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Rajnics Z, Pammer D, Kőnig-Péter A, Turzó K, Marada G, Radnai M. Push-Out Bond Strength of Glass Fiber Endodontic Posts with Different Diameters. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1492. [PMID: 38612007 PMCID: PMC11013009 DOI: 10.3390/ma17071492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 03/09/2024] [Accepted: 03/22/2024] [Indexed: 04/14/2024]
Abstract
(1) Background: The retention of intraradicular posts is an important factor for the prognosis of endodontically treated teeth. The purpose of this study was to evaluate the push-out bond strength (PBS) of the posts relating to their diameter and region of the root. (2) Methods: A total of 40 premolar teeth (decoronated and root canal-filled) were divided into four groups (n = 10). After post-space preparation, different sizes (1.0, 1.2, 1.5, and 2.0 mm) of glass fiber posts were luted with resin cement into the root canals. After placement, 2 mm thick slices were cut from the roots according to their apical, middle, and coronal regions (n = 116). Push-out tests were carried out in a universal testing machine on each slice. A statistical evaluation of the data was applied. (3) Results: When comparing the diameter, the 2.0 mm posts had the highest PBS (111.99 ± 10.40 N), while the 1.0 mm posts had the lowest PBS (99.98 ± 8.05 N). Divided by the surface of the bonded area, the average PBS value was the highest for the 1.0 mm posts (18.20 ± 1.67 MPa) and the lowest for the 2.0 mm posts (12.08 ± 1.05 MPa). (4) Conclusions: Within the limitations of the study, when comparing the regions of the roots, no significant differences were found among the PBS values of the three regions (p = 0.219). When comparing the diameters, significant differences were shown between the PBS values of the four groups (p = 0.023 and p = 0.003, respectively).
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Affiliation(s)
- Zsolt Rajnics
- Faculty of Medicine, Dental School, University of Pécs, 7623 Pécs, Hungary; (K.T.); (G.M.)
| | - Dávid Pammer
- Department of Materials Science and Engineering, Faculty of Mechanical Engineering, Budapest University of Technology and Economics, 1111 Budapest, Hungary;
| | - Anikó Kőnig-Péter
- Institute of Bioanalysis, Medical School, University of Pécs, 7624 Pécs, Hungary;
| | - Kinga Turzó
- Faculty of Medicine, Dental School, University of Pécs, 7623 Pécs, Hungary; (K.T.); (G.M.)
| | - Gyula Marada
- Faculty of Medicine, Dental School, University of Pécs, 7623 Pécs, Hungary; (K.T.); (G.M.)
| | - Márta Radnai
- Department of Prosthodontics, Faculty of Dentistry, University of Szeged, 6720 Szeged, Hungary;
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Generali L, Veneri F, Forabosco E, Cavani F, Piergianni V, Sassatelli P, Checchi V, Pedullà E. Push-out bond strength and SEM fractographical analysis of hollow fibre posts used with self-adhesive resin cement: a pilot study. Odontology 2024; 112:158-168. [PMID: 37173534 DOI: 10.1007/s10266-023-00820-1] [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] [Received: 11/23/2022] [Accepted: 05/05/2023] [Indexed: 05/15/2023]
Abstract
Detachment is the major cause of failure of endodontic fibre posts. Hollow posts have been recently introduced to overcome such issue. The primary aim of this pilot study was to compare the push-out bond strength of hollow posts and traditional solid posts. Eight round-shaped single-canal premolars extracted for periodontal reason were selected as sample and equally randomized into two groups: (i) traditional solid fibre posts-TECH21xop and ii) hollow fibre posts-TECHOLE. A dual-curing self-adhesive cement (new TECHCEM) was used for posts placement. Six horizontal sections-two from each portion of the root (coronal, middle and apical)-were obtained from each sample root, yielding a total of 24 sections for each group. Push-out test was performed on the sections and bond strength values were compared between groups and within each group. Scanning electron microscope (SEM) fractographical analysis was conducted on each section. Additional SEM and EDX analyses were performed on new samples of both posts, to assess fibres density and distribution, and the chemical composition of the fibres and the matrix. Hollow posts showed a significantly higher push-out bond strength (6.36 ± 1.22 MPa) than solid posts (3.64 ± 1.62 MPa). Among the three root portions of the same group, there was no significant difference in bond strength. In both groups, the most frequent type of fracture was a mixed adhesive failure with the cement covering 0 to 50% of the post perimeter. Hollow post fibres appear more similar in size and have a more homogeneous distribution, compared to solid posts. The two post types also have different chemical compositions.
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Affiliation(s)
- Luigi Generali
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy.
| | - Federica Veneri
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy
- PhD Program in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Eleonora Forabosco
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy
- PhD Program in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Francesco Cavani
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | | | | | - Vittorio Checchi
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy
| | - Eugenio Pedullà
- Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
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Kharouf N, Pedullà E, Plotino G, Jmal H, Alloui MEH, Simonis P, Laquerriere P, Macaluso V, Abdellatif D, Richert R, Haikel Y, Mancino D. Stronger than Ever: Multifilament Fiberglass Posts Boost Maxillary Premolar Fracture Resistance. J Clin Med 2023; 12:jcm12082975. [PMID: 37109310 PMCID: PMC10143755 DOI: 10.3390/jcm12082975] [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: 03/15/2023] [Revised: 04/11/2023] [Accepted: 04/18/2023] [Indexed: 04/29/2023] Open
Abstract
This paper investigates the influence of cavity configuration and post-endodontic restoration on the fracture resistance, failure mode and stress distribution of premolars by using a method of fracture failure test and finite elements analysis (FEA) coupled to Weibull analysis (WA). One hundred premolars were divided into one control group (Gcontr) (n = 10) and three experimental groups, according to the post-endodontic restoration (n = 30), G1, restored using composite, G2, restored using single fiber post and G3, restored using multifilament fiberglass posts (m-FGP) without post-space preparation. Each experimental group was divided into three subgroups according to the type of coronal cavity configuration (n = 10): G1O, G2O, and G3O with occlusal (O) cavity configuration; G1MO, G2MO, and G3MO with mesio-occlusal (MO); and G1MOD, G2MOD, and G3MOD with mesio-occluso-distal (MOD). After thermomechanical aging, all the specimens were tested under compression load, and failure mode was determined. FEA and WA supplemented destructive tests. Data were statistically analyzed. Irrespective of residual tooth substance, G1 and G2 exhibited lower fracture resistance than Gcontr (p < 0.05), whereas G3 showed no difference compared to Gcontr (p > 0.05). Regarding the type of restoration, no difference was highlighted between G1O and G2O, G1MO and G2MO, or G1MOD and G2MOD (p > 0.05), whereas G3O, G3MO, and G3MOD exhibit higher fracture resistance (p < 0.05) than G1O and G2O, G1MO and G2MO, and G1MOD and G2MOD, respectively. Regarding cavity configuration: in G1 and G2, G1O and G2O exhibited higher fracture resistance than G1MOD and G2MOD, respectively (p < 0.05). In G3, there was no difference among G3O, G3MO and G3MOD (p > 0.05). No difference was found among the different groups and subgroups regarding the failure mode. After aging, premolars restored with multifilament fiberglass posts demonstrated fracture resistance values comparable to those of an intact tooth, irrespective of the different type of cavity configuration.
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Affiliation(s)
- Naji Kharouf
- Department of Biomaterials and Bioengineering, INSERM UMR_S, Strasbourg University, 67000 Strasbourg, France
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
| | - Eugenio Pedullà
- Department of General Surgery and Medical Surgical Specialties, University of Catania, 95128 Catania, Italy
| | - Gianluca Plotino
- Private Practice, Grande Plotino & Torsello-Studio di Odontoiatria, 00187 Rome, Italy
| | - Hamdi Jmal
- ICube Laboratory, UMR 7357 CNRS, Mechanics Department, University of Strasbourg, 67000 Strasbourg, France
| | - Mohammed-El-Habib Alloui
- Department of Biomaterials and Bioengineering, INSERM UMR_S, Strasbourg University, 67000 Strasbourg, France
| | - Philippine Simonis
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
| | | | | | - Dina Abdellatif
- Department of Endodontics, Alexandria University, Alexandria 5424041, Egypt
| | - Raphaël Richert
- Hospices Civils de Lyon, PAM Odontologie, 69100 Lyon, France
- Laboratoire de Mécanique des Contacts et Structures, UMR 5259 CNRS/INSA Lyon, 69100 Lyon, France
| | - Youssef Haikel
- Department of Biomaterials and Bioengineering, INSERM UMR_S, Strasbourg University, 67000 Strasbourg, France
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
- Pôle de Médecine et Chirurgie Bucco-Dentaire, Hôpital Civil, Hôpitaux Universitaire de Strasbourg, 67000 Strasbourg, France
| | - Davide Mancino
- Department of Biomaterials and Bioengineering, INSERM UMR_S, Strasbourg University, 67000 Strasbourg, France
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France
- Pôle de Médecine et Chirurgie Bucco-Dentaire, Hôpital Civil, Hôpitaux Universitaire de Strasbourg, 67000 Strasbourg, France
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Maas MS, Alania Y, Natale LC, Rodrigues MC, Watts DC, Braga RR. Trends in restorative composites research: what is in the future? Braz Oral Res 2017; 31:e55. [PMID: 28902235 DOI: 10.1590/1807-3107bor-2017.vol31.0055] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 05/22/2017] [Indexed: 01/12/2023] Open
Abstract
Clinical trials have identified secondary caries and bulk fracture as the main causes for composite restoration failure. As a measure to avoid frequent reinterventions for restoration replacement, composites with some sort of defense mechanism against biofilm formation and demineralization, as well as materials with lower susceptibility to crack propagation are necessary. Also, the restorative procedure with composites are very time-consuming and technically demanding, particularly concerning the application of the adhesive system. Therefore, together with bulk-fill composites, self-adhesive restorative composites could reduce operator error and chairside time. This literature review describes the current stage of development of remineralizing, antibacterial and self-healing composites. Also, an overview of the research on fiber-reinforced composites and self-adhesive composites, both introduced for clinical use in recent years, is presented.
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Affiliation(s)
- Mariel Soeiro Maas
- Universidade de São Paulo - USP, School of Dentistry,Department of Biomaterials and Oral Biology, São Paulo, SP, Brazil
| | - Yvette Alania
- Universidade de São Paulo - USP, School of Dentistry,Department of Biomaterials and Oral Biology, São Paulo, SP, Brazil
| | - Livia Camargo Natale
- Universidade de São Paulo - USP, School of Dentistry,Department of Biomaterials and Oral Biology, São Paulo, SP, Brazil
| | - Marcela Charantola Rodrigues
- Universidade de São Paulo - USP, School of Dentistry,Department of Biomaterials and Oral Biology, São Paulo, SP, Brazil
| | - David Christopher Watts
- University of Manchester School of Medical Sciences, Division of Dentistry, Manchester, United Kingdom
| | - Roberto Ruggiero Braga
- Universidade de São Paulo - USP, School of Dentistry,Department of Biomaterials and Oral Biology, São Paulo, SP, Brazil
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Park JS, Lee JS, Park JW, Chung WG, Choi EH, Lee Y. Comparison of push-out bond strength of fiber-reinforced composite resin posts according to cement thickness. J Prosthet Dent 2017; 118:372-378. [PMID: 28222875 DOI: 10.1016/j.prosdent.2016.11.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Revised: 11/03/2016] [Accepted: 11/03/2016] [Indexed: 11/30/2022]
Abstract
STATEMENT OF PROBLEM Post space size and cement thickness can differ because of variations in root canal morphology, such as an oval shape, and because the entire canal space cannot be included in the post space preparation. As a result, increased cement thickness around the post may affect the bond strength between the post and the dentin. PURPOSE The purpose of this in vitro study was to evaluate the push-out bond strength of fiber-reinforced composite resin posts to root dentin with cement layers of varying thickness. MATERIAL AND METHODS Thirty human premolars were endodontically treated and restored with fiber-reinforced composite resin posts. Post space was prepared using a drill with a 1.5-mm diameter and diameters of 1.25 mm (small [S] group), 1.375 mm (medium [M] group), and 1.5 mm (large [L] group) were cemented. The specimens were sectioned horizontally into 1-mm-thick slices, and the push-out bond strengths of the apical and coronal fragments were evaluated. Bond strength was compared using analysis of variance and 2-sample t tests (α=.05). RESULTS No significant differences were found in the debonding force and push-out bond strength among fiber-reinforced composite posts of different sizes (P>.05). The mean debonding force and standard deviation of the posts were 25.05 ±9.52 N for the S group, 28.17 ±11.38 N for the M group, and 33.78 ±12.47 N for the L group. The corresponding push-out bond strength values were 3.11 ±1.54 MPa, 3.39 ±1.4 MPa, and 4.15 ±1.75 MPa. The differences in debonding force between the apical (26.43 ±10.72 N) and coronal (31.57 ±12.03 N) areas were not significant (P>.05). However, the differences in push-out bond strength between the apical (4.27 ±1.73 MPa) and coronal areas (2.83 ±1.08 MPa) were significant (P<.05). CONCLUSIONS The widening of post spaces and, consequently, the increased cement thickness do not significantly affect the bond strength of fiber-reinforced composite resin posts to root dentin.
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Affiliation(s)
- Jun-Seong Park
- Resident, Department of Conservative Dentistry, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea
| | - Jeong-Sub Lee
- Assistant Professor, Department of Orthodontics, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea
| | - Jeong-Won Park
- Professor, Department of Conservative Dentistry, Gangnam Severance Hospital, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Won-Gyun Chung
- Professor, Department of Conservative Dentistry, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea
| | - Eun-Hee Choi
- Research Professor, Institute of Lifestyle Medicine, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea
| | - Yoon Lee
- Associate Professor, Department of Conservative Dentistry, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.
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Stylianou A, Burgess JO, Liu PR, Givan DA, Lawson NC. Light-transmitting fiber optic posts: An in vitro evaluation. J Prosthet Dent 2017; 117:116-123. [DOI: 10.1016/j.prosdent.2016.06.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 06/21/2016] [Accepted: 06/22/2016] [Indexed: 10/21/2022]
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Bazzo JF, Pedriali MBBP, Guiraldo RD, Berger SB, Moura SK, de de Carvalho RV. Push-out bond strength of different translucent fiber posts cemented with self-adhesive resin cement. J Conserv Dent 2016; 19:583-586. [PMID: 27994324 PMCID: PMC5146778 DOI: 10.4103/0972-0707.194036] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
PURPOSE Evaluate the bond strength of different translucent fiber posts in the cervical, middle, and apical root thirds cemented with self-adhesive resin cement. MATERIALS AND METHODS Sixty single-rooted teeth were randomly divided into five groups according to the fiber post used: Reforpost (opaque [control]), exacto, white post, radix, and Macro-Lock Illusion X-RO. The roots were subjected to chemomechanical preparation and cemented with self-adhesive resin cement. The teeth were sectioned into slices of the different root thirds and tested for bond strength (push-out). Two-way analysis of variance and Bonferroni test were used to verify statistical differences between groups (P < 0.05). RESULTS No significant difference between the root thirds was detected (P > 0.05). However, the performance of the posts demonstrated a significant difference (P < 0.05). RDX had a lower performance in the apical third (P < 0.05). The other fiber posts had the same performance irrespective of the root third evaluated. The predominant failure pattern was adhesive between resin cement and root dentin. CONCLUSION In general, the different translucent fiber posts showed the same performance. Yet, translucent fiber posts did not show superior bond strength compared with the opaque fiber post in any of the root thirds evaluated.
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Affiliation(s)
- João Fernando Bazzo
- Department of Restorative Dentistry, School of Dentistry, University of North Parana (UNOPAR), Londrina, PR, Brazil
| | | | - Ricardo Danil Guiraldo
- Department of Restorative Dentistry, School of Dentistry, University of North Parana (UNOPAR), Londrina, PR, Brazil
| | - Sandrine Bittencourt Berger
- Department of Restorative Dentistry, School of Dentistry, University of North Parana (UNOPAR), Londrina, PR, Brazil
| | - Sandra Kiss Moura
- Department of Restorative Dentistry, School of Dentistry, University of North Parana (UNOPAR), Londrina, PR, Brazil
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Effect of fibre posts, bone losses and fibre content on the biomechanical behaviour of endodontically treated teeth: 3D-finite element analysis. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2016; 74:334-346. [PMID: 28254302 DOI: 10.1016/j.msec.2016.12.022] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Revised: 10/20/2016] [Accepted: 12/05/2016] [Indexed: 11/22/2022]
Abstract
The aim of this work was to evaluate the stress distribution inside endodontically treated teeth restored with different posts (glass fibre, carbon fibre and steel posts) under different loading conditions by using a 3D-finite element analysis. The effect of masticatory and impact forces on teeth with different degrees of bone loss was analysed. The model consists of: dentine, post, cement, gutta-percha, core and crown. Four simulations were conducted with two static forces (170N horizontal and 100N oblique) and two sections constrained: 1mm (alveolar bone position in a normal periodontium) and 6mm (middle of root) below the crown. Von Mises and the principal stresses were evaluated and analysed with a 3-way ANOVA and Tukey test (α=0.05) and the effect of fibre percentage analysed. Significant differences were found among the stress values for all conditions (p<0.05). Impact load was always responsible for the most critical situation especially when the bone loss was more evident. The system with steel posts showed the highest principal stresses at the post-cement interface with horizontal load and top constraints (compressive stress of 121MPa and tensile stress of 115MPa). The use of glass posts provides a more homogeneous behaviour of the system with lower stresses. Higher fibre percentages gave higher stress in the posts. Moreover, larger bone losses are responsible for important increase in stress. Thus, this work demonstrated that periodontal disease has an important role in the success of tooth restoration after endodontic therapy, influencing the choice of post material and depth.
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Daleprane B, Pereira CNB, Bueno AC, Ferreira RC, Moreira AN, Magalhães CS. Bond strength of fiber posts to the root canal: Effects of anatomic root levels and resin cements. J Prosthet Dent 2016; 116:416-24. [PMID: 27086107 DOI: 10.1016/j.prosdent.2016.01.030] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2015] [Revised: 01/22/2016] [Accepted: 01/22/2016] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Decementation is one of the most frequent causes of failure in the post-cement system. The bond strength in different parts of the canal may be influenced by technical and anatomic factors. PURPOSE The purpose of this in vitro study was to assess the effects of anatomic root levels to reach the canal and different resin cements on the bond strength of fiberglass posts along the canal. MATERIAL AND METHODS One hundred thirty-five roots of bovine teeth were endodontically treated, prepared with 15-mm-long post spaces and divided according to the anatomic root level: coronal (with 15-mm post space), middle (with 10-mm post space), and apical (with 5-mm post space). Fiberglass posts were luted with the cements (n=15): conventional resin cement with 3-step etch-and-rinse adhesive system (RelyX ARC/SBMP); self-adhesive resin cement (RelyX U200) and autopolymerizing resin cement with etch-and-rinse adhesive system (C&B/All-Bond 2). After 24 hours, specimens were sectioned and subjected to the push-out test. The maximum extrusion load was recorded (0.5 mm/minute, 200 N). Data were analyzed with analysis of variance (ANOVA) and the Tukey test (α=.05). Failure mode was analyzed by using multinomial logistic regression. RESULTS There were no significant effects of resin cements (P>.05). The bond strength at apical third was higher when the canal was reached at the apical level than at the coronal level (P=.022). When each root level was directly reached, the coronal bond strength was lower than apical (P=.001) and middle (P=.021) for all cements. CONCLUSIONS When the canal was reached at the coronal, medium, and apical levels, the bond strength of conventional, self-adhesive and autopolymerizing resin cements was lower in the coronal root third.
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Affiliation(s)
| | - Carolina N B Pereira
- Adjunct Professor, Department of Dentistry, School of Management Studies, Belo Horizonte, Minas Gerais, Brazil
| | | | - Raquel C Ferreira
- Assistant Professor, Department of Social and Preventive Dentistry, School of Dentistry. Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Allyson N Moreira
- Professor, Department of Restorative Dentistry. School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Cláudia S Magalhães
- Associate Professor, Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
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Juloski J, Goracci C, Tsintsadze N, Carrabba M, Vichi A, Vulicevic ZR, Ferrari M. Influence of luting agent translucency on fiber post retention. Eur J Oral Sci 2015; 123:116-21. [PMID: 25683864 DOI: 10.1111/eos.12174] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2015] [Indexed: 11/28/2022]
Abstract
The aim was to assess the influence of cement translucency on the retentive strength of luted fiber posts. Twenty extracted human premolars were randomly divided into four equal groups, based on the combinations of materials to be tested. Two post types of the same size, shape, and chemical composition, but different light-transmission properties [Translucent post (TP) and Opaque post (OP)] were selected. The two post types were luted using the etch-and-rinse, light-curing adhesive in combination with two shades of the same resin cement of markedly different light-transmitting ability [Transparent shade (TS) and Opaque shade (OS)]. Early post retention was assessed using the thin-slice push-out test. Post type did not significantly influence post retention; however, cement translucency emerged as a relevant factor in intraradicular cementation, with the TS achieving higher push-out strengths. The between-factor interaction was also statistically significant; specifically, OP-OS yielded significantly lower retentive strengths than all the other groups. Post translucency did not influence post retention, provided that a highly translucent cement was utilized for luting.
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Affiliation(s)
- Jelena Juloski
- Department of Medical Biotechnologies, University of Siena, Siena, Italy; Clinic for Pediatric and Preventive Dentistry, School of Dentistry, University of Belgrade, Belgrade, Serbia
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Almufleh BS, Aleisa KI, Morgano SM. Effect of surface treatment and type of cement on push-out bond strength of zirconium oxide posts. J Prosthet Dent 2014; 112:957-63. [DOI: 10.1016/j.prosdent.2014.04.022] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2013] [Revised: 04/24/2014] [Accepted: 04/24/2014] [Indexed: 11/24/2022]
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12
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Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. J Appl Biomater Funct Mater 2014; 12:97-101. [PMID: 24127036 DOI: 10.5301/jabfm.5000166] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2013] [Indexed: 11/20/2022] Open
Abstract
PURPOSE The aim of this study was to evaluate the shear bond strength (SBS) of conventional and self-adhering flowable resin composites on the dentin surfaces of primary and permanent teeth and to evaluate the effect of the application of an adhesive system under self-adhering flowable resin composite on SBS. METHODS Prepared permanent and primary tooth dentin surfaces were randomly distributed into 3 groups according to application protocols as follows: group 1: Vertise Flow; group 2: OptiBond + Filtek Ultimate; and group 3: OptiBond + Vertise Flow. A universal testing machine was used to measure SBS of prepared specimens, and data were analyzed using 1-way ANOVA and Tukey test. RESULTS Statistically significant differences were observed among all groups for primary and permanent teeth (P<0.05). The highest values were observed in group 2, followed by group 3, in both permanent and primary teeth. SBSs of all groups were significantly higher for permanent teeth than for primary teeth (P<0.05). CONCLUSION Although SBS values of Vertise Flow groups were lower than those for conventional flowable resin composite groups, with further developments in material technology, self-adhering materials could be promising materials especially for pediatric dentistry.
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An in vitro assessment of gutta-percha coating of new carrier-based root canal fillings. ScientificWorldJournal 2014; 2014:239754. [PMID: 24987727 PMCID: PMC3967725 DOI: 10.1155/2014/239754] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2013] [Accepted: 01/06/2014] [Indexed: 11/24/2022] Open
Abstract
The first aim of this paper was to evaluate the push-out bond strength of the gutta-percha coating of Thermafil and GuttaCore and compare it with that of gutta-percha used to coat an experimental hydroxyapatite/polyethylene (HA/PE) obturator. The second aim was to assess the thickness of gutta-percha around the carriers of GuttaCore and HA/PE obturators using microcomputed tomography (μCT). Ten (size 30) 1 mm thick samples of each group (Thermafil, GuttaCore, and HA/PE) were prepared. An orthodontic wire with a diameter of 0.5 mm was attached to the plunger of an Instron machine in order to allow the push-out testing of the gutta-percha coating. Five samples of (GuttaCore and HA/PE) were scanned using μCT. The data obtained were analysed with one-way analysis of variance and Tukey post hoc test. HA/PE obturators exhibited significantly higher push-out bond strength (P < 0.001) determined at 6.84 ± 0.96 than those of Guttacore around 3.75 ± 0.75 and Thermafil at 1.5 ± 0.63. GuttaCore demonstrated significantly higher bond strength than Thermafil (P < 0.001). μCT imaging revealed that the thickness of gutta-percha around the experimental HA/PE carrier was homogeneously distributed. The bondability and thickness of gutta-percha coating around HA/PE carriers were superior to those of GuttaCore and Thermafil obturators.
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Er O, Kilic K, Esim E, Aslan T, Kilinc HI, Yildirim S. Stress distribution of oval and circular fiber posts in amandibular premolar: a three-dimensional finite element analysis. J Adv Prosthodont 2013; 5:434-9. [PMID: 24353882 PMCID: PMC3865199 DOI: 10.4047/jap.2013.5.4.434] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2013] [Revised: 08/21/2013] [Accepted: 10/18/2013] [Indexed: 11/23/2022] Open
Abstract
PURPOSE The aim of the present study was to evaluate the effects of posts with different morphologies on stress distribution in an endodontically treated mandibular premolar by using finite element models (FEMs). MATERIALS AND METHODS A mandibular premolar was modeled using the ANSYS software program. Two models were created to represent circular and oval fiber posts in this tooth model. An oblique force of 300 N was applied at an angle of 45° to the occlusal plane and oriented toward the buccal side. von Mises stress was measured in three regions each for oval and circular fiber posts. RESULTS FEM analysis showed that the von Mises stress of the circular fiber post (426.81 MPa) was greater than that of the oval fiber post (346.34 MPa). The maximum distribution of von Mises stress was in the luting agent in both groups. Additionally, von Mises stresses accumulated in the coronal third of root dentin, close to the post space in both groups. CONCLUSION Oval fiber posts are preferable to circular fiber posts in oval-shaped canals given the stress distribution at the post-dentin interface.
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Affiliation(s)
- Ozgur Er
- Department of Endodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
| | - Kerem Kilic
- Department Prosthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
| | - Emir Esim
- Department of Mechanical Engineering, Faculty of Engineering, Erciyes University, Kayseri, Turkey
| | - Tugrul Aslan
- Department of Endodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
| | - Halil Ibrahim Kilinc
- Department Prosthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
| | - Sahin Yildirim
- Department of Mechanical Engineering, Faculty of Engineering, Erciyes University, Kayseri, Turkey
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Daleprane B, Nemesio de Barros Pereira C, Oréfice RL, Bueno AC, Vaz RR, Moreira AN, Magalhães CS. The effect of light-curing access and different resin cements on apical bond strength of fiber posts. Oper Dent 2013; 39:E93-100. [PMID: 24147746 DOI: 10.2341/12-477-l] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
PURPOSE This study evaluated the effect of light-curing access on the bond strength of fiber glass posts to the apical area of bovine roots using self-adhesive cement or dual-cured cement with an etch-and-rinse adhesive system. MATERIALS AND METHODS The root canals of 60 bovine teeth were endodontically treated and filled. A 15-mm-length post space was prepared and roots were randomly divided into three groups, simulating the levels of light-curing access: coronal (C), with 15-mm post space; middle (M), in which the coronal thirds of roots were cut out, leaving a 10-mm post space; and apical (A), in which the coronal and middle thirds of roots were cut out, leaving a 5-mm post space. Fiber glass posts (Reforpost # 3, Angelus) were cemented with RelyX U100 (3M ESPE) or RelyX ARC/Scotchbond Multi Purpose Plus (SBMP) (3M ESPE) (n=10) and light-cured. After 24 hours, the apical thirds of roots were sectioned perpendicularly to the long axis and submitted to a push-out test (0.5 mm/min, 200 N). The Kruskal-Wallis test compared the three levels of light-curing access, and the Mann-Whitney test compared the cements. RESULTS The bond strength was significantly higher in the groups C (p=0.028) and M (p=0.016) when U100 was used, whereas it was similar for both cements in group A. The bond strengths of posts cemented with ARC/SBMP were significantly higher in group A compared to group C (p=0.031). CONCLUSIONS The type of cement used and the light-curing access level influenced the bond strength between glass fiber posts and root canals. The bond strength of the RelyX ARC/SBMP cement proved to be more dependent on photoactivation than was the RelyX U100 cement. The light-curing access level did not influence the apical bond strength of RelyX U100.
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Mobarak E, Seyam R. Interfacial Nanoleakage and Bonding of Self-Adhesive Systems Cured with a Modified-Layering Technique to Dentin of Weakened Roots. Oper Dent 2013; 38:E154-65. [DOI: 10.2341/12-103-l] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective
The purpose of the study was to evaluate the nanoleakage and bond strength of different self adhesive systems cured with a modified-layering technique (MLT) to dentin of weakened roots.
Methods
Twenty-one maxillary incisors were decoronated and then root canals were instrumented and obturated with the cold lateral compaction technique. Weakened roots were simulated by flaring root canals until only 1 mm dentin thickness remained. Teeth were distributed into three groups. The canals were backfilled with Vertise Flow (VF group), a self-adhering system, following a modified-layering technique using two light-transmitting posts, sizes 6 and 3. DT Light Post size 2 was cemented using the same material. Remaining roots were prepared and cured in the same way as the VF group. However, in the TS/MF group, Clearfil Tri-S Bond (TS) adhesive and Clearfil Majesty Flow (MF) composite were used, while in the ED/PF group, ED primer II (ED)/Panavia F2.0 (PF) were used. After one week of storage, each root was sectioned to obtain six slices (two slices from each root third: coronal, middle and apical) of 0.9 ± 0.1 mm thickness. Interfacial nanoleakage expression was analyzed using a field emission scanning electron microscope (FEG-SEM), and the micro push-out bond strength (μPOBS) was measured at different root regions. Modes of failure were also determined using SEM. Data were statistically analyzed using two-way analysis of variance with repeated measures and Tukey post hoc test (p≤0.05).
Results
With MLT, all adhesive systems showed nanoleakage. For μPOBS, there was a statistically significant effect for adhesive systems (p<0.001) but not for root region (p<0.64) or for their interaction (p=0.99). Tukey post hoc test revealed that the bond strength of the VF group was significantly higher than the TS/MF and ED/PF groups for all root regions.
Conclusion
All of the tested self-adhesive systems cured using MLT had slight nanoleakage and were not sensitive to root regional differences. Self-adhering systems had higher bond strength than self-etch adhesives.
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Affiliation(s)
- E Mobarak
- Enas Mobarak, EBM, associate professor, Restorative Dentistry, Cairo University, Cairo, Egypt
| | - R Seyam
- Reham Seyam, lecturer, Endodontic Department, Cairo University, Cairo, Egypt
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Aleisa KI, Almufleh BS, Morgano SM, Lynch CD. Effect of types of luting agent on push-out bond strength of zirconium oxide posts. J Dent 2013; 41:377-83. [DOI: 10.1016/j.jdent.2013.01.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2012] [Revised: 01/25/2013] [Accepted: 01/30/2013] [Indexed: 11/26/2022] Open
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Pereira JR, Valle AL, Ghizoni JS, Só MVR, Ramos MB, Lorenzoni FC. Evaluation of push-out bond strength of four luting agents and SEM observation of the dentine/fibreglass bond interface. Int Endod J 2013; 46:982-92. [DOI: 10.1111/iej.12089] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2011] [Accepted: 02/13/2013] [Indexed: 11/26/2022]
Affiliation(s)
- J. R. Pereira
- Department of Prosthodontics; Dental School; University of Southern Santa Catarina; Tubarão; SC; Brazil
| | - A. L. Valle
- Department of Prosthodontics; Dental School; University of Sao Paulo; Bauru; SP; Brazil
| | - J. S. Ghizoni
- Department of Prosthodontics; Dental School; University of Southern Santa Catarina; Tubarão; SC; Brazil
| | - M. V. R. Só
- Department of Endodontics; Dental School; Federal University of Rio Grande do Sul; Porto Alegre; RS; Brazil
| | - M. B. Ramos
- Department of Prosthodontics; Dental School; University of Sao Paulo; Bauru; SP; Brazil
| | - F. C. Lorenzoni
- Department of Prosthodontics; Dental School; University of Sao Paulo; Bauru; SP; Brazil
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Nie EM, Chen XY, Zhang CY, Qi LL, Huang YH. Influence of masticatory fatigue on the fracture resistance of the pulpless teeth restored with quartz-fiber post-core and crown. Int J Oral Sci 2013; 4:218-20. [PMID: 23306858 PMCID: PMC3633776 DOI: 10.1038/ijos.2012.78] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
To investigate whether masticatory fatigue affects the fracture resistance and pattern of lower premolars restored with quartz-fiber post–core and full crown, 44 single rooted lower premolars recently extracted from orthodontic patients were divided into two groups of 22 each. The crowns of all teeth were removed and endodontically treated and then restored with quartz-fiber post–core and full crown. Twenty-two teeth in one group were selected randomly and circularly loaded at 45° to the long axis of the teeth of 127.4 N at a 6 Hz frequency, and the other group was not delivered to cyclic loading and considered as control. Subsequently, all teeth in two groups were continually loaded to fail at 45° to the long axis of the teeth at a crosshead speed of 1 mm⋅min−1. The mean destructive force values were (733.88±254.99) and (869.14±280.26) N for the experimental and the control group, respectively, and no statistically significant differences were found between two groups (P>0.05). Bevel fracture and horizontal fracture in the neck of root were the major fracture mode of the specimens. Under the circumstances of this study, it seems that cyclic loading does not affect the fracture strength and pattern of the quartz-fiber post–core–crown complex.
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Affiliation(s)
- Er-Min Nie
- Department of Prosthodontics, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
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Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, Van Meerbeek B. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2012; 29:221-30. [PMID: 23107191 DOI: 10.1016/j.dental.2012.10.001] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2012] [Revised: 10/02/2012] [Accepted: 10/02/2012] [Indexed: 10/27/2022]
Abstract
UNLABELLED Self-adhesive composites (SACs) are claimed to bond to tooth substrate without a separate adhesive. Bonding effectiveness data are however still limited. OBJECTIVES In SubProject 1, the hypothesis was tested that the micro-tensile bond strength (μTBS) to dentin of two flowable SACs was alike that of a one-step self-etch adhesive (1-SEa) combined with a flowable composite (flowC). In SubProject 2, the hypothesis was tested that the nature of the smear layer did not affect the μTBS of the SACs to dentin/enamel. METHODS SubProject 1: The μTBS to bur-cut dentin of two SACs (Fusio Liquid Dentin, Pentron; Vertise Flow, Kerr) was measured and compared to that of four 1-SEa/flowC combinations (AdheSe One/Tetric EvoFlow, Ivoclar Vivadent; Adper Prompt L-Pop/Filtek Supreme XT Flowable, 3M ESPE; iBond/Venus flow, Heraeus Kulzer; Xeno V/X-flow, Dentsply) and of one 3-step etch-and-rinse adhesive (3-E&Ra: OptiBond FL, Kerr) combined with Premise Flowable (Kerr). The effect of pre-etching dentin with phosphoric acid on the μTBS of the SAC Vertise Flow (Kerr) was measured as well. SubProject 2: The μTBS of the two SACs and one 1-SEa/flowC combination (Adper Prompt L-Pop/Filtek Supreme XT Flowable, 3M ESPE) to either bur-cut or SiC-paper ground dentin/enamel was measured. The effect of pre-etching enamel with phosphoric acid on the μTBS of the SAC Vertise Flow (Kerr) was also measured. RESULTS SubProject 1: The μTBS to dentin of both SACs was significantly lower than that of the 1-SEa/flowC and the 3-E&Ra/flowC combinations, of which the latter performed best. The SAC Fusio Liquid Dentin (Pentron) bonded significantly better to dentin than Vertise Flow (Kerr), except when dentin had additionally been pre-etched with phosphoric acid. SubProject 2: Surface smear did not interfere with bonding of the SACs to dentin/enamel, while their μTBS remained significantly lower than that of the 1-SEa/flowC combination. Prior phosphoric-acid etching of dentin/enamel significantly ameliorated the bonding effectiveness of Vertise Flow (Kerr). SIGNIFICANCE The bonding effectiveness of flowable SACs underscores that of 1-SEa's and one 'gold-standard' 3-E&Ra when combined with their proprietary flowable composite. Consequently, routine clinical application of SACs should be carefully considered.
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Affiliation(s)
- André Poitevin
- KU Leuven BIOMAT, Department of Oral Health Sciences, KU Leuven (University of Leuven), Leuven, Belgium
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Grassi FR, Pappalettere C, Di Comite M, Corsalini M, Mori G, Ballini A, Crincoli V, Pettini F, Rapone B, Boccaccio A. Effect of different irrigating solutions and endodontic sealers on bond strength of the dentin-post interface with and without defects. Int J Med Sci 2012; 9:642-54. [PMID: 23055816 PMCID: PMC3465848 DOI: 10.7150/ijms.4998] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Accepted: 09/05/2012] [Indexed: 11/21/2022] Open
Abstract
AIMS To investigate how the interfacial shear strength of the dentin-post interface with and without defects changes for different combinations irrigant/sealer. METHODS In forty human decoronated and instrumented teeth, fibreglass posts were inserted. The obtained root segments were randomly assigned to four different groups according to the irrigant adopted and the cement used to seal the root canal. The root segments were processed for metyl-methacrylate embedding. Serial sections were obtained and submitted to histomorphometric analyses in order to observe any defect of adhesion at the dentin-post interface and to measure the defects' dimension. The serial sections were also submitted to micro-push-out test. The measured shear strength values were subjected to statistical analysis by one-way ANOVA. The values of bond strength determined for the defective samples were correlated with the dimension of the defects. Finite element models were built to interpret and corroborate the experimental findings. RESULTS ANOVA showed that the generic combination irrigant/sealer does not affect the interfacial shear strength values. The bond strength of the samples without defects was averagely twice as large as that of the defective samples. The defects occupying more than 12% of the total transverse section area of the endodontic cement layer led to a reduction of the bond strength of about 70%. The predictions of the finite element models were in agreement with the experimental results. CONCLUSION Defects occupying less than 2% of the total transverse section area of the cement layer were shown to be acceptable as they have rather negligible effects on the shear strength values. Technologies/protocols should be developed to minimize the number and the size of the defects.
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Affiliation(s)
- Felice R Grassi
- Department of Dental Sciences and Surgery, Faculty of Medicine and Surgery, University of Bari Aldo Moro, Bari, Italy
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Braga NMA, Souza-Gabriel AE, Messias DCF, Rached-Junior FJA, Oliveira CF, Silva RG, Silva-Sousa YTC. Flexural properties, morphology and bond strength of fiber-reinforced posts: influence of post pretreatment. Braz Dent J 2012; 23:679-85. [DOI: 10.1590/s0103-64402012000600009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2012] [Accepted: 12/04/2012] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to assess the influence of surface pretreatments of fiber-reinforced posts on flexural strength (FS), modulus of elasticity (ME) and morphology of these posts, as well as the bond strength (BS) between posts and core material. Fifty-two fiber posts (smooth and serrated) were assigned to 4 groups (n=13): no treatment (control), 10% hydrogen peroxide (HP) for 10 min (HP-10), 24% HP for 1 min (HP-24) and airborne-particle abrasion (Al2O3). To evaluate FS and ME, a 3-point bending test was performed. Three posts of each group were examined by scanning electron microscopy. Composite resin was used as the core build-up and samples were sectioned to obtain microtensile sticks. Data were analyzed by ANOVA and Tukey's test (α=0.05). For FS, significant differences were observed between posts type and surface pretreatment (p<0.05), with the highest means for the smooth posts. Al2O3 provided higher FS than HP-24. Al2O3 promoted higher ME than HP-24 and control. SEM images revealed partial dissolution of the resin matrix in all treated groups. The smooth posts had higher BS and FS than serrated posts (p<0.05). Mechanical properties of the glass fiber posts and the bond strength between posts and composite material were not altered by the surface treatments, except for airborne-particle abrasion that increased the post elastic modulus.
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