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Matos LMRD, Silva ML, Cordeiro TO, Cardoso SDAM, Campos DES, de Muniz IAF, Barros SADL, Seraidarian PI. Clinical and laboratorial performance of rehabilitation of endodontically treated teeth: A systematic review. J ESTHET RESTOR DENT 2024. [PMID: 38563466 DOI: 10.1111/jerd.13225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 02/28/2024] [Accepted: 03/11/2024] [Indexed: 04/04/2024]
Abstract
OBJECTIVE This systematic review aimed to analyze the clinical (survival rate, failure risk, or fracture) and laboratory performance (fracture mode or failure) of rehabilitations of endodontically treated teeth, with and without posts. MATERIALS AND METHODS A systematic search was conducted in the Pubmed, Scopus, Web of Science, Embase, Cochrane Library, and OpenGrey databases up to March 2023, according to PRISMA guidelines. In vitro and clinical studies that compared the clinical and laboratory performance of endodontically treated teeth with and without intraradicular posts were included. Studies selection, data extraction, and risk of bias analysis were performed. RESULTS Thirty-one in vitro and 7 clinical studies were included. For in vitro studies, fiberglass post (n = 24) was the most mentioned. The follow-up time of the clinical studies ranged from 1 to 17 years, with the fiber-reinforced composite post (n = 3) being the most evaluated, and only failure risk proved to be more favorable for using intraradicular posts. CONCLUSION Rehabilitations of endodontically treated teeth with and without intraradicular retainers showed no difference in fracture resistance and failure mode, evaluated by in vitro studies. Clinical studies showed no difference in survival rate, but failure risk proved to be more favorable for the use of posts. CLINICAL SIGNIFICANCE This analysis revealed significant variability between results, however, most laboratory and clinical studies revealed no difference with using the post. Furthermore, it is important to emphasize the need to evaluate the coronary remnant and the general characteristics of the tooth in each situation.
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Affiliation(s)
| | - Marcelo Lopes Silva
- Departamento de Odontologia, Centro Universitário Santo Agostinho, Teresina, Brazil
- Departamento de Odontologia, Universidade Federal do Maranhão, São Luís, Brazil
| | - Thais Oliveira Cordeiro
- Departamento de Odontologia, Centro Universitário Santo Agostinho, Teresina, Brazil
- Departamento de Odontologia, Universidade Federal do Rio Grande do Norte, Natal, Brazil
| | | | - Débora E Silva Campos
- Departamento de Odontologia Restauradora, Universidade Federal da Paraíba, João Pessoa, Brazil
| | | | - Suelen Aline de Lima Barros
- Departamento de Odontologia, Centro Universitário Santo Agostinho, Teresina, Brazil
- Departamento de Prótese e Materiais dentärios, UNESP/FOAr, Araraquara, Brazil
| | - Paulo Isaias Seraidarian
- Departamento de Odontologia, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Brazil
- Departamento de Odontologia Preventiva e Restauradora, Universidade Estadual Paulista Júlio de Mesquita Filho, Aracatuba, Brazil
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Bafail A, Algarni AA, Abuljadayel JA, Hawsawi RA, Alsulaimani M, Sharbib S, Baik A, Hamadallah HH, Mirah MA. Evaluation of Students' Proficiency in Removing Gutta-Percha Prior to Fiber Post Placement: A Retrospective Study. Cureus 2024; 16:e57203. [PMID: 38681449 PMCID: PMC11056200 DOI: 10.7759/cureus.57203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/28/2024] [Indexed: 05/01/2024] Open
Abstract
INTRODUCTION This retrospective study focuses on dental students' proficiency in removing gutta-percha during fiber post space preparation, which is important for maintaining apical seal integrity in endodontically treated teeth. Emphasizing the significance of preventing further reinfection. The primary objective of this study was to assess the proficiency of undergraduate dental students in the manipulation of gutta-percha during fiber post preparation, specifically focusing on the psychomotor skills involved. In addition, the study aims to determine the predictive value of these skills on the ultimate clinical outcomes of the procedure, with particular emphasis on variations attributable to tooth type. MATERIALS AND METHODS The analysis encompassed 290 periapical radiographs obtained from endodontically treated teeth, all of which had undergone fiber post placement by undergraduate students at the College of Dentistry, Taibah University, Saudi Arabia. Postoperatively, the length of the remaining gutta-percha was measured by two experts in the field, and subsequent outcomes were classified into three categories: optimal, suboptimal, and inadequate, based on the extent of gutta-percha remaining. RESULTS Students showed optimal removal rates ranging from 33.3% to 73.1%. Among the studied sample, upper anterior teeth were the highest included teeth (n=117, 40%). Remarkably, lower anterior teeth were more prone to suboptimal and inadequate gutta-percha remaining lengths (n=24, 33%). However, the chi-square test revealed no statistically significant difference in students' psychomotor skills while removing the gutta-percha and preparing the teeth to receive fiber posts across tooth types (p-value > 0.05). CONCLUSION With the limitations of this study, more than half of the included cases show that undergraduate students of the College of Dentistry at Taibah University, Saudi Arabia, possess an optimum level of psychomotor skills in removing gutta-percha while preparing the teeth for receiving fiber posts. This study suggests enhancing the preclinical training of students by considering more training on different tooth types in relation to dental arches.
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Affiliation(s)
- Arwa Bafail
- Restorative Dental Sciences Department, College of Dentistry, Taibah University, Madinah, SAU
| | - Amnah A Algarni
- Restorative Dental Sciences Department, College of Dentistry, Taibah University, Madinah, SAU
| | - Jameel A Abuljadayel
- Preventive Dentistry Department, College of Dental Medicine, Umm Al-Qura University, Makkah, SAU
| | - Rayan A Hawsawi
- Restorative Department, College of Dental Medicine, Umm Al-Qura University, Makkah, SAU
| | - Mahmoud Alsulaimani
- Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Madinah, SAU
| | - Shadan Sharbib
- Dental School, College of Dentistry, Taibah University, Madinah, SAU
| | - Abdulmajeed Baik
- Dental School, College of Dentistry, Taibah University, Madinah, SAU
| | | | - Mahir A Mirah
- Restorative Dental Sciences Department, College of Dentistry, Taibah University, Madinah, SAU
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Kaur J, Kaur A, Kaur R, Bhagat A, Phull T, Singh J. Esthetic Rehabilitation of Severely Mutilated Anterior Primary Teeth Using Fiber Post - Case Reports. J Pharm Bioallied Sci 2024; 16:S996-S998. [PMID: 38595479 PMCID: PMC11001118 DOI: 10.4103/jpbs.jpbs_982_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 10/04/2023] [Accepted: 10/06/2023] [Indexed: 04/11/2024] Open
Abstract
Premature loss of primary teeth due to early childhood caries could be treated with different options. Presented cases discuss the clinical sequence of rehabilitation of maxillary anterior primary teeth. Endodontic treatment was followed by composite resin restoration reinforced with fiberglass post. Two case reports present a treatment option for severely mutilated primary maxillary incisors due to early childhood caries.
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Affiliation(s)
- Jaspreet Kaur
- Department of Pediatric Dentistry, Government Dental College, Patiala, Punjab, India
| | - Avreet Kaur
- Department of Orthodontics and Dentofacial Orthopaedics, Luxmi Bai Institute of Dental Science and Hospital, Patiala, Punjab, India
| | - Rupinder Kaur
- Department of Oral and Maxillofacial Pathology, Sri Sukhmani Dental College, Derabassi, Mohali, Punjab, India
| | - Anjali Bhagat
- Consultant Pediatric Dentist, Ex Resident AIIMS, Kalyani, Punjab, India
| | - Tanvi Phull
- Department of Oral and Maxillofacial Surgery, Gian Sagar Dental College, Rajpura, Patiala, Punjab, India
| | - Jaisica Singh
- Department of Pedodontics, Government Dental College and Hospital, Patiala, Punjab, India
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Chen CH, Lee KH, Wei CC, Lin PY, Liao WC, Chi CW, Fok ASL, Chiang YC. [Effect of a 10-Methacryloyloxydecyl Dihydrogen Phosphate- treated Bioceramic Sealer on the Bond Strength of an Endodontic Fiber Post: Multilayer Composite Disk Models and Ultra-highspeed Imaging Analysis]. J Adhes Dent 2024; 26:65-78. [PMID: 38379400 DOI: 10.3290/j.jad.b4997329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
PURPOSE Multiple materials are found in the root canal after fiber-post cementation. The layer of a bioceramic-based (BC) sealer may affect the bond strength (σBS) of the fiber post in the root canal. The purpose of this study was to employ multilayer compos-ite-disk models in diametral compression to investigate whether the bond strength between a fiber post and root dentin can be in-creased by the application of a primer on the BC sealer. MATERIALS AND METHODS The multilayers of materials in the root canal required 3D finite-element (FE) stress analyses (FEA) to pro-vide precise σBS values. First, BC sealer was characterized using x-ray powder diffraction (XRD) to determine when the sealer com-pletely set and the types of crystals formed to select which primer to apply to the sealer. We selected a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP)-based primer to treat the BC sealer before post cementation. Ultra-highspeed (UHS) imaging was utilized to analyze the crack initiation interface. The obtained failure force was used in FE analysis to calculate σBS. RESULTS UHS imaging validated the fracture interface at the post-dentin junction as FEA simulations predicted. σBS values of the fiber posts placed with various material combinations in the root canal were 21.1 ± 3.4 (only cement/ post), 22.2 ± 3.4 (BC sealer/cement/post) and 28.6 ± 4.3 MPa (10-MDP primer treated BC sealer/cement/post). The 10-MDP-treated BC sealer exhibited the highest σBS (p < 0.05). CONCLUSION The multilayer composite disk model proved reliable with diametral compression testing. The presence of BC sealer in the root canal does not reduce σBS of the fiber post. Conditioning the BC sealer layer with 10-MDP primer before fiber-post cemen-tation increases σBS.
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Barros APO, de Melo Alencar C, Zambon M, de Andrade MF, Fernández E, Kuga MC. Etch-and-rinse versus self-etch strategy of a universal adhesive in different application methods at the bonding interface of fiber post cementation. J ESTHET RESTOR DENT 2023; 35:1249-1256. [PMID: 37218614 DOI: 10.1111/jerd.13068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 05/10/2023] [Accepted: 05/11/2023] [Indexed: 05/24/2023]
Abstract
OBJECTIVE To evaluate the effect of etch-and-rinse (ER) versus self-etch (SE) strategies of a universal adhesive applied with a manual brush (MB) or rotary brush (RB) on the bonding interface of fiber post cementation. METHODS Forty bovine incisor roots were prepared and divided into four groups according to the methods of application and strategy of universal adhesive use (MB-ER, RB-ER, MB-SE and RB-SE). After 6 months, specimens from different thirds of the post space were evaluated of push-out strength, analysis of adhesive failure patterns, and extent of tags. RESULTS The RB-ER and RB-SE groups showed the highest bond strength values in the cervical and middle thirds of the post space. Cohesive adhesive failure had the highest incidence in the different thirds of the post space in the ER strategy, regardless of the adhesive application method. The RB-ER group showed the highest tag extensions. CONCLUSIONS The protocols of universal adhesive application with RB provided the greater bond strength, but only the ER strategy favored the formation of a greater extension of tags at the adhesive interface. CLINICAL SIGNIFICANCE The application of universal adhesive with RB into the post space increases the strength of the post-cemented fiber bond.
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Affiliation(s)
| | - Cristiane de Melo Alencar
- Department of Restorative Dentistry, School of Dentistry, University Center of the State of Pará, Belém, Brazil
| | - Matheus Zambon
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Marcelo Ferrarezi de Andrade
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Eduardo Fernández
- Instituto de Ciencias Biomédicas, Universidad Autonoma de Chile, Santiago, Chile
| | - Milton Carlos Kuga
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP), Araraquara, Brazil
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Moreira PHDA, Garcia PP, Correia MDN, Chaves NDRB, Pulido C, Ferreira MWC, Reis A, Siqueira FSFD, Loguercio AD, Millan Cardenas AF. Long-term Evaluation of Dentin Bonding Properties of the Photoinitiator System Contained in Universal Adhesives Used in Fiber-Post Luting Procedures. J Adhes Dent 2023; 25:257-266. [PMID: 38116811 DOI: 10.3290/j.jad.b4786551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Abstract
PURPOSE This study evaluated the long-term push-out bond strength (PBS) and nanoleakage (NL) of universal adhesives with different photo-initiator systems in the root canals of teeth in which fiber posts were luted. MATERIALS AND METHODS One-hundred twenty endodontically treated human premolars were randomly divided into 12 groups based on the following factors: adhesives (Scotchbond Universal [SBU], Ambar Universal [AMB], and Ambar Universal APS [AMB-APS]); adhesive strategy (etch-and-rinse and self-etch), and time of testing (immediately vs after 2 years). The posts were cemented, sectioned into slices, tested for PBS at 0.5 mm/min, and examined for NL using scanning electron microscopy immediately thereafter or after 2 years of water storage. Data were evaluated using a four-way ANOVA (root thirds vs time vs universal adhesive vs adhesive strategies) and Tukey's test (α = 5%). RESULTS For both evaluation times, AMB-APS demonstrated no significant difference in the PBS or NL when different radicular thirds were compared (p > 0.05). However, for SBU and AMB, the cervical third demonstrated higher PBS and lower NL than those of the apical third at both time points (p < 0.0001). AMB-APS exhibited higher PBS and lower NL in the apical third in comparison with SBU and AMB (p < 0.0001). SBU and AMB displayed a significant decrease in the PBS and increased NL after 2 years (p < 0.0001), whereas AMB-APS demonstrated no significant signs of degradation even after 2 years of water storage (p > 0.05). CONCLUSION Independent of the root third evaluated, the universal adhesive containing APS photo-initiator system demonstrated bonding stability at the adhesive interface between the root canal and fiber posts, even after 2 years of water storage.
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Alqarni H, Khan S, Alzaid AA, Alfaifi M, Alsayed H, Alshahrani N, Alassaf M, Alamro M, Alameer A. Effect of silicone-based sealers on fiber post retention: An in vitro study. J Prosthodont 2023. [PMID: 37966127 DOI: 10.1111/jopr.13799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 10/30/2023] [Accepted: 11/09/2023] [Indexed: 11/16/2023] Open
Abstract
PURPOSE The effect of a silicone-based sealer on fiber post retention has not been the subject of research and remains unclear. This study aimed to evaluate and compare the impact of a silicone-based sealer and an epoxy resin sealer on fiber post retention. MATERIAL AND METHODS Forty extracted human mandibular premolars that were caries-free, single-rooted, and possessed straight single canals were the specimens of the present study. Teeth were randomly divided into two groups (n = 20 each). All specimens were prepared using gutta-percha. The sealer used in the first group was Guttaflow 2, while AH26 was used in the second group. Post spaces were prepared immediately after obturation for each specimen. Prefabricated fiber posts were luted in both groups using a self-adhesive resin cement (RelyX-U200). Each specimen was vertically secured using a universal testing machine (Instron Corp.) and a constant pull-out force at a loading rate of 0.5 mm/min was applied until the point of dislodgement. Data were analyzed using t-tests. RESULTS A significant difference was found between the mean of maximum loads of the silicone-based sealer and epoxy resin sealer groups (p = 0.0001). The mean maximum load for the epoxy resin sealer group was 194.62 N, while that for the silicone-based sealer group was 111.64 N. CONCLUSION Fiber post retention in teeth obturated using silicone-based sealer was inferior to that in teeth obturated with epoxy resin sealer. Therefore, the sealer used during obturation can significantly affect fiber post retention.
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Affiliation(s)
- Hatem Alqarni
- Restorative and Prosthetic Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Sulthan Khan
- Restorative and Prosthetic Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Abdulaziz A Alzaid
- Restorative and Prosthetic Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Mohammed Alfaifi
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Hussain Alsayed
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Nasser Alshahrani
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Mohammed Alassaf
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Mohammed Alamro
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Abdulelah Alameer
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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Camilo NG, Gonçalves ADR, Flauzino LP, Bernardes CMR, Aranha AMF, Lazari-Carvalho PC, de Carvalho MA, de Oliveira HF. Influence of Chitosan 0.2% in Various Final Cleaning Methods on the Bond Strength of Fiberglass Post to Intrarradicular Dentin. Polymers (Basel) 2023; 15:4409. [PMID: 38006133 PMCID: PMC10675818 DOI: 10.3390/polym15224409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 11/06/2023] [Accepted: 11/07/2023] [Indexed: 11/26/2023] Open
Abstract
The purpose of this study was to analyze the influence of Chitosan 0.2% in various final cleaning methods on the bond strength of fiberglass post (FP) to intrarradicular dentin. Ninety bovine incisors were sectioned to obtain root remnants measuring 18 mm in length. The roots were divided: G1: EDTA 17%; G2: EDTA 17% + PUI; G3: EDTA 17% + EA; G4: EDTA 17% + XPF; G5: Chitosan 2%; G6: Chitosan 2% + PUI; G7: Chitosan 2% + EA; G8: Chitosan 2% +XPF. After carrying out the cleaning methods, the posts were installed, and the root was cleaved to generate two disks from each root third. Bond strength values (MPa) obtained from the micro push-out test data were assessed by using Kruskal-Wallis and Dwass-Steel-Critchlow-Fligner tests for multiple comparisons (α = 5%). Differences were observed in the cervical third between G1 and G8 (p = 0.038), G4 and G8 (p = 0.003), G6 and G8 (p = 0.049), and Control and G8 (p = 0.019). The final cleaning method influenced the adhesion strength of cemented FP to intrarradicular dentin. Chitosan 0.2% + XPF positively influenced adhesion strength, with the highest values in the cervical third.
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Affiliation(s)
- Naira Geovana Camilo
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, GO, Brazil; (N.G.C.); (A.d.R.G.); (C.M.R.B.)
| | - Alex da Rocha Gonçalves
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, GO, Brazil; (N.G.C.); (A.d.R.G.); (C.M.R.B.)
| | - Larissa Pinzan Flauzino
- Department of Oral Biology, School of Dentistry, University of Cuiabá, Cuiabá 78065-900, MT, Brazil; (L.P.F.); (A.M.F.A.)
| | | | - Andreza Maria Fábio Aranha
- Department of Oral Biology, School of Dentistry, University of Cuiabá, Cuiabá 78065-900, MT, Brazil; (L.P.F.); (A.M.F.A.)
| | - Priscilla Cardoso Lazari-Carvalho
- Department of Restorative Sciences, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, GO, Brazil; (P.C.L.-C.); (M.A.d.C.)
| | - Marco Aurélio de Carvalho
- Department of Restorative Sciences, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, GO, Brazil; (P.C.L.-C.); (M.A.d.C.)
| | - Helder Fernandes de Oliveira
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, GO, Brazil; (N.G.C.); (A.d.R.G.); (C.M.R.B.)
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Patil M, Hegde V, Khan M, Kharbe N, Ghunawat D. Holistic management of complicated crown fracture: A case series. J Conserv Dent Endod 2023; 26:719-723. [PMID: 38292735 PMCID: PMC10823977 DOI: 10.4103/jcde.jcde_2_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 06/24/2023] [Accepted: 09/23/2023] [Indexed: 02/01/2024]
Abstract
Coronal fractures of the anterior teeth give an agonizing experience for a young individual due to the physical disfigurement, and the psychological impact that is imposed on them. One of the options for managing complicated/uncomplicated crown fractures when the tooth fragment is available, and there is no or minimal violation of the biological width is the rebonding of the fractured segment. This treatment approach is promising, providing good and long-lasting esthetics as it helps in maintaining the tooth's original anatomic form, hue, and surface texture. This article describes three case reports of successful reattachment of fractured tooth fragments. Following the root canal treatment procedures, prefabricated posts were cemented as intraradicular splint to reattach the fractured segments.
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Affiliation(s)
- Madhuri Patil
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Vivek Hegde
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Mehrosh Khan
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Nain Kharbe
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Dhananjay Ghunawat
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
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Marinescu AG, Abuabboud O, Zimbru ȘD, Cîrligeriu LE, Piț BA, Borcean IA, Paven M, Nica LM, Stoia DI. Influence of the Fiber Post Length on the Fracture Strength of Endodontically Treated Teeth. Medicina (Kaunas) 2023; 59:1797. [PMID: 37893515 PMCID: PMC10608114 DOI: 10.3390/medicina59101797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 10/08/2023] [Accepted: 10/08/2023] [Indexed: 10/29/2023]
Abstract
Background and Objectives: Although fiber posts are widely used in the restoration of endodontically treated teeth (ETT), their ideal cementation depth into the root canal is still debated in literature. The aim of the present study was to evaluate whether the different intra-radicular insertion lengths of the fiber posts influence the fracture strength of ETT. Materials and Methods: A total of 10 permanent human lower incisors with straight roots of similar length and volume extracted for periodontal reason were sectioned 2 mm above the cement-enamel junction (CEJ) to a total length of 18 mm and endodontically treated in the same manner, then randomly divided into two groups of five each (Groups 1 and 2, n = 5). Two sound incisors, with no endodontic treatment, were used as the control group (Group 3, n = 2). After one week of storage in a humid environment, spaces for fiber post no. 1 (Reforpost, Angelus, Londrina, PR, Brazil) were prepared in the first two groups at a depth of 5 mm (Group 1) and 7 mm (Group 2), and the fiber posts were adhesively cemented using self-adhesive resin cement (Maxcem Elite, Kerr GmbH, Herzogenrath, Germany). After 7 days, the samples were vertically positioned and fixed in a self-curing transparent acrylic resin, up to 2 mm below the CEJ level, and mechanically tested in compression after another week of storage using a displacement-controlled testing machine up to each sample's fracture. The force-displacement curves were recorded for each sample, the means were calculated for each group and a statistical comparative analysis between groups was conducted. Results: Although no statistically significant differences between groups were observed, the highest mean fracture force (N) was recorded in Group 2 (1099.41 ± 481.89) in comparison to Group 1 (985.09 ± 330.28), even when compared to the sound, non-treated teeth (1045.69 ± 146.19). Conclusions: Within the limitations of this in vitro study, teeth where fiber posts were placed deeper into the root canal (7 mm) recorded slightly higher fracture forces in comparison with shorter lengths (5 mm). However, similar biomechanical performances obtained in the mechanical tests showed no statistical differences between the 7 mm and the 5 mm inserted posts.
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Affiliation(s)
- Adrian-George Marinescu
- Department of Restorative Dentistry and Endodontics, Research Center TADERP, Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (A.-G.M.); (L.-E.C.); (M.P.)
| | - Osama Abuabboud
- Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (O.A.); (Ș.-D.Z.); (B.-A.P.); (I.-A.B.)
| | - Ștefana-Denisa Zimbru
- Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (O.A.); (Ș.-D.Z.); (B.-A.P.); (I.-A.B.)
| | - Laura-Elena Cîrligeriu
- Department of Restorative Dentistry and Endodontics, Research Center TADERP, Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (A.-G.M.); (L.-E.C.); (M.P.)
| | - Bianca-Adina Piț
- Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (O.A.); (Ș.-D.Z.); (B.-A.P.); (I.-A.B.)
| | - Ioana-Amalia Borcean
- Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (O.A.); (Ș.-D.Z.); (B.-A.P.); (I.-A.B.)
| | - Mihai Paven
- Department of Restorative Dentistry and Endodontics, Research Center TADERP, Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (A.-G.M.); (L.-E.C.); (M.P.)
| | - Luminița-Maria Nica
- Department of Restorative Dentistry and Endodontics, Research Center TADERP, Faculty of Dentistry, “Victor Babeș” U.M.Ph.–Timisoara, 300041 Timisoara, Romania; (A.-G.M.); (L.-E.C.); (M.P.)
| | - Dan Ioan Stoia
- Department of Mechanics and Strength of Materials, Polytechnica University Timisoara, 300006 Timișoara, Romania;
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Ma D, Qian J. Three-dimensional finite element stress analysis of surface-mounted inlays in repairing pulp-penetrating non-carious cervical lesion of maxillary first premolar. Hua Xi Kou Qiang Yi Xue Za Zhi 2023; 41:541-553. [PMID: 37805678 PMCID: PMC10580224 DOI: 10.7518/hxkq.2023.2023123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 07/10/2023] [Indexed: 10/09/2023]
Abstract
OBJECTIVES This study aimed to explore the stress distribution of surface-mounted inlays with two ceramic materials and different strategies for fiber post-restoration on pulp-penetrating non-carious cervical lesion in a maxillary first premolar to provide minimally invasive and reasonable restorative methods. METHODS The cone beam computed tomography data of the standard right upper first premolar were selected. Healthy control (HC) and defective control (DC) finite element models were established. Then, eight experimental models were established according to two different ceramic materials (IPS e.max CAD [LD] and Lava Ultimate [LU]) and different locations of fiber post (without fiber post [NP], fiber post in buccal root canal [B], fiber post in palatal root canal [P], fiber post in both root canals [BP]), namely, LDNP, LDB, LDP, LDBP, LUNP, LUB, LUP, and LUBP. Axial load F1 and lateral load F2 were applied. Maximum principal stress and displacement of the buccal tip were investigated using finite element analysis software. Then, the percentage change of the following indicators in each experimental group was analyzed: stress of defective tip with group DC, stress of enamel and dentine, and displacement of buccal tips with group HC. It was considered similar when the percentage change was less than 5%. RESULTS LD and LU groups could effectively reduce the stress of the defective tip, but the decreasing amplitude in the former was greater than that of the latter. For the stress of surface-mounted inlays and resin adhesive layer, LD groups were higher than LU groups, and no significant difference in stress peak was found among different experimental groups in the same material. In addition, fiber posts in double root canals could significantly reduce buccal tip displacement. CONCLUSIONS For pulp-penetrating non-carious cervical lesions, the restorative strategy of surface-mounted inlays could be applied. Compared with Lava Ultimate, IPS e.max CAD could better protect the defective tip tooth. Furthermore, fiber posts in double root canals could decrease overall deformation and increase the retention of surface-mounted inlays.
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Affiliation(s)
- Dian Ma
- Dept. of Prosthodontics, Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650100, China
| | - Jie Qian
- Dept. of Prosthodontics, Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650100, China
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Hazar A, Akgül S, Hazar E. Effect of chlorhexidine and benzalkonium chloride on the long-term push-out bond strength of fiber posts. Niger J Clin Pract 2023; 26:1242-1248. [PMID: 37794535 DOI: 10.4103/njcp.njcp_434_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
Background and Aim Fiber posts are widely used in endodontically treated teeth with extensive loss of coronal structure. The purpose of this study was to investigate immediate and the long-term effects of chlorhexidine (CHX) and benzalkonium chloride (BAC) application, on the push-out bond strength of fiber posts. Material and Methods Sixty mandibular premolars were decoronated, and root canal treatment was performed. After post space preparation, the specimens were divided into three groups according to the post space-surface pretreatment (n = 20); no surface treatment (control group-Group 1), 2% CHX application (Group 2), and 1% BAC application (Group 3). A self-curing adhesive cement and an etch and rinse adhesive were used for the cementation of posts. Three sections (one cervical, one middle, and one apical) of 1 mm thickness were prepared from each specimen. A push-out test was performed immediately on the half of the specimen sections (n = 10). The other half of the specimen sections were subjected to 20.000 thermal cycles before applying the push-out test (n = 10). The failure mode of each specimen was observed under a stereomicroscope at ×40 magnification. Results The data were analyzed by one-way analysis of variance (ANOVA), Tukey Honestly significant difference (HSD), and Tamhane tests (P = 0.05). The cervical thirds displayed the highest, and the apical thirds showed the lowest values in all groups (P < 0.05), except the control-aged group (P = 0.554). The aged control groups' values were found to be significantly lower than the aged CHX and BAC groups (P < 0.001). Aging significantly reduced the bond strength values of specimens in control groups (P < 0.001). However, aging did not significantly affect the push-out bond strength values of CHX and BAC groups (P > 0.050). The failure types were adhesive between the post and cement (type 1) in all groups, except control-aged group (type 2). Conclusion The application of 2% chlorhexidine or 1% BAC may be an essential step that can be taken to preserve the bond strength of fiber posts.
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Affiliation(s)
- A Hazar
- Faculty of Dentistry, Department of Restorative Dentistry, Zonguldak Bülent Ecevit University, Faculty of Dentistry, Ankara, Turkey
| | - S Akgül
- Department of Restorative Dentistry, Gazi University, Faculty of Dentistry, Ankara, Turkey
| | - E Hazar
- Department of Endodontics, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
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Manouchehri N, Ghodsi S, Atri F, Sarraf P, Seyedi D, Valizadeh S. Effect of pretreatment of root dentin surface with cold atmospheric plasma on improving the bond strength of fiber post and resin cement: In vitro study. Clin Exp Dent Res 2023; 9:653-660. [PMID: 37291759 PMCID: PMC10441600 DOI: 10.1002/cre2.744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 04/04/2023] [Accepted: 04/14/2023] [Indexed: 06/10/2023] Open
Abstract
INTRODUCTION Achieving stable adhesion between fiber post and interradicular dentin is a challenging process in the restoration of endodontically treated teeth. This study was conducted to investigate the effect of surface pretreatment with cold atmospheric plasma (CAP) on improving the bond strength between them. MATERIALS AND METHODS Forty-eight single-canal mandibular premolars were cut 1 mm above the cementoenamel junction to keep the root length of 14 mm or more. After endodontic treatment and preparation of the post space, the teeth were divided into four groups regarding the pretreatment of dentin surfaces, including normal saline, ethylenediaminetetraacetic acid (EDTA), CAP, and CAP + EDTA groups. The data were analyzed using paired and independent t-test and one-way analysis of variance and the significance level was set at p < .05. RESULTS The bond strength was significantly higher in the coronal third than in the apical third in all the groups. Moreover, the bond strength was significantly higher in the CAP + EDTA-treated group. The bond strength increased significantly in the CAP group compared to the normal saline group. In addition, the bond strength increased significantly in the CAP or EDTA groups compared to the control group. The lowest bond strength belonged to the control group (normal saline). CONCLUSION The surface pretreatment with CAP (alone or in combination with EDTA) played a significant role in improving the bond strength of fiber post and root canal dentin.
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Affiliation(s)
- Neshatafarin Manouchehri
- Department of Periodontics and Oral Medicine, School of DentistryUniversity of MichiganAnn ArborMichiganUSA
| | - Safoura Ghodsi
- Department of Prosthodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | - Faezeh Atri
- Department of Prosthodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | - Pegah Sarraf
- Department of Endodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | - Dorsa Seyedi
- Department of Prosthodontics, School of DentistryTehran University of Medical SciencesTehranIran
| | - Sara Valizadeh
- Department of Restorative Dentistry, School of Dentistry, Dental Research Center, Dentistry Research InstituteTehran University of Medical SciencesTehranIran
- Department of Oral Biological and Medical Sciences, Faculty of DentistryUniversity of British ColumbiaVancouverBritish ColumbiaCanada
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Alencar CDM, Zaniboni JF, Besegato JF, Barros APO, Gélio MB, Belizário LG, Godoy EMF, Kuga MC. Effect of irrigation acid solutions on cleaning and bond strength to post-space dentin. Eur J Oral Sci 2023; 131:e12939. [PMID: 37294053 DOI: 10.1111/eos.12939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 05/25/2023] [Indexed: 06/10/2023]
Abstract
This study evaluated the effects of irrigating solutions containing 5% boric acid + 1% citric acid or 1% peracetic acid + high concentration hydrogen peroxide on root cleaning and bond strength of cementation systems after 24 h and 6 months of glass fiber post cementation. One hundred and twenty roots were endodontically treated. The specimens were randomized into one of four treatments (n = 10): DW (distilled water); NaOCl2.5% + EDTA17% (2.5% sodium hypochlorite solution + 17% EDTA); PA1% + HP (1% peracetic acid solution + high concentration of hydrogen peroxide); BA5% + CA1% (5% boric acid associated with 1% citric acid). The cleaning efficacy in the cervical, middle, and apical thirds of the post-space, and the push-out bond strength at 24 h and 6 months after post cementation were evaluated by Kruskal-Wallis and two-way ANOVA tests, respectively. BA5% + CA1% showed statistically significantly superior cleaning efficacy compared to the other solutions. This irrigation protocol also resulted in higher bond strength at 24 h and 6 months, regardless of the root third considered, and this was statistically significantly higher than those seen for DW and PA1% + HP. For BA5% + CA1% irrigation protocol, type 1 adhesive failure was the most prevalent. Post-space irrigation with BA5% + CA1% provided both higher cleaning efficacy and better bond strength.
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Affiliation(s)
- C de Melo Alencar
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| | - J Ferrari Zaniboni
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| | - J Felipe Besegato
- School of Dentistry, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, Brazil
| | - A Patricia Oliveira Barros
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| | - M Bena Gélio
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| | - L Garcia Belizário
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| | | | - M Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
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Adwani S, Elsubeihi E, Zebari A, Aljanahi M, Moharamzadeh K, Elbishari H. Effect of Different Silane Coupling Agents on the Bond Strength between Hydrogen Peroxide-Etched Epoxy-Based- Fiber-Reinforced Post and Composite Resin Core. Dent J (Basel) 2023; 11:142. [PMID: 37366665 DOI: 10.3390/dj11060142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 05/05/2023] [Accepted: 05/10/2023] [Indexed: 06/28/2023] Open
Abstract
The aim of the study was to evaluate the effect of various silane coupling agents on the micro-push-out bond strength between a hydrogen peroxide-etched epoxy-based fiber-reinforced post and composite resin core. Seventy-five cross-linked epoxy-based fiber-reinforced posts were etched with 24% hydrogen peroxide for 10 min. Then they were divided into five groups according to various silane coupling agents and bonded to a composite core. A Universal Testing Machine was utilized to evaluate the push-out bond strength. In addition, all groups' modes of failure were assessed. The push-out bond strength data in MPa were analyzed using ANOVA and a Tukey HSD post hoc test to reveal any difference between the groups. Results revealed that the application of a two-bottle silane coupling agent exhibited the highest bond strength, while the application of a one-bottle silane coupling agent demonstrated the lowest bond strength for a hydrogen peroxide-etched fiber post bonded to a composite core material, which was statistically significant (p < 0.05). The strongest association with the highest bond strength was found with the two-bottle silane coupling agent when compared to the one-bottle. The study highlighted that the application of a silane-coupling agent may affect the bond strength between composite and epoxy-based fiber-reinforced posts.
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Affiliation(s)
- Sarah Adwani
- College of Dentistry, Ajman University, Ajman P.O.Box 346, United Arab Emirates
| | - Emad Elsubeihi
- College of Dentistry, Ajman University, Ajman P.O.Box 346, United Arab Emirates
| | - Ahmad Zebari
- College of Dentistry, Ajman University, Ajman P.O.Box 346, United Arab Emirates
| | - May Aljanahi
- Dubai Dental Hospital, Dubai P.O. Box 505097, United Arab Emirates
| | - Keyvan Moharamzadeh
- Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai P.O. Box 505055, United Arab Emirates
| | - Haitham Elbishari
- Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai P.O. Box 505055, United Arab Emirates
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Olloni T, Krasniqi TP, Xhajanka E. The influence of Zirconia and Fiber posts with different lengths on Fracture strength of Maxillary Central Incisors restored with zirconia crowns - An in vitro study. Int J Comput Dent 2023; 0:0. [PMID: 36928753 DOI: 10.3290/j.ijcd.b3963385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
PURPOSE Endodontically treated teeth are more susceptible to fractures than vital teeth because of significant coronal and radicular dentin loss during endodontic therapeutic procedures. The objective of this study was to estimate and compare the influence of length and post type on the fracture strength of endodontically treated maxillary central incisors. MATERIAL AND METHODS In this in vitro study, sixty extracted human maxillary central incisors were decoronated 2 mm above the cemento-enamel junction.They were selected and subjected to standard endodontic treatment ,resulting in preparation with lengths of 5 mm (group 5mm),7,5 mm (group 7,5 mm) and 10 mm (group 10mm). Each group was randomly divided into 2 subgroups according to the post type , zirconia and fiber post. After appropriate surface treatment,they were cementet with resin adhesive cement and restored with zirconia crowns. Thermocycling (5 -55°C, 60 seconds, 1500 cycles) was performed after cementing the zirconia crowns on each tooth. Prepared samples were subjected to compresive static load of 0.5mm / min, at an angle of 130° to the long axis of the roots, using Universal Testing Machine (Matest ) at an cross head speed of 0.5 mm / min, until fracture.The significance of the results was assessed using 2-way ANOVA and the Tukey-Kramer test (α=0.05) Results:The ANOVA analysis indicated significant differences (P<0.05) between the groups. Tukey test revealed no significant difference among the zirconia posts of 5-mm length (26.5 N ±13.4) 7,5-mm length (25.2 N ±13.9), and 10-mm length (17.1 N ±5.2). Also, in the fiber post group, there was no significant difference when posts of 7.5-mm length (13.4 N ±11.0) were compared with the 5-mm (6.9 N ±4.6) and 10-mm (31.7 N ±13.1) groups. The 10-mm long post displayed superior fracture strength, and the 5mm-long post showed significantly lower mean values (P<0.001). CONCLUSION The fracture strength of zirconia posts (5-mm and 7,5- mm length)was found to be significantly higher than those of fiber posts (5-mm and 7,5- mm length). The 10-mm long fiberpost group demonstrated significantly higher values of fracture strengths and the 5-mm long fiberpost group showed the lowest values for the force resulting in root fracture; these groups were significantly different from each other (P<.001).The fracture strength analysis with Universal Testing Machine is the only method that enables us to estimate the differences between zirconia and fiber posts with different lengths on endodontically treated teeth.
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Perlea P, Stefanescu C, Al-Aloul OA, Ionita C, Petre AE. Digital Workflow for Producing Hybrid Posts and Cores. Healthcare (Basel) 2023; 11:healthcare11050727. [PMID: 36900732 PMCID: PMC10001014 DOI: 10.3390/healthcare11050727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 02/26/2023] [Accepted: 02/28/2023] [Indexed: 03/06/2023] Open
Abstract
A novel and straightforward digital workflow is described to aid clinicians in producing in-office hybrid posts and cores. The method is based on scanning and using the basic module of a computer-assisted design and computer-assisted manufacturing (CAD-CAM) software program for dental applications. The applicability of the technique in a digital workflow is the simplicity of in-office production of a hybrid post and core that can be delivered to the patient in the same day.
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Affiliation(s)
- Paula Perlea
- Department of Endodontics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Cosmin Stefanescu
- Department of Prosthodontics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
- Correspondence:
| | - Omar-Andrei Al-Aloul
- Department of Endodontics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Cezar Ionita
- Department of Prosthodontics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Alexandru-Eugen Petre
- Department of Prosthodontics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
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Boggian LC, Silva AV, Santos GR, Oliveira GF, Silva WL, Nery Neto I, Guedes OA, Estrela C. Effect of intra-radicular cleaning protocols after post-space preparation on marginal adaptation of a luting agent to root dentin. J Oral Sci 2023; 65:81-86. [PMID: 36858605 DOI: 10.2334/josnusd.22-0344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
PURPOSE To evaluate the effect of intra-radicular cleaning protocols after post-space preparation (PSP) on marginal adaptation of a luting agent to root dentin. METHODS Eighty bovine incisors were sectioned transversely to obtain 18-mm-long root sections. The roots were prepared with ProTaper instruments and filled using Tagger's hybrid technique. PSP was performed at a length of 14 mm using #3-5 Largo drills. The roots were distributed into eight groups according to the chelating solution used (17% EDTA or 0.2% Chitosan) and the chelating activation/delivery method employed (conventional needle irrigation [CNI], EndoActivator [EA], XP-Endo Finisher [XPF] or passive ultrasonic irrigation [PUI]). The fiber posts were cemented using self-adhesive resin cement, and the roots were sectioned to obtain three discs from each root third. The dentin discs were observed under an optical microscope at ×40 magnification to assess marginal adaptation. The different protocols were compared considering the frequency of the marginal adaptation scores using the Kruskal-Wallis test, followed by the Dwass-Steel-Critchlow-Fligner test (α = 5%). RESULTS The use of 17% EDTA resulted in better marginal adaptation (P < 0.001). PUI yielded results that were similar to those for EA (P = 0.949) and superior to those for XPF (P = 0.020). The combination of 17% EDTA + PUI provided a greater number of interfaces without marginal gaps (P < 0.001). CONCLUSION The cleaning protocol influenced the marginal adaptation of resin cement to root dentin.
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Affiliation(s)
- Luciana C Boggian
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás.,Department of Stomatology, School of Dentistry, Federal University of Goiás
| | - Ana V Silva
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás
| | - Geovana R Santos
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás
| | - Geovanna F Oliveira
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás
| | - Winston L Silva
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás
| | - Ismar Nery Neto
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás.,Department of Stomatology, School of Dentistry, Federal University of Goiás
| | - Orlando A Guedes
- Department of Endodontics, School of Dentistry, Evangelical University of Goiás
| | - Carlos Estrela
- Department of Stomatology, School of Dentistry, Federal University of Goiás
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Bozkurt DA, Buyukerkmen EB, Terlemez A. Comparison of the pull-out bond strength of endodontically treated anterior teeth with monolithic zirconia endocrown and post-and-core crown restorations. J Oral Sci 2023; 65:1-5. [PMID: 36385051 DOI: 10.2334/josnusd.22-0288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE The purpose of this study was to assess the pull-out bond strength (PBS) of endodontically treated anterior teeth that had been restored with monolithic zirconia endocrowns using different extension depths (EDs) and post-and-core crowns after chewing simulation. METHODS Thirty-six maxillary central teeth were used (n = 12). Group I: Glass fiber post-and-core crown, Group II: Endocrown with 3-mm EDs, Group III: Endocrown with 5-mm EDs. Restorations were fabricated from monolithic zirconia blocks using a CAM (computer-aided manufacturing) device. For cementation, conventional resin luting agent (Multilink N) was used. All samples were aged with a chewing simulator and PBS tests were conducted at a speed of 1 mm/min using an electromechanical servo universal testing machine. The values were recorded in MPa by dividing the failure load by the bonding area. One-way ANOVA and the post-hoc Tukey test were used for statistical analysis (P = 0.05). RESULTS Group III demonstrated significantly greater PBS values than Groups I and II (P = 0.001). No significant difference was found between Groups I and II (P = 0.072). CONCLUSION Increasing the ED of an endocrown influences the PBS of endodontically treated anterior teeth restored with monolithic zirconia endocrowns.
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Affiliation(s)
- Durmus A Bozkurt
- Department of Endodontics, Faculty of Dentistry, Necmettin Erbakan University
| | - Emine B Buyukerkmen
- Department of Prosthodontics, Faculty of Dentistry, Necmettin Erbakan University
| | - Arslan Terlemez
- Department of Endodontics, Faculty of Dentistry, Necmettin Erbakan University
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Pamato S, Ricci WA, Kuga MC, de Oliveira ECG, Moraes JCS, Só MVR, Trevisan TC, Júnior NF, Pereira JR. The Influence on Fracture Resistance of Different Composite Resins and Prefabricated Posts to Restore Endodontically Treated Teeth. Polymers (Basel) 2023; 15. [PMID: 36616585 DOI: 10.3390/polym15010236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 12/23/2022] [Indexed: 01/05/2023] Open
Abstract
Recent formulations of resin-based composites have incorporated different combinations of materials. However, the mechanical and bonding behavior of these materials with intraradicular posts are unclear. This study aimed to evaluate the effect of light-cure and dual-cure resin composite posts on the fracture resistance of endodontically-treated teeth. Materials and Methods: Ninety extracted human upper canines were selected and randomly divided into nine groups (n=10): (G1) endodontically treated teeth without endodontic posts; (G2) glass-fiber post cemented with glass-ionomer cement; (G3) endodontic post by dual-cure composite resin (Rebilda DC); (G4) endodontic post by dual-cure composite resin (Cosmecore); (G5) endodontic post by dual-cure composite resin (Bis-Core); (G6) endodontic post by light-cure composite resin; (G7) glass-fiber post customized with flowable composite resin; (G8) glass-fiber post cemented with light-cure composite resin; (G9) glass-fiber post cemented with self-adhesive resin cement. After the post insertion, all specimens were subjected to mechanical (250,000 cycles) and thermocycling (6000 cycles, 5 °C/55 °C) and immediate loading at 45 degrees in a universal testing machine until fracture. The data were analyzed by one-way ANOVA and multiple comparisons using the Fisher LSD Method (p < 0 05). Results: The mean failure loads (±SD) for the groups ranged from 100.7 ± 22.6 N to 221.9 ± 48.9 N. The G1 group (without endodontic posts) had a higher fracture strength than all experimental groups (p < 0.001). Conclusions: Within the limitations, the light- and dual-cure post technique did not present lower fracture resistance values as compared to the conventional glass-fiber post.
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Tsukahara R, Komada W, Oishi S, Yoshimatsu S, Miura H, Fueki K. Fracture strength of flared root canals reinforced using different post and core materials. J Prosthodont 2022. [PMID: 36270777 DOI: 10.1111/jopr.13616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 10/17/2022] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To examine the fracture strength and fracture mode of flared root canals reinforced with different post and core materials. MATERIALS AND METHODS Forty endodontically treated bovine teeth structured to mimic human mandibular premolars with flared root canals were reinforced with resin composite and glass fiber post (FRC), composite resin (RC), ceramic core (LD), and ceramic core with resin composite reinforcement (RLD), and restored with single zirconia crowns (n = 10 in each group). The fracture strength and mode of the root canals restored with zirconia crown were assessed. The fracture strength was compared with a one-way analysis of variance (ANOVA) following Tukey HSD tests. A multiple regression analysis was conducted to test the effect of the post/core materials on the fracture loads. Fisher's exact test was used in the failure mode analysis. RESULTS The mean fracture strength of RLD was significantly higher than RC, FRC, and LD (p < 0.05), while no significant differences were found among RC, FRC, and LD (p < 0.05). The regression analysis found that the fracture strength using the lithium disilicate was significantly lower for the post and higher for the core than that using the resin composite (p < 0.05), and there were no significant difference in the fracture strengths between the resin composite and glass fiber used for the post (p > 0.05). Most of the specimens exhibited root fractures, and no significant differences were observed among the groups (P<0.05). CONCLUSIONS The results of this study suggest that reinforcement of flared root canals using a combination of resin composite for the core and lithium disilicate ceramic for the post is superior to resin composite and glass fiber in mechanical properties when restoring a single crown. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Ruri Tsukahara
- Division of Masticatory Function and Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
| | - Wataru Komada
- Division of Masticatory Function and Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
| | - Shinya Oishi
- Division of Masticatory Function and Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
| | - Shu Yoshimatsu
- Division of Masticatory Function and Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
| | - Hiroyuki Miura
- Division of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
| | - Kenji Fueki
- Division of Masticatory Function and Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
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22
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Mora P, Nunwong C, Sriromreun P, Kaewsriprom P, Srisorrachatr U, Rimdusit S, Jubsilp C. High Performance Composites Based on Highly Filled Glass Fiber-Reinforced Polybenzoxazine for Post Application. Polymers (Basel) 2022; 14:4321. [PMID: 36297897 PMCID: PMC9607604 DOI: 10.3390/polym14204321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 10/07/2022] [Accepted: 10/11/2022] [Indexed: 06/16/2023] Open
Abstract
Glass fiber post based on the new polymeric material, polybenzoxazine, is prepared and the effects of glass fiber contents on mechanical and thermal properties are evaluated. The mechanical response to externally applied loads of tooth restored with glass fiber-reinforced polybenzoxazine composite posts is also simulated by finite element analysis of a tridimensional model and compared with the response to that of a natural tooth. The reinforcing of glass fiber can help improve the mechanical and thermal properties of the polybenzoxazine influenced by the interfacial adhesion between the glass fiber and polybenzoxazine matrix, except for the relatively high mechanical property of the glass fiber. The mechanical data, i.e., elastic modulus under flexure load or flexural modulus by three-point bending test of the glass fiber-reinforced polybenzoxazine composites are agreed with the elastic modulus of dentin and then used in the finite element model. The restoration using the glass fiber-reinforced polybenzoxazine composite post provided the maximum von Mises equivalent stress at the cervical third area of the endodontically treated tooth model as similarly observed in the natural tooth. In addition, the maximum von Mises equivalent stress of the tooth restored with the glass fiber-reinforced polybenzoxazine composite post is also quietly like that of the natural tooth. The finding of this work provided the essential properties of the glass fiber-reinforced polybenzoxazine composite for dental restorations and appliances.
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Affiliation(s)
- Phattarin Mora
- Department of Chemical Engineering, Faculty of Engineering, Srinakharinwirot University, Nakhonnayok 26120, Thailand
| | - Chananya Nunwong
- Department of Chemical Engineering, Faculty of Engineering, Srinakharinwirot University, Nakhonnayok 26120, Thailand
- Research Unit in Polymeric Materials for Medical Practice Devices, Department of Chemical Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok 10330, Thailand
| | - Parkpoom Sriromreun
- Department of Mechanical Engineering, Faculty of Engineering, Srinakharinwirot University, Nakhonnayok 26120, Thailand
| | - Preecha Kaewsriprom
- Excellent Center for Sustainable Engineering, Faculty of Engineering, Srinakharinwirot University, Nakhonnayok 26120, Thailand
| | - Ukrit Srisorrachatr
- Institute of Dentistry, Department of Medical Services, Nonthaburi 11000, Thailand
| | - Sarawut Rimdusit
- Research Unit in Polymeric Materials for Medical Practice Devices, Department of Chemical Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok 10330, Thailand
| | - Chanchira Jubsilp
- Department of Chemical Engineering, Faculty of Engineering, Srinakharinwirot University, Nakhonnayok 26120, Thailand
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Yoshii S, Garoushi S, Kitamura C, Vallittu PK, Lassila L. Influence of New Sleeve Composite on Fracture Behavior of Anterior Teeth with Flared Root Canals. Polymers (Basel) 2022; 14. [PMID: 36236020 DOI: 10.3390/polym14194073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 11/26/2022] Open
Abstract
We evaluated the fracture strength and failure mode of non-ferrule teeth with flared root canals that were restored using new experimental sleeve composites. Fifty endodontically treated anterior teeth with flared root canals were restored with direct restorations utilizing different techniques. Group A had teeth (non-ferrule) restored using commercialized MI glass fiber post + Gradia Core as core build-up. Group B had teeth (non-ferrule) restored with commercialized i-TFC glass fiber post + sleeve system. In Group C, the teeth (non-ferrule) were restored with an experimental sleeve composite with commercialized MI glass fiber post and Gradia Core. Group D, teeth (non-ferrule), were restored using custom-made tapered E-glass filling post and Gradia Core. Group E, teeth (with ferrule), were restored with commercialized MI glass fiber post + Gradia Core. After core construction, all specimens underwent direct composite crown restoration and were loaded until fracture using a universal testing machine. Average fracture loads were compared, and the failure modes were observed. Group C exhibited significantly greater fracture strength than other groups (p < 0.05). Favorable fracture teeth ratio of group C was more than that of the other groups. Thus, the new experimental sleeve composite could be clinically useful for core construction of non-ferrule teeth.
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Baruwa AO, Mazzitelli C, Maravic T, Martins JNR, Mazzoni A, Ginjeira A. In Situ Zymography Analysis of Matrix Metalloproteinases Activity Following Endodontic Irrigation Protocols and Correlation to Root Dentine Bond Strength. Polymers (Basel) 2022; 14:polym14173567. [PMID: 36080644 PMCID: PMC9460487 DOI: 10.3390/polym14173567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 08/04/2022] [Accepted: 08/26/2022] [Indexed: 11/16/2022] Open
Abstract
The objective was to evaluate the effect of different root canal irrigating solutions on the activity of matrix metalloproteinases (MMPs), and correlation to the push-out bond strength (PBS) and nanoleakage expression (NL) in the root dentin. Seventy-two single-rooted teeth were treated endodontically and distributed into four groups (n = 6 for in-situ zymography, n = 10 for PBS, and n = 2 for NL per group) according to the irrigating solutions used: (I) saline (S); (II) 5.25% sodium hypochlorite (SH); (III) 5.25% SH + 10% citric acid (CA); and (IV) 5.25% SH + 10% CA + 0.2% chlorhexidine (CHX). After root canal obturation, post space was prepared to receive the glass fiber post. Dual-cure resin was used for luting and light polymerization was performed. The root/fiber post assemblies were sectioned and subjected to in situ zymography, and PBS and NL expression analysis tests. The enzymatic activity was quantified and expressed as a percentage of the green fluorescence, while fractographic evaluation was performed after PBS with a stereomicroscope, and data were statistically analyzed at p < 0.05. The zymography analysis shows high expression of MMPs in the middle third of the root in all groups, while the most abundant activity of MMPs following the irrigating solutions is observed in groups I and III, where saline and citric acid are used, respectively. Inversely, group IV, where chlorhexidine is the final rinse, records the lowest MMP activity with the highest PBS, and the statistical analysis of the groups are ranked as: IV > II > III > I (p < 0.05). The combination of SH, CA, and CHX results in lower expression of MMPs and higher push-out bond strength of fiber posts to root dentin, with no difference seen in the nanoleakage expression (p > 0.05); hence, this irrigation regime with chlorhexidine as a final rinse is more favorable than other combinations in ensuring optimal adhesion to root dentine.
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Affiliation(s)
- Abayomi Omokeji Baruwa
- Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
- Correspondence:
| | - Claudia Mazzitelli
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy
| | - Tatjana Maravic
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy
| | - Jorge N. R. Martins
- Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy
| | - António Ginjeira
- Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
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Gelio MB, Ramos ATPR, Zaniboni JF, Escalante-Otárola WG, Besegato JF, Kuga MC. Effect of irrigation protocols on chemical smear layer formation over the post-space dentin. Microsc Res Tech 2022; 85:3005-3013. [PMID: 35535716 DOI: 10.1002/jemt.24149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 04/10/2022] [Accepted: 05/01/2022] [Indexed: 11/12/2022]
Abstract
This study evaluated the effect of irrigation protocols using 95% ethanol (ET) or 1% peracetic acid (PA) prior the use of 2% chlorhexidine (CHX) compared to distilled water (DW) on the chemical smear layer (CSL) formation and incidence of open dentin tubules at the apical, medium, and cervical third of the post-space dentin. Scanning electron microscopy (SEM) and electron dispersive spectroscopy (EDS) images were used. Forty bovine roots were endodontically treated. After, post-space preparation was performed and the roots were randomized in four groups (n = 10) according to the irrigation protocol: DW, CHX, CHX-ET and CHX-PA. The chemical composition of CSL and the incidence of open dentin tubules at the post-space thirds were evaluated by EDS (500× magnification) and SEM (2000× magnification) images, respectively. Data from chemical composition of CSL were descriptively analyzed, while the incidence of open dentin tubules was evaluated by scores and submitted to Kruskal-Wallis and Dunn test (p = .05). Cl, Bi, and Si were the chemical elements most found over the dentin after the irrigation with CHX and CHX-ET. Moreover, CHX and CHX-ET showed the highest incidence of CSL (p < .05), but without difference between them (p > .05), regardless of the post-space third. DW and CHX-PA showed similar incidence of CSL (p > .05). No difference on the incidence of open dentin tubules was found for any irrigation protocol and post-space third (p > .05). The use of 1% PA prior the post-space irrigation with CHX decrease the incidence of CSL. RESEARCH HIGHLIGHTS: The post-space irrigation with chlorhexidine results in the formation of chemical smear layer. Ethanol is not capable to remove the chemical smear layer. Peracetic acid is more effective to remove the chemical smear layer.
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Affiliation(s)
- Mariana Bena Gelio
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
| | | | - Joissi Ferrari Zaniboni
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
| | | | - João Felipe Besegato
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
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Josic U, Mazzitelli C, Maravic T, Comba A, Mayer-Santos E, Florenzano F, Breschi L, Mazzoni A. Evaluation of Fiber Post Adhesion to Root Dentin Achieved with Different Composite Cements: 1-year In Vitro Results. J Adhes Dent 2022; 24:95-104. [PMID: 35322947 DOI: 10.3290/j.jad.b2838131] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate push-out bond strength (PBS) and interfacial nanoleakage (NL) of adhesively luted fiber posts using different composite cements and polymerization protocols. MATERIAL AND METHODS 100 premolars were endodontically treated and assigned to the following groups (n=10): RelyX Universal light-cure (3M Oral Care); RelyX Universal self-cure (3M Oral Care); Maxcem Elite Chroma light-cure (Kerr); Maxcem Elite Chroma self-cure (Kerr); Calibra Universal light-cure (Dentsply Sirona); Calibra Universal self-cure (Dentsply Sirona); Multilink Automix light cure (Ivoclar Vivadent); Multilink Automix self-cure (Ivoclar Vivadent); Luxacore Z Dual light-cure (DMG); Luxacore Z Dual self-cure (DMG). Half of the teeth from each group were subjected to the PBS test after 24 h (T0), while the other half was tested after 12 months (T12) of artificial saliva aging. An additional 4 teeth per group were prepared for NL expression. PBS values were analyzed using multivariate ANOVA and Tukey's post-hoc test. NL scores were analyzed using chi-squared tests (α = 0.05). RESULTS Statistical analysis revealed that the variables "cement" and "aging" significantly influenced PBS (p < 0.05), but not "polymerization" and "root region" (p > 0.05). Significantly lower PBS values (p < 0.05) were detected for the Calibra Universal groups compared to other cements, while the RelyX Universal groups performed equally well (p > 0.05) or better than other cements (p < 0.05). At T12, PBS values increased in the majority of groups, irrespective of root region (p < 0.05). Differences in NL expression were present at T0, and in general, the aging process increased marginal infiltration. CONCLUSION Aging and choice of composite cement influenced PBS, while root region and polymerization protocol seemed to have no influence on posts' resistance to dislodgment.
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Ciapała B, Górowski K, Ryniewicz WI, Gala A, Loster JE. The effect of root canal rinsing protocol on the push-out bond strength to the dentin cementation of the fiber post. Folia Med Cracov 2021; 61:81-92. [PMID: 35180204 DOI: 10.24425/fmc.2021.140006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/04/2023]
Abstract
B a c k g r o u n d: Studies on the effect of root canal rinsing protocols on fiber post bonding to dentin are inconclusive. This study reports investigation of this topic. O b j e c t i v e s: to determine effects of irrigation protocol by means of a push-out test on the strength of adhesion between the post and dentin in an in vitro study. Materials and Method: Thirty human single-rooted teeth were prepared using hand instruments and the step-back technique, filled with gutta-percha, sealed with AH Plus (Dentsply), and divided into three groups: A: rinsed with NaCl; B: rinsed with 2% chlorhexidine (CHX); C: not rinsed before cementation of posts. The fiber posts were set using RelyX and Built-it. The tooth roots were sliced and the push-out test was performed. The area of contact between the post and dentin was calculated and the destroying force was established. The results were statistically analyzed. R e s u l t s: The mean adhesive strength was 10.69 MPa in group A, 16.33 MPa in group B, and 16.72 MPa in C. The adhesive strength in group B and C was statistically significantly higher than in group A (p = 0.0016, ANOVA). Conclusion: Rinsing root canals with CHX seems to be the most effective method prior to setting a fiber post.
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Affiliation(s)
- Bartosz Ciapała
- 1Department of Integrated Dentistry, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland.
| | - Krzysztof Górowski
- Department of Dental Prosthetics and Orthodontics, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
| | - Wojciech I Ryniewicz
- Department of Dental Prosthetics and Orthodontics, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
| | - Andrzej Gala
- Department of Dental Prosthetics and Orthodontics, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
| | - Jolanta E Loster
- Department of Dental Prosthetics and Orthodontics, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
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Yoshii S, Garoushi S, Kitamura C, Vallittu PK, Lassila LV. Evaluation of New Hollow Sleeve Composites for Direct Post-Core Construction. Materials (Basel) 2021; 14:ma14237397. [PMID: 34885547 PMCID: PMC8658817 DOI: 10.3390/ma14237397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/26/2021] [Accepted: 11/29/2021] [Indexed: 12/03/2022]
Abstract
The preset shape and diameter of a prefabricated FRC post rarely follows the anatomy of the root canal. To solve this problem, a new hollow sleeve composite (HSC) system for post-core construction was developed and characterized. A woven fiber was impregnated with two types of resins: Bis-GMA or PMMA, and rolled into cylinders with outer diameter of 2 mm and two different inner diameters, namely 1.2 or 1.5 mm. The commercial i-TFC system was used as a control. Dual-cure resin composite was injected into these sleeves. Additionally, conventional solid fiber post was used as the inner part of the sleeve. The three-point bending test was used to measure the mechanical properties of the specimens and the fracture surface was examined using an electron microscope (SEM). The HSC (1.5 mm, Bis-GMA) revealed a statistically similar flexural modulus but higher flexural strength (437 MPa) compared to i-TFC (239 MPa; ANOVA, p < 0.05). When a fiber post was added inside, all values had a tendency to increase. After hydrothermal accelerated aging, the majority of specimens showed a significant (p < 0.05) decrease in flexural strength and modulus. SEM fracture analysis confirmed that the delamination occurred at the interface between the outer and inner materials. The HSC system provided flexibility but still high mechanical values compared to the commercial system. Thus, this system might offer an alternative practical option for direct post-core construction.
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Affiliation(s)
- Shinji Yoshii
- Department of Biomaterials Science and Turku Clinical Biomaterial Center—TCBC, Institute of Dentistry, University of Turku, 20500 Turku, Finland; (S.G.); (P.K.V.); (L.V.L.)
- Division of Promoting Learning Design Education, Kyushu Dental University, Fukuoka 803-8580, Japan
- Correspondence:
| | - Sufyan Garoushi
- Department of Biomaterials Science and Turku Clinical Biomaterial Center—TCBC, Institute of Dentistry, University of Turku, 20500 Turku, Finland; (S.G.); (P.K.V.); (L.V.L.)
| | - Chiaki Kitamura
- Division of Endodontics and Restorative Dentistry, Kyushu Dental University, Fukuoka 803-8580, Japan;
| | - Pekka K. Vallittu
- Department of Biomaterials Science and Turku Clinical Biomaterial Center—TCBC, Institute of Dentistry, University of Turku, 20500 Turku, Finland; (S.G.); (P.K.V.); (L.V.L.)
- City of Turku Welfare Division, Oral Health Care, 20101 Turku, Finland
| | - Lippo V. Lassila
- Department of Biomaterials Science and Turku Clinical Biomaterial Center—TCBC, Institute of Dentistry, University of Turku, 20500 Turku, Finland; (S.G.); (P.K.V.); (L.V.L.)
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Afkhami F, Sadegh M, Sooratgar A, Amirmoezi M. Comparison of the effect of QMix and conventional root canal irrigants on push-out bond strength of fiber post to root dentin. Clin Exp Dent Res 2021; 8:464-469. [PMID: 34664421 PMCID: PMC8874043 DOI: 10.1002/cre2.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 08/29/2021] [Accepted: 09/05/2021] [Indexed: 11/17/2022] Open
Abstract
Objectives This study aimed to assess the effect of application of QMix and common root canal irrigating solutions on the bond strength of fiber post to root dentin. Material and Methods In this in‐vitro study, 60 extracted incisor teeth were decoronated such that 15 mm of root length remained. The canals were prepared with ProTaper rotary system to F5 and filled with gutta‐percha and AH26 sealer. Prior to post placement, the teeth were divided into four groups based on the type of final irrigating solution namely saline, 5.25% NaOCl, 2% chlorhexidine, and QMix. The fiber posts were then cemented with Panavia F2 resin cement. The roots were sectioned perpendicular to their longitudinal axis, and four sections with 1 mm thickness were made at the middle and coronal thirds of the roots. The push‐out bond strength of fiber posts was measured by a universal testing machine in megapascals. Data were analyzed by two‐way ANOVA and Tukey's test. Results The maximum and minimum bond strength values were noted in QMix and NaOCl groups in both the middle and coronal third of the root, respectively. But, there was no significant difference between the push‐out bond strength in the middle or coronal third of the root (p = 0.054). Adhesive failure was the most common mode of failure in all groups. Conclusion Use of QMix for post space irrigation does not compromise the bond strength of fiber post to root dentin, and can be used for final rinsing of the post space.
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Affiliation(s)
- Farzaneh Afkhami
- Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, Iran
| | - Mona Sadegh
- Endodontist, Private Practice, Vancouver, British Columbia, Canada
| | - Aidin Sooratgar
- Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, Iran
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Tavsan O, Simsek N. The effects of root canal perforation repair materials on the bond strength of fiber posts. J Appl Biomater Funct Mater 2021; 19:22808000211027050. [PMID: 34615407 DOI: 10.1177/22808000211027050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION This study aimed to evaluate the effect of calcium hydroxide and bioceramics used in perforation repair on the bonding strength of fiber posts via a push-out test. METHODOLOGY This study used 106 extracted single-rooted human mandibular premolar teeth. Root canal preparations were performed with a rotary file system and perforations were created in the middle third of each tooth. The samples were randomized into two main experimental groups, one with calcium hydroxide and one without. Each group had four subgroups in which different bioceramic cements were applied (n = 11) and a control group (n = 9). The root canals perforations were repaired using MTA, Biodentine, Bioaggregate, and Endosequence BC root repair material. A fiber post was applied to each tooth and a push-out test was performed. The samples were examined at 40× magnification with a digital microscope in order to identify fracture type. RESULTS Bonding strength was calculated in MPa. A statistical analysis showed that the calcium hydroxide had no effect on the bonding strength of the fiber posts. A comparison of the perforation repair materials revealed that Biodentine in the calcium hydroxide group and Bioaggregate in both groups decreased the bonding strength compared to the other materials (p < 0.05). The most common failure type was adhesive failure between the dentin and resin cement (38.16%). CONCLUSIONS The use of different perforation repair materials can affect the bonding strength of fiber posts. Therefore, the choice of perforation repair material should be made on an individual basis.
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Affiliation(s)
- Oğuz Tavsan
- Department of Endodontics, Faculty of Dentistry, Usak University, Usak, Turkey
| | - Neslihan Simsek
- Department of Endodontics, Faculty of Dentistry, Inonu University, Malatya, Turkey
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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] [What about the content of this article? (0)] [Affiliation(s)] [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.
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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
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Baldi A, Comba A, Michelotto Tempesta R, Carossa M, Pereira GKR, Valandro LF, Paolone G, Vichi A, Goracci C, Scotti N. External Marginal Gap Variation and Residual Fracture Resistance of Composite and Lithium-Silicate CAD/CAM Overlays after Cyclic Fatigue over Endodontically-Treated Molars. Polymers (Basel) 2021; 13:polym13173002. [PMID: 34503042 PMCID: PMC8434150 DOI: 10.3390/polym13173002] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 08/27/2021] [Accepted: 08/28/2021] [Indexed: 11/16/2022] Open
Abstract
The purpose of this in vitro study was to evaluate the external marginal gap variation with a 3D quantitative method and the residual fracture resistance after cyclic fatigue in endodontically treated molars restored with overlays of different materials, with and without fiber posts-supported buildups. Forty-eight human maxillary molars were selected, endodontically treated, prepared with standardized MOD cavities and randomly allocated into 6 study groups considering the "core strategy" (build-up with composite resin; build-up with composite resin supported by a fiber post); and the "restorative material" of the indirect adhesive overlay (GrandioBlocks, Voco; Cerasmart, GC; CeltraDuo, Dentsply). All procedures were executed according with manufacturers guidelines. Micro-CT analysis prior and after cyclic fatigue were executed, followed by scanning electron microscope analysis and fracture resistance test. The Two-Way ANOVA analysis showed that interfacial gap progression was significantly influenced by the "core strategy" (p < 0.01) but not of "restorative material" (p = 0.59). Concerning fracture resistance, "restorative material" was statistically significant (p < 0.01), while "core strategy" (p = 0.63) and the interaction (p = 0.84) were not. In conclusion, the fiber post presence within the build-up promoted a lower interfacial gap opening after fatigue, evaluated through micro-CT scans. In terms of fracture resistance, teeth restored with Cerasmart and Celtra Duo were statistically similar, but superior to GrandioBlocks.
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Affiliation(s)
- Andrea Baldi
- Department of Surgical Sciences, Dental School Lingotto, University of Turin, 10126 Turin, Italy; (A.B.); (A.C.); (R.M.T.); (M.C.)
| | - Allegra Comba
- Department of Surgical Sciences, Dental School Lingotto, University of Turin, 10126 Turin, Italy; (A.B.); (A.C.); (R.M.T.); (M.C.)
| | - Riccardo Michelotto Tempesta
- Department of Surgical Sciences, Dental School Lingotto, University of Turin, 10126 Turin, Italy; (A.B.); (A.C.); (R.M.T.); (M.C.)
| | - Massimo Carossa
- Department of Surgical Sciences, Dental School Lingotto, University of Turin, 10126 Turin, Italy; (A.B.); (A.C.); (R.M.T.); (M.C.)
| | - Gabriel Kalil Rocha Pereira
- Department of Restorative Dentistry, Division of Prosthodontics, Federal University of Santa Maria, Santa Maria 97105-900, Brazil; (G.K.R.P.); (L.F.V.)
| | - Luiz Felipe Valandro
- Department of Restorative Dentistry, Division of Prosthodontics, Federal University of Santa Maria, Santa Maria 97105-900, Brazil; (G.K.R.P.); (L.F.V.)
| | - Gaetano Paolone
- Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20158 Milan, Italy;
| | - Alessandro Vichi
- Dental Academy, University of Portsmouth, William Beatty Building, Hampshire Terrace, Portsmouth PO1 2QG, UK;
| | - Cecilia Goracci
- Department of Medical Biotechnologies, University of Siena, 53100 Siena, Italy;
| | - Nicola Scotti
- Department of Surgical Sciences, Dental School Lingotto, University of Turin, 10126 Turin, Italy; (A.B.); (A.C.); (R.M.T.); (M.C.)
- Correspondence: ; Tel.: +39-340-2861-799
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Jouhar R. Effect of Sonic Activation on Push-Out Bond Strength of Fiber Post: An In Vitro Study. Materials (Basel) 2021; 14:5038. [PMID: 34501127 DOI: 10.3390/ma14175038] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 08/21/2021] [Accepted: 09/01/2021] [Indexed: 01/20/2023]
Abstract
This study aimed to evaluate the effectiveness of conventional and sonic activation techniques on push-out bond strength of fiber post cemented with two different monomers containing self-adhesive resin cement (SARC). Four groups (n = 19 each) were made based on the type of SARC (Rely X U200 and Panavia SA) and technique (conventional and sonic activation). After placing the fiber post, each root was sectioned into 2 mm coronal, middle, and apical portions, and a push-out bond strength test was performed using a universal testing machine. The least push-out bond strength (13.0 ± 0.9 MPa) was found in Rely X U200 conventional technique and highest with Panavia SA sonic activation technique (15.4 ± 0.9 MPa). A significant difference was found in push-out bond strength at coronal (p = 0.002), middle (p = 0.002), and apical (p = 0.001) root sections using Rely X U200 cement with sonic activation as compared to the conventional technique. However, no difference (p > 0.05) was noticed between conventional and sonic activation techniques in Panavia SA cement at any root level. Sonic activation can be used as an adjunct with a manual technique to increase bond strength. However, it was noted that 10-MDP monomer containing SARC performed well regardless of techniques.
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Vaddamanu SK, Vyas R, Bavabeedu SS, Arora S, Badiyani BK, Kumar A. In vitro Results of Scanning Technique on Assessing Cement Thickness and Interfacial Nanoleakage of Luted CAD/CAM-Fabricated Fiber Posts. J Pharm Bioallied Sci 2021; 13:S676-S678. [PMID: 34447179 PMCID: PMC8375806 DOI: 10.4103/jpbs.jpbs_761_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 11/24/2020] [Accepted: 11/30/2020] [Indexed: 11/29/2022] Open
Abstract
Background: Fiber posts are broadly used due to their good esthetics and elasticity close to that of dentin, which allows for uniform stress distribution within a root and lowers the possibility of nonrestorable root fractures. Aim and Objectives: The study assessed the layer of cement thickness and interfacial nanoleakage of luted fiber posts which were fabricated with CAD/CAM technology following direct scanning of the post space (DS) method, scanning of a polyether impression of the post space (IS), and scanning of a plaster model of the post space (MS). Methodology: Ninety premolars were chosen randomly and were assigned to three groups according to the scanning technique. Posts were computer designed and milled from experimental fiber-reinforced composite blocks. Results: The mean and standard deviation values of cement thickness, respectively, were: DS 172 ± 39 = m; IS 199 ± 55 = m, and MS MPa 272 ± 81 = m. The fiber posts fabricated following DS technique demonstrated superior performance compared to posts fabricated upon IS and MS, in terms of the post retention. The cement thickness did not differ between DS and IS, whereas in MS group, the cement layer was significantly thicker than in the remaining two groups. The scanning technique did not influence the sealing ability, as all groups showed comparable nanoleakage. Conclusion: Fiber posts fabricated following DS technique demonstrated superior performance. Furthermore, scanning technique did not influence the sealing ability, as all groups showed comparable nanoleakage.
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Affiliation(s)
- Sunil Kumar Vaddamanu
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - Rajesh Vyas
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - Shashit Shetty Bavabeedu
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Suraj Arora
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Bhumika Kamal Badiyani
- Reader, Department of Public Health Dentistry, Clinical Practitioner, Mumbai, Maharashtra, India
| | - Amit Kumar
- Reader, Department of Public Health Dentistry, Clinical Practitioner, Mumbai, Maharashtra, India
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Souza NDO, Sousa RS, Isolan CP, Moraes RRD, Lima GDS, Lomonaco D, de Paula DM, Alves AH, Sabóia VDP, Feitosa VP. Intraradicular Dentin Biomodification with Natural Agents for Bonding Glass- fiber Posts. J Adhes Dent 2021; 23:223-230. [PMID: 34060302 DOI: 10.3290/j.jad.b1367855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
PURPOSE To evaluate the effects of pretreatment with different crosslinking agents on glass-fiber-post adhesive luting. MATERIALS AND METHODS Single-rooted human teeth (n = 20) were randomly assigned to four groups: proanthocyanidins (PA) from grape-seed extract, cardol and cardanol (separated from cashew nut-shell liquid) and negative control (hydroethanolic solution). The solutions were applied on 37% phosphoric acid-etched dentin for 60 s. Glass-fiber posts were cemented using a three-step etch-and-rinse adhesive (Scotchbond Multi-Purpose, 3M Oral Care) and composite cement (RelyX ARC, 3M Oral Care). Slices for the push-out bond strength test were cut and tested after 24-h or 6-month storage in distilled water. The dentin underlying the adhesive layer was analyzed by micro-Raman spectroscopy to evaluate vibrational formation of collagen crosslinks. Three additional slices per group were also made and the adhesive in-situ degree of conversion (DC) was analyzed by micro-Raman spectroscopy. The results were analyzed using two-way ANOVA and Tukey's test (p < 0.05). RESULTS No statistically significant changes in bond strength were found over time for any of the groups, except with cardol, which increased bond strength (8.4 ± 3.9 MPa at 24 h to 15.0 ± 2.9 MPa after 6 months, p < 0.001) after aging. The formation of peaks at 1117 cm-1 and 1235 cm-1 showed the presence of collagen crosslinks for all three biomodification agents. The DC outcomes showed no statistically significant differences between groups (p = 0.514). CONCLUSION Biomodification agents did not impair adhesive polymerization. Cardol demonstrated a positive influence on intraradicular dentin bonding for glass-fiber post luting.
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Cho J, Liu J, Bukhari EA, Zheng F, Kim DG, Lee DJ. Comparison of Post Space Volume Changes Following Fiber Post Removal Using Er,Cr:YSGG Laser Versus Ultrasonic Instrument. J Prosthodont 2021; 31:245-251. [PMID: 34021668 DOI: 10.1111/jopr.13391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE The purpose of this in vitro study was to compare the post space volume changes following removal of glass fiber posts in endodontically treated teeth by using erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser to the conventional ultrasonic method. MATERIALS AND METHODS Twelve single-root human extracted teeth were cut into 13 mm near cementoenamel junction (CEJ), and then underwent endodontic treatment. The post spaces were prepared to 8 mm in length. Glass fiber posts were inserted with self-curing resin cement. Specimens were randomly assigned to laser or ultrasonic methods for their post removal. Post space volumes were measured using microcomputed tomography (micro-CT) before post cementation and after post removal. Dentin thickness was measured after post removal at coronal, middle, and apical third of the root canal space. Paired t-test and t-test were used to compare space volumes between before post cementation and after post removal, and between laser and ultrasonic groups, respectively. RESULTS Six specimens were tested for each group. The average volume change was 6.499 mm3 in laser and 7.418 mm3 in ultrasonic method. There was not a significant difference between laser and ultrasonic group in respect of post space volume changes (p = 0.71). Both methods showed significant volume increase following post removal (p < 0.05). Significantly less dentin was lost when laser was used for post removal in the coronal portion of the post space (p = 0.002). CONCLUSIONS Er,Cr:YSGG laser can be used as effective option, comparable to the conventional ultrasonic method when removing posts in endodontically treated teeth. Laser has the potential to provide conservative post removal.
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Affiliation(s)
- Juyeon Cho
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH.,Department of Dentistry, Dongsan Hospital, Keimyung University School of Medicine, Daegu, South Korea
| | - Jie Liu
- Division of Restorative and Prosthetic Dentistry/Division of Orthodontics, The Ohio State University College of Dentistry, Columbus, OH
| | - Esraa A Bukhari
- Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH
| | - Fengyuan Zheng
- Advanced Prosthodontics Program, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH
| | - Do-Gyoon Kim
- Division of Orthodontics, The Ohio State University College of Dentistry, Columbus, OH
| | - Damian J Lee
- Advanced Prosthodontics Program, Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH
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Kırmalı Ö, Sekmen T, Karaarslan A. Push-out bond strength of various surface treatments on fiber post to root canal dentine using different irrigation techniques. Microsc Res Tech 2021; 84:2024-2033. [PMID: 33749061 DOI: 10.1002/jemt.23758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 02/13/2021] [Accepted: 03/09/2021] [Indexed: 11/11/2022]
Abstract
To compare the efficacy of different surface treatments (fiber post) with laser activated irrigation (LAI) technique (various root canal solutions) on root canal dentine in terms of push-out bond strength (PBS) in a fiber post. In this study, 200 premolars were assigned into groups according to various irrigation techniques: 2.5% sodium hypochlorite (NaOCl), 17% ethylene diamine tetra acetic acid (EDTA), and 17% EDTA + LAI. In addition, the fiber posts were separated into five groups, (n = 30) according to the surface pretreatment performed: sandblasting, hydrofluoric acid (HF), Erbium, Chromium:Yttrium Scandium-Gallium-Garnet (Er,Cr:YSGG) laser, Neodymium-Doped Yttrium Aluminum Garnet (Nd,YAG) laser and as untreated surface. The posts were cemented using dual-cure resin cement and subjected to a PBS test. Data were analyzed by one way-ANOVA, Tukey, and Tamhane T2 tests. The PBS values were increased in all parts of the tooth in the EDTA and EDTA + LAI treated groups and in groups treated with Er,Cr:YSGG laser fiber posts. In groups in which EDTA and EDTA + LAI were applied, it was observed that dentinal tubules were open according to the distribution and number of dentinal tubule configurations. The improvement of the PBS between fiber post/resin cement/root dentine was observed via the use of fiber post surface treatments with different irrigation techniques.
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Affiliation(s)
- Ömer Kırmalı
- Department of Prosthodontics, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
| | | | - Ayşegül Karaarslan
- Department of Restorative Dentistry, Faculty of Dentistry, Erzincan Binali Yıldırım University, Erzincan, Turkey
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Bardales-Alcocer J, Ramírez-Salomón M, Vega-Lizama E, López-Villanueva M, Alvarado-Cárdenas G, Serota KS, Ramírez-Wong J. Endodontic Retreatment Using Dynamic Navigation: A Case Report. J Endod 2021; 47:1007-1013. [PMID: 33745944 DOI: 10.1016/j.joen.2021.03.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 02/27/2021] [Accepted: 03/08/2021] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Dynamic navigation systems are used in dental implantology to optimize the accuracy of dental implant placement. METHODS A 30-year-old man was seen at the endodontic clinic of the Universidad Autónoma de Yucatán for pain in the left maxillary lateral incisor. A previously treated tooth with symptomatic apical periodontitis was diagnosed. The patient accepted treatment, and after signing an informed consent form, minimally invasive coronal access was performed through a zirconia crown. Then a post removal was performed with an ultrasonic tip to 2 mm before the apical gutta-percha limit, and the removal of material was completed manually with a K-file. RESULTS This case report demonstrates the use of dynamic navigation to remove a post from under a zirconia crown for the retreatment of a failing root canal procedure. The removal of fiber posts from endodontically treated teeth can present a unique challenge for clinicians. Numerous techniques and instrument kits are recommended for the removal of fiber posts, but the risk of excessive root structure damage is a major concern because the ability to differentiate the color difference between peripheral dentin and a bonded fiber post can complicate the accuracy of the removal. CONCLUSIONS The dynamic navigation system enabled minimally invasive removal of the fiber post with a high degree of accuracy, thus ensuring that there was no unnecessary removal of root structure. Dynamic navigation using real-time monitoring could reduce the attendant risk of iatrogenic errors in complex treatment cases.
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Affiliation(s)
| | | | - Elma Vega-Lizama
- Universidad Autónoma de Yucatán, Faculty of Dentistry, Mérida, Yucatán, México
| | | | | | - Kenneth S Serota
- University of Toronto, Faculty of Dentistry, Toronto, ON, Canada
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Tammineedi S, Kakollu S, Thota MM, Basam RC, Basam LC, Vemuri S. Comparison of stress distribution in teeth restored with fiber post and dentin post by applying orthotropic properties: A three-dimensional finite element analysis. J Conserv Dent 2021; 23:589-592. [PMID: 34083914 PMCID: PMC8095697 DOI: 10.4103/jcd.jcd_551_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 12/10/2020] [Accepted: 12/22/2020] [Indexed: 11/04/2022] Open
Abstract
Aim of the Study We aimed to compare stress distribution in a tooth restored with fiber post and dentin post after applying the orthotropic properties using three-dimensional finite element analysis (3D-FEA). Materials and Methods Two 3D-FEA models were constructed. The material properties were assigned, and a load of 100 N was applied at 45° to the long axis of the model onto the lingual surface incisal to the cingulum. The FEA was done by applying orthotropic properties of dentin and fiber post. The maximum stresses produced in the tooth and post referred to as von Mises stress were recorded. The Ansys software was used which depicts the stress concentrations. Results Von Mises values showed that glass fiber post (331 MPa) and dentin post (338 MPa)-restored tooth models presented similar stress values. Conclusion Although both fiber post and dentin post presented similar von Mises stress values, the pattern of stress distribution is more favorable in dentin post. More favorable fracture could be expected in case of dentin post. Thus, the dentin post is a promising alternative post material for rehabilitating endodontically treated teeth. Clinical Significance Ascribing the orthotropic properties in a FEA study means that the computational simulation was similar to that of clinical scenario, and hence simulates the dynamic intraoral conditions, thereby giving the accurate results.
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Affiliation(s)
- Sravanthi Tammineedi
- Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India
| | - Sudha Kakollu
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India
| | - Murali Mohan Thota
- Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, RIMS, Kadapa, Andhra Pradesh, India
| | - Ram Chowdary Basam
- Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India
| | - Lakshman Chowdary Basam
- Department of Orthodontics and Dentofacial Orthopedics, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India
| | - Sayesh Vemuri
- Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India
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Pradhan PK, Dipallini S, Sahoo KC, Patri G, Lata S. Effect of temperature and activation techniques of irrigating solutions on push-out bond strength of fiber post. J Conserv Dent 2021; 23:295-298. [PMID: 33551603 PMCID: PMC7861073 DOI: 10.4103/jcd.jcd_384_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 08/31/2020] [Accepted: 09/05/2020] [Indexed: 11/30/2022] Open
Abstract
AIM: This study evaluated the effect of preheated irrigants (EDTA, QMix), then use of various activation techniques such as ultrasonic system and laser on push-out bond strength (POBS) of fiber posts to root dentin. Methodology: One hundred and twenty extracted human teeth were decoronated below the cementoenamel junction. All the root canals were instrumented, irrigated using sodium hypochlorite and normal saline, dried with paper points, and filled with gutta-percha and AH Plus sealer. Post spaces were prepared. The irrigating solutions QMix and EDTA were heated to 60°C. Normal QMix and EDTA served as control. The irrigants were activated with Laser and Ultrasonic system. Then, the fiber posts were cemented, roots were sliced to thickness of 2 mm and mounted for measurement of POBS. Results: Preheated irrigants group showed maximum POBS as compared to Normal irrigants. QMix group showed better results as compared to EDTA. Irrigants when activated with laser and ultrasonics showed comparable results. Conclusion: Within the limitations of the study, it can be concluded that preheated irrigants(QMix, EDTA) increase the POBS of fiber post to root dentin. Both laser and ultrasonic are equally effective for increasing the POBS.
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Affiliation(s)
- Prasanti Kumari Pradhan
- Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Sradhashree Dipallini
- Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Kanhu Charan Sahoo
- Department of Dentistry, Sahid Laxman Nayak Medical College, Koraput, Odisha, India
| | - Gaurav Patri
- Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - S Lata
- Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
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Davoudi A, Shadmehr E, Savoj M, Akhavan-Khaleghi M, Tabesh M, Zakizade M, Ebadian B. Laser Treatment of Fiber Post and Final Push-Out Bond Strength: A Systematic Review and Meta-Analysis. Photobiomodul Photomed Laser Surg 2020; 39:321-333. [PMID: 33275497 DOI: 10.1089/photob.2020.4809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Purpose: This review article tries to answer this question: "What are the effects of laser surface treatment of fiber posts (FPs), compared with other surface roughening methods, on bond strength of cemented FPs?" Methods: Search was carried out in six electronic databases by focusing on defined key words. Related titles and abstracts, up to March 2019, were collected, read, and selected for quality assessments. A total of 2408 articles were included in the study at the initial stage of the searching phase. Results: Finally, seven studies were recognized to be reliable to be reviewed and meta data analysis in the study. All the studies were in vitro with a total of 340 samples. None of the Er:YAG (-0.27, 95% CI: -2.29 to 1.76; p = 0.79) and Er,Cr:YSGG (-0.04, 95% CI: -1.43 to 1.35; p = 0.95) treated samples showed any significant overall mean differences in final push-out bond strength (PBS) compared with the control groups. Conclusions: Laser pretreatment of FP surfaces might not be effective in providing high PBS. FP surface are susceptible to damage of high-level laser irradiation and might show decreased bond strength.
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Affiliation(s)
- Amin Davoudi
- Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Elham Shadmehr
- Department of Endodontics, School of Dentistry, UCSF Preventive & Restorative Dental Science, San Francisco, California, USA
| | - Melika Savoj
- Dental Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehrdad Akhavan-Khaleghi
- Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahtab Tabesh
- Dental Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehrnaz Zakizade
- Department of Orthodontics, Dental School, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Behnaz Ebadian
- Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
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Zarow M, Vadini M, Chojnacka-Brozek A, Szczeklik K, Milewski G, Biferi V, D’Arcangelo C, De Angelis F. Effect of Fiber Posts on Stress Distribution of Endodontically Treated Upper Premolars: Finite Element Analysis. Nanomaterials (Basel) 2020; 10:nano10091708. [PMID: 32872519 PMCID: PMC7559636 DOI: 10.3390/nano10091708] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 08/20/2020] [Accepted: 08/27/2020] [Indexed: 12/01/2022]
Abstract
By means of a finite element method (FEM), the present study evaluated the effect of fiber post (FP) placement on the stress distribution occurring in endodontically treated upper first premolars (UFPs) with mesial–occlusal–distal (MOD) nanohybrid composite restorations under subcritical static load. FEM models were created to simulate four different clinical situations involving endodontically treated UFPs with MOD cavities restored with one of the following: composite resin; composite and one FP in the palatal root; composite and one FP in the buccal root; or composite and two FPs. As control, the model of an intact UFP was included. A simulated load of 150 N was applied. Stress distribution was observed on each model surface, on the mid buccal–palatal plane, and on two horizontal planes (at cervical and root-furcation levels); the maximum Von Mises stress values were calculated. All analyses were replicated three times, using the mechanical parameters from three different nanohybrid resin composite restorative materials. In the presence of FPs, the maximum stress values recorded on dentin (in cervical and root-furcation areas) appeared slightly reduced, compared to the endodontically treated tooth restored with no post; in the same areas, the overall Von Mises maps revealed more favorable stress distributions. FPs in maxillary premolars with MOD cavities can lead to a positive redistribution of potentially dangerous stress concentrations away from the cervical and the root-furcation dentin.
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Affiliation(s)
- Maciej Zarow
- “NZOZ SPS Dentist” Dental Clinic and Postgraduate Course Centre—pl. Inwalidow 7/5, 30-033 Cracow, Poland;
| | - Mirco Vadini
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Science, “G. D’Annunzio” University of Chieti—Via dei Vestini 31, 66100 Chieti, Italy; (M.V.); (V.B.); (C.D.)
| | - Agnieszka Chojnacka-Brozek
- Institute of Applied Mechanics, Cracow University of Technology—Warszawska 24, 31-155 Cracow, Poland; (A.C.-B.); (G.M.)
| | - Katarzyna Szczeklik
- Department of Integrated Dentistry, Jagiellonian University Medical College—Montelupich 4, 31-155 Cracow, Poland;
| | - Grzegorz Milewski
- Institute of Applied Mechanics, Cracow University of Technology—Warszawska 24, 31-155 Cracow, Poland; (A.C.-B.); (G.M.)
| | - Virginia Biferi
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Science, “G. D’Annunzio” University of Chieti—Via dei Vestini 31, 66100 Chieti, Italy; (M.V.); (V.B.); (C.D.)
| | - Camillo D’Arcangelo
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Science, “G. D’Annunzio” University of Chieti—Via dei Vestini 31, 66100 Chieti, Italy; (M.V.); (V.B.); (C.D.)
| | - Francesco De Angelis
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Science, “G. D’Annunzio” University of Chieti—Via dei Vestini 31, 66100 Chieti, Italy; (M.V.); (V.B.); (C.D.)
- Correspondence:
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Chidoski-Filho JC, Camargo LP, Bittencourt BF, Reis A, Gomes OMM, Gomes JC, Gomes GM. Influence of Alternative Restoration Technique with Different Composite Resins for Flared Root Reinforcement. J Adhes Dent 2020; 22:353-363. [PMID: 32666061 DOI: 10.3290/j.jad.a44866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the influence of type and viscosity of composite resins used for root reinforcement in the adhesion of glass-fiber posts to flared root canals. MATERIALS AND METHODS The crowns of 78 uniradicular permanent teeth were removed and the teeth were endodontically treated. After one week, the roots were prepared for root reinforcement and randomly divided into 6 groups (n = 13): positive control group ([PCG] the root canals were not enlarged), negative control group ([NCG] root canals were enlarged, no reinforcement), and in the remaining 4 groups, root canals were enlarged to receive root reinforcement according to a combination of the factors composite resin type (bulk-fill or conventional) and viscosity (flowable or regular). After fiber post cementation, six slices were obtained from each root (2 each from the cervical, middle, and apical thirds). For each group, 7 teeth underwent push-out bond strength testing, and 6 teeth were evaluated for nanoleakage and Vickers microhardness. Bond strength and nanoleakage data were submitted to two-way ANOVA and Tukey's test (α = 0.05), and microhardness data to one-way ANOVA and Tukey's test (α = 0.05). RESULTS The root reinforcement groups with regular and flowable bulk-fill composite resins showed statistically superior adhesion results (higher bond strength and less nanoleakage) compared to the negative control in all root regions. Microhardness values were higher in the cervical third followed by the middle third. CONCLUSION Regular or flowable bulk-fill composite resins should be chosen for root reinforcement of flared root canals prior to fiber post cementation.
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Xiong J, Shen L, Jiang Q, Kishen A. Effect of Crosslinked Chitosan Nanoparticles on the Bonding Quality of Fiber Posts in Root Canals. J Adhes Dent 2020; 22:321-330. [PMID: 32435772 DOI: 10.3290/j.jad.a44555] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To investigate the effects of root-canal dentin pretreatment with the crosslinker EDC combined with chitosan nanoparticles (Csnp) on the bonding quality of fiber posts in root canals in terms of bond strength, nanoleakage, quantification of collagen degradation, and degree of conversion (DC) of adhesive. MATERIALS AND METHODS Forty-eight single-rooted teeth were prepared endodontically and etched using UNI-ETCH (Bisco) as per the adhesive procedure for fiber posts. They were randomly divided into three groups before adhesive (All-Bond 3) application, according to different pretreatments: a. immersed in 2.5% glutaraldehyde for 24 h; b. treated with Csnp solution under ultrasonic agitation for 60 s and immersed in EDC crosslinker for 24 h; c. without treatment (control). Bond strength, nanoleakage, DC within the interface, and collagen fiber degradation were evaluated. RESULTS The pretreatments had a significant influence on the bonding stability of fiber posts in root canals, but not on the degree of conversion (p = 0.552). Enzymatic degradation significantly influenced bond strength for all groups (p = 0.001), with the greatest effect found in group c. The amount of amino acids released from the adhesive interface differed significantly between groups after hydrolysis and enzymatic degradation (p = 0.000); group c released the highest amount of amino acids. CONCLUSIONS Csnp binding to dentin in combination with EDC reduced degradation of dentinal collagen and improved the stability of the adhesive interface without jeopardizing adhesive polymerization.
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Güven MÇ, Dayan SÇ, Yıldırım G, Mumcu E. Custom and prefabricated PolyEtherKetoneKetone (PEKK) post-core systems bond strength: Scanning electron microscopy evaluation. Microsc Res Tech 2020; 83:804-810. [PMID: 32167226 DOI: 10.1002/jemt.23471] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 01/23/2020] [Accepted: 02/22/2020] [Indexed: 11/11/2022]
Abstract
The present study evaluated the bond strengths of prefabricated PolyEtherKetoneKetone (PEKK) posts, PEKK posts custom-configured according to root-canal size, and conventional fiber posts. A total of 30 maxillary incisors were randomly divided into three groups, as follows: Group 1: fiber posts; Group 2: prefabricated PEKK posts; Group 3; custom-made PEKK posts. Following endodontic treatment, post spaces were prepared, and posts were cemented with resin cement. Push-out bond strength testing was performed using a universal testing machine, and fractures modes were examined under a scanning electron microscope. Data were analyzed using One-way ANOVA and Tukey's HSD tests, with the level of significance set at .05. The highest bond-strength values in the cervical section were observed with the custom-made PEKK post (17.3470 MPa), whereas the highest bond-strength values in the middle and apical sections were observed with the conventional fiber posts (11.5375 MPa and 6.8625 MPa, respectively). Bond-strength values for all posts systems decreased in a cervical to apical direction. PEKK posts are a suitable alternative to fiber posts. Although custom-made PEKK posts demonstrated better bond strength than prefabricated PEKK posts, further studies are needed to evaluate their clinical performance.
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Affiliation(s)
- Melahat Çelik Güven
- Department of Prosthodontics, Faculty of Dentistry, Istanbul Yeni Yüzyıl University, Istanbul, Turkey
| | | | - Gülhan Yıldırım
- Department of Prosthodontics, Faculty of Dentistry, Istanbul Yeni Yüzyıl University, Istanbul, Turkey
| | - Emre Mumcu
- Department of Prosthodontics. Faculty of Dentistry, Eskisehir Osmangazi University, Odunpazarı, Turkey
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Parčina Amižić I, Baraba A, Ionescu AC, Brambilla E, Van Ende A, Miletić I. Bond Strength of Individually Formed and Prefabricated Fiber-reinforced Composite Posts. J Adhes Dent 2019; 21:557-565. [PMID: 31802072 DOI: 10.3290/j.jad.a43649] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To investigate the micro push-out bond strength of individually formed (everStick Post) and prefabricated (GC Fiber Post) fiber-reinforced composite (FRC) posts cemented with three different types of self-adhesive composite cements. MATERIALS AND METHODS Forty-two single-rooted human teeth were decoronated, endodontically treated, and had post spaces prepared for everStick Post (n = 21) or GC Fiber Post (n = 21). The teeth were randomly divided into three subgroups (n = 7), and posts were cemented either with G-CEM LinkAce (GC), SpeedCEM (Ivoclar Vivadent) or RelyX U200 (3M Oral Care). Specimens were then perpendicularly sectioned and divided at the cementoenamel junction into two root levels: coronal or apical. A micro push-out test was performed using an 0.8-mm-wide stainless steel plunger. Bond strength was calculated in MPa by dividing the fracture load (N) by the bonded surface area (mm2). Log-transformed data was statistically analyzed using factorial ANOVA and Tukey's post-hoc test (α < 0.05). Fracture modes were determined employing a stereomicroscope, and differences were evaluated using a likelihood ratio test and Pearson's chi-squared test. Specimens were also observed using SEM. RESULTS Bond strengths were significantly affected by both post type and root level (p < 0.05), but not by self-adhesive cement (p > 0.05). Fracture types showed a significantly higher prevalence of adhesive fractures at the apical level, with all fractures starting at the cement-dentin interface. CONCLUSION Individually formed FRC posts demonstrated greater bond strength than their prefabricated FRC counterparts. The apical level of the luted posts yielded lower bond strengths than the coronal level. Failures were predominantly adhesive at the cement-dentin interface.
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Bitter K, Falcon L, Prates Soares A, Sturm R, von Stein-Lausnitz M, Sterzenbach G. Effect of Application Mode on Bond Strength of Adhesively Luted Glass-fiber Bundles Inside the Root Canal. J Adhes Dent 2019; 21:517-524. [PMID: 31802067 DOI: 10.3290/j.jad.a43507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE The aim of the present study was to measure the bond strength of adhesively luted glass-fiber bundles inside the root canal with respect to the application procedure in comparison to conventional solid glass-fiber posts. MATERIALS AND METHODS 104 human anterior teeth were endodontically treated, root filled and divided into 8 groups (n = 13). After post space preparation, fiber bundles consisting of 6 and 12 glass fibers, respectively, were luted adhesively with a multi-mode adhesive (Futurabond U; Voco, Cuxhaven, Germany) and a dual-curing composite (Rebilda DC, Voco) with the following application modes into the root canal: (1) direct application with tweezers, (2) distribution of the fibers using a spreader, (3) application of ultrasound after insertion of fibers. Two different solid posts (Rebilda DC, Voco; and DentinPost, Komet, Lemgo, Germany) were used as controls. Roots were sectioned into 6 slices per root (thickness 1 mm). Bond strengths were measured using thin-slice push-out tests for 3 slices 24 h after post insertion and for 3 slices per sample following thermocycling (TC) for 6000 cycles and storage in 0.9% NaCl for 6 months. Homogeneity of the slices was analyzed using a stereomicroscope and, for representative samples, micro-computed tomography (µCT). RESULTS Mean push-out bond strengths (MPa) were significantly affected by post system (p < 0.0005) and location inside the root canal (p = 0.004) but not by application mode (p = 0.544) or TC (p = 0.098; repeated measurement ANOVA). Fiber bundles consisting of 6 (13.2 ± 4.7) and 12 fibers (14.5 ± 4.3) revealed bond strength comparable to that of Rebilda Post (13.67 ± 3.2) but significantly higher than that of Dentin Posts (8.7 ± 3.02). Inhomogeneities were detected among 35.5% to 43.1% of the fiber-bundle samples, irrespective of number of fibers and application mode, and among 24.4% to 27.3% of the solid posts (p = 0.010; chi-squared test). µCT revealed voids inside the composite bulk between the fibers as well as between composite and dentin of adhesively luted fiber bundles. CONCLUSION Adhesively luted fiber bundles achieved bond strengths comparable to those of solid fiber posts for one investigated post type, and even higher values compared to another post type. Inhomogeneities were frequently detected irrespective of application mode.
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Atlas A, Grandini S, Martignoni M. Evidence-based treatment planning for the restoration of endodontically treated single teeth: importance of coronal seal, post vs no post, and indirect vs direct restoration. Quintessence Int 2019; 50:772-781. [PMID: 31559397 DOI: 10.3290/j.qi.a43235] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Every orthograde endodontic procedure requires restoration of the coronal (access) cavity. The specific type of treatment used in individual cases greatly depends on the amount and configuration of the residual coronal tooth structure. In practice there are Class I access cavities as well as coronally severely damaged, even decapitated, teeth and all conceivable manifestations in between. The latest attempts to review results from clinical trials to answer the question of whether post placement or crowning can be recommended for the restoration of endodontically treated teeth or not are inconclusive. For dental practitioners, this is not a satisfactory result. This appraisal evaluates available evidence and trends for coronal restoration of single endodontically treated teeth with a focus on clinical investigations, where available. It provides specific recommendations for their coronal restoration to assist clinicians in their decision making and treatment planning.
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Chisnoiu A, Picos A, Lascu L, Negucioiu M, Chisnoiu R, Kui A. Dentists' perspectives on the reconstruction possibilities of a non-vital tooth. Med Pharm Rep 2019; 92:387-392. [PMID: 31750440 PMCID: PMC6853044 DOI: 10.15386/mpr-1148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Revised: 05/17/2019] [Accepted: 06/09/2019] [Indexed: 11/23/2022] Open
Abstract
Background and aims The decision-making process when restoring a non-vital tooth is influenced by multiple factors. This study aimed to survey the dentists’ preferences regarding cast post-and-core and fiber post techniques for the reconstruction of non-vital teeth and to identify a correlation between reconstruction technique and practitioners characteristics, or dental characteristics. Methods The survey instrument was a questionnaire, which included a general part with questions regarding the practitioner’s profile (gender, age, years of experience, pattern and location of practice, etc.) and the dental characteristics (anterior or posterior position of the tooth on the arch, the amount of dental remaining tissues, etc.) and a technical part, containing more specific questions regarding the manufacture and performance of root-coronal reconstructions. Results Among the surveyed practitioners (n=35), 69.7% use more often cast post-and-core reconstructions (CPR) while 30.3% choose fiber post reconstructions (FPR). No difference in the reconstruction type was observed regarding patient’s age (p=0.23) or gender (p=0.092). The para-function criterion was considered important by 8.23% of the participants. When deciding the type of the root-coronal reconstruction depending on the remaining dentine walls, CPRs are significantly more frequently used in posterior areas (p=0.043) or when para-functional habits exist (p=0.022). Conclusion Cast post-and-core represent the most frequently used type of reconstruction for non-vital teeth. Fiber post reconstructions are indicated in the aesthetic zone and when the amount of healthy remaining dental structure is higher.
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Affiliation(s)
- Andrea Chisnoiu
- Department of Prosthodontics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Alina Picos
- Department of Prosthodontics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Liana Lascu
- Department of Prosthodontics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Marius Negucioiu
- Department of Prosthodontics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Radu Chisnoiu
- Department of Odontology, Endodontics and Oral Pathology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Andreea Kui
- Department of Prosthodontics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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Pham KV, Huynh TTT. Bond Strength and Fracture Resistance of Flowable Bulk Fill Composite Posts and Cores in Endodontically Treated Teeth. J Int Soc Prev Community Dent 2019; 9:522-526. [PMID: 31620387 PMCID: PMC6792309 DOI: 10.4103/jispcd.jispcd_187_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2019] [Accepted: 08/14/2019] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Smart dentin replacement (SDR) is a new flowable bulk fill composite with many useful characteristics such as low viscosity and higher depth of cure. This study aimed to evaluate the bond strength and fracture resistance of flowable bulk fill composite posts and cores versus that of fiber posts and cores. MATERIALS AND METHODS Forty intact, extracted human maxillary central incisor roots were endodontically treated. Group A (n = 20) was prepared for the composite space and group B (n = 20) was prepared for the fiber post space. Group A and B were divided into two subgroups A1 and A2 and B1 and B2, respectively (10 roots for each subgroup). Root canal spaces of group A1 were filled with SDR composite, X-Post fiber post with Core X Flow composite was inserted into the root canal spaces of group B1. Group A2 was restored using SDR and group B2 was restored using post and core composite. Five hundred thermocycles were applied for the sample. Bond strength values were measured for segments in A1 and B1. Fracture force values were measured for specimens of A2 and B2. RESULTS No significant difference was observed between the two paired groups (A1 and B1) and (A2 and B2) in bond strength and fracture force values. CONCLUSION SDR could be used for restoring endodontically treated teeth.
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Affiliation(s)
- Khoa V. Pham
- Department of Operative Dentistry and Endodontics, Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam,Address for correspondence: Dr. Khoa V. Pham, Department of Operative Dentistry and Endodontics, Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City, 652 Nguyen Trai Street, Ward 11, District 5, 700000, Ho Chi Minh City, Vietnam. E-mail:
| | - Trang T. T. Huynh
- Department of Operative Dentistry and Endodontics, Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
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