1
|
Pinto C, França F, Basting RT, Turssi CP, Amaral F. Evaluation of Bond Strength of Three Glass Fiber Post-systems Cemented to Large Root Canals. Oper Dent 2024; 49:222-230. [PMID: 38349820 DOI: 10.2341/22-142-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2024] [Indexed: 02/15/2024]
Abstract
The aim of this study was to evaluate the push-out bond strength and the failure mode of single adjustable posts (SPLENDOR SAP), anatomical posts (AP), or computer-aided design/computer-aided manufacturing (CAD-CAM) posts cemented to flared root canal dentin with self-adhesive dual-cure resin cement. Thirty single-rooted premolars received endodontic treatment with gutta-percha and a calcium hydroxide-based endodontic cement. After 24 hours, the canal spaces were enlarged with burs. The tooth specimens were divided equally into three groups (n=10), according to the glass fiber post (GFP) system: AP-prefabricated GFP (Reforpost #2, Angelus) was relined with composite resin (Filtek Z350 XT, 3M ESPE); SPLENDOR SAP-GFP was used with a glass fiber sleeve to adjust the adaptation (Splendor SAP, Angelus); and CAD-CAM-a resin pattern was obtained and scanned to produce a CAD-CAM GFP (Fiber CAD Lab, Angelus) milled using a subtractive technique. The three GFP systems were cemented with self-adhesive resin cement (Rely X U200, 3M ESPE). The roots were fixed to an acrylic resin plate used to section them into specimens of cervical, middle, and apical thirds. Then, the slices were attached to a universal testing machine to perform the push- out test at a speed of 0.5 mm/min and a load of 50 Kgf. The posttest specimens were examined under a stereoscopic microscope to evaluate the failure mode. The bond strength variable was analyzed using a generalized linear model, following a split-plot design. Failure mode analysis was performed using Fisher exact test. The significance level adopted was 5%. There was no significant difference among the GFP systems or among the thirds, in terms of bond strength (p>0.05), nor was there any significant association between the systems and the failure mode (p>0.05). Most specimens presented mixed or adhesive failure between resin cement and dentin. It was concluded that the bond strength to flared root dentin was not influenced by the GFP system or the root third.
Collapse
Affiliation(s)
- Cfb Pinto
- *Claudia Fabiana Brazil Pinto, DDS, MS, PhD candidate, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo, Brazil
| | - Fmg França
- Fabiana Mantovani Gomes França, DDS, MS, PhD, professor, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo, Brazil
| | - R T Basting
- Roberta Tarkany Basting, DDS, MS, PhD, professor, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo, Brazil
| | - C P Turssi
- Cecilia Pedroso Turssi, DDS, MS, PhD, professor, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo, Brazil
| | - Flb Amaral
- Flávia Lucisano Botelho Amaral, DDS, MS, PhD, professor, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, São Paulo, Brazil
| |
Collapse
|
2
|
Reddy KH, Swetha B, Priya BD, Mohan TM, Malini DL, Sravya MS. Effect of collagen cross-linking agents on the depth of penetration of bioceramic sealer and release of hydroxyproline: An in vitro study. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:170-174. [PMID: 38463481 PMCID: PMC10923233 DOI: 10.4103/jcd.jcd_309_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 09/29/2023] [Accepted: 10/07/2023] [Indexed: 03/12/2024]
Abstract
Context During endodontic treatment, sealers seal off dentinal tubules and prevent microbial attack. Bioceramic sealers have excellent bioactivity, but its high alkalinity is found to have detrimental effects on radicular collagen. Collagen cross linkers have the ability to chemically modify collagen and can prevent the detrimental effects of the sealer. Aim This research was aimed to assess the effect of collagen cross-linking agents on the integrity of radicular collagen matrix and depth of penetration of sealer. Materials and Methods Mandibular premolars (n = 48) were taken. Teeth were decoronated; canals were prepared till ProTaper size F2 and were irrigated with 5 mL of 2.5% NaOCl, followed by 3 mL of 17% ethylenediaminetetraacetic acid between instrumentation and finally rinsed with saline following which teeth were divided into three groups based on the surface treatments: Group 1: 6.5% proanthocyanin (PA), Group 2: chlorhexidine (CHX), and Group 3: saline. Teeth were obturated using gutta-percha and bioceramic sealer and stored in artificial saliva. Hydroxyproline (HYP) release was assessed after 14 and 21 days using spectrophotometer. Sealer penetration was assessed using the scanning electron microscope. Statistical Analysis Wilcoxon signed-rank test and Kruskal-Wallis test for release of HYP and paired t-test and ANOVA for sealer penetration were performed. Results Significantly lower release of HYP was seen in proanthocyanin-treated group. Sealer penetration was better for both the proanthocyanin- and CHX-treated groups when compared to saline. Conclusion Surface treatment with collagen cross-linkers caused a decrease in the amount of HYP released, indicating lesser degradation of collagen. Sealer penetration was better due to the removal of smear layer following the surface treatments.
Collapse
Affiliation(s)
- K. Hanisha Reddy
- Associate Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - Bollineni Swetha
- Assistant Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - B. Devi Priya
- Assistant Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - T Murali Mohan
- Professor and HOD, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - Duvvuri Lakshmi Malini
- Assistant Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - M. Sai Sravya
- Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| |
Collapse
|
3
|
Zhong Q, Huang Y, Zhang Y, Song Y, Wu Y, Qu F, Wang S, Xu C. Finite element analysis of maxillary first molar with a 4-wall defect and 1.5-mm-high ferrule restored with fiber-reinforced composite resin posts and resin core: The number and placement of the posts. J Prosthet Dent 2024; 131:75-91. [PMID: 35249741 DOI: 10.1016/j.prosdent.2022.01.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 01/14/2022] [Accepted: 01/19/2022] [Indexed: 12/01/2022]
Abstract
STATEMENT OF PROBLEM Whether fiber-reinforced composite (FRC) posts should be inserted in root canals to restore teeth with multiple roots remains unclear. PURPOSE The purpose of this finite element analysis (FEA) study was to determine the optimal use of FRC posts in an endodontically treated maxillary first molar with a 4-wall defect and 1.5-mm-high ferrule. MATERIAL AND METHODS Eight different models of a maxillary first molar were established: no post (NP), post in palatal root (P), post in distobuccal root (DB), post in mesiobuccal root (MB), posts in palatal root and distobuccal root (P+DB), posts in palatal root and mesiobuccal root (P+MB), posts in 2 buccal roots (DB+MB), and posts in all roots (P+DB+MB). Two types of loading were applied: a force of 800 N parallel to the long axis of the tooth to simulate the vertical masticatory force and another force of 225 N at 45 degrees to the long axis of the tooth to simulate the lateral masticatory force. The equivalent stresses on the external surfaces of the tooth tissue, the internal surfaces of the root canals and in the posts, as well as the maximal shear stresses on the post-core interface and the core-dentin interface, were calculated with FEA. RESULTS All the models showed similar maximal equivalent stress values on the external surfaces of the tooth tissue, and stress concentrations were found at the cervical and furcation area. On the internal surfaces of root canals, an increase of equivalent stress at the middle third of the canals with posts and a decrease at the cervical third were observed. Under vertical loading, the P+DB+MB group showed the largest equivalent stress in the post (76.45 MPa in the palatal post), the DB+MB group showed the largest shear stress on the post-core interface (19.02 MPa), and the MB group showed the largest shear stress on the core-dentin interface (12.07 MPa). Under lateral loading, the P+DB+MB group showed the largest equivalent stress in the post (60.11 MPa in the mesiobuccal post) and the largest shear stress on the post-core interface (13.48 MPa) and the DB group showed the largest shear stress on the core-dentin interface (21.03 MPa). CONCLUSIONS One post in the palatal canal was found to be appropriate for the FRC post and resin core restoration of a maxillary first molar with a 4-wall defect and 1.5-mm-high ferrule. An additional post in the mesiobuccal canal could help disperse lateral occlusal force and improve retention of the restoration.
Collapse
Affiliation(s)
- Qi Zhong
- Graduate student, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China
| | - Yujie Huang
- Graduate student, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China
| | - Yifan Zhang
- Graduate student, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China
| | - Yingshuang Song
- Resident, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China
| | - Yaqin Wu
- Doctoral student, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China
| | - Fang Qu
- Resident, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China
| | - Shaohai Wang
- Professor, Department of Stomatology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, PR China
| | - Chun Xu
- Professor, Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai, PR China.
| |
Collapse
|
4
|
Rakotoaridina K, Delrieu J, Pages P, Vergé T, Nasr K, Canceill T. Evaluation of Poly(etheretherketone) Post's Mechanical Strength in Comparison with Three Metal-Free Biomaterials: An In Vitro Study. Polymers (Basel) 2023; 15:3583. [PMID: 37688208 PMCID: PMC10489626 DOI: 10.3390/polym15173583] [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: 07/28/2023] [Revised: 08/26/2023] [Accepted: 08/27/2023] [Indexed: 09/10/2023] Open
Abstract
The thinking about metallic replacement has begun in a global context of reducing metallic alloys' use in odontology. Among the materials proposed for their replacement, poly(etheretherketone) may present interesting properties, especially in removable dentures' frames. The purpose of this study is to evaluate fracture resistance of PEEK posts-and-cores compared to non-metallic CAD/CAM materials and fiber glass posts. Forty extracted maxillary central incisors were prepared to receive posts. Samples were divided into four groups depending on whether they had been reconstructed with LuxaCam® PEEK, Enamic®, Numerys GF® or LuxaPost®. Samples were submitted to an oblique compressive test and results were statistically analyzed with ANOVA and Student's tests (or non-parametric tests depending on the conditions). Glass fiber posts and Numerys GF® reveal a significantly higher fracture resistance than LuxaCam® PEEK and Enamic®. No exclusively dental fracture has been noted for the Enamic group, which significantly distinguishes these samples from the three other groups. In our study, it appears that the conception of posts and cores with hybrid ceramic never conducts to a unique tooth fracture. By weighting the results according to the materials used, our data, obtained for the first time on this type of PEEK block, cannot confirm the possibility of using PEEK for inlay-core conception, excepted for specific cases when the material is considered in a patient presenting allergies or systemic disease contraindicating resin or metal.
Collapse
Affiliation(s)
- Kévin Rakotoaridina
- Département Odontologie, Faculté de Santé, Hôpitaux de Toulouse, Université Paul Sabatier, 3 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
| | - Julien Delrieu
- Département Odontologie, Faculté de Santé, Hôpitaux de Toulouse, Université Paul Sabatier, 3 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
| | - Paul Pages
- Département Odontologie, Faculté de Santé, Hôpitaux de Toulouse, Université Paul Sabatier, 3 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
| | - Thierry Vergé
- Département Odontologie, Faculté de Santé, Hôpitaux de Toulouse, Université Paul Sabatier, 3 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
| | - Karim Nasr
- Département Odontologie, Faculté de Santé, Hôpitaux de Toulouse, Université Paul Sabatier, 3 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
| | - Thibault Canceill
- Département Odontologie, Faculté de Santé, Hôpitaux de Toulouse, Université Paul Sabatier, 3 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
- CNRS UMR 5085, INPT, Faculté de Pharmacie, CIRIMAT, Université Toulouse III Paul Sabatier, 35 Chemin des Maraichers, 31062 Toulouse Cedex 9, France
| |
Collapse
|
5
|
Zhong Q, Cao X, Shen Y, Song Y, Wu Y, Qu F, Wang S, Xu C. Finite element analysis of maxillary first molar with mesial-occlusal-distal-palatal defect restored with different post-and-core strategies. Heliyon 2023; 9:e18131. [PMID: 37496905 PMCID: PMC10366429 DOI: 10.1016/j.heliyon.2023.e18131] [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: 02/04/2023] [Revised: 06/06/2023] [Accepted: 07/07/2023] [Indexed: 07/28/2023] Open
Abstract
Purpose To explore which restoration strategy generates the most favorable stress distribution in an endodontically-treated maxillary first molar with mesial-occlusal-distal-palatal defect. Methods Models with one post in palatal canal (PP), each post in palatal and distobuccal canals (PDP), each post in palatal and mesiobuccal canals (PMP), and each post in all canals (PDMP) were established for an endodontically-treated maxillary first molar with mesial-occlusal-distal-palatal defect either with fiber-reinforced composite (FRC) post or gold alloy cast (GAC) post. A 400-N vertical force and a 225-N lateral force were respectively applied. The Mohr-Coulomb stress ratio (σMC ratio) in the residual tooth structure (RTS), the resin cement, and the crowns, the tensile stress (σt) and compressive stress (σc) in the FRC posts, the von-Mises stress ratio (σvM ratio) in the GAC post-and-cores, and the σt and shear stress (σs) at the adhesive interfaces were calculated using finite element analysis. Results FRC posts generated lower σMC ratio than GAC posts in the RTS (0.3274-0.3643 vs. 0.3399-0.4118). Among the FRC post groups, the PDMP group got the lowest σs at the dentin-post interface (14.92 MPa) and the abutment-crown interface (8.242 MPa) under vertical loading, as well as the lowest σMC ratio in the RTS (0.3381) and the lowest σs at the dentin-post interface (38.00 MPa) under lateral loading. Conclusions From the point of stress distribution, placing FRC posts in the palatal, distobuccal, and mesiobuccal canals is the optimal strategy in restoring a severely damaged maxillary first molar, provided that lateral occlusal force is reduced.
Collapse
Affiliation(s)
- Qi Zhong
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - Ximeng Cao
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - Yingyi Shen
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - Yingshuang Song
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - Yaqin Wu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - Fang Qu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - Shaohai Wang
- Department of Stomatology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
| | - Chun Xu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| |
Collapse
|
6
|
Pinto APDS, França FMG, Basting RT, Turssi CP, Rodrigues Júnior JJ, Amaral FLB. Effect of endodontic sealers on push-out bond strength of CAD-CAM or prefabricated fiber glass posts. Braz Oral Res 2023; 37:e052. [PMID: 37255072 DOI: 10.1590/1807-3107bor-2023.vol37.0052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 06/02/2022] [Indexed: 06/01/2023] Open
Abstract
This study aimed to evaluate the effect of endodontic sealer (ES) on bond strength (BS) of prefabricated or milled-CAD-CAM (computer-aided design and computer-aided manufacturing) glass-fiber-posts (GFP). Canals of 90 single-rooted teeth were prepared for filling by the single-cone technique with gutta-percha and one of the following ES: AH Plus (epoxy resin), Endofill (zinc-oxide and eugenol), and Bio-C Sealer (calcium-silicate). After post-space preparation, tooth-specimens were equally divided in half according to type of GFP to be used. In the half to receive milled-CAD-CAM posts, tooth specimens were molded with acrylic resin to obtain replicas. These were scanned to enable the laboratory to produce the milled-CAD-CAM GFPs (Fiber CAD Lab, Angelus) by the subtractive technique. The other half of samples received prefabricated GFPs (Exacto, Angelus) (n=15). The GFPs were cemented with dual-cure resin cement (Panavia F2.0, Kuraray). Each root was sectioned into two slices per root region (cervical, middle, apical) that were subjected to the push-out BS test, in a universal testing machine. Failure mode (FM) was classified by scores. The BS data were submitted to generalized linear model analyses, while FM was analyzed using the chi-square test (a=0.05). BS showed no significant difference among the three ES (p > 0.05). BS was significantly higher for prefabricated (mean 10.84 MPa) versus milled-CAD-CAM GFPs (mean 6.94 MPa) (p <0.0001), irrespective of ES. The majority showed mixed failures. It could be concluded that type of ES did not affect BS of GFPs to dentin, and prefabricated-GFPs had higher bond-strength than customized-milled-CAD-CAM GFPs.
Collapse
Affiliation(s)
- Andréa Pereira de Souza Pinto
- Instituto de Pesquisas São Leopoldo Mandic, São Leopoldo Mandic School of Dentistry, Department of Restorative Dentistry, Campinas, SP, Brazil
| | - Fabiana Mantovani Gomes França
- Instituto de Pesquisas São Leopoldo Mandic, São Leopoldo Mandic School of Dentistry, Department of Restorative Dentistry, Campinas, SP, Brazil
| | - Roberta Tarkany Basting
- Instituto de Pesquisas São Leopoldo Mandic, São Leopoldo Mandic School of Dentistry, Department of Restorative Dentistry, Campinas, SP, Brazil
| | - Cecilia Pedroso Turssi
- Instituto de Pesquisas São Leopoldo Mandic, São Leopoldo Mandic School of Dentistry, Department of Restorative Dentistry, Campinas, SP, Brazil
| | | | - Flávia Lucisano Botelho Amaral
- Instituto de Pesquisas São Leopoldo Mandic, São Leopoldo Mandic School of Dentistry, Department of Restorative Dentistry, Campinas, SP, Brazil
| |
Collapse
|
7
|
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.
Collapse
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
| |
Collapse
|
8
|
Chladek G. Composite and Polymeric Materials for Dentistry: Enhancing Antimicrobial and Mechanical Properties. MATERIALS (BASEL, SWITZERLAND) 2023; 16:1432. [PMID: 36837061 PMCID: PMC9964979 DOI: 10.3390/ma16041432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
Billions of people suffer from dental problems and that number is constantly increasing [...].
Collapse
Affiliation(s)
- Grzegorz Chladek
- Department of Engineering Materials and Biomaterials, Faculty of Mechanical Engineering, Silesian University of Technology, 18a Konarskiego Str., 41-100 Gliwice, Poland
| |
Collapse
|
9
|
Ke J, Cai Q, Zhang C, Du O, Wang F, Luo Y, Li W, Ou D. Analysis of the Efficacy and Safety of Pulpitis Treated with Different Root Canal Flushing Fluids Based on VAS and Temporomandibular Joint Function. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:1470389. [PMID: 36101801 PMCID: PMC9439904 DOI: 10.1155/2022/1470389] [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: 04/26/2022] [Revised: 05/31/2022] [Accepted: 06/06/2022] [Indexed: 11/17/2022]
Abstract
Pulpitis is one of the common diseases indicated by the department of stomatology that is located in the tooth and contains abundant nerve vessels. In order to evaluate the pain degree and functional recovery of patients after treatment by visual analogue pain scale (VAS) and temporomandibular joint function score, a retrospective analysis was performed on 128 patients diagnosed with pulpitis who received root canal treatment in the department of stomatology from January 2020 to March 2021. The results show that 3%NaClO combined with 0.9% sodium chloride injection can effectively relieve the pain degree of patients after treatment, and the antibacterial effect is significantly better than 3%H2O2 combined with 0.9% normal saline. Meanwhile, it can effectively improve the temporomandibular joint function and reduce the recurrence rate, which has good clinical application value.
Collapse
Affiliation(s)
- Jianguo Ke
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Qiaoling Cai
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Churen Zhang
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Ou Du
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Feixiang Wang
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Yu Luo
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Wenjin Li
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Dongchen Ou
- Department of Stomatology, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| |
Collapse
|
10
|
Costa TS, Brandão RMR, Farias Vajgel BC, SoutoMaior JR. CAD-CAM glass fiber compared with conventional prefabricated glass fiber posts: A systematic review. J Prosthet Dent 2022:S0022-3913(22)00053-1. [PMID: 35933174 DOI: 10.1016/j.prosdent.2022.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 01/03/2022] [Accepted: 01/04/2022] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM A prefabricated glass fiber post provides esthetic and biomechanical benefits for severely damaged endodontically treated teeth; however, failures in post retention remain a challenge. PURPOSE The purpose of this systematic review was to compare the fracture resistance and bond strength of prefabricated glass fiber posts to those made with computer-aided design and computer-aided manufacturing (CAD-CAM). MATERIAL AND METHODS This review was entered into PROSPERO (CRD42020213668) and was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Electronic systematic searches of PubMed/MEDLINE, Embase, and the Cochrane Library were conducted for published articles until October 2020. Studies that compared prefabricated glass fiber posts with CAD-CAM-fabricated glass fiber posts were selected, and studies that had not been published in English or in the previous 10 years were excluded. The fracture resistance (N) and bond strength (MPa) were the primary outcomes. RESULTS After reviewing the title, abstract, and the entire text of 227 articles, 8 studies were selected. Four studies were omitted. Four of the 8 studies were retained for qualitative analyses, with 1 having a high risk of bias and 3 having a medium risk of bias. Only 1 study found significantly higher fracture resistance in the CAD-CAM group than in the prefabricated group. The bond strength study reported a significant difference, with the CAD-CAM group having greater bond strength than the prefabricated group. CONCLUSIONS Despite the high heterogeneity and the few included articles, a tendency was found for the CAD-CAM-fabricated glass fiber post to improve fracture resistance and bond strength. However, the available literature is insufficient to draw definitive conclusions.
Collapse
Affiliation(s)
- Tiago S Costa
- Undergraduate student, School of Dentistry, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil
| | - Ruana M R Brandão
- Master's Degree student, Department of Prosthesis and Oral-Facial Surgery, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil
| | - Bruna C Farias Vajgel
- Adjunct Professor, Department of Prosthesis and Oral-Facial Surgery, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil
| | - Juliana R SoutoMaior
- Adjunct Professor, Department of Prosthesis and Oral-Facial Surgery, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
| |
Collapse
|
11
|
Paixão FCDO, Rodrigues VP, George R, Souza SDFC, Paiva AEM, Pereira ADFV. Compressive strength of premolars restored with ceramic crowns and supported with a glass fiber post using different luting agents. Saudi Dent J 2022; 34:617-622. [PMID: 36267533 PMCID: PMC9577347 DOI: 10.1016/j.sdentj.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 07/20/2022] [Accepted: 07/25/2022] [Indexed: 11/15/2022] Open
Abstract
Objective The retention of glass fiber post (GFP) is considered a key factor for the long-term success of restorations of endodontically treated teeth. This study aimed to compare the compressive strength of a ceramic crown supported by a GFP using different luting agents. Methods Forty single-rooted premolars were randomly divided into four groups (n = 10 each): control group (teeth without a GFP), Ketac Cem group (glass ionomer), RelyX ARC group (conventional dual-curing resin), and RelyX U200 group (self-adhesive dual-curing resin). After luting of the posts and placement of all-ceramic crowns made using feldspathic porcelain (Noritake EX-3), they were exposed to thermocycling for 1000 cycles and compressive strength tests. Statistical analysis included Kruskal–Wallis test with Dunn’s multi-comparison test. Results The Ketac Cem group and RelyX U200 group showed significantly greater fracture resistance to compressive loading than the control group. Conclusion This study indicates a possible role of the luting agent used with the GFP in influencing the compressive strength of the restored teeth. In this study, the self-adhesive dual-curing resin and glass ionomer both offered resistance to fractures.
Collapse
|
12
|
Abdelkader EM, Cortes Cortes JM, Botella CR, Nassar K, Rus G, Fathy SM. Flexural Strength of Dental Fiber Composite Post Manufactured with a Novel Approach. MATERIALS 2022; 15:ma15093370. [PMID: 35591704 PMCID: PMC9099821 DOI: 10.3390/ma15093370] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/23/2022] [Accepted: 05/03/2022] [Indexed: 11/30/2022]
Abstract
Thermoplastic resin fiber composites have an easy fabrication process, good mechanical properties, and compatible stiffness to tooth dentin. However, they have not yet attracted much interest in the field of dentistry. The current study was carried out to test a new proposed approach to manufacture a fiber reinforced composite endodontic post and evaluate its flexural strength through a two-point inclined loading test. The proposed fiber post manufacture approach depends upon a braiding technique of the glass fibers’ (GF) reinforcing component with thermoplastic polypropylene (PP) resin fibers that will later represent the resin matrix after thermal melting. Posts were made of different core (70%) and sheath (30%) construction (PP/GF ratios) using three different GF types and seizing pre-treatment to both fiber types. Two-point inclined loading test at 45 °C applied force angle was used to test the posts’ flexural strength. Fiber posts (1.6 mm in diameter) with pure GF (de-sized starch E-GF and pre-silanized S-GF) core, and sheath construction with higher PP/GF ratios, showed the significantly highest two-point bending strength (56.67 ± 4.89 and 53.96 ± 1.81 MPa, respectively), among experimental posts groups (except for the commercial control posts). However, posts with PP core type showed the lowest values (21.59 ± 1.86 and 16.54 ± 1.94 MPa for de-sized and E-glass sheath fibers, respectively). Based on these findings, the proposed approach was reliable in producing fiber-reinforced composite post with the desired dimensions and fiber distribution. Post construction with a pure GF core and higher PP/GF ratio showed considerably higher flexural strength and GF volume fraction comparable to commercial available post types.
Collapse
Affiliation(s)
- Esraa M. Abdelkader
- Department of Textile, Faculty of Applied Arts, Badr University, Cairo 11829, Egypt; (E.M.A.); (K.N.)
| | - Jose Manuel Cortes Cortes
- Department of Structural Mechanics, Ultrasonics Lab (TEP-959), University of Granada, 18071 Granada, Spain;
| | - Candela Reyes Botella
- Department of Stomatology, Biomedical Group (BIO277), School of Dentistry, University of Granada, 18071 Granada, Spain;
- Instituto Investigación Biosanitaria, ibs. Granada, 18012 Granada, Spain
| | - Khaled Nassar
- Department of Textile, Faculty of Applied Arts, Badr University, Cairo 11829, Egypt; (E.M.A.); (K.N.)
| | - Guillermo Rus
- Department of Structural Mechanics, Ultrasonics Lab (TEP-959), Biomechanics Group (TEC-12) and Excellence Research Unit “Modeling Nature” MNat, University of Granada, 18071 Granada, Spain;
| | - Salma M. Fathy
- Department of Dental Biomaterials, Faculty of Oral and Dental Medicine, Zagazig University, Zagazig 44519, Egypt
- Correspondence:
| |
Collapse
|
13
|
Assessment of push-out bond strength of post-surface pretreatment before salinization using hydrogen peroxide, aluminum trioxide, and natural photosensitizers to radicular dentin. Photodiagnosis Photodyn Ther 2022; 39:102859. [DOI: 10.1016/j.pdpdt.2022.102859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 03/27/2022] [Accepted: 04/08/2022] [Indexed: 11/20/2022]
|
14
|
Hallak AG, Caldas RA, Silva ID, Miranda ME, Brandt WC, Vitti RP. Stress distribution in restorations with glass fiber and polyetheretherketone intraradicular posts: An in silico analysis. Dent Mater J 2022; 41:376-381. [PMID: 35135940 DOI: 10.4012/dmj.2021-245] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study evaluated stresses generated at maxillary central incisor (21) root restored with lithium disilicate crown (LDC), and glass fiber (GFP) or polyetheretherketone (PEEK) post. 3D models created by computed tomographic image (i-CAT Cone Beam 3D Dental Imaging System) reproduced maxillary central incisor. Each model had prosthetic LDCs (2.0 mm thick) cemented to GFP or PEEK posts with dual resin cement. Different loads were applied to each model (cervical, incisal, axial, middle). At maximum principal stress, PEEK showed higher stress than GFP in all loads, but with qualitative similarity. At minimum principal stress, PEEK and GFP showed qualitative and quantitative similarities, except axial load. Maxillary central incisor restored with GFP or PEEK and LDC presented, in general, similar stress intensity and distribution for main occlusal loads. Only two of sixteen occlusal loads tested (cervical for maximum principal; axial for minimum principal) showed significant quantitative difference.
Collapse
|
15
|
Flexural Property of a Composite Biomaterial in Three Applications. JOURNAL OF COMPOSITES SCIENCE 2021. [DOI: 10.3390/jcs5100282] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Resin composite is widely used in the dental field in clinics as a biomaterial. For example, it has been used as a composite material, a type of biomaterial, to repair caries and restore masticatory function, and as a luting agent to adhere the restoration to the tooth substrate. In order to demonstrate its function, we have measured the mechanical strength. From such basic research, we explain the potential of a dental material through the measurement of flexural strength and modulus of elasticity. In this research, we introduce commercial products that are actually used as composite materials suitable for tooth substrate and provide readers with their properties based on flexural strength and modulus of elasticity. In clinical performance, it might be advisable to delay polishing when a composite material is used for a luting material, a filling material and a core build-up material, as the flexural strength and the flexural modulus of elasticity were improved after 1 day of storage, and flexural strength and characteristics are considered as important mechanical properties of oral biomaterials.
Collapse
|
16
|
Hesham M, Hashem A, Hamza F. Effect of Different Surface Treatments of Glass Fiber Posts on their Surface Roughness and Flexure Properties. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
AIM: This study aimed to assess the effect of different surface treatments on the surface roughness and flexure properties of glass fiber posts “GFPs.”
MATERIALS AND METHODS: A total of 40 GFPs were divided into four groups (n = 10): GC – no surface treatment (control), GSB – sandblasted, GHF – hydrofluoric acid etched, and GL – Er: YAG laser irradiated. Surface roughness was detected using surface profilometer and the 3-points bending flexural test measured flexural strength and elastic modulus.
RESULTS: GSB showed the highest mean roughness followed by GHF, then GL, while GC had lowest roughness mean value. The 3 points bending test results were calculated and recorded, GSB exhibited the highest flexure stress (MPa) compared to GHF and GL. Modulus of elasticity (GPa) showed significant differences between the tested groups, GSB showed the highest modulus of elasticity compared to GHF and GL, while GC showed insignificant differences with all tested groups.
CONCLUSION: Different surface treatments postulated in this study showed alternations of GFPs surfaces without jeopardizing the mechanical properties of GFPs.
Collapse
|
17
|
Effect of Luting Cement Film Thickness on the Pull-Out Bond Strength of Endodontic Post Systems. Polymers (Basel) 2021; 13:polym13183082. [PMID: 34577984 PMCID: PMC8473238 DOI: 10.3390/polym13183082] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Revised: 08/29/2021] [Accepted: 09/02/2021] [Indexed: 02/06/2023] Open
Abstract
Optimal bond strength between the prefabricated post/dowel to the surrounding dentin is essential. The present study aimed to analyze and compare the effect of three different cement film thicknesses on the pull-out bond strength of three different prefabricated post systems. Extracted natural teeth (N = 90) with similar root dimensions were acquired. Teeth were mounted in resin blocks, endodontically treated, sectioned at cemento-enamel junction, divided into three groups (A: Parapost Fiber Lux plus; B: 3M ESPE Relyx fiber post; and C: Parapost XP), and stored. Uniform post spaces were prepared for the groups (A and C: Length = 8 mm, Width = 1.5 mm; B: Length = 8 mm, Width = 1.6 mm). Each group (N = 30) was further subdivided into three subgroups (n = 10) based on the size (4, 5, and 6) of the post and cemented with resin cement (MultiLink-N, Ivoclar Vivadent). After thermocycling, the specimens were subjected to a pull-out test using a universal testing machine, and tensile force was recorded (MPa). Digital microscopic evaluations were performed for modes of failure. ANOVA and Tukey-HSD tests were used for statistics. Significant differences were observed for each tested material (p = 0.000). The lowest and highest bond strength values were recorded for Group C (Titanium post) and Group A (000), respectively. Multiple comparisons showed significance (p < 0.05) among all the groups, except for space 1 and space 2 (p = 0.316) for Group A. Most of the failures occurred within the cement-dentin and post-cement interface (Adhesive failures, 73.5%). An increase in the luting cement film thickness results in the decrease in pull-out bond strength of prefabricated posts luted with resin cement, irrespective of the type/material/shape of the post. The serrated fiber posts showed the highest pull-out bond strength compared to the smooth surfaced fiber posts or serrated metal posts. Increased pull-out bond strengths were observed when appropriate post space was created with the same sized drill as the post size.
Collapse
|
18
|
Alhajj MN, Qi CH, Sayed ME, Johari Y, Ariffin Z. Fracture Resistance of Titanium and Fiber Dental Posts: A Systematic Review and Meta-Analysis. J Prosthodont 2021; 31:374-384. [PMID: 34499376 DOI: 10.1111/jopr.13428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/03/2021] [Indexed: 11/26/2022] Open
Abstract
PURPOSE The fracture resistance of dental post systems is influenced by the material of the post. The purpose of this systematic review and meta-analysis was to assess if there is a difference in fracture resistance between prefabricated dental titanium posts and fiber posts. METHODS An online electronic search was performed using the PubMed, Scopus, and Web of Science databases for in vitro studies published from 2010 to 2020 in English. The retrieved eligible studies that compared the fracture resistance of titanium and fiber posts on human teeth were selected. The pooled standardized mean difference (SMD) with a 95% confidence interval was calculated. In addition, the trial sequential analysis (TSA) was performed to test if the available studies are sufficient to make conclusive evidence. RESULTS Of the 1165 retrieved studies, 17 studies were included in the qualitative analysis, while 16 studies were included in the quantitative analysis. Because of the high heterogeneity among studies, data from 10 studies were pooled and submitted to TSA. A total of 852 teeth were evaluated for fracture of the posts in 27 independent comparison groups. The pooled effect of the residual studies revealed no significant difference between titanium and fiber posts (SMD = -0.12; 95% CI = -0.30, 0.06; p = 0.20). Results of the TSA revealed no conclusive evidence. CONCLUSIONS The results of the current evidence revealed no significant difference between fiber and titanium posts. The evidence is insufficient, and more standardized in vitro studies are required.
Collapse
Affiliation(s)
- Mohammed Nasser Alhajj
- Prosthodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.,Department of Prosthodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen
| | - Chong Hui Qi
- Prosthodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Mohammed E Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Yanti Johari
- Prosthodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Zaihan Ariffin
- Prosthodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
| |
Collapse
|
19
|
Khan AS, AlMaimouni YK, Benrashed MA, Alyousef NI, Siddiqui U, Ahmad N, Ateeq IS, Hakeem AS. A laboratory study to assess the physical, mechanical, and 3-D structural properties of nano-apatite grafted glass fibre-based endodontic posts. Int Endod J 2021; 54:2307-2320. [PMID: 34496045 DOI: 10.1111/iej.13630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 09/04/2021] [Accepted: 09/07/2021] [Indexed: 02/06/2023]
Abstract
AIM To fabricate and characterize nano-hydroxyapatite (nHA) grafted and non-grafted glass fibre-based endodontic posts. METHODOLOGY Experimental glass fibre posts were fabricated using silanized nHA grafted (ex-HA) and non-grafted glass fibre (ex-P) reinforced resins. The structural analysis and morphological patterns were analysed with Fourier transform infrared spectroscopy and scanning electron microscopy, respectively. EverStick® glass fibre posts (eS) were used as a control group. The degree of conversion, flexural strength, and flexural modulus was investigated and the fractured structure was evaluated with a scanning electron microscope. Root canals were prepared in human extracted teeth restored with experimental and control posts. The push-out bond strength was evaluated with radicular dentine at days 7, 30, and 90, and the presence of voids at the interface were measured at day 1, 7, 30, and 90 with micro-computed tomography. The Shapiro-Wilk test and one-way ANOVA post-hoc Tukey's test were performed. The level of significance was set at 0.05. RESULTS The SEM and FTIR confirmed the presence of a silane-coupling agent on the glass fibres. The ex-HA post had a significantly lower degree of conversion compared to the ex-P post (p = .0008), but a significantly higher conversion than the eS post (p = .0014). The maximum flexural strength value was obtained with the ex-HA post with an insignificant difference (p = .366) compared to ex-P post and a significant difference (p = .029) compared to the eS post. The flexural modulus of ex-HA, ex-P, and eS posts were significantly different (p = .037). Similarly, the ex-HA post had a significantly higher push-out bond strength at days 7 and 30 (p = .037) compared to the ex-P and eS posts. The volume of voids had a nonlinear behaviour amongst the groups with no significant difference between the posts. CONCLUSION The fabrication of the experimental posts was successful and the ex-HA post had greater flexural strength and push-out bond strength compared to the ex-P post. The degree of conversion of the ex-HA post was lower than the ex-P and eS posts. The volume of voids of ex-HA and ex-P posts was lower than that of eS posts.
Collapse
Affiliation(s)
- Abdul S Khan
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Yara K AlMaimouni
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mashael A Benrashed
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Nujood I Alyousef
- Dental Department, Marat General Hospital, Ministry of Health, Riyadh, Saudi Arabia
| | - Usama Siddiqui
- Interdisciplinary Research Centre in Biomedical Materials, COMSATS University Islamabad, Lahore Campus, Lahore, Pakistan.,Department of Dental Materials, Rehman College of Dentistry, Peshawar, Pakistan
| | - Niyaz Ahmad
- Department of Pharmaceutics, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ijlal S Ateeq
- Biomedical Engineering Department, College of Engineering, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Abbas S Hakeem
- Interdisciplinary Research Center for Hydrogen & Energy Storage (IRC-HES), King Fahd University of Petroleum and Minerals, Dhahran, Saudi Arabia
| |
Collapse
|
20
|
Effect of Glass Fiber Post Surface Treatment on Bond Strength of a Self-Adhesive Resin Cement: An "In Vitro" Study. Int J Dent 2021; 2021:8856657. [PMID: 34475956 PMCID: PMC8407984 DOI: 10.1155/2021/8856657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 08/11/2021] [Indexed: 11/18/2022] Open
Abstract
Objective This study evaluated the influence of different mechanical and chemical surface treatments alone and combined with silane on the bond strength (BS) of glass fiber posts (GFPs) using self-adhesive resin cement. Methods Eighty-four single-rooted bovine teeth (six groups, n = 14) were submitted to BS analysis after GFP cementation. The treatments applied in the studied groups were no surface treatment (control), silane (S), 24% hydrogen peroxide (PER), 24% hydrogen peroxide and silane (PER + SIL), blasting with 50 μm aluminum oxide particles (BLAST), and blasting with 50 μm aluminum oxide particles and silane (BLAST + SIL). Results BS differed significantly among groups (p < 0.001). It was higher in the SIL (10.5 ± 3.5 MPa), BLAST + SIL (11.5 ± 3.2 MPa), and PER + SIL (11.6 ± 4.6 MPa) groups than in the control (6.5 ± 2.9 MPa), BLAST (8.6 ± 4.0 MPa), and PER (7.1 ± 2.8 MPa) groups, with no significant difference among groups receiving silanization. Cement post adhesive failure was more common in the SIL, BLAST, and PER + SIL groups, and cement-dentin adhesive failure was more common in the control, BLAST + SIL, and PER groups. Conclusion These results show that silane application alone increases BS.
Collapse
|
21
|
Imai D, Mine A, Ezaki R, Nakatani H, Matsumoto M, Hagino R, Yumitate M, Yamanaka A, Ban S, Miura J, Van Meerbeek B, Higashi M, Yatani H. Does the bonding effectiveness of a fiber post/resin composite benefit from mechanical or chemical treatment? Seven methods for saliva-contaminated surfaces. J Prosthodont Res 2021; 66:288-295. [PMID: 34349083 DOI: 10.2186/jpr.jpr_d_21_00015] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study examined four cleaning methods and three chemical treatments for artificial saliva-contaminated fiber posts in terms of bonding durability to resin composite core materials. METHODS Non-contaminated fiber posts (Tokuyama FR Post, Tokuyama Dental) and those contaminated (GC Fiber Post, GC) with artificial saliva (Saliveht Aerosol, Teijin Pharma) were used. Washing and drying (WD), alcohol cleaning (AlC), H3PO4 etching (P/WD), alumina blasting (B/D) for decontamination and silanization (Clearfil Ceramic Primer Plus, Kuraray Noritake Dental, Si), resin priming (HC Primer, Shofu, MMA), and bonding resin application (Clearfil Universal Bond Quick, Kuraray Noritake Dental, BR) for chemical treatment were performed. The treated fiber post was planted inside a cylindrical tube and filled with resin composite (DC Core Automix ONE, Kuraray Noritake Dental). The specimen was sectioned, and a push-out test was performed after 24 h, 1 month, and 3 months. The fracture surface was observed using a scanning electron microscope (SEM). RESULTS Adhesion between the non-contaminated fiber post and resin composite did not improve by silanization and decreased by alumina blasting. SEM observations revealed a fractured glass fiber by alumina blasting. Saliva contamination decreased the bond strength between the fiber post and resin composite; however, recovery was achieved by WD, Alc, P/WD, and B/D. Compared to Si, BR (P = 0.009) was effective in restraining the long-term durability of bonding, whereas MMA (P = 0.99) was not. CONCLUSIONS The application of bonding resin after alcohol cleaning is the most convenient and effective clinical procedure for fiber post surface treatment.
Collapse
Affiliation(s)
- Dai Imai
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Atsushi Mine
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Ryoma Ezaki
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Hayaki Nakatani
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Mariko Matsumoto
- Department of Restorative Dentistry, Hokkaido University Graduate School of Dental Medicine, Hokkaido.,BIOMAT & University Hospitals Leuven, Department of Oral Health Sciences, KU Leuven (University of Leuven), Leuven
| | - Ryosuke Hagino
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Masahiro Yumitate
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Azusa Yamanaka
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Shintaro Ban
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Jiro Miura
- Division for Interdisciplinary Dentistry, Osaka University Dental Hospital, Osaka
| | - Bart Van Meerbeek
- BIOMAT & University Hospitals Leuven, Department of Oral Health Sciences, KU Leuven (University of Leuven), Leuven
| | - Mami Higashi
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Hirofumi Yatani
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| |
Collapse
|
22
|
AlHelal A, AlShehri K, AlOmairy A, AlQahtani I, Tulbah HI, Al-Qahtani A, Naseem M, Vohra F, Abduljabbar T. Comparison of adhesive bond strength among fiber reinforced post and core with different cementation techniques: In vitro study. J Appl Biomater Funct Mater 2021; 19:22808000211058867. [PMID: 34816747 DOI: 10.1177/22808000211058867] [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: 11/16/2022] Open
Abstract
AIM To investigate push-out bond strength (PBS) of fiber post to radicular dentin after using different cementation techniques. MATERIAL AND METHODS Sixty single-rooted premolars were disinfected and cleaned by mechanical instrumentation. S1, S2, and SX were used for canal shaping and finishing of the canal was carried out using F1 and F2. This was followed by constant irrigation and smear layer removal using 17%EDTA. The canal was dried filled with gutta-percha and canal space was prepared using a peso reamer. Based on cementation techniques, samples were randomly allocated into six groups. Group 1: One-step Monoblock MC; Group 2: One-step, Monoblock MC-NA (no adhesive) GFP; Group 3: One-step, RX-MC-Monoblock; Group 4: Two-step, RX-MC; Group 5: Two-step, RX-FZ; and Group 6: Two-step RX-FZ-custom post. All specimens were mounted in polyvinyl pipes using acrylic resin up to cement enamel junction. All specimens were mounted in a universal testing machine subjected to push-out forces at a speed of 0.5 mm/min. Five samples from each group were sputter-coated with 6 nm gold thickness for 300 s at 250 mA. The coated specimens were assessed under the scanning electron microscope (SEM). Analysis of variance (ANOVA) and Tukey Kramer multiple comparisons tests were performed to compare means among groups maintaining the level of significance at (p < 0.001). RESULTS The highest PBS was displayed in RX-MC-Monoblock (199.020 ± 21.432 MPa). Whereas, lowest PBS was found in Monoblock MC-NA (no adhesive)-GFP (76.440 ± 9.468 MPa). Among one-step groups, RX-MC Monoblock exhibited the highest PBS (199.020 ± 21.432 MPa) comparable to one-step Monoblock MC (134.28 ± 19.37 MPa) (p > 0.05). Similarly, among two-steps groups, two-step RX-MC demonstrated significantly higher PBS values than two-step RX-FZ (143.340 ± 23.68 MPa) and RX-FZ-custom post (86.90 ± 7.41 MPa) (p < 0.05). CONCLUSION One-step RX-MC-Monoblock technique using self-adhesive cement and core foundation composite resin material multicore flow when cured simultaneously exhibited the highest bond integrity of post retention compared to other cementation technique.
Collapse
Affiliation(s)
- Abdulaziz AlHelal
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Khalid AlShehri
- General Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Abdullah AlOmairy
- General Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Ibrahim AlQahtani
- General Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Huda I Tulbah
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Amal Al-Qahtani
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Mustafa Naseem
- Department of Community and Preventive Dental Sciences, College of Dentistry, Dow International Dental College, Karachi, Pakistan
| | - Fahim Vohra
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Tariq Abduljabbar
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| |
Collapse
|
23
|
Irie M, Maruo Y, Nishigawa G, Yoshihara K, Matsumoto T. Flexural Strength of Resin Core Build-Up Materials: Correlation to Root Dentin Shear Bond Strength and Pull-Out Force. Polymers (Basel) 2020; 12:polym12122947. [PMID: 33317215 PMCID: PMC7763007 DOI: 10.3390/polym12122947] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 12/02/2020] [Accepted: 12/08/2020] [Indexed: 11/16/2022] Open
Abstract
The aims of this study were to investigate the effects of root dentin shear bond strength and pull-out force of resin core build-up materials on flexural strength immediately after setting, after one-day water storage, and after 20,000 thermocycles. Eight core build-up and three luting materials were investigated, using 10 specimens (n = 10) per subgroup. At three time periods-immediately after setting, after one-day water storage, and after 20,000 thermocycles, shear bond strengths to root dentin and pull-out forces were measured. Flexural strengths were measured using a 3-point bending test. For all core build-up and luting materials, the mean data of flexural strength, shear bond strength and pull-out force were the lowest immediately after setting. After one-day storage, almost all the materials yielded their highest results. A weak, but statistically significant, correlation was found between flexural strength and shear bond strength (r = 0.508, p = 0.0026, n = 33). As the pull-out force increased, the flexural strength of core build-up materials also increased (r = 0.398, p = 0.0218, n = 33). Multiple linear regression analyses were conducted using these three independent factors of flexural strength, pull-out force and root dentin shear bond strength, which showed this relationship: Flexural strength = 3.264 × Shear bond strength + 1.533 × Pull out force + 10.870, p = 0.002). For all the 11 core build-up and luting materials investigated immediately after setting, after one-day storage and after 20,000 thermocycles, their shear bond strengths to root dentin and pull-out forces were correlated to the flexural strength in core build-up materials. It was concluded that the flexural strength results of the core build-up material be used in research and quality control for the predictor of the shear bond strength to the root dentin and the retentive force of the post.
Collapse
Affiliation(s)
- Masao Irie
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8525, Japan;
- Correspondence: ; Tel.: +81-86-235-6668
| | - Yukinori Maruo
- Department of Occlusion and Removable Prosthodontics, Okayama University, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan; (Y.M.); (G.N.)
| | - Goro Nishigawa
- Department of Occlusion and Removable Prosthodontics, Okayama University, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan; (Y.M.); (G.N.)
| | - Kumiko Yoshihara
- National Institute of Advanced Industrial Science and Technology (AIST), Health and Medical Research Institute2217-14 Hayashi-cho, Takamatsu, Kagawa 761-0395, Japan;
| | - Takuya Matsumoto
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1, Shikata-cho, Kita-ku, Okayama 700-8525, Japan;
| |
Collapse
|