Rotational fatigue-resistance of seven post types anchored on natural teeth

Comparative evaluation of fracture resistance of endodontically treated maxillary premolars reinforced by customized glass fiber post in two different ways: An in vitro study

Context

Endodontically treated premolars are currently restored with direct bonded techniques in conservative manner enabling them to bear functional stresses homogeneously.

Aim

The study aimed to evaluate the effect of placement of compactable glass fibers in reinforcing the endodontically treated teeth in a novel conservative manner.

Settings and Design

Research laboratory, in vitro study.

Materials and Methods

Seventy-five extracted maxillary premolars were procured. Fifteen teeth were left untreated (Group A) and the remaining teeth were endodontically treated followed by standardized mesio-occluso-distal preparation and randomly assigned to experimental groups (n = 15) as follows: (B) no restoration, (C) restoration with composite, (D) EverStick^® POST followed by composite, and (E) vertical glass fibers within 3 mm of the coronal root canal space and buccopalatal flaring of the coronal fibers followed by composite. After conditioning and thermocycling, specimens were loaded under a universal testing machine to evaluate fracture resistance and fracture pattern of specimens.

Statistical Analysis Used

Obtained scores were statistically analyzed using one-way analysis of variance test for stress analysis, post hoc Tukey's test for intergroup comparison, and Chi-square test for analysis of favorable and unfavorable fracture.

Results

The fracture resistance was highest to lowest as follows: Group A > E > C > D > B (P < 0.001).

Conclusion

EverStick^®POST used in conservative manner improved fracture strength of teeth significantly.

Mechanical resistance evaluation of a novel anatomical short glass fiber reinforced post in artificial endodontically treated premolar under rotational/lateral fracture fatigue testing

This study develops a novel anatomical short glass fiber reinforced (anatomical SGFR) post and evaluates the mechanical performance in artificial endodontically treated premolars. An anatomical SGFR fiber post with an oval shape and slot/notch designs was manufactured using an injection-molding machine. The three-point bending test and crown/core restorations using the anatomical SGFR and commercial cylindrical fiber posts under fatigue test were executed to understand the mechanical resistances. The results showed that static and dynamic rotational resistance were found significantly higher in the anatomical SGFR fiber post than in the commercial post. The endurance limitations at 1.2×10(6) cycles were 66.81 and 64.77 N for the anatomical SGFR and commercial fiber posts, respectively. The anatomical SGFR fiber post presented acceptable value of flexural strength and modulus, better fit adaption in the root canal resist torque more efficiency but was not a key issue in the lateral fracture resistance in an endodontically treated premolar.

Fatigue susceptibility of an endodontic fibre post material

AIM

To evaluate effects of ageing and fatigue on the elastic modulus and short-beam shear strength of a quartz fibre/epoxy resin post material.

METHODOLOGY

Cylindrical specimens (25 × 2.2 mm) were made. Elastic moduli were dynamically measured before immersion in water; after immersion in water; periodically during storage in water for up to 7 years; periodically during thermal cycling in water for up to 10 000 cycles to produce thermo-mechanical fatigue; and periodically during boiling in water for up to 100 h. After ageing, the specimens underwent short-beam shear strength testing.

RESULTS

Elastic modulus was significantly decreased by thermal cycling and by immersion in boiling water, but not by water storage. Short-beam shear strength was profoundly decreased by all three ageing processes. Short-beam shear strength was much more sensitive than elastic modulus to the ageing or fatigue processes applied in this study.

CONCLUSIONS

A representative endodontic fibre post material was susceptible to a variety of ageing and fatigue processes. The effects of ageing and fatigue had a more pronounced impact on short-beam shear strength than on elastic modulus. The effects of boiling in water and thermal cycling in water were considerably larger than those of simple storage in water.

Fracture resistance and failure patterns of open apex root teeth with different posts after endodontic treatment

The aim of this study is to investigate the influence of different posts on the fracture mechanics of endodontically-treated teeth with open apex. Forty-eight human maxillary anterior teeth were collected, and the root was transversely sectioned 12 mm under the cementoenamal junction (CEJ). These samples were then randomly divided into two groups, i.e., minor diameter open apex root (group A) and major diameter open apex root (group B), with mineral trioxide aggregate (MTA) placed into the apical 4 mm in the root canals. Subsequently, both groups were respectively further divided into three subgroups as follows: fiber-post (subgroup 1), metal post (subgroup 2) and non-post (subgroup 3) group. Teeth were restored with a composite resin crown and tested by using a universal testing machine at the rate of 1 mm/min cross-head. Values of the maximum fracture resistance and failure patterns were recorded and compared among all subgroups. In addition, the changes of MTA properties were carefully examined via X-ray photography. Our results indicate that (1) In group A, the mean value of fracture resistance for teeth restored with fiber posts were statistically higher than that with either metal post or non-post; (2) In group B, there was no statistically significant difference in the mean value of fracture resistance among three subgroups; (3) No statistical significance in the mean value of fracture resistance was found between group A and group B; (4) The failure modes of most samples (58%) were irreparable; (5) MTA in two teeth developed cracks after loading tests. In conclusion, endodontically-treated teeth restored with fiber posts are more resistant to fracture than those restored with either metal posts or non-post, and most of the fracture modes are catastrophic in nature.

Influence of luting agents on time required for cast post removal by ultrasound: an in vitro study

Objective:

This in vitro study evaluated the influence of luting agents on ultrasonic vibration time for intraradicular cast post removal.

Material and Methods:

After endodontic treatment, 30 roots of extracted human canines were embedded in resin cylinders. The post-holes were prepared at 10 mm depth and their impressions were taken using autopolymerizing acrylic resin. After casting procedures using a nickel-chromium alloy, the posts were randomly distributed into 3 groups (n=10) according to the luting material: G1- zinc phosphate (SS White) (control group), G2 - glass ionomer cement (Vidrion C; SS White), and G3- resin cement (C&B; Bisco). In G3, the adhesive procedure was performed before post cementation. After 24 h, the cement line was removed at the post/tooth interface using a fine diamond bur, and the ST-09 tip of an Enac ultrasound unit was applied at maximum power on all surfaces surrounding the posts. The application time was recorded with a chronometer until the post was completely dislodged and data were analyzed by ANOVA and Tukey's test (p<0.05).

Results:

The roots were removed from the acrylic resin and inspected to detect cracks and/or fractures. The means for G1, G2, and G3 were 168.5, 59.5, and 285 s, respectively, with statistically significant differences among them. Two G3 posts resisted removal, one of which developed a vertical fracture line.

Conclusions:

Therefore, the cement type had a direct influence on the time required for ultrasonic post removal. Compared to the zinc phosphate and glass ionomer cements, the resin cement required a longer ultrasonic vibration time.