turku, Wellbeing Services County of South-West Finland Turku, 20014 Turku, Finland
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Hennig CL, Stöcker A, Nitzsche A, Marquetand J, Jacobs C, Jahn F. Influence of Root Post Materials and Aging on Fracture Strength and Marginal Gap Quality of Ceramic Crowns-An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16113985. [PMID: 37297118 DOI: 10.3390/ma16113985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 05/22/2023] [Accepted: 05/24/2023] [Indexed: 06/12/2023]
Abstract
The design of and materials for prosthodontic abutments and posts have significant influences on the fracture resistance of restored teeth. This in vitro study compared the fracture strength and marginal quality of full-ceramic crowns as a function of the inserted root posts via simulation of a five-year period of use. Test specimens were prepared from 60 extracted maxillary incisors using titanium L9 (A), glass-fiber L9 (B), and glass-fiber L6 (C) root posts. The circular marginal gap behavior, linear loading capacity, and material fatigue after artificial aging were investigated. The marginal gap behavior and material fatigue were analyzed using electron microscopy. The linear loading capacity of the specimens was investigated using the Zwick Z005 universal testing machine. None of the tested root post materials showed statistically significant differences in marginal width values (p = 0.921), except in the case of marginal gap location. For Group A, there was a statistically significant difference from the labial to the distal (p = 0.012), mesial (p = 0.000), and palatinal (p = 0.005). Similarly, Group B showed a statistically significant difference from the labial to the distal (p = 0.003), mesial (p = 0.000), and palatinal (p = 0.003). Group C showed a statistically significant difference from the labial to the distal (p = 0.001) and mesial (p = 0.009). Linear load capacity reached mean values of 455.8-537.7 N, and micro-cracks occurred after artificial aging, predominantly in Groups B and C. Through the chosen experimental design, it was shown that the root post material and root post length had no influence on the fracture strength of the test teeth before or after artificial aging. However, the marginal gap location depends on the root post material and its length, which is wider mesially and distally and also tends to be greater palatinally than labially.
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Affiliation(s)
- Christoph-Ludwig Hennig
- Department of Orthodontics, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
| | - André Stöcker
- Section of Geriodontics, Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
| | - Ann Nitzsche
- Department of Orthodontics, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
| | - Justus Marquetand
- Department of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, 72076 Tübingen, Germany
- Department of Neural Dynamics and Magnetoencephalography, Hertie-Institute for Clinical Brain Research, University of Tübingen, 72076 Tübingen, Germany
- MEG-Center, University of Tübingen, 72076 Tübingen, Germany
| | - Collin Jacobs
- Department of Orthodontics, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
| | - Florentine Jahn
- Section of Geriodontics, Department of Conservative Dentistry and Periodontology, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
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Alshabib A, Abid Althaqafi K, AlMoharib HS, Mirah M, AlFawaz YF, Algamaiah H. Dental Fiber-Post Systems: An In-Depth Review of Their Evolution, Current Practice and Future Directions. Bioengineering (Basel) 2023; 10:bioengineering10050551. [PMID: 37237621 DOI: 10.3390/bioengineering10050551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 04/27/2023] [Accepted: 05/02/2023] [Indexed: 05/28/2023] Open
Abstract
The field of dental medicine is constantly evolving and advancing toward minimally invasive techniques. Several studies have demonstrated that bonding to the tooth structure, particularly enamel, yields the most predictable results. In some instances, however, significant tooth loss, pulpal necrosis, or irreversible pulpitis may limit the options available to the restorative dentist. In these cases, placement of a post and core followed by a crown is the preferred treatment option, provided all requirements are met. This literature review provides an overview of the historical development of dental FRC post systems as well as a comprehensive examination of the currently available posts and their bonding requirements. In addition, it offers valuable insights for dental professionals seeking to understand the current state of the field and the prospects of dental FRC post systems.
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Affiliation(s)
- Abdulrahman Alshabib
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Khaled Abid Althaqafi
- Department of Restorative Dental Department, College of Dentistry, University of Umm Al Qura, Makkah 24211, Saudi Arabia
| | - Hani S AlMoharib
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Mahir Mirah
- Department of Restorative Dental Science, Dental College, and Hospital, Taibah University, Madinah 42353, Saudi Arabia
| | - Yasser F AlFawaz
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Hamad Algamaiah
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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Popescu AD, Popa DL, Nicola AG, Dascălu IT, Petcu C, Tircă T, Tuculina MJ, Mocanu H, Staicu AN, Gheorghiță LM. Post Placement and Restoration of Endodontically Treated Canines: A Finite Element Analysis Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19158928. [PMID: 35897304 PMCID: PMC9332447 DOI: 10.3390/ijerph19158928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 07/18/2022] [Accepted: 07/21/2022] [Indexed: 02/04/2023]
Abstract
The purpose of this study was to show the improved outcomes of restoring endodontically treated teeth with fiberglass posts compared to restorations using metal posts. In our study, we used the Finite Element Method (FEM), which is based on the principle that a physical model that supports a given load distributes the stress throughout its volume. We sought to assess what stress results in a tooth when it is restored using a fiberglass post compared to restoration using a metal post. The finite element analysis showed that a system consisting of a tooth with a fiberglass post is more stable in terms of the maximum stress than a system consisting of a tooth with a metal post. The maximum displacements and deformations were obtained in the case of a canine restored with a fiberglass post, which showed that this system had a high elasticity, therefore, higher strength than a canine restored with a metal post, which had high rigidity.
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Affiliation(s)
- Alexandru Dan Popescu
- Department of Endodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.D.P.); (C.P.); (A.N.S.); (L.M.G.)
| | - Dragoș Laurențiu Popa
- Department of Automotive, Transportation and Industrial Engineering, Faculty of Mechanics, University of Craiova, 200478 Craiova, Romania
- Correspondence: (D.L.P.); (M.J.T.)
| | - Andreea Gabriela Nicola
- Department of Oro-Dental Prevention, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.G.N.); (T.T.)
| | - Ionela Teodora Dascălu
- Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania;
| | - Cristian Petcu
- Department of Endodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.D.P.); (C.P.); (A.N.S.); (L.M.G.)
| | - Tiberiu Tircă
- Department of Oro-Dental Prevention, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.G.N.); (T.T.)
| | - Mihaela Jana Tuculina
- Department of Endodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.D.P.); (C.P.); (A.N.S.); (L.M.G.)
- Correspondence: (D.L.P.); (M.J.T.)
| | - Horia Mocanu
- Faculty of Dental Medicine, University Titu Maiorescu of Bucharest, 031593 Bucharest, Romania;
| | - Adela Nicoleta Staicu
- Department of Endodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.D.P.); (C.P.); (A.N.S.); (L.M.G.)
| | - Lelia Mihaela Gheorghiță
- Department of Endodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania; (A.D.P.); (C.P.); (A.N.S.); (L.M.G.)
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Does Multi-Fiber-Reinforced Composite-Post Influence the Filling Ability and the Bond Strength in Root Canal? Bioengineering (Basel) 2021; 8:bioengineering8120195. [PMID: 34940348 PMCID: PMC8698466 DOI: 10.3390/bioengineering8120195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 11/23/2021] [Accepted: 11/24/2021] [Indexed: 12/14/2022] Open
Abstract
The purpose of the present in vitro study was to investigate the bond strength of root canal dentin and the filling ability of a new multi-fiber-reinforced composite post (mFRC) compared to a conventional single fiber-reinforced-composite post (sFRC). Twenty-eight freshly maxillary first permanent single-rooted premolars were instrumented and divided into groups (n = 14). Group 1: single-fiber-reinforced composite (sFRC), group 2: multi-fiber-reinforced composite (mFRC). Bonding procedures were performed using a dual-cure universal adhesive system and resin cement. All specimens were sectioned so that seven discs of 1 mm of thickness were obtained from each root. An optical microscope was used before the push-out test to measure the total area of the voids and to determine the length of the smaller/bigger circumferences. The push-out bond strength (PBS) test was performed using an Instron universal testing machine. Data were then compared by one-way ANOVA on ranks (α = 0.05). The dentin–cement–post interface was observed using scanning electron microscopy (SEM). At the coronal third, a significantly higher bond strength (p < 0.05) was obtained in the sFRC group (44.7 ± 13.1 MPa) compared to the mFRC group (37.2 ± 9.2 MPa). No significant difference was detected between the groups at the middle third (sFRC group “33.7 ± 12.5 MPa” and mFRC group “32.6 ± 12.4 MPa”) (p > 0.05). Voids were significantly lower in the mFRC compared to those observed in the sFRC group (p < 0.05) at the coronal third. Whereas, no significant difference was found at the middle third (p > 0.05) between the tested groups. Filling ability was overall improved when employing mFRC, although such technique might have characteristic limitations concerning the bond strength to dentin.
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Oliveira CRDM, Reis ÉGJ, Tanomaru-Filho M, Reis JMDSN. Fracture strength of teeth with coronal destruction after core build-up restoration with bulk fill materials. J ESTHET RESTOR DENT 2021; 34:541-549. [PMID: 34766704 DOI: 10.1111/jerd.12833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 10/18/2021] [Accepted: 10/29/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study aimed to evaluate the fracture strength and failure modes of different core techniques in teeth with simulated coronal destruction. MATERIALS AND METHODS Forty teeth were endodontically prepared and the specimens were divided into four experimental groups (n = 10) according to the core composition: Filtek One Bulk Fill-FOBF, Filtek Z350 XT-FZ350 (standard group), Filtek Bulk Fill Flow-FBFF, and LuxaCore Z-LCZ. CAD/CAM Monolithic zirconia crowns were obtained and cemented with RelyX U200. After storage in distilled water at 37°C for 48 h, the specimens were subjected to thermal cycling and to compressive strength mechanical tests. Statistical analyses (α = 0.05) were performed by non-parametric Kruskal-Wallis, Dunn post hoc, and Fisher's exact tests. RESULTS No significant differences (p > 0.05) were observed among FOBF, FZ350, and FBFF (mean ranks = 20.30, 12.20, and 23.20, respectively). LCZ (mean rank = 26.30) produced results similar to those of FOBF and FBFF (p > 0.05) and higher than those of FZ350 (p = 0.042). The most frequent type of failure was irreparable, regardless of the experimental condition. The lowest percentages of reparable fractures were produced by FOBF group (10%). CONCLUSIONS The use of bulk fill materials, including the "core-and-post" LCZ dual-cure resin composite, did not impair the fracture strength of endodontically treated teeth with coronal destruction. CLINICAL SIGNIFICANCE Resin composite bulk fill materials that can be used as a core-and-post cementation in an only stage are interesting, since they enable clinicians to work with one only material, and avoid several materials interfaces, technical sensitivity, and longer chair-time due to multistep procedures.
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Affiliation(s)
- Carlos Rangel de Moura Oliveira
- Department of Dental Materials and Prosthodontics, School of Dentistry, Sao Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Érica Gouveia Jorge Reis
- Private practice/Department of Restorative Dentistry, School of Dentistry, Sampaiodonto dental Clinic/Sao Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Mário Tanomaru-Filho
- Department of Restorative Dentistry, School of Dentistry, Sao Paulo State University - UNESP, Araraquara, SP, Brazil
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Santos Pantaleón D, Valenzuela FM, Morrow BR, Pameijer CH, García-Godoy F. Effect of Cervical Lesions on Fracture Resistance and Failure Mode of Maxillary Central Incisors Restored with Fiber Posts and Complete Crowns. Oper Dent 2021; 46:669-679. [PMID: 35507904 DOI: 10.2341/20-164-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2021] [Indexed: 11/23/2022]
Abstract
PURPOSE To investigate the effect of a cervical cavity extending 1 mm apical to the cemento-enamel junction (CEJ) on fracture resistance and failure mode of maxillary central incisors that have been treated endodontically, present with complete and incomplete ferrules, and are restored with and without a fiber post. METHODS AND MATERIALS 50 intact human maxillary central incisors were divided into five groups (n=10): CG (control group) 6-mm fer-rule height, no cervical cavity, and without post; (CO) 6-mm ferrule height without post, with a cervical cavity (access to root canal and cervical cavity restored with composite resin), cervical cavity; and post with ferrule heights of 1 mm (CP1), 2 mm (CP2), and 6 mm (CP6) restored with fiberglass post and composite resin core. After complete metal crowns were cemented on all specimens, they were subjected to thermal cycling (6000 cycles, 5°C/55°C), followed by immediate testing of fracture resistance. After failure, the specimens were sectioned buccolingually to evaluate and identify the mode of failure. The data were analyzed with an analysis of variance (ANOVA) and the Student-Newman-Keuls multiple comparison tests (α =0.05). RESULTS A 1-mm ferrule height (CP1) fracture resistance was significantly lower (531±125 N) compared to the 6-mm ferrule height (CP6) (769±175 N) (p<0.05). With respect to the groups with similar residual dentin, with and without a cervical cavity, CG (667±119 N) and CO (668±119 N), the presence of a post (CP6) increased the resistance to fracture, although no statistically significant difference was demonstrated. Partial decementation was observed in all specimens of CG and CP6, in nine of CP1 and CP2, and in three in CO. Root fractures occurred in 23 specimens. The root surface was exposed 2 mm below the CEJ to simulate bone level. Propagation of subosseous cracks occurred in four specimens in CG and CP2, in seven specimens in CP6, in two specimens in CP1, and in six specimens in CO. All were considered catastrophic failures. CONCLUSIONS Within the limitations of this study it is suggested that, when restoring an endodontically treated maxillary central incisor that has a cervical lesion and needs to be restored with a complete crown, a fiber post is cemented to improve fracture resistance.
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Affiliation(s)
- D Santos Pantaleón
- *Domingo Santos Pantaleón, DDS, MSD, PhD, professor (retired) of prosthodontics, School of Dentistry, Autonomous University of Santo Domingo, Santo Domingo, Dominican Republic
| | - F M Valenzuela
- Fabio M. Valenzuela, DDS, associate professor of prosthodontics, School of Dentistry, Autonomous University of Santo Domingo, Santo Domingo, Dominican Republic
| | - B R Morrow
- Brian R. Morrow, MS, research associate, Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA
| | - C H Pameijer
- Cornelis H. Pameijer, DMD, MScD, DSc, PhD, professor emeritus, Department of Reconstructive Sciences, University of Connecticut, Farmington, CT, USA
| | - F García-Godoy
- Franklin García-Godoy, DDS, MS, PhD, PhD, professor and director, Bioscience Research Center, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA, and Honorary Professor, School of Dentistry, Autonomous University of Santo Domingo, Santo Domingo, Dominican Republic
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13
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Haralur SB. Fracture resistance of endodontically treated teeth restored with various esthetic posts. Technol Health Care 2020; 29:243-252. [PMID: 32568136 DOI: 10.3233/thc-202228] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Dental esthetic materials are constantly introduced to meet the increasing esthetic demand in contemporary dental practice. OBJECTIVE To test the fracture resistance of endodontically treated teeth (ETT) restored with different esthetic post materials like fiber-reinforced composite post (FRC), polyether ether ketone (PEEK), and polymer infiltrated ceramic (PIC). METHODS Thirty-six human root canal treated single-rooted premolar teeth were decoronated 3 mm above the cemento-enamel junction and prepared to receive the post. They were randomly divided into three groups (n= 12) to be restored with FRC, PEEK, and PIC. After appropriate surface treatment, they were cemented with self-adhesive luting cement and restored with full veneer crowns. The samples were thermocycled, subjected to a compressive static load at 45∘ angulation until fracture. Obtained data were analyzed by one-way ANOVA and Tukey's HSD post hoc comparison test. RESULTS The results indicate that the ETT restored with PEEK post had the maximum fracture load (1929.94 N), followed by PIC endodontic post group (1810.65N), and FRC post (1715.68N). Meanwhile, ETT restored with FRC showed a predominantly favorable fracture, whereas PEEK restored teeth had a more unfavorable fracture. CONCLUSION Of all the esthetic post materials, the group for which PEEK endodontic post was used displayed higher fracture resistance.
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Alkhatri R, Saleh ARM, Kheder W. Evaluating Fracture Resistance And Failure Modes Of Root Filled Teeth Restored With CAD/CAM-Fabricated Post And Core. Clin Cosmet Investig Dent 2019; 11:349-355. [PMID: 31814773 PMCID: PMC6863363 DOI: 10.2147/ccide.s219712] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 09/26/2019] [Indexed: 11/23/2022] Open
Abstract
Objective The aim of this study was to measure the fracture resistance and failure modes of root-filled teeth restored with three different computer-aided design/computer-aided manufacturing (CAD/CAM)-fabricated post and core assemblies. Methods Thirty extracted intact maxillary central incisors were used in the study, and the teeth were endodontically treated and sectioned to a root length of 16 mm. The samples were divided into three groups (n = 10) according to the mean of the dimensions at the cervical portion of the root. The posts and cores were fabricated with CAD/CAM technology using metal, zirconia, and polymer-infiltrated ceramic network (PICN) material. The posts were luted using resin cement, and then, metal crowns were fabricated, cemented, and then subjected to a compression to determine the fracture resistance force. Fracture of the post and core or fracture of the root above the level of the acrylic resin was considered as a favorable fracture, while nonfavorable fractures were those where the root fracture occurred below the level of the acrylic resin. Statistical analysis was carried out using SPSS software, and one-way analysis of variance was used to analyze root fracture resistance in Newton. The number of failure modes, post–core fractures and/or root fractures was calculated. The differences between study groups were revealed using the chi-square test. Results The results of ANOVA revealed a nonsignificant difference in the resistance to fracture among the study groups (P = 0.114). The failure modes were nonfavorable for all metal and zirconia samples and seven PICN samples. However, three PICN samples exhibited a favorable represented by core fracture without root fracture. Conclusion There was no significant difference between metal and zirconia samples in terms of nonfavorable fracture, while few PICN samples exhibited a favorable fracture. PICN material can be used in the fabrication of post and core assemblies using CAD/CAM.
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Affiliation(s)
- Reem Alkhatri
- Department of Restorative Dentistry, Ajman University, Ajman, United Arab Emirates
| | | | - Waad Kheder
- College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
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Bonilla ED, Pameijer CH, Nascimento CD, Garcia-Godoy F, Hayashi M, Khabbaz C, Bonilla BC, Pedrazzi V. Influence of a Retentive Shoulder Design to Prevent Early Failure of Three Core Build-Ups. Braz Dent J 2019; 30:569-576. [PMID: 31800751 DOI: 10.1590/0103-6440201902874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Accepted: 07/05/2019] [Indexed: 11/21/2022] Open
Abstract
This study evaluated the influence of a retentive shoulder design to prevent early failure of three resin composite build-ups on molars. Ninety-six intact extracted human maxillary third molars were assigned to two groups (n=48) based on occlusal, buccal cusps only and all cusps reduction. The groups were divided into two subgroups: pin retained and non-pin retained build-ups resulting in four groups (n=24), according the cusps reduction: pin retained/partial, pin retained/complete, non-pin retained/partial, non-pin retained/complete. Occlusal reduction was 3 mm with a semi-lunar retentive shoulder of 3 mm and an axial wall height of 1.5 mm. Groups were restored using a microhybrid, flowable or titanium reinforced resin composite. Modified self-curing acrylic resin provisional crowns were fabricated, cemented with non-eugenol temporary cement and thermal cycled. An instron machine applied tension to the provisional crowns parallel to the long axis of the tooth until dislodgement. A three-way analysis of variance was conducted on the influence of the variables on the retention of the core build-up. Ninety-three build-ups were retained under tensile load, while three core build-ups without pins were dislodged. Three-way analysis of variance showed no statistically significant difference between core build-ups using a retentive shoulder and pin retained core build-ups when tested under tensile load. With the advent of adhesive systems, increased surface area and retentive shoulder design can provide a retentive core foundation to prevent early failures of core build-ups during indirect restoration fabrication which will contribute to the longevity of final restorations.
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Affiliation(s)
- Esteban D Bonilla
- University of California School of Dentistry, Lecturer of Section of Restorative Dentistry, Los Angeles, CA, USA
| | - Cornelis H Pameijer
- University of Connecticut School of Dental Medicine, Professor Emeritus, CT, USA
| | - Cassio do Nascimento
- School of Dentistry of Ribeirão Preto, Professor of Department of Dental Materials and Prosthodontics, Molecular Diagnosis Laboratory, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Franklin Garcia-Godoy
- University of Tennessee Health Science Center, Director and Professor of Department of Bioscience Research Center, Memphis, TN, USA
| | - Marc Hayashi
- University of California School of Dentistry, Section of Restorative Dentistry, Los Angeles, CA, USA
| | - Christine Khabbaz
- University of California School of Dentistry, Section of Restorative Dentistry, Los Angeles, CA, USA
| | - Brian C Bonilla
- Santa Clara University, Leavey School of Business, Santa Clara, CA, USA
| | - Vinicius Pedrazzi
- School of Dentistry of Ribeirão Preto, Professor of Department of Dental Materials and Prosthodontics, Molecular Diagnosis Laboratory, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Santos Pantaleón D, Valenzuela FM, Morrow BR, Pameijer CH, García-Godoy F. Effect of Ferrule Location with Varying Heights on Fracture Resistance and Failure Mode of Restored Endodontically Treated Maxillary Incisors. J Prosthodont 2019; 28:677-683. [PMID: 31149753 DOI: 10.1111/jopr.13090] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2019] [Indexed: 12/11/2022] Open
Abstract
PURPOSE To investigate the effect of the location of a partial ferrule on 2 walls and the influence of ferrule height variations on remaining walls, fracture resistance, and failure mode of maxillary incisors endodontically treated and restored with fiber posts. MATERIALS AND METHODS Sixty intact human maxillary central incisors were divided into 6 groups (n = 10): no ferrule (NF), 2-mm ferrule (CF2), absence of lingual wall and 1 proximal wall with remaining walls' height, 1 mm (IF1), 2 mm (IF2), 3 mm (IF3), and 4 mm (IF4). They were restored with a fiberglass post and composite resin core. Complete metal crowns were then cemented on all specimens. Completed specimens were subjected to thermal cycling (6000 cycles, 5°C/55°C) followed by the immediate testing of fracture resistance. After failure, the specimens were sectioned buccolingually and evaluated to identify the mode of failure. The data were analyzed with an ANOVA and the Student-Newman-Keuls multiple comparison tests (α = 0.05). RESULTS An incomplete ferrule (IF2) with the lingual wall missing and 1 proximal wall had a fracture resistance of 494 ± 137 N, which was significantly less that of a complete ferrule (CF2) (707 ± 162 N, p = 0.002). An increase of 3 to 4 mm in height of the remaining walls had negligible influence on the fracture resistance: 514 ± 117 N (IF3), 557 ± 177 N (IF4). Partial decementation was observed in all specimens of IF3 and IF4, in 9 of IF1 and IF2, in 6 in NF, and in 3 in CF2. Root fractures occurred in 7 specimens, 4 in CF2, 1 in IF1, 1 in IF2, and 1 in IF4. Cracks under the cemento-enamel junction occurred in 4 specimens (NF and IF1), in 5 (IF2 and IF3), and in 6 (CF2 and IF4) and were considered catastrophic failures. CONCLUSIONS Specimens with a complete ferrule of 2 mm height were more resistant to fracture than specimens with 2 mm height and absence of the lingual wall and 1 proximal wall. A 3 or 4 mm wall height increase was associated with an insignificant increase in fracture resistance and cannot compensate for the absence of the lingual wall and 1 proximal wall.
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Affiliation(s)
| | - Fabio M Valenzuela
- School of Dentistry, Autonomous University of Santo Domingo, Dominican Republic
| | - Brian R Morrow
- Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN
| | - Cornelis H Pameijer
- Department of Reconstructive Sciences, University of Connecticut, Farmington, CT
| | - Franklin García-Godoy
- School of Dentistry, Autonomous University of Santo Domingo, Dominican Republic.,College of Dentistry, University of Tennessee Health Science Center, Memphis, TN.,The Forsyth Institute, Cambridge, MA
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17
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Figueiredo FE, Santos RC, Silva AS, Valdívia AD, Oliveira-Neto LA, Griza S, Soares CJ, Faria-e-Silva AL. Ferrule Design Does Not Affect the Biomechanical Behavior of Anterior Teeth Under Mechanical Fatigue: An In Vitro Evaluation. Oper Dent 2019; 44:273-280. [DOI: 10.2341/17-296-l] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
To investigate the survival and failure mode of fiber-post resin restorations over preparations with different ferrule designs when submitted to a fatigue load test.
Methods and Materials:
Fifty bovine incisors were selected and divided into five groups (n=10) according to ferrule design: a no-ferrule group, a 2-mm circumferential ferrule group, a 2-mm buccal ferrule group, a 2-mm lingual ferrule group, and a 2-mm buccal and lingual ferrule group. The fiberglass post was cemented and the composite core was built up and prepared, followed by cementation of a full composite crown. The samples were subjected to a cyclic fatigue test with loading applicator at 135°; a staircase approach was used until fracture. Survival (cycles to fracture) and failure modes were recorded. Survival data were analyzed with the log-rank test, while Kruskal-Wallis and Fisher exact tests were used to analyze failure mode data (α=0.05).
Results:
The median number of cycles to fracture ranged from 215,000 to 236,153. The log-rank test showed no statistically significant difference in survival rates among the groups (p=0.82). Regarding failure mode, three types were observed: I, post and/or core fracture; II, root fracture in the cervical third; and III, root fracture in the middle third. No statistical difference was observed among the groups (Kruskal-Wallis test, p=0.147).
Conclusion:
The ferrule design had no effect on fatigue resistance or failure mode of endodontically treated incisor teeth restored with a fiber post, composite core buildup, and composite crown.
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Affiliation(s)
| | - RC Santos
- Renan C Santos, BS student, Department of Materials Science and Engineering, Federal University of Sergipe, São Cristóvão, Brazil
| | - AS Silva
- Abraão S Silva, PhD student, Program in Materials Science and Engineering, Federal University of Sergipe, São Cristóvão, Brazil
| | - AD Valdívia
- Andrea D Valdívia, DDS, MS, PhD student, School of Dentistry, Operative Dentistry and Dental Materials, Federal University of Uberlândia, Minas Gerais, Brazil
| | - LA Oliveira-Neto
- Luiz A Oliveira-Neto, PhD, Department of Dentistry, Federal University of Sergipe, Lagarto, Brazil
| | - S Griza
- Sandro Griza, PhD, Department of Materials Science and Engineering, Federal University of Sergipe, São Cristóivão, Brazil
| | - CJ Soares
- Carlos J Soares, DDS, MS, PhD, School of Dentistry, Federal University of Uberlândia, Operative Dentistry and Dental Materials, Minas Gerais, Brazil
| | - AL Faria-e-Silva
- Andre L Faria-e-Silva, DDS, MD, PhD, Federal University of Sergipe, Department of Dentistry, Aracaju, Brazil
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Richert R, Robinson P, Viguie G, Farges JC, Ducret M. Multi-Fiber-Reinforced Composites for the Coronoradicular Reconstruction of Premolar Teeth: A Finite Element Analysis. BIOMED RESEARCH INTERNATIONAL 2018; 2018:4302607. [PMID: 29984233 PMCID: PMC6011147 DOI: 10.1155/2018/4302607] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 05/08/2018] [Indexed: 11/17/2022]
Abstract
A coronoradicular reconstruction (CRR) has conventionally used a metallic inlay core (MIC) or a single-fiber-reinforced composite (sFRC) but extensive dentin removal can lead to root fracture. We propose herein a multi-fiber-reinforced composite (mFRC) based on a bundle of thin flexible fibers that can be adapted to the root anatomy without removing additional dentin. The aim of this study was to compare the mechanical behavior of the root reconstructed with mFRC, MIC, or sFRC using a finite element analysis (FEA). Models with or without a ferrule effect were created using Autodesk© software and divided into four parts: root, post, bonding composite or cement, and zirconia crown. For both models, extreme stress values (ESV), stress distribution, and risk of fracture were calculated for an oblique force (45°) of 100 N applied to the top of the buccal cusp. Results indicated that mFRC and mFRCG present a lower risk of fracture of the root and of the CRR without ferrule and thus could be valuable alternatives for premolar CRR. Further studies are necessary to evaluate the clinical success of these CRR.
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Affiliation(s)
- Raphaël Richert
- Université de Lyon, Université Lyon 1, Faculté d'Odontologie, Lyon, France
- Hospices Civils de Lyon, Service de Consultations et Traitements Dentaires, Lyon, France
| | | | - Gilbert Viguie
- Université de Lyon, Université Lyon 1, Faculté d'Odontologie, Lyon, France
- Hospices Civils de Lyon, Service de Consultations et Traitements Dentaires, Lyon, France
| | - Jean-Christophe Farges
- Université de Lyon, Université Lyon 1, Faculté d'Odontologie, Lyon, France
- Hospices Civils de Lyon, Service de Consultations et Traitements Dentaires, Lyon, France
- Laboratoire de Biologie Tissulaire et Ingénierie Thérapeutique, UMR5305 CNRS/Université Lyon 1, UMS3444 BioSciences Gerland-Lyon Sud, Lyon, France
| | - Maxime Ducret
- Université de Lyon, Université Lyon 1, Faculté d'Odontologie, Lyon, France
- Hospices Civils de Lyon, Service de Consultations et Traitements Dentaires, Lyon, France
- Laboratoire de Biologie Tissulaire et Ingénierie Thérapeutique, UMR5305 CNRS/Université Lyon 1, UMS3444 BioSciences Gerland-Lyon Sud, Lyon, France
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Meng Q, Ma Q, Wang T, Chen Y. An in vitro study evaluating the effect of ferrule design on the fracture resistance of endodontically treated mandibular premolars after simulated crown lengthening or forced eruption methods. BMC Oral Health 2018; 18:83. [PMID: 29747611 PMCID: PMC5946484 DOI: 10.1186/s12903-018-0549-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 05/01/2018] [Indexed: 04/02/2024] Open
Abstract
Background The purpose of this study was to evaluate the effect of ferrule design on the fracture resistance of endodontically treated mandibular first premolars after simulated crown lengthening and orthodontic forced eruption methods restored with a fiber post-and-core system. Methods Forty extracted and endodontically treated mandibular first premolars were decoronated to create lingual-to-buccal oblique residual root models, with a 2.0 mm height of the lingual dentine wall coronal to the cemento-enamel junction, and the height of buccal surface at the cemento-enamel junction. The roots were divided randomly into five equal groups. The control group had undergone incomplete ferrule preparation in the cervical root, with 0.0 mm buccal and 2.0 mm lingual ferrule lengths (Group F0). Simulated surgical crown lengthening method provided ferrule preparation of 1.0 mm (Group CL/F1) and 2.0 mm (Group CL/F2) on the buccal surface, with ferrule lengths of 3.0 mm and 4.0 mm on the lingual surface, respectively. Simulated orthodontic forced eruption method provided ferrule preparation of 1.0 mm (Group OE/F1) and 2.0 mm (Group OE/F2) on the buccal surface and ferrule lengths of 3.0 mm and 4.0 mm on the lingual surface, respectively. After restoration with a glass fiber post-and-core system and a cast Co-Cr alloy crown, each specimen was embedded in an acrylic resin block to a height on the root 2.0 mm from the apical surface of the crown margin and loaded to fracture at a 135° angle to its long axis in a universal testing machine. Data were analyzed statistically using two-way ANOVA with Tukey HSD tests and Fisher’s test, with α = 0.05. Results Mean fracture loads (kN) for groups F0, CL/F1, CL/F2, OE/F1 and OE/F2 were as follows: 1.01 (S.D. = 0.26), 0.91 (0.29), 0.73 (0.19), 0.96 (0.25) and 0.76 (0.20), respectively. Two-way ANOVA revealed significant differences for the effect of ferrule lengths (P = 0.012) but no differences for the effect of cervical treatment methods (P = 0.699). The teeth with no buccal ferrule preparation in control group F0 had the highest fracture resistance. In contrast, the mean fracture loads for group CL/F2 with a 2.0-mm buccal and 4.0-mm lingual ferrule created by simulated crown lengthening method were lowest (P = 0.036). Conclusions Increased apically complete ferrule preparation resulted in decreased fracture resistance of endodontically treated mandibular first premolars, regardless of whether surgical crown lengthening or orthodontic forced eruption methods been used.
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Affiliation(s)
- Qingfei Meng
- Department of Stomatology, Xuzhou Central Hospital, Xuzhou, 221009, Jiangsu Province, China.,College of Stomatology, Nanjing Medical University, 136 Hanzhong Road, Nanjing, 210029, Jiangsu Province, China
| | - Qian Ma
- College of Stomatology, Nanjing Medical University, 136 Hanzhong Road, Nanjing, 210029, Jiangsu Province, China.
| | - Tianda Wang
- College of Stomatology, Nanjing Medical University, 136 Hanzhong Road, Nanjing, 210029, Jiangsu Province, China
| | - Yaming Chen
- College of Stomatology, Nanjing Medical University, 136 Hanzhong Road, Nanjing, 210029, Jiangsu Province, China
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von Stein-Lausnitz M, Bruhnke M, Rosentritt M, Sterzenbach G, Bitter K, Frankenberger R, Naumann M. Direct restoration of endodontically treated maxillary central incisors: post or no post at all? Clin Oral Investig 2018; 23:381-389. [PMID: 29713887 DOI: 10.1007/s00784-018-2446-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 04/12/2018] [Indexed: 12/23/2022]
Abstract
OBJECTIVES The aim of this ex-vivo study was to evaluate the impact of cavity size and glass-fiber post (GFP) placement on the load capability of endodontically treated maxillary incisors directly restored with resin composite. MATERIALS AND METHODS Ninety-six extracted human maxillary central incisors were endodontically treated and distributed to four groups (n = 24): access cavity (A), access cavity and uni-proximal class III cavity (U), access cavity and bi-proximal class III cavity (B), and decoronated tooth (D). Specimens were restored with resin composite, and 12 specimen of each group received an adhesively placed glass-fiber post (P). Prior to linear loading, specimens were exposed to thermo-mechanical loading (TCML). Statistical analysis was performed using log-rank test after TCML, Kruskall-Wallis and Mann-Whitney U test to compare load capabilities (Fmax). RESULTS Significantly more failures occurred in group D for specimens without GFP during TCML (p = 0.001). Fmax (mean (SD) in N was (A) 513 (124), (AP) 554 (201), (U) 438 (171), (UP) 537 (232) (B) 483 (219), (BP) 536 (281), D 143 (181), and DP 500 (331), and differed significantly among groups (p = 0.003). Pair-wise comparison revealed lower Fmax values for group D compared to all other groups (p < 0.034) except group DP. CONCLUSIONS Endodontically treated maxillary central incisors with cavity sizes up to bi-proximal class III may be successfully directly restored with resin composite. Post placement shows no additional effect except for decoronated endodontically treated incisors. CLINICAL RELEVANCE Endodontically treated incisors with access cavities to class III cavities can be successfully restored with resin composite. Post placement for decoronated ETT is recommended.
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Affiliation(s)
- Manja von Stein-Lausnitz
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
| | - M Bruhnke
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
| | - M Rosentritt
- Department of Prosthetic Dentistry, Regensburg University Medical Center, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany
| | - G Sterzenbach
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
| | - K Bitter
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
| | - R Frankenberger
- Department of Operative Dentistry and Endodontics, University of Marburg, Georg-Voigt-Str. 3, 35039, Marburg, Germany
| | - M Naumann
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
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Influence of remaining coronal tooth structure on fracture resistance and failure mode of restored endodontically treated maxillary incisors. J Prosthet Dent 2018; 119:390-396. [DOI: 10.1016/j.prosdent.2017.05.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Revised: 05/10/2017] [Accepted: 05/10/2017] [Indexed: 11/17/2022]
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Ausiello P, Ciaramella S, Martorelli M, Lanzotti A, Zarone F, Watts DC, Gloria A. Mechanical behavior of endodontically restored canine teeth: Effects of ferrule, post material and shape. Dent Mater 2017; 33:1466-1472. [DOI: 10.1016/j.dental.2017.10.009] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Revised: 10/26/2017] [Accepted: 10/26/2017] [Indexed: 10/18/2022]
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Magne P, Lazari PC, Carvalho MA, Johnson T, Del Bel Cury AA. Ferrule-Effect Dominates Over Use of a Fiber Post When Restoring Endodontically Treated Incisors: An In Vitro Study. Oper Dent 2017; 42:396-406. [PMID: 28402738 DOI: 10.2341/16-243-l] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the restoration of broken-down endodontically treated incisors with the ferrule effect using glass ceramic crowns bonded to composite resin core buildups with or without a fiber post. A no-ferrule group with post was also included for comparison. METHODS AND MATERIALS Thirty decoronated endodontically treated bovine incisors with a 2-mm ferrule were restored with a direct buildup using a nanohybrid direct composite resin (Miris 2 and Optibond FL) with or without a glass-fiber-reinforced post. An additional group of 15 teeth without a ferrule were restored with buildup and a fiber post. All teeth were prepared to receive bonded glass ceramic crowns (e.max CAD luted with Variolink Esthetic DC) and were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the incisal edge at an angle of 30° and a frequency of 5 Hz, beginning with a load of 100 N (×5000 cycles). A 100 N load increase was applied each 15,000 cycles. Specimens were loaded until failure or to a maximum of 1000 N (×140,000 cycles). Groups were compared using the Kaplan Meier survival analysis (log rank test at p=0.05). RESULTS None of the tested specimens withstood all 140,000 load cycles. Specimens with posts but without a ferrule were affected by an initial failure phenomenon (wide gap at the lingual margin between the buildup/crown assembly and the root). There was a significant difference in mean survived cycles between the ferrule groups (Fp=73,332× and FNp=73,244×) and the no-ferrule group (50,121×; p=0.001). The addition of a fiber post was not significant in the presence of the ferrule (p=0.884). In both groups with posts, 100% of failures were unrestorable. The no-post group had 47% of restorable and possibly restorable failures. CONCLUSIONS The survival of broken-down nonvital incisors was improved by the presence of the ferrule but not by the fiber-reinforced post. Fiber posts were always detrimental to the failure mode and were not able to compensate for the absence of a ferrule.
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Ibrahim AMB, Richards LC, Berekally TL. Effect of remaining tooth structure on the fracture resistance of endodontically-treated maxillary premolars: An in vitro study. J Prosthet Dent 2016; 115:290-5. [DOI: 10.1016/j.prosdent.2015.08.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Revised: 08/12/2015] [Accepted: 08/13/2015] [Indexed: 10/22/2022]
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Impact of a Core Ferrule Design on Fracture Resistance of Teeth Restored with Cast Post and Core. Adv Med 2016; 2016:5073459. [PMID: 27419202 PMCID: PMC4933856 DOI: 10.1155/2016/5073459] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 05/29/2016] [Indexed: 11/17/2022] Open
Abstract
Objectives. To investigate the influence of a contra bevel on the fracture resistance of teeth restored with cast post and core. Materials and Methods. Sixty plastic analogues of an upper incisor were endodontically treated and prepared with 6° internal taper and 2 mm of ferrule in order to receive a cast post and core. The prepared samples were divided into two groups (n = 30); the first group serves as control while the second group was prepared with an external 30° bevel on the buccal and lingual walls. All samples crowned were exposed to a compressive load at 130° to their long axis until fractures occurred. Fracture resistance loads were recorded and failure modes were also observed. Mann-Whitney test was carried out to compare the two groups. Results. Mean failure loads for the groups were, respectively, 1038.69 N (SD ±243.52 N) and 1078.89 N (SD ±352.21 N). Statistically, there was no significant difference between the two groups (P = 0.7675 > 0.05). Conclusion. In the presence of a ferrule and a crown in the anterior teeth, adding a secondary ferrule to the cast post and core will not increase the resistance to fracture.
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Rivera EM, Walton RE. Longitudinal tooth cracks and fractures: an update and review. ACTA ACUST UNITED AC 2015. [DOI: 10.1111/etp.12085] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Nawafleh N, Hatamleh M, Elshiyab S, Mack F. Lithium Disilicate Restorations Fatigue Testing Parameters: A Systematic Review. J Prosthodont 2015; 25:116-26. [PMID: 26505638 DOI: 10.1111/jopr.12376] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/07/2015] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To review laboratory studies that investigated fatigue resistance of lithium disilicate (LD) crowns and fixed dental prostheses (FDPs) to elucidate study designs and testing parameters. METHODS An electronic search was performed in PubMed, Scopus, and Ovid to identify in vitro studies that investigated fatigue resistance of LD crowns and FDPs. The search included all studies published in English in peer-reviewed journals in the period from 1998 to June 2014. The search followed a specific strategy that included combination of the following keywords: lithium disilicate, e.max, empress, all-ceramic, all ceramic, glass ceramic, fatigue, cyclic loading, dynamic loading, chewing simulator, fracture resistance, thermocycling, laboratory simulation, aging, crown, FDPs, FPDs, fixed partial denture, fixed dental prosthesis, and bridge. Studies were selected if mechanical and thermal loading parameters were clearly identified. Search results with abstracts were transferred into Endnote reference system, and duplicates were deleted. The remaining studies were then reviewed at three levels (title, abstract, full text) to further refine the articles. RESULTS The initial search retrieved 1044 eligible studies. After deduplication, 864 records were examined by titles and then abstracts; 826 were excluded, and 38 were assessed by full-text reading. In total, 19 articles met inclusion criteria and were included in this study. CONCLUSION The studies reviewed showed a level of heterogeneity, as testing parameters were considered through different setups. The current study demonstrated that various setting of the testing parameters and having a lack of testing standardization has likely led to inconsistency in the reported results. The obvious heterogeneity in the setting of testing variables-especially the magnitude of load and number of cycles applied-made it impractical to run direct comparisons between the reviewed studies. Therefore, specific international standardization of fatigue testing of dental restorations is urgently needed to ensure the delivery of consistent, indicative, and comparable data.
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Affiliation(s)
- Noor Nawafleh
- School of Dentistry and Oral Health, Griffith University, Queensland, Australia
| | - Muhanad Hatamleh
- Cranio-Maxillofacial Prosthetics Unit, King's College Hospital NHS Foundation Trust, London, UK
| | - Shareen Elshiyab
- School of Dentistry and Oral Health, Griffith University, Queensland, Australia
| | - Florian Mack
- School of Dentistry and Oral Health, Griffith University, Queensland, Australia
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Rezaei Dastjerdi M, Amirian Chaijan K, Tavanafar S. Fracture resistance of upper central incisors restored with different posts and cores. Restor Dent Endod 2015; 40:229-35. [PMID: 26295027 PMCID: PMC4534728 DOI: 10.5395/rde.2015.40.3.229] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Accepted: 05/11/2015] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVES To determine and compare the fracture resistance of endodontically treated maxillary central incisors restored with different posts and cores. MATERIALS AND METHODS Forty-eight upper central incisors were randomly divided into four groups: cast post and core (group 1), fiber-reinforced composite (FRC) post and composite core (group 2), composite post and core (group 3), and controls (group 4). Mesio-distal and bucco-lingual dimensions at 7 and 14 mm from the apex were compared to ensure standardization among the groups. Twelve teeth were prepared for crown restoration (group 4). Teeth in other groups were endodontically treated, decoronated at 14 mm from the apex, and prepared for posts and cores. Resin-based materials were used for cementation in groups 1 and 2. In group 3, composite was used directly to fill the post space and for core build-up. All samples were restored by standard metal crowns using glass ionomer cement, mounted at 135° vertical angle, subjected to thermomechanical aging, and then fractured using a universal testing machine. Kruskal-Wallis and Mann-Whitney U tests were used to analyze the data. RESULTS Fracture resistance of the groups was as follows: Control (group 4) > cast post and core (group 1) > fiber post and composite core (group 2) > composite post and core (group 3). All samples in groups 2 and 3 fractured in restorable patterns, whereas most (58%) in group 1 were non-restorable. CONCLUSIONS Within the limitations of this study, FRC posts showed acceptable fracture resistance with favorable fracture patterns for reconstruction of upper central incisors.
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Affiliation(s)
- Maryam Rezaei Dastjerdi
- Dental Material Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran. ; Department of Prosthodontics, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Kamran Amirian Chaijan
- Dental Material Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran. ; Department of Prosthodontics, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Saeid Tavanafar
- Department of Prosthodontics, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
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Muangamphan P, Sattapan B, Kukiattrakoon B, Thammasitboon K. The effect of incomplete crown ferrules on fracture resistance and failure modes of endodontically treated maxillary incisors restored with quartz fiber post, composite core, and crowns. J Conserv Dent 2015; 18:187-91. [PMID: 26069401 PMCID: PMC4450521 DOI: 10.4103/0972-0707.157239] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Revised: 02/17/2015] [Accepted: 03/29/2015] [Indexed: 11/04/2022] Open
Abstract
Aim: To investigate the fracture resistance of restored endodontically treated teeth (RETT) with fiber posts, cores, and crowns with limited ferrules. Materials and Methods: Sixty maxillary anterior teeth were endodontically treated and decoronated 2 mm above the cemento-enamel junction, and then divided into 6 groups of 10 teeth each; Group circumferential ferrule (2FR), Group ferrule in the labial, mesial, and palatal region (2FR-LaMPa), Group ferrule in the labial, and palatal region (2FR-LaPa), Group 2FR-Pa and 2FR-La respectively, and Group 0FR (no ferrule). All 60 prepared teeth were then restored with quartz fiber posts, resin composite cores, and metal crowns. The specimens were subjected to load until failure occurred. Data were analyzed using one-way analysis of variance and Tukey's tests (α = 0.05). The mode of failure was determined under a stereoscope. Results: A statistical significant difference was found among groups 2FR-LaMPa, 2FR-Pa, 2FR-LaPa, and 2FR from the group 2FR-La, and from the group 0FR (P < 0.01). The predominant mode of failure was an oblique palatal to labial root fracture for the groups with remaining ferrules. Conclusion: For RETT that have incomplete crown ferrules, the location of the ferrules may affect their fracture resistance.
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Affiliation(s)
- Panorjit Muangamphan
- Section of Dental Public Health, Kanchanadit Hospital, Kanchanadit, Suratthani, Thailand
| | - Boonrat Sattapan
- Department of Conservative Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Boonlert Kukiattrakoon
- Department of Conservative Dentistry, Dental Materials Research Unit, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Kewalin Thammasitboon
- Department of Conservative Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand
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Baba NZ, Goodacre CJ. Restoration of endodontically treated teeth: contemporary concepts and future perspectives. ACTA ACUST UNITED AC 2014. [DOI: 10.1111/etp.12066] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Liu S, Liu Y, Xu J, Rong Q, Pan S. Influence of occlusal contact and cusp inclination on the biomechanical character of a maxillary premolar: A finite element analysis. J Prosthet Dent 2014; 112:1238-45. [DOI: 10.1016/j.prosdent.2014.04.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2013] [Revised: 04/15/2014] [Accepted: 04/15/2014] [Indexed: 10/25/2022]
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SEGATO CE, AMARAL FLBD, FRANÇA FMG, FLÓRIO FM, BASTING RT. Fracture resistance of weakened human premolar roots after use of a glass fiber post together with accessory posts. REVISTA DE ODONTOLOGIA DA UNESP 2014. [DOI: 10.1590/rou.2014.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE: To evaluate the fracture strength of human premolar teeth with wide root canals, restored with glass fiber posts and resin cement, together with different numbers of accessory posts.MATERIAL AND METHOD: Thirty-six premolars received standardized preparations that simulated weakened roots, and were divided into three groups (n=12): G0 - glass fiber post (Reforpost/Angelus) cementation with dual cure resin cement (Rely X ARC/3M ESPE); G1 - glass fiber post cementation and one accessory post (Reforpin/Angelus), with dual cure resin cement; G2 - glass fiber post cementation and two accessory posts, with dual cure resin cement. Resin composite cores were placed in each tooth. A metal coping was placed in a standardized position on the cores to perform the compressive tests using a test machine. Testing was performed applying a force parallel to the long axis of the teeth at a speed of 0.5 mm/min. Fracture mode was analyzed under a stereoscopic loupe, classified by scores.RESULT: the Analysis of Variance (ANOVA) was applied, and there was no statistical difference in the mean values of fracture strength among the groups (in kgf): G0 = 91.1 ± 56.9; G1 = 104.7 ± 66.6; G2 = 106.1 ± 51.9. Greater frequency of fracture or cracks was observed in the cervical one-third of the root in the teeth without cemented accessory posts, but no statistical difference was observed among the fracture modes.CONCLUSION: The number of accessory posts cemented into debilitated roots had no influence on either fracture strength or type of fracture of pre-molar roots.
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Aggarwal V, Singla M, Yadav S, Yadav H, Sharma V, Bhasin SS. The effect of ferrule presence and type of dowel on fracture resistance of endodontically treated teeth restored with metal-ceramic crowns. J Conserv Dent 2014; 17:183-7. [PMID: 24778519 PMCID: PMC4001279 DOI: 10.4103/0972-0707.128053] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Revised: 12/23/2013] [Accepted: 12/28/2013] [Indexed: 11/04/2022] Open
Abstract
AIM The purpose of the present study was to comparatively evaluate the effect of presence of a 2 mm ferrule and different type of dowels on fracture resistance of mandibular premolars. MATERIALS AND METHODS Fifty uniradicular mandibular premolars were divided into five groups (n = 10). Ten teeth received no treatment (group I). Samples in group II & III were decoronated 2 mm above cemento-enamel junction and received custom cast dowel-core and fiber dowel-composite core respectively, with 2 mm ferrule. Samples in group IV & V were decoronated at CEJ and were restored using cast dowels and fiber dowel-composite cores, without any ferrule. The restored teeth received metal ceramic crowns and were mechanically loaded. The specimens were subjected to a static load, until fracture, to determine the fracture resistance and fracture mode. RESULTS The samples with 2 mm ferrule had a higher fracture resistance than non ferrule groups. Within non ferrule groups, there were no significant differences in the fracture resistance. Specimen restored with cast dowel had more incidence of non-repairable fracture. CONCLUSIONS Presence of ferrule increased the fracture resistance of endodontically treated teeth. In case of absence of ferrule, fiber dowels had similar fracture resistance as that of cast dowels and showed increased incidence of repairable fracture.
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Affiliation(s)
- Vivek Aggarwal
- Department of Conservative Dentistry & Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Mamta Singla
- Department of Conservative Dentistry & Endodontics, SGT Dental College, Gurgaon, India
| | - Suman Yadav
- Department of Conservative Dentistry & Endodontics, SGT Dental College, Gurgaon, India
| | - Harish Yadav
- Department of Prosthodontics, SGT Dental College, Gurgaon, India
| | - Vikram Sharma
- Department of Conservative Dentistry & Endodontics, SGT Dental College, Gurgaon, India
| | - Saranjit Singh Bhasin
- Department of Prosthodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
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Effect of tooth brush abrasion and thermo-mechanical loading on direct and indirect veneer restorations. Clin Oral Investig 2014; 19:53-60. [DOI: 10.1007/s00784-014-1209-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Accepted: 02/04/2014] [Indexed: 10/25/2022]
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Samran A, El Bahra S, Kern M. The influence of substance loss and ferrule height on the fracture resistance of endodontically treated premolars. An in vitro study. Dent Mater 2013; 29:1280-6. [DOI: 10.1016/j.dental.2013.10.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2013] [Revised: 08/14/2013] [Accepted: 10/07/2013] [Indexed: 10/26/2022]
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Dejak B, Młotkowski A. The influence of ferrule effect and length of cast and FRC posts on the stresses in anterior teeth. Dent Mater 2013; 29:e227-37. [DOI: 10.1016/j.dental.2013.06.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 05/01/2013] [Accepted: 06/24/2013] [Indexed: 10/26/2022]
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Influence of fiber posts on the fracture resistance of endodontically treated premolars with different dental defects. Int J Oral Sci 2013; 5:167-71. [PMID: 23907677 PMCID: PMC3967333 DOI: 10.1038/ijos.2013.52] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2012] [Accepted: 06/26/2013] [Indexed: 12/03/2022] Open
Abstract
This study aimed to evaluate the influence of quartz fiber post placement on the fracture resistance of endodontically treated premolars with different dental defects under dynamic loading. Fifty extracted single-rooted mandibular premolars were randomized into five groups. Each group was prepared according to numbers of residual walls ranged from 0 to 4. Then each group was divided into two subgroups with one restored with quartz fiber posts and the other without posts. In no-post groups, gutta percha point 2 mm below cemento-enamel junction was removed. Composite resin was adapted to the well and used to shape the core directly. Each tooth was restored with a complete metal crown. Dynamic loading was carried out in a masticatory simulator with a nominal load of 50 N at 2 Hz for 300 000 loading cycles. Then a quasi-statically load was applied in a universal testing machine 30° to the long axis with a crosshead speed of 1 mm⋅min−1 until fracture. Data were analyzed with one-way analysis of variance and pairwise comparison (P<0.05). No specimens failed during dynamic loading. The fracture resistance enhanced with the increase of numbers of coronal walls and the differences were significant (P<0.05). Placement of fiber posts had a significant effect when fewer than two walls remained (P<0.05), but it had no significant influence in groups with two, three or four walls (P>0.05). Fiber post did not change failure mode, and the fracture pattern was mainly favorable. More dentin walls need to be retained in clinic. When no less than two walls remained, a fiber post is not always necessary.
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Abstract
BACKGROUND Complicated tooth fractures can be the unfortunate result of orofacial trauma and can offer a therapeutic challenge for the dentist. A conservative solution for gaining supragingival sound tooth structure often includes orthodontic forced eruption. Usually, this procedure is carried out by applying extrusive force after placing a provisional acrylic Richmond crown on the tooth. However, this long-lasting dental treatment may jeopardize the coronal seal of the root canal space, leading to microleakage and endodontic failure. CASE DESCRIPTION Orthodontic forced eruption demands application of force to an attachment connected to the remaining short clinical crown. In this article, the authors describe a case in which they used a new technique for orthodontic forced eruption of a traumatized tooth, using an extracanal attachment to apply extrusion force, and discuss its possible advantages and limitations. CONCLUSIONS An extracanal attachment approach for orthodontic forced eruption without compromising the obturated canal space can be a solution for posttraumatic crown fracture. Practical Implications. The described procedure for forced eruption by using an extracanal pin attachment is efficient and convenient and does not require the clinician to apply force directly to the provisional crown. Therefore, during the application of force, there is less risk of loosening the provisional crown, and the canal space is kept intact with either the final restoration or dressing material.
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The effect of fiber post presence and restorative technique on the biomechanical behavior of endodontically treated maxillary incisors: an in vitro study. J Prosthet Dent 2013; 108:147-57. [PMID: 22944310 DOI: 10.1016/s0022-3913(12)60138-3] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Unresolved controversy exists concerning the best technique for restoring endodontically treated teeth. Prefabricated posts have been recommended with some debate as a method of restoring pulpless teeth before placement of the final restoration. PURPOSE The purpose of this in vitro study was to evaluate the effect on the strain, fracture resistance, and fracture mode of endodontically treated human incisors of 4 types of restorations with or without glass fiber posts after thermal cycling. MATERIAL AND METHODS Ninety human maxillary central incisors were selected and divided into 1 control group and 8 treatment groups (n=10). The teeth were endodontically treated and received 2 large Class III preparations simulating coronal destruction. The teeth were then restored with or without glass fiber posts and by using 4 restorative techniques: direct composite resin, direct composite veneer, feldspathic ceramic veneer, or a feldspathic ceramic crown. After artificial aging by thermal cycling, the incisors were loaded at a 135-degree angle, and the strain was measured by using strain gauges placed on the facial and proximal root surfaces. Specimens were subsequently loaded to the point of fracture. Strain and fracture resistance results were analyzed by a 1-way and 2-way ANOVA, followed by the Tukey HSD and Dunnett tests (α=.05). RESULTS One-way analyses showed that the control group and the direct composite resin restoration with and without post groups presented significantly higher fracture resistance values (P<.001). Two-way analyses showed no significant differences for the post system. Proximal strain values were higher in the control and composite resin groups and lower in the feldspathic ceramic groups. CONCLUSIONS The presence of glass fiber posts did not increase the fracture resistance of endodontically treated incisors. Conservative composite resin restorations showed higher fracture resistance values.
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Naumann M, Hohmann C, Happe A, Beuer F, Frankenberger R, Seemann R, Rosentritt M. Are implants more reliable than severely compromised endodontically treated teeth as abutments for zirconia-based FPDs? : In vitro results of long-term preclinical load simulation. Clin Oral Investig 2012; 17:1685-92. [PMID: 23103959 DOI: 10.1007/s00784-012-0866-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2012] [Accepted: 10/17/2012] [Indexed: 10/27/2022]
Abstract
OBJECTIVES The aim was to study the impact of the defect size of endodontically treated incisors compared to dental implants as abutments on the survival of zirconia two-unit anterior cantilever-fixed partial dentures (2U-FPDs) during 10-year simulation. MATERIALS AND METHODS Human maxillary central incisors were endodontically treated and divided into three groups (n = 24): I, access cavities rebuilt with composite core; II, teeth decoronated and restored with composite; and III as II supported by fiber posts. In group IV, implants with individual zirconia abutments were used. Specimens were restored with zirconia 2U-FPDs and exposed to two sequences of thermal cycling and mechanical loading. STATISTICS Kaplan-Meier; log-rank tests. RESULTS During TCML in group I two tooth fractures and two debondings with chipping were found. Solely chippings occurred in groups II (2×), IV (2×), and III (1×). No significant different survival was found for the different abutments (p = 0.085) or FPDs (p = 0.526). Load capability differed significantly between groups I (176 N) and III (670 N), and III and IV (324 N) (p < 0.024). CONCLUSION Within the limitations of an in vitro study, it can be concluded that zirconia-framework 2U-FPDs on decoronated teeth with/without post showed comparable in vitro reliability as restorations on implants. The results indicated that restorations on teeth with only access cavity perform worse in survival and linear loading. CLINICAL RELEVANCE Even severe defects do not justify per se a replacement of this particular tooth by a dental implant from load capability point of view.
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Affiliation(s)
- M Naumann
- Department of Prosthetic Dentistry, Center of Dentistry, University of Ulm, Albert-Einstein-Allee 11, 89081, Ulm, Germany.
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Bolay Ş, Öztürk E, Tuncel B, Ertan A. Fracture resistance of endodontically treated teeth restored with or without post systems. J Dent Sci 2012. [DOI: 10.1016/j.jds.2012.03.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Tunjan R, Rosentritt M, Sterzenbach G, Happe A, Frankenberger R, Seemann R, Naumann M. Are endodontically treated incisors reliable abutments for zirconia-based fixed partial dentures in the esthetic zone? J Endod 2012; 38:519-22. [PMID: 22414841 DOI: 10.1016/j.joen.2011.12.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2011] [Revised: 12/16/2011] [Accepted: 12/19/2011] [Indexed: 02/06/2023]
Abstract
INTRODUCTION This ex vivo pilot study tested the influence of defect extension and quartz-fiber post placement (QFP) on the ex vivo survival rate and fracture resistance of root-treated upper central incisors served as abutments for zirconia 2-unit cantilever fixed partial dentures (2U-FPDs) exposed to 10 years of simulated clinical function. METHODS Human maxillary central incisors were endodontically treated and divided into the following 5 groups (n = 8): (1) access cavity filled with core build-up composite, (2) biproximal class III cavities filled as in group 1, (3) specimens restored as in group 2 with QFP placed, (4) specimens decoronated and core buildup as in group 1, and (5) specimens restored as in group 4 but with QFP as in group 3. On all specimens, 2U-FPDs were placed with dual-curing resin cement. In order to simulate 10 years of clinical function, specimens were exposed to thermal cycling and mechanical loading with subsequent loading to failure. Kaplan-Meier curves were constructed, and log-rank tests were performed. Fracture force and patterns were compared by means of Kruskal-Wallis, Mann-Whitney U (post hoc), and Fisher exact tests, respectively (P = .05). RESULTS For specimens only with an access cavity, it was observed that 25% had catastrophic tooth fractures and the lowest load-to-fracture values. In all other groups, chipping combined with or without debonding occurred. Groups did not differ significantly regarding the survival rate (P = .603) and fracture patterns (P = .633), but they did for fracture load including technical failures (P = .017). CONCLUSIONS After 10 years of simulated clinical function, both defect extension and placement of QFP had no significant influence on survival of root-treated upper central incisors as abutments restored with zirconia-based 2U-FPDs.
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Affiliation(s)
- René Tunjan
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Juloski J, Radovic I, Goracci C, Vulicevic ZR, Ferrari M. Ferrule Effect: A Literature Review. J Endod 2012; 38:11-9. [PMID: 22152612 DOI: 10.1016/j.joen.2011.09.024] [Citation(s) in RCA: 135] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2011] [Revised: 09/26/2011] [Accepted: 09/30/2011] [Indexed: 01/21/2023]
Affiliation(s)
- Jelena Juloski
- Department of Fixed Prosthodontics and Dental Materials of Siena, Tuscan School of Dental Medicine, University of Florence and Siena, Siena, Italy.
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Sterzenbach G, Rosentritt M, Frankenberger R, Paris S, Naumann M. Loading Standardization of Postendodontic Restorations In Vitro: Impact of Restorative Stage, Static Loading, and Dynamic Loading. Oper Dent 2012; 37:71-9. [DOI: 10.2341/10-355-l] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective
The load capability of post-restored endodontically treated teeth (ETT) can be determined at different restorative stages. It was the aim of this study to compare the load capability of ETT at these stages.
Materials and Methods
Maxillary central incisors were divided into 4 groups (n=10) and endodontically treated. Specimens were restored with: (I) only glass fiber posts (GFP); (II) GFP and composite build-up with 2 mm ferrule; (III and IV) with additional adhesively luted all-ceramic crowns. Group (I) to (III) were statically loaded, and group (IV) was exposed to thermomechanical loading (TML) and subsequent static loading.
Results
The lowest median load level of 73 N was determined for group (I). The maximum median load value of 331 N was found for group (III). The comparison of Fmax [N] of group (I), (II) and (III) revealed significant differences between the groups (p<0.001). The specimens of group (IV) failed at significantly lower load values (p<0.005) as similarly restored specimens of group (III) which were only statically loaded. The stage of restoration and TML loading prior to static loading had a significant impact on fracture patterns (p=0.006).
Conclusion
Every additional restorative step torwards a final crown-restored ETT significantly increased the load capability. TML prior to load-to-fracture testing of the complete restorative complex, ie. post, core and crown, significantly decreased maximum load capability.
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Sherfudhin H, Hobeich J, Carvalho CA, Aboushelib MN, Sadig W, Salameh Z. Effect of different ferrule designs on the fracture resistance and failure pattern of endodontically treated teeth restored with fiber posts and all-ceramic crowns. J Appl Oral Sci 2011; 19:28-33. [PMID: 21437466 PMCID: PMC4245860 DOI: 10.1590/s1678-77572011000100007] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2009] [Accepted: 10/06/2009] [Indexed: 11/28/2022] Open
Abstract
Objective This study investigated the effect of different ferrule heights on endodontically
treated premolars. Materials and Methods Fifty sound mandibular first premolars were endodontically treated and then
restored with 7-mm fiber post (FRC Postec Plus #1 Ivoclar-Vivadent) luted with
self-polymerized resin cement (Multilink, Ivoclar Vivadent) while the coronal
section was restored with hybrid composite core build-up material (Tetric Ceram,
Ivoclar-Vivadent), which received all-ceramic crown. Different ferrule heights
were investigated: 1-mm circumferential ferrule without post and core (group 1
used as control), a circumferential 1-mm ferrule (group 2), non-uniform ferrule
2-mm buccally and 1-mm lingually (group 3), non-uniform ferrule 3-mm buccally and
2-mm lingually (group 4), and finally no ferrule preparation (group 5). The
fracture load and failure pattern of the tested groups were investigated by
applying axial load to the ceramic crowns (n=10). Data were analyzed statistically
by one-way ANOVA and Tukey’s post-hoc test was used for pair-wise
comparisons (α=0.05). Results There were no significant differences among the failure load of all tested groups
(P<0.780). The control group had the lowest fracture resistance
(891.43±202.22 N) and the highest catastrophic failure rate
(P<0.05). Compared to the control group, the use of fiber post reduced the
percentage of catastrophic failure while increasing the ferrule height did not
influence the fracture resistance of the restored specimens. Conclusions Within the limitations of this study, increasing the ferrule length did not
influence the fracture resistance of endodontically treated teeth restored with
glass ceramic crowns. Insertion of a fiber post could reduce the percentage of
catastrophic failure of these restorations under function.
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Affiliation(s)
- Haneef Sherfudhin
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Mangold JT, Kern M. Influence of glass-fiber posts on the fracture resistance and failure pattern of endodontically treated premolars with varying substance loss: An in vitro study. J Prosthet Dent 2011; 105:387-93. [DOI: 10.1016/s0022-3913(11)60080-2] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Watzke R, Frankenberger R, Naumann M. Different scanning electron microscopic evaluation methods of cement interface homogeneity of adhesively luted glass fiber posts. Acta Odontol Scand 2011; 69:101-7. [PMID: 21319942 DOI: 10.3109/00016357.2010.536909] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To compare two methods used to examine the cement interface homogeneity of adhesively luted glass fiber posts (GFPs). MATERIAL AND METHODS GFPs were divided into four groups (n = 5 in each) and inserted into artificial root canals under standardized conditions: Group I = RelyX Unicem, application with application aid; Group II = RelyX Unicem; Group III = Panavia F 2.0; and Group IV = Variolink II. Posts in Groups II-IV were cemented without using an appliance. All specimens were sectioned at three levels (cervical, middle and apical) perpendicularly to the post's long axis and examined and photographed (n = 60) using scanning electron microscopy (SEM). Cement interface inhomogeneities were (A) measured by means of SEM software and (B) estimated using a graphics program with SEM images being divided into 72 equal circle segments to calculate a percentage value of inhomogeneities of the 360° circumference. RESULTS Median values of inhomogeneities (A/B; %) within the cement interface for the cervical, middle and apical levels of analysis, respectively were 1.4/2.1, 2.2/4.2 and 1.9/2.1 for Group I; 21.0/20.1, 24.8/23.6 and 27.0/24.3 for Group II; 1.5/1.7, 5.5/6.3 and 19.4/20.8 for Group III; and 18.1/16.7, 16.1/15.3 and 27.2/25.7 for Group IV. The two methods correlated very well (0.994), with a value of one indicating a 100% correlation. CONCLUSION Both evaluation methods were found to be equally appropriate for quantifying the cement interface homogeneity of SEM cross-sections of adhesively luted GFPs.
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Affiliation(s)
- Ronny Watzke
- Department of Dental Prosthodontics and Material Science, University of Leipzig, Leipzig, Germany.
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Naumann M, Sterzenbach G, Rosentritt M, Beuer F, Meyer-Lückel H, Frankenberger R. Self-adhesive cements as core build-ups for one-stage post-endodontic restorations? Int Endod J 2010; 44:195-202. [DOI: 10.1111/j.1365-2591.2010.01797.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Al-Omiri MK, Mahmoud AA, Rayyan MR, Abu-Hammad O. Fracture Resistance of Teeth Restored with Post-retained Restorations: An Overview. J Endod 2010; 36:1439-49. [PMID: 20728706 DOI: 10.1016/j.joen.2010.06.005] [Citation(s) in RCA: 95] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2010] [Revised: 05/29/2010] [Accepted: 06/20/2010] [Indexed: 11/30/2022]
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Meira JBC, Espósito COM, Quitero MFZ, Poiate IAVP, Pfeifer CSC, Tanaka CB, Ballester RY. Elastic modulus of posts and the risk of root fracture. Dent Traumatol 2009; 25:394-8. [DOI: 10.1111/j.1600-9657.2009.00772.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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