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Martinho FC, Bisi BG, Gavini G, Griffin IL, Tordik PA. Comparison of the Accuracy and Efficiency of Two Dynamic Navigation System Workflow for Fiber-Post Removal: Small versus Large Field-of-View Registration Workflows. J Endod 2024:S0099-2399(24)00363-7. [PMID: 38945199 DOI: 10.1016/j.joen.2024.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 06/18/2024] [Accepted: 06/21/2024] [Indexed: 07/02/2024]
Abstract
INTRODUCTION This study investigates the feasibility of a dynamic navigation system (DNS) small field of view workflow (DNS-SFOVw) for fiber-post removal and compares its accuracy and efficiency to the conventional large field of view workflow (DNS-LFOVw). METHODS Fifty-six extracted human maxillary molars were divided into DNS-SFOVw (n=28) and DNS-LFOVw (n=28). The palatal canal was restored with an intra-radicular RelyX fiber post and luted with RelyX Unicem; a core buildup was used. Teeth were mounted in a 3D-printed surgical jaw. A preoperative cone-beam-computed tomography (CBCT) scan was taken with a 40 x 40 mm FOV for the DNS-SFOVw and a single arch CBCT scan for the DNS-LFOVw. The drilling entry point, trajectory, angle, and depth were planned in the X-guide software. The DNS registration method for the DNS-SFOVw was virtual-based registration on teeth, and the marker point-based method was used for the DNS-LFOVw. The fiber posts were drilled out under DNS guidance. A postoperative CBCT scan was taken. Three-dimensional (3D) deviations, angular deflection, number of mishaps, registration, and total operation time were calculated. RESULTS The DNS-SFOVw was as accurate as DNS-LFOVw (p>.05). The DNS-LFOVw registration time was less than DNS-SFOVw (p<.05). There was no difference in the number of mishaps (p>.05). Both DNS-SFOVw and DNS-LFOVw were time-efficient, with DNS-LFOVw taking less total operational time (p<.05). CONCLUSION Within the limitations of this in-vitro study, the DNS-SFOVw was as accurate as the DNS-LFOVw for fiber-post removal. Both DNS-LFOVw and DNS-SFOVw were time-efficient in removing fiber-posts.
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Affiliation(s)
- Frederico C Martinho
- Clinical Professor - Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry - Baltimore - Maryland.
| | - Bruno G Bisi
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil; and Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry - Baltimore - Maryland
| | - Giulio Gavini
- Clinical Professor - Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Ina L Griffin
- Clinical Assistant Professor - Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry - Baltimore - Maryland
| | - Patricia A Tordik
- Clinical Professor - Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry - Baltimore - Maryland
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Albashaireh ZSM, Sbeih YK. The effect of ferrule and core material on fracture resistance of endodontically treated anterior teeth restored with ceramic crowns after artificial aging. J Dent 2024; 147:105106. [PMID: 38830530 DOI: 10.1016/j.jdent.2024.105106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Revised: 05/28/2024] [Accepted: 05/31/2024] [Indexed: 06/05/2024] Open
Abstract
OBJECTIVES To assess the influence of ferrule and core type on the fracture strength of endodontically treated anterior teeth (ETAT) and identify the failure mode type and distribution across different core types and ferrule conditions. METHODS Sixty extracted human central incisors were endodontically treated, decoronated and divided into two main groups (F=with ferrule, NF=no ferrule). Each main group was further subdivided into three subgroups according to the core material used: direct composite cores (DC), Ribbond fibre-reinforced composite cores (RIB-DC), and glass fibre post (GFP) with direct composite cores (GFP-DC). All specimens received E.max crowns and underwent thermal cycling and cyclic loading. Subsequently, the fracture resistance was tested with static loads applied to the crown restoration. Two-Way ANOVA and Chi square tests identified significant differences among the groups (p < 0.05). RESULTS The means and standard deviations (SD) of fracture loads in Newtons (N) for specimens in the F subgroups were RIB-DC: 465.0 (104.20), GFP-DC: 367.6 (79.59), DC: 275.8 (68.48), and in NF subgroups were RIB-DC: 110.8 (24.33), GFP-DC: 95.6 (25.47), DC: 67.4 (7.46). Specimens with ferrule yielded significantly higher fracture loads than those without ferrule (p = 0.0054). In the F groups, fracture loads of specimens with RIB-DC cores were significantly higher than those with GFP-DC (p = 0.0019) and those with DC (p = 0.0001). Moreover, fracture loads for the GFP-DC were significantly higher than those for the DC (p = 0.0026). The GFP-DC specimens showed the highest incidence of catastrophic failures (p = 0.0420). CONCLUSIONS Using fibre-reinforced composite (FRC) cores significantly increased fracture resistance in ETAT with ferrule. The failure modes repairable and possibly repairable were dominant in most specimens. CLINICAL SIGNIFICANCE When restoring ETAT with insufficient coronal tooth structure, preserving 2 mm of tooth structure ferrule and preparing cores with FRC can increase fracture resistance and reduce the incidence of non-repairable catastrophic fractures of teeth.
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Affiliation(s)
- Zakereyya S M Albashaireh
- Department of Conservative Dentistry, Jordan University of Science and Technology, P.O. BOX 3030, Irbid 22110, Jordan.
| | - Yasmeena K Sbeih
- Department of Conservative Dentistry, Jordan University of Science and Technology, P.O. BOX 3030, Irbid 22110, Jordan
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Joshi S, Shah P, Gandhage D, Mopagar V, Malge RK, Pendyala G. Comparative Evaluation of Fracture Resistance of Carbon Fiber Posts and Glass Fiber Posts in Permanent Anterior Teeth: An In Vitro Study. Cureus 2024; 16:e60647. [PMID: 38903272 PMCID: PMC11187463 DOI: 10.7759/cureus.60647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2024] [Indexed: 06/22/2024] Open
Abstract
Introduction Dental caries and traumatic injuries often lead to tooth loss in adolescents and adults, necessitating endodontic treatment and subsequent restoration. Restoring such teeth presents a challenge due to varying degrees of substance loss. After endodontic treatment, the choice of an appropriate post is crucial for long-term stability. While metal posts are sturdy, they lack aesthetics and may cause root fractures. Fiber posts, such as carbon and glass fiber, offer improved aesthetics and mechanical properties, but their comparative performance warrants investigation. Materials and methods A total of 30 extracted anterior single-rooted teeth were divided into two groups to receive either carbon fiber or glass fiber posts. After endodontic treatment and post-space preparation, the posts were cemented using a dual polymerizing adhesive resin composite. Fracture resistance was assessed using a universal testing machine. Results The mean fracture resistance of the carbon fiber post group was recorded at 271.2 N, whereas the glass fiber post group exhibited a significantly higher mean fracture resistance of 416.133 N. This difference in fracture resistance between the two groups was found to be statistically significant (p < 0.05). Conclusion Glass fiber post systems demonstrated superior fracture resistance compared to carbon fiber post systems in anterior single-rooted teeth. These findings support the clinical preference for glass fiber posts in restoring endodontically treated anterior teeth, offering both mechanical reliability and aesthetic advantages. However, further research, including long-term clinical trials, is warranted to validate these findings and assess the overall clinical performance and longevity of fiber post systems in real-world settings.
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Affiliation(s)
- Saurabh Joshi
- Department of Pediatric Dentistry, Rural Dental College, Pravara Institute of Medical Sciences, Loni, IND
| | - Pratima Shah
- Department of Pediatric Dentistry, Rural Dental College, Pravara Institute of Medical Sciences, Loni, IND
| | - Dhananjay Gandhage
- Department of Prosthodontics, Crown and Bridge, and Implantology, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, IND
| | - Viddyasagar Mopagar
- Department of Pedodontics and Preventive Dentistry, Rural Dental College, Pravara Institute of Medical Sciences, Loni, IND
| | - Rajesh Krishna Malge
- Department of Pedodontics and Preventive Dentistry, ESIC (Employee's State Insurance Corporation) Dental College, Kalaburagi, IND
| | - Gowri Pendyala
- Department of Periodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni, IND
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Dimitrova M, Vlahova A, Kazakova R. Assessment of CAD/CAM Fabrication Technologies for Post and Core Restorations-A Narrative Review. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:748. [PMID: 38792931 PMCID: PMC11123209 DOI: 10.3390/medicina60050748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 04/27/2024] [Accepted: 04/28/2024] [Indexed: 05/26/2024]
Abstract
The primary objective of this study is to conduct a comprehensive review of the existing literature that discusses research on post and core restorations, covering aspects such as their composition, manufacturing methods, and clinical effectiveness. The methodology employed in this review encompasses the implementation of a well-defined search strategy, the establishment of criteria for inclusion and exclusion, and the selection of relevant studies to summarize their findings. To gather relevant literature published between 1993 and 2023, the research team conducted separate searches on PubMed, Web of Science, and Embase databases. In total, 168 titles were initially retrieved from these electronic databases. By applying the predefined exclusion criteria, the researchers identified 73 articles that specifically address the conventional and computer-aided design/computer-aided manufacturing (CAD/CAM) technologies employed in post and core restorations. These treatments are commonly employed to restore teeth that have received endodontic therapy and subsequently experienced loss of dental structure. The development of computerized technology for the creation of customized posts and cores has emerged as a straightforward and efficient alternative to traditional methods. The review synthesizes papers discussing the techniques and materials involved in CAD/CAM-based construction of post and cores. It explores strategies for restoring endodontically treated teeth, highlighting both direct and indirect approaches. Commonly mentioned materials include zirconia, composite resin, and hybrid ceramics. Despite the limited literature on CAD/CAM post and core procedures, the review emphasizes the necessity of further research to assess long-term outcomes and efficacy. Additionally, it suggests including implications for future research and clinical recommendations to enhance the depth and practical relevance of the review.
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Affiliation(s)
- Mariya Dimitrova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (R.K.)
| | - Angelina Vlahova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Rada Kazakova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
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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] [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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İskefli N, Yeğin E, Sezgin GP, Sönmez Kaplan S, Kaplan T. Effect of reapplication on pull-out bond strength of fibre post to root dentin: An in vitro study. Saudi Dent J 2024; 36:574-578. [PMID: 38690387 PMCID: PMC11056423 DOI: 10.1016/j.sdentj.2024.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 01/11/2024] [Accepted: 01/23/2024] [Indexed: 05/02/2024] Open
Abstract
Purpose Post removal may be necessary for many reasons and is inevitable after the re-application of a dental post. The present study investigated the bond strength between root dentin and a re-applied fibre-reinforced composite (FRC) post by a pull-out test. Materials and methods After root canal treatments of 30 extracted human maxillary canine teeth, post spaces were prepared (10 mm), and FRC posts (Hi-Rem Post; Overfibres, İmola, Italy) were luted with self-adhesive resin cement. The samples were than randomly divided into test and control groups (n = 15 in each). The FRC posts were removed in the test group, and new posts were cemented. The pull-out test (1 mm/minute speed) was used to measure the bond strength. Failure types were determined using a stereomicroscope. Mann-Whitney U, chi-square and Fisher-Freeman-Halton exact tests were used for statistical analysis. Results The bond strength values of the test (119.5 ± 36.86 N) and control (115.55 ± 55.44 N) groups did not differ significantly (p >.05). In terms of the percentage of failure types, there was a significant difference only in the test group between the mixed failure type and the other failure types (p <.05). Conclusions The re-application of FRC post did not seem to affect the bond strength. The distribution of failure types was similar between the control and test groups.
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Affiliation(s)
- Nuray İskefli
- İstanbul Medeniyet University, Faculty of Dentistry, Department of Prosthodontics, Istanbul, Turkey
| | - Elif Yeğin
- İstanbul Medeniyet University, Faculty of Dentistry, Department of Prosthodontics, Istanbul, Turkey
| | - Güzide Pelin Sezgin
- Biruni University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey
| | - Sema Sönmez Kaplan
- Biruni University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey
| | - Tuna Kaplan
- Biruni University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey
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Alshehri T, Aly NM, Altayyar R, Alghamdi D, Alotaibi S, Ellakany P. Radiographic assessment of dental post and core placement at different educational levels in an undergraduate student clinic: a 4-year retrospective study. F1000Res 2024; 12:976. [PMID: 38826572 PMCID: PMC11143398 DOI: 10.12688/f1000research.137421.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/08/2024] [Indexed: 06/04/2024] Open
Abstract
Background Dental post and core is one of the common procedures performed after endodontic treatment. The aim of this study was to radiographically assess the quality of post and core procedures performed by dental students at different education levels in addition to determining the most critical errors encountered during their clinical practice. Methods A retrospective cross-sectional study design was conducted in the College of Dentistry, Imam Abdulrahman Bin Faisal University. A total of 550 periapical radiographs (PAs) of cemented posts were retrieved from the records of patients treated by dental students. Parameters and guidelines for assessing the quality of post treatment have been determined and statistically analyzed. A P value <0.05 was considered statistically significant. Results The study included 502 students and most of them were females (66.5%). Data were obtained from 502 patients (62% females) with fiber posts used in 98.2% of the cases. About 50% of the posts were inserted in premolars, 62.9% in the upper arch, and 66.7% were restored with crowns as a final restoration. Regarding the quality of posts, 98.4% showed good preparation quality and 98% showed good radiographic quality. The post diameter was equal to 1/3 of the root diameter in 31.9% of the cases; post length was equal to 2/3 of root length in 5% of the cases and equal to or more than crown height in all cases (100%). Length of the remaining gutta percha (GP) was between 3-5 mm in 38.8%, and there was no gap between the post and remaining GP in 95.6% of the cases. There were no statistically significant differences between dental students at different clinical educational levels regarding the quality of post placement. Conclusions The quality of post and core procedures performed by students showed acceptable radiographic quality and were within the recommended standards.
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Affiliation(s)
- Turki Alshehri
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Nourhan M. Aly
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Raand Altayyar
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Deena Alghamdi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Shahad Alotaibi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Rajnics Z, Pammer D, Kőnig-Péter A, Turzó K, Marada G, Radnai M. Push-Out Bond Strength of Glass Fiber Endodontic Posts with Different Diameters. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1492. [PMID: 38612007 PMCID: PMC11013009 DOI: 10.3390/ma17071492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 03/09/2024] [Accepted: 03/22/2024] [Indexed: 04/14/2024]
Abstract
(1) Background: The retention of intraradicular posts is an important factor for the prognosis of endodontically treated teeth. The purpose of this study was to evaluate the push-out bond strength (PBS) of the posts relating to their diameter and region of the root. (2) Methods: A total of 40 premolar teeth (decoronated and root canal-filled) were divided into four groups (n = 10). After post-space preparation, different sizes (1.0, 1.2, 1.5, and 2.0 mm) of glass fiber posts were luted with resin cement into the root canals. After placement, 2 mm thick slices were cut from the roots according to their apical, middle, and coronal regions (n = 116). Push-out tests were carried out in a universal testing machine on each slice. A statistical evaluation of the data was applied. (3) Results: When comparing the diameter, the 2.0 mm posts had the highest PBS (111.99 ± 10.40 N), while the 1.0 mm posts had the lowest PBS (99.98 ± 8.05 N). Divided by the surface of the bonded area, the average PBS value was the highest for the 1.0 mm posts (18.20 ± 1.67 MPa) and the lowest for the 2.0 mm posts (12.08 ± 1.05 MPa). (4) Conclusions: Within the limitations of the study, when comparing the regions of the roots, no significant differences were found among the PBS values of the three regions (p = 0.219). When comparing the diameters, significant differences were shown between the PBS values of the four groups (p = 0.023 and p = 0.003, respectively).
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Affiliation(s)
- Zsolt Rajnics
- Faculty of Medicine, Dental School, University of Pécs, 7623 Pécs, Hungary; (K.T.); (G.M.)
| | - Dávid Pammer
- Department of Materials Science and Engineering, Faculty of Mechanical Engineering, Budapest University of Technology and Economics, 1111 Budapest, Hungary;
| | - Anikó Kőnig-Péter
- Institute of Bioanalysis, Medical School, University of Pécs, 7624 Pécs, Hungary;
| | - Kinga Turzó
- Faculty of Medicine, Dental School, University of Pécs, 7623 Pécs, Hungary; (K.T.); (G.M.)
| | - Gyula Marada
- Faculty of Medicine, Dental School, University of Pécs, 7623 Pécs, Hungary; (K.T.); (G.M.)
| | - Márta Radnai
- Department of Prosthodontics, Faculty of Dentistry, University of Szeged, 6720 Szeged, Hungary;
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Alshetiwi DSD, Muttlib NAA, El-Damanhoury HM, Alawi R, Rahman NA, Elsahn NA, Karobari MI. Evaluation of mechanical properties of anatomically customized fiber posts using E-glass short fiber-reinforced composite to restore weakened endodontically treated premolars. BMC Oral Health 2024; 24:323. [PMID: 38468269 PMCID: PMC10926594 DOI: 10.1186/s12903-024-04102-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 03/04/2024] [Indexed: 03/13/2024] Open
Abstract
OBJECTIVE This study was conducted to assess the influence of combining different forms of fiber-reinforced composites (FRC) on the mechanical behavior and bond strength of compromised endodontically treated teeth (ETT). MATERIALS AND METHODS Eighty extracted human premolar teeth were randomly divided into five experimental groups according to the type of intra-radicular restoration and the canal preparation design which was either non-flared (Group 1), flared (Groups 2-5), closed-apex (Groups 1,3,5) or open-apex (Groups 2,4). Standard prefabricated fiber posts were used as intra-radicular restoration for Groups 1-3 while Groups 4-5 were restored with anatomically customized relined fiber posts. After composite core fabrication, all samples were sent for an artificial aging process. Fracture resistance and push-out bond strength tests were then carried out through a universal testing machine followed by mode of failure analysis via a stereomicroscope and scanning electron microscope. RESULTS Pairwise Log-Rank comparisons revealed that the survival rate of Group 2 and Group 3 was significantly lower than all other groups after artificial aging. The highest fracture resistance value (1796 N) was recorded in Group 5 and was significantly higher than that of the other groups (p < 0.05), while Group 2 exhibited the lowest fracture resistance (758 N), which was significantly lower compared to the other groups. Group 5 and Group 4 demonstrated a significantly higher push-out bond strength, at all root thirds, than Group 3, Group 2, and Group 1 (p < 0.05). The most frequently observed failure mode in the tested groups occurred between the resin cement and radicular dentin. CONCLUSION The use of short fiber-reinforced composite (SFRC) to reline the prefabricated FRC post has been proven to have superior fracture resistance with favorable failure patterns and increased push-out bond strength values compared to standard prefabricated FRC posts.
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Affiliation(s)
- Dawood Salman Dawood Alshetiwi
- Post-graduate Program in Dentistry, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
- Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Nor Aidaniza Abdul Muttlib
- Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
| | - Hatem M El-Damanhoury
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Rabihah Alawi
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
| | - Normastura Abd Rahman
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
| | - Nesrin Aly Elsahn
- Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates
- Department of Operative Dentistry, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Mohmed Isaqali Karobari
- Dental Research Unit, Center for Global health Research, Saveetha Medical College and Hospitals, Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, Tamil Nadu, India.
- Department of Restorative Dentistry & Endodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh 12211, Phnom Penh, Cambodia.
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10
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Krug R, Schwarz F, Dullin C, Leontiev W, Connert T, Krastl G, Haupt F. Removal of fiber posts using conventional versus guided endodontics: a comparative study of dentin loss and complications. Clin Oral Investig 2024; 28:192. [PMID: 38438798 PMCID: PMC10912265 DOI: 10.1007/s00784-024-05577-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 02/24/2024] [Indexed: 03/06/2024]
Abstract
OBJECTIVES To compare the efficacy of fiber post removal using conventional (CONV) versus guided endodontics (GE) in terms of dentin loss, residual resin material, procedural errors, and working time in vitro. MATERIAL AND METHODS Ninety human central incisors were root-filled and scanned by micro-computed tomography (CT), then restored with fiber posts and composite. Twenty-four sets of teeth with up to four human maxillary central incisors were fabricated and divided into three groups: conventional post removal by a general dentist (CG) or endodontology specialist (CS) and guided endodontics (GE) by a general dentist, yielding 30 teeth per operator and group. After treatment, the prepared access cavities were volumetrically assessed by micro-CT. Statistical significance was evaluated by one-way analysis of variance followed by post hoc comparisons with Tukey's HSD test and Pearson's chi-squared test for independence. RESULTS Both CONV and GE resulted in dentin loss and residual resin material. CS resulted in more dentin loss and less residual resin material than CG and GE (p < .05). All groups had some deviations from the original root canal but no perforations. The shortest working time was observed in the GE group. CONCLUSIONS Compared to the conventional freehand technique, GE resulted in significantly less radicular dentin loss, a few deviations but no perforations. CLINICAL RELEVANCE Guided endodontics can improve the speed and safety of fiber post removal without root perforation.
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Affiliation(s)
- R Krug
- Department of Conservative Dentistry and Periodontology and Center of Dental Traumatology, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany.
| | - F Schwarz
- Department of Conservative Dentistry and Periodontology and Center of Dental Traumatology, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany
| | - C Dullin
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - W Leontiev
- Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine, University of Basel, Basel, Switzerland
| | - T Connert
- Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine, University of Basel, Basel, Switzerland
| | - G Krastl
- Department of Conservative Dentistry and Periodontology and Center of Dental Traumatology, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany
| | - F Haupt
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
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11
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de Carvalho MA, Lazari-Carvalho PC, Del Bel Cury AA, Magne P. Fatigue and failure analysis of restored endodontically treated maxillary incisors without a dowel or ferrule. J Prosthet Dent 2024; 131:241-250. [PMID: 35705432 DOI: 10.1016/j.prosdent.2021.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 07/11/2021] [Accepted: 07/12/2021] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM Information on the survival and mode of failure of endodontically treated incisors without a ferrule and restored without dowels is lacking. PURPOSE The purpose of this in vitro study was to compare the survival and failure mode of endodontically treated incisors without a ferrule and restored with bonded ceramic crowns and various composite resin foundation restorations without dowels with a control group with fiber dowels. MATERIAL AND METHODS Forty-five decoronated endodontically treated bovine incisors without ferrule were divided into 3 experimental groups and restored with different adhesive foundation restorations without dowel: nanohybrid composite resin (Nd), bulk-fill composite resin foundation restoration (NdB), and fiber-reinforced bulk-fill composite resin (NdFR). A control group with conventional foundation restorations (glass-fiber dowel with nanohybrid composite resin foundation restoration without ferrule) (D) was included for comparison. All teeth were prepared to receive bonded lithium disilicate ceramic crowns luted with dual-polymerizing composite resin cement and were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the incisal edge at an angle of 30 degrees and a frequency of 5 Hz, beginning with a load of 100 N (5000 cycles). A 100-N load increase was applied each 15 000 cycles. Specimens were loaded until failure or to a maximum for cycles endured of 1000 N (140 000 cycles). Groups were compared by using the Kaplan-Meier survival analysis (log rank test at α=.05 and pairwise post hoc comparisons) and life table analysis for load-at-failure (followed by Wilcoxon pairwise comparison α=.05). RESULTS All the specimens failed before 140 000 load cycles. Even though no statistically significant differences were found between the experimental groups without dowel (P>.127), the fiber-reinforced foundation restoration yielded the highest mean ±standard deviation cycles to failure (46 023 ±4326) compared with Nd (38 899 ±2975) and NdB (39 751 ±2998). NdFR, however, outperformed the foundation restoration with glass-fiber dowel (35 026 ±2687) (P<.05). Most failure in groups without dowel were restorable, while 100% of catastrophic failure (unrestorable) were found in the group with dowels. CONCLUSIONS Based on the present in vitro study, dowels did not improve the performance of the adhesive restoration of endodontically treated incisors without a ferrule. The use of a short fiber-reinforced composite resin foundation restoration without a dowel was able to not only improve the resistance of the restorations compared with adhesive foundation restorations with dowels but also minimize catastrophic failures.
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Affiliation(s)
- Marco Aurelio de Carvalho
- Professor, Department of Oral Rehabilitation, School of Dentistry, Evangelic University of Goias (UniEVANGÉLICA), Anápolis, GO, Brazil
| | - Priscilla Cardoso Lazari-Carvalho
- Professor, Department of Oral Rehabilitation, School of Dentistry, Evangelic University of Goias (UniEVANGÉLICA), Anápolis, GO, Brazil.
| | - Altair Antoninha Del Bel Cury
- Full Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, SP, Brazil
| | - Pascal Magne
- Tenured Associate Professor, Don & Sybil Harrington Foundation Professor of Esthetic Dentistry, Department of Restorative Sciences, The Herman Ostrow School of Dentistry, University of Southern California (USC), Los Angeles, Calif
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12
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Costa JLDSG, Barros APO, Manzoli TM, Escalante-Otárola WG, Alencar CDM, Galvani LD, Vaz LG, Kuga MC. Formulations of NaOCl-based in liquid, gel form or with surfactants on dentin deproteinization before fiber post cementation. Dent Mater J 2024; 43:126-135. [PMID: 38072410 DOI: 10.4012/dmj.2023-187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2024]
Abstract
The objective of the study was to evaluate the effects of dentin deproteinization protocols for post space using different formulations containing sodium hypochlorite before fiber post cementation with self-adhesive resinous cement. The groups were divided according to the irrigation protocol (DWC, SHS, SHT and SHG). The residue cleanliness, bond strength, adhesive failure pattern, and tag formation at the adhesive interface between the self-adhesive cement and the dentin were evaluated. For this, analysis in scanning electron microscope, push-out test and confocal laser scanning microscopy were performed. The SHT protocol showed the highest residue cleanliness on the dentin surface of the post space (p<0.05). In addition, SHT protocol showed highest bond strength and tag formation in the cervical and middle thirds (p<0.05). Dentin deproteinization with sodium hypochlorite with surfactant provided the best dentin cleaning of residues, bond strength and tag formation after cementation of the fiber post with self-adhesive cement.
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Affiliation(s)
- Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais
- Department of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University
| | | | - Tatiane Miranda Manzoli
- Department of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University
| | | | | | - Lucas David Galvani
- Department of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University
| | - Luis Geraldo Vaz
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP)
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University
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13
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Lima RO, Barros APO, Alencar CDM, Pereira KDF, Galvani LD, Vaz LG, Campos EAD, Kuga MC. Influence of using different translucent composite resins for customizing fiber post on the bond strength of self-adhesive cement to root dentin. Dent Mater J 2024; 43:112-118. [PMID: 38072411 DOI: 10.4012/dmj.2023-184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2024]
Abstract
This study evaluated the influence of different translucent resins (Z350 and Opallis) for customizing fiber posts and light-curing the cementation system using different LED equipment (V, Valo or R, Radii-Cal) on the bond strength and adhesive failure pattern at 24 h and 6 months. Eighty roots were prepared and divided into 4 groups (n=20): ZV (Z350 resin and LED Valo), ZR (Z350 resin and LED Radii-Cal), OV (Opallis resin and LED Valo), OR (Opallis resin and LED Radii-Cal). After post space preparation, the fiber post was customized and cemented with self-adhesive cement and light-curing using V or R LED equipment. Bond strength values were submitted to 2-way ANOVA test. ZV and ZR showed higher bond strength values than the other groups at 6 months of evaluation (p<0.05). The Z350 resin has a favorable influence on the bond strength of self-adhesive cement to root dentin, regardless of the LED polymerization equipment used.
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Affiliation(s)
- Reinaldo Oliveira Lima
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP)
| | | | - Cristiane De Melo Alencar
- Department of Restorative Dentistry, School of Dentistry, University Center of the State of Pará (CESUPA)
| | | | - Lucas David Galvani
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP)
| | - Luís Geraldo Vaz
- Department of Dental Materials and Prosthetics Araraquara Dental School, São Paulo State University (UNESP)
| | - Edson Alves De Campos
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP)
| | - Milton Carlos Kuga
- Department of Operative Dentistry, Araraquara Dental School, São Paulo State University (UNESP)
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14
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Abdulrab S, Geerts G, Thiagarajan G. Fracture resistance and failure pattern of endodontically treated maxillary premolars restored with transfixed glass fiber post: an in vitro and finite element analysis. Comput Methods Biomech Biomed Engin 2024; 27:419-430. [PMID: 37655537 DOI: 10.1080/10255842.2023.2252954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 07/10/2023] [Accepted: 08/18/2023] [Indexed: 09/02/2023]
Abstract
The aims of the study were to determine the effect of different types of endodontic sealers and the presence of a horizontal glass fiber post (HGFP) on the fracture resistance and fracture pattern of mesio-occluso-distal (MOD) restored upper premolars and to analyze the stress distribution. Sixty extracted upper premolars received root canal treatment (RCT) and a MOD cavity preparation. All MOD cavities were restored with the same composite resin (CR). The 60 teeth were divided randomly into 6 groups (n = 10); Group1= AH Plus sealer; Group 2= TotalFill BC sealer; Group 3= BioRoot RCS sealer; Group 4= AH plus sealer + HGFP; Group 5= TotalFill BC sealer + HGFP; and, Group 6= Bio Root RCS sealer + HGFP. All specimens were thermocycled and subjected to cyclic loading. Next, the specimens were subjected to a static load using a universal testing machine. Data were analyzed using two-way ANOVA. Two micro-CTs of the same upper premolar, one without the HGFP and later one with HGFP inserted were made and used to create two finite element (FE) models. For the fracture resistance, two-way ANOVA revealed significant differences for the effect of HGFP (p = 0.029), but no differences for the effect of root canal sealer type (p = 0.561). The HGFP groups showed higher restorable fracture compared to groups without HGFP (p = 0.013). Finite element analysis showed that the inclusion of HGFP reduces stress concentration at the occlusal interface and cervical region. Therefore, it can be concluded that HGFP significantly increased the fracture resistance of endodontically treated upper premolars with MOD cavities and reduced the risk for non-restorable fractures. The FE analysis supports the mechanical test results.
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Affiliation(s)
- Saleem Abdulrab
- Alkhor health centre, Primary health care corporation, Doha, Qatar
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Greta Geerts
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Ganesh Thiagarajan
- Civil and Mechanical Engineering Department of the University of Missouri, KS City, KS, USA
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15
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Generali L, Veneri F, Forabosco E, Cavani F, Piergianni V, Sassatelli P, Checchi V, Pedullà E. Push-out bond strength and SEM fractographical analysis of hollow fibre posts used with self-adhesive resin cement: a pilot study. Odontology 2024; 112:158-168. [PMID: 37173534 DOI: 10.1007/s10266-023-00820-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 05/05/2023] [Indexed: 05/15/2023]
Abstract
Detachment is the major cause of failure of endodontic fibre posts. Hollow posts have been recently introduced to overcome such issue. The primary aim of this pilot study was to compare the push-out bond strength of hollow posts and traditional solid posts. Eight round-shaped single-canal premolars extracted for periodontal reason were selected as sample and equally randomized into two groups: (i) traditional solid fibre posts-TECH21xop and ii) hollow fibre posts-TECHOLE. A dual-curing self-adhesive cement (new TECHCEM) was used for posts placement. Six horizontal sections-two from each portion of the root (coronal, middle and apical)-were obtained from each sample root, yielding a total of 24 sections for each group. Push-out test was performed on the sections and bond strength values were compared between groups and within each group. Scanning electron microscope (SEM) fractographical analysis was conducted on each section. Additional SEM and EDX analyses were performed on new samples of both posts, to assess fibres density and distribution, and the chemical composition of the fibres and the matrix. Hollow posts showed a significantly higher push-out bond strength (6.36 ± 1.22 MPa) than solid posts (3.64 ± 1.62 MPa). Among the three root portions of the same group, there was no significant difference in bond strength. In both groups, the most frequent type of fracture was a mixed adhesive failure with the cement covering 0 to 50% of the post perimeter. Hollow post fibres appear more similar in size and have a more homogeneous distribution, compared to solid posts. The two post types also have different chemical compositions.
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Affiliation(s)
- Luigi Generali
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy.
| | - Federica Veneri
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy
- PhD Program in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Eleonora Forabosco
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy
- PhD Program in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Francesco Cavani
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | | | | | - Vittorio Checchi
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Largo del Pozzo, 71, 41124, Modena, Italy
| | - Eugenio Pedullà
- Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
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16
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Sayed M, Alahmad AM, Alhajji KS, Alenezi AY, Elkholy MA, Shreif MARE, Farag RA, Basta DG, Rifai H, Rayyan M. Removal Efficiency and Effectiveness of Four Different Fiber Posts Using Five Different Drill Systems in Multirooted Teeth. J Contemp Dent Pract 2024; 25:72-78. [PMID: 38514435 DOI: 10.5005/jp-journals-10024-3629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
AIM In comparing the effectiveness and efficiency of different types of post removal systems in removing different types of fiber posts (FPs), this study aims to shed light on the success of removal by currently available drill systems. MATERIALS AND METHODS A total of 200 maxillary first molars, were root canal treated and prepared to receive posts. The molars were divided into four groups corresponding to four different FPs: Group RX, Radix FP; Group RF, Reforpost Glass Fiber; Group HI; Hi-Rem Endodontic Post; and Group DT, D.T. Light-Post Illusion X-RO. Fiber posts were done with luting by Gradia Core (GC America, Inc.). Groups were again divided into five subgroups corresponding to the technique by which the FP was removed into as follows: Subgroup P, PD-25-1.1 Drill; subgroup G, GC FP Drill; subgroup E, EasyPost Precision Drill; subgroup R, Reaccess Carbide Double Taper Kit; and subgroup H; H-Endodontic Drill. After posts were removed, effectiveness and efficiency were documented. Data were tabulated and statistically analyzed. RESULTS Strong significant differences regarding efficiency among groups (FP type) and subgroups (drills used) (p = 0.00) were shown by the one-way analysis of variance (ANOVA) test. Subgroup DT-G scored the longest mean removal time (20.9 minutes) while Subgroup RX-R scored the shortest mean removal time (1.4 minutes) Regarding effectiveness, strong significant differences among groups (p = 0.00) and subgroups (p = 0.00) were shown by one-way ANOVA. Subgroup RF-G scored the highest scale (5.2) whereas subgroup HI-R scored the lowest mean scale (1.2). CONCLUSION The difference was strongly significant between tested post-removal kits and between tested FPs. Re-access Carbide Double Taper Kit performed superiorly in both effectiveness and efficiency, followed by PD-25-1.1 Drill. Hi-Rem post showed the best retrieving results among other FPs. CLINICAL SIGNIFICANCE Knowing the best technique and tools for post removal could spare the practitioner any unwanted complications during post removal. How to cite this article: Sayed M, Alahmad AM, Alhajji KS, et al. Removal Efficiency and Effectiveness of Four Different Fiber Posts Using Five Different Drill Systems in Multirooted Teeth. J Contemp Dent Pract 2024;25(1):72-78.
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Affiliation(s)
- Mohamed Sayed
- Department of Fixed Prosthodontics, Faculty of Dentistry, Ahram Canadian University, Egypt
| | - Ahmad M Alahmad
- Department of Primary Care, Alahmadi Dental Administration, Ministry of Health, Kuwait
| | - Khaled S Alhajji
- Department of Primary Care, Alahmadi Dental Administration, Ministry of Health, Kuwait
| | - Abdullah Y Alenezi
- Department of Primary Care, Alahmadi Dental Administration, Ministry of Health, Kuwait
| | | | | | - Rehab Ali Farag
- Department of Endodontics, Faculty of Oral and Dental Surgery, Misr University for Science and Technology, Giza, Egypt
| | - Doaa Gamal Basta
- Department of Endodontics, Faculty of Dentistry, Saini University, Kantara Campus, Egypt
| | | | - Mohammad Rayyan
- Department of Prosthodontics, Sinai University, Kantara Campus, Sinai, Egypt, Phone: +20 1001623392, e-mail:
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17
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Saad KB, Bakry SI, AboElhassan RG. Fracture resistance of endodontically treated teeth, restored with two post-core systems in different post space diameters (in vitro study). BMC Oral Health 2023; 23:992. [PMID: 38082401 PMCID: PMC10714464 DOI: 10.1186/s12903-023-03730-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 12/01/2023] [Indexed: 12/18/2023] Open
Abstract
BACKGROUND Fracture resistance of post-core restoration depends on the design of the post, post diameter, post length, the type of adhesive cement used along with material of the core. Despite the different studies concerning the effect of post space diameter on the fracture resistance of endodontically treated teeth, more information regarding fracture resistance and the effect of different post space systems/materials and diameters is required. AIM OF THE STUDY This study aimed to evaluate fracture resistance of endodontically treated teeth, restored with two post-core systems in different post space diameters. MATERIALS AND METHODS Twenty freshly extracted maxillary central incisors were collected for this study. They were randomly divided into four groups according to intracanal post and its diameter. Group GN (glass-fiber post of 10-mm length and 1.3-mm diameter with composite core), group GW (glass-fiber post of 10-mm length and 1.75-mm diameter with composite core), group ZN (custom-made zirconia one-piece post-core of 10-mm length and 1.3-mm diameter) and group ZW(custom-made zirconia one-piece post-core of 10-mm length and 1.75-mm diameter). Fracture resistance for all samples was evaluated using the universal testing machine under a static load. The data was collected and statistically analyzed using One-Way ANOVA test. Modes of failure were assessed using stereomicroscope for each group. RESULTS The highest mean fracture resistance was recorded in group GW (638.7 ± 285.1 N), followed by group ZW (598.5 ± 127.6 N), then GN group (442.8 ± 65.38 N). The lowest mean fracture resistance was recorded in group ZN (435.3 ± 117.3 N). One-Way ANOVA test revealed that there was no statistically significant difference in fracture resistance values among the groups. CONCLUSION Post space diameter had an impact over the fracture resistance of endodontically treated teeth. Modulus of elasticity of post material had a major effect on the fracture resistance and mode of failure along with the restorability of the restored tooth. However, there was no statistically significant difference among the tested groups.
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Affiliation(s)
- Kholoud B Saad
- Division of Fixed Prosthodontics, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Samir I Bakry
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Rewaa G AboElhassan
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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18
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Lin J, Bennani V, Aarts JM, Brunton P, Ratnayake J. Factors influencing success rate of ceramic veneers on endodontically treated anterior teeth: A systematic review. J Prosthet Dent 2023:S0022-3913(23)00716-3. [PMID: 38030544 DOI: 10.1016/j.prosdent.2023.10.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 10/29/2023] [Accepted: 10/30/2023] [Indexed: 12/01/2023]
Abstract
STATEMENT OF PROBLEM More conservative restorative approaches have been advocated for nonvital anterior teeth as an alternative to complete coverage crowns to maximize the preservation of tooth structure. Systematic reviews that investigated factors influencing the success rate of porcelain veneers on endodontically treated anterior teeth are lacking. PURPOSE The purpose of this systematic review was to investigate factors influencing the success rate of porcelain veneers on endodontically treated anterior teeth. MATERIAL AND METHODS Searches were performed across Medline/PubMed, Google Scholar, Scopus, and Web of Science electronic databases. In addition, articles were hand searched from references of systematic reviews concerning porcelain veneers and endodontically treated teeth. RESULTS After screening and applying the eligibility, inclusion, and exclusion criteria, 7 articles met the inclusion criteria. Factors that could positively influence the success rate of endodontically treated anterior veneered teeth were immediate dentin sealing, labially positioning of the endodontic access cavity, and incorporating fiber posts. CONCLUSIONS The use of fiber posts and labial positioning of the endodontic access cavity could positively influence the success rate of porcelain veneers on endodontically treated teeth. The effect of immediate dentin sealing on the survival rate of endodontically treated veneered teeth is still unclear and further research is needed.
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Affiliation(s)
- Jacy Lin
- Master's student, Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Vincent Bennani
- Associate Professor, Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - John M Aarts
- Senior Lecturer, Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Paul Brunton
- Deputy Vice-Chancellor Academic, Curtin University, Perth, Australia
| | - Jithendra Ratnayake
- Senior Lecturer, Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
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Nozari A, Rasoolzade B, Jowkar Z, Hamidi SA, Jowkar M. Evaluation of the Effects of Different Types of Resin Cement Systems on the Push-Out Bond Strength of the Fiber Post to Intracanal Dentin in Anterior Primary Teeth. Int J Dent 2023; 2023:8645083. [PMID: 38021345 PMCID: PMC10661842 DOI: 10.1155/2023/8645083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/15/2023] [Accepted: 10/20/2023] [Indexed: 12/01/2023] Open
Abstract
Background This study aimed to evaluate the effects of using three different resin cements on push-out bond strength (PBS) of fiber posts to root canal dentin of primary teeth. Methods Fifty primary canines were randomly divided into five experimental groups according to the type of the luting agent used for fiber post cementation after endodontic treatment and post space preparation as the following: Group 1: glass ionomer cement (GIC), Group 2: flowable resin composite, Group 3: etch and rinse (E&R) resin cement, Group 4: self-etch (SE) resin cement, Group 5: self-adhesive (SA) resin cement. The PBS values of the cemented fiber posts to root canals were measured. The data were statistically analyzed using a one-way analysis of variance, followed by Tukey's post hoc test. Results The highest mean PBS value was observed in Group 4 (SE resin cement), followed by Group 3 (E&R resin cement), and the lowest PBS value belonged to Group 1 (GIC), followed by Group 5 (p-values < 0.05). The mean PBS of Group 3 (E&R resin cement) was significantly higher than those of Groups 1 (GIC), 2 (flowable resin composite), and 5 (SA resin cement) (p-values < 0.05). However, no significant difference was found between the mean PBS of GIC and SA resin cement (p-value >0/05). Conclusion Using SE resin cement for fiber post cementation in primary anterior teeth showed the best results, followed by E&R resin cement. The lowest PBS was observed for GIC, followed by SA resin cement.
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Affiliation(s)
- Ali Nozari
- Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Boshra Rasoolzade
- Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Jowkar
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Ahmadreza Hamidi
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Jowkar
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Yadav R, Singh M, Meena A, Lee SY, Park SJ. Selection and ranking of dental restorative composite materials using hybrid Entropy-VIKOR method: An application of MCDM technique. J Mech Behav Biomed Mater 2023; 147:106103. [PMID: 37690292 DOI: 10.1016/j.jmbbm.2023.106103] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 08/30/2023] [Accepted: 09/03/2023] [Indexed: 09/12/2023]
Abstract
The objective of this investigation was to design the selection and ranking of dental restorative composite materials using hybrid Entropy-VIKOR as the MCDM method. Eleven performance defining attributes (PDAs) of dental composites were considered to investigate the best formulation among the dental composites. The weight criteria of various PDAs of the dental composite were calculated by the Entropy method: PDA-1(0.0527), PDA-2 (0.0113), PDA-3(0.1692), PDA-4(0.1291), PDA-5(0.0207), etc. The VIKOR method was employed to demonstrate the rank of dental composites. As per the VIKOR method, the first rank was obtained by DHZ6, the second rank was by DHZ8, the third rank was by DHZ4, the fourth rank was by DHZ2, and the lowest rank was by DHZ0. The Hybrid Entropy-VIKOR method holds significance in the biomedical realm due to its capability to effectively address complex decision-making scenarios. Its ability to account for multiple criteria, uncertainties, and compromise solutions makes it particularly useful for enhancing decision-making processes in the biomedical field, where selecting the most suitable options is critical for patient outcomes and healthcare advancements.
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Affiliation(s)
- Ramkumar Yadav
- Department of Chemistry, Inha University, 100 Inharo, Incheon, 22212, Republic of Korea.
| | - Mayank Singh
- Department of Mechanical Engineering, Indian Institute of Technology BHU, Varanasi, Uttar Pradesh, 221005, India
| | - Anoj Meena
- Department of Mechanical Engineering, Malaviya National Institute of Technology (MNIT), Jaipur, Rajasthan, 302017, India
| | - Seul-Yi Lee
- Department of Chemistry, Inha University, 100 Inharo, Incheon, 22212, Republic of Korea.
| | - Soo-Jin Park
- Department of Chemistry, Inha University, 100 Inharo, Incheon, 22212, Republic of Korea.
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21
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Giok KC, Veettil SK, Menon RK. Comparative effectiveness of fiber and metal posts in the restoration of endodontically treated teeth: A systematic review with network meta-analysis. J Prosthet Dent 2023:S0022-3913(23)00569-3. [PMID: 37827970 DOI: 10.1016/j.prosdent.2023.08.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 08/24/2023] [Accepted: 08/25/2023] [Indexed: 10/14/2023]
Abstract
STATEMENT OF PROBLEM Different varieties of fiber and metal intraradicular posts have been used for the restoration of endodontically treated teeth with insufficient sound tooth structure. Evidence on the comparative efficacy of posts in a clinical setting is insufficient to provide clear clinical guidelines and recommendations. PURPOSE The purpose of this systematic review with network meta-analysis was to assess the comparative efficacy of fiber and metal posts used for the restoration of endodontically treated teeth. MATERIAL AND METHODS A search was conducted for trials published in Medline, Scopus, PubMed, and Cochrane Central Register of Controlled Trials from inception until November 2022. The study was registered with the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022384340). A network meta-analysis was performed on data from randomized controlled trials that assessed the comparative efficacy of fiber posts and metal posts for the restoration of endodontically treated teeth. Subgroup analyses were performed to compare all the varieties of fiber and metal posts. The types of posts were ranked according to their efficacy using the Surface Under the Cumulative Ranking (SUCRA) system. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach was used to assess the level of certainty of evidence. RESULTS Twenty-five articles were included in the quantitative analysis. Fiber posts (RR=0.15 [95% CI: 0.06, 0.33]) significantly prevented tooth fracture as compared with no posts. Prefabricated carbon fiber posts (RR=0.06 [95% CI: 0, 0.54]) ranked highest followed by custom glass fiber posts (RR=0.15 [95% CI: 0.04, 0.52]) and prefabricated glass fiber posts (RR=0.22 [95% CI: 0.07, 0.62]) in the outcome of tooth fracture. Metal posts (RR=0.24 [95% CI: 0.12, 0.46]) ranked higher than fiber posts (RR=0.39 [95% CI: 0.27, 0.56]) in the outcome of debonding. Custom gold alloy posts (RR=0.12 [95% CI: 0.03, 0.48]), prefabricated gold alloy posts (RR=0.04 [95% CI: 0.00, 0.87]), and prefabricated titanium posts (RR=0.21 [95% CI: 0.10, 0.45]) had higher rankings in the outcome of debonding or loss of retention of a post followed by custom glass fiber posts (RR=0.37 [95% CI: 0.21, 0.63]) and prefabricated glass fiber posts (RR=0.38 [95%CI: 0.25, 0.58]). Prefabricated glass fiber posts (RR=0.40 [95% CI: 0.20, 0.81]) had statistically significant differences in the outcome of secondary caries. The GRADE approach determined a moderate level of certainty of evidence. CONCLUSIONS The use of a fiber post when indicated results in reduced risk of tooth fracture as compared with no post. Prefabricated carbon fiber posts, prefabricated glass fiber posts, and custom glass fiber posts reveal a lower risk of tooth fracture. Overall, the use of prefabricated glass fiber posts had a lower risk of tooth fracture, debonding, and secondary caries. However, more trials with longer follow-up periods are recommended to enhance the certainty of evidence.
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Affiliation(s)
- Koay Chun Giok
- Predoctoral student, School of Dentistry, International Medical University, Kuala Lumpur, Wilayah Persekutuan, Malaysia
| | - Sajesh K Veettil
- Research Associate, Department of Pharmacotherapy, College of pharmacy, University of Utah, Salt Lake City, Utah
| | - Rohit Kunnath Menon
- Assistant Professor of Prosthodontics, College of Dentistry, Ajman University, Ajman, United Arab Emirates..
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22
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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: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [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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23
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Alshabib A, Abid Althaqafi K, AlMoharib HS, Mirah M, AlFawaz YF, Algamaiah H. Dental Fiber-Post Systems: An In-Depth Review of Their Evolution, Current Practice and Future Directions. Bioengineering (Basel) 2023; 10:bioengineering10050551. [PMID: 37237621 DOI: 10.3390/bioengineering10050551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 04/27/2023] [Accepted: 05/02/2023] [Indexed: 05/28/2023] Open
Abstract
The field of dental medicine is constantly evolving and advancing toward minimally invasive techniques. Several studies have demonstrated that bonding to the tooth structure, particularly enamel, yields the most predictable results. In some instances, however, significant tooth loss, pulpal necrosis, or irreversible pulpitis may limit the options available to the restorative dentist. In these cases, placement of a post and core followed by a crown is the preferred treatment option, provided all requirements are met. This literature review provides an overview of the historical development of dental FRC post systems as well as a comprehensive examination of the currently available posts and their bonding requirements. In addition, it offers valuable insights for dental professionals seeking to understand the current state of the field and the prospects of dental FRC post systems.
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Affiliation(s)
- Abdulrahman Alshabib
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Khaled Abid Althaqafi
- Department of Restorative Dental Department, College of Dentistry, University of Umm Al Qura, Makkah 24211, Saudi Arabia
| | - Hani S AlMoharib
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Mahir Mirah
- Department of Restorative Dental Science, Dental College, and Hospital, Taibah University, Madinah 42353, Saudi Arabia
| | - Yasser F AlFawaz
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Hamad Algamaiah
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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24
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Kole S, Ergun G. Bond strength of various post-core restorations with different lengths and diameters following cycle loading. J Mech Behav Biomed Mater 2023; 142:105804. [PMID: 37062099 DOI: 10.1016/j.jmbbm.2023.105804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/20/2023] [Accepted: 03/23/2023] [Indexed: 04/18/2023]
Abstract
PURPOSE This in vitro study aims to evaluate the bonding strengths of Polyether ether ketone (PEEK), Polyether ketone (PEKK), Fiber, and Zirconia (ZrO2) post-core restorations with posts in different diameter and length following chewing simulator. MATERIALS AND METHODS Endodontic treatment was performed on 256 intact maxillary central teeth. The test specimens were prepared in four groups according to the types of materials: Glass fiber post-composite core (FB-n:64), Zirconia post-core (Zr-n:64), PEEK post-core (PE-n:64), and PEKK post-core (PK-n:64). The groups were divided into four subgroups according to diameter and length (n:16): Group 1: 10 mm length 1.75 mm diameter, Group 2: 10 mm length 1.5 mm diameter, Group 3: 7 mm length 1.75 mm diameter, Group 4: 7 mm length 1.5 mm diameter. Custom PEKK, PEEK, Zirconia post-cores, and Zirconia crowns were milled on the CAD/CAM. The post-cores and crowns were cemented to the teeth with dual-cure resin cement. After that, all subgroups were divided into control and cyclic loading groups. During the cycling, the control test group was kept in distilled water at 37±1oC before the push-out test. Half of the specimens were loaded with 250,000 cycles and 50 N with a chewing simulator. All test specimens had 1.5 mm sections taken from their roots. Then, the push-out test was applied to these sections for bond strength. Data were analyzed by Mann-Whitney U test, Shapiro-Wilk, Kruskal-Wallis's test, and Chi-Square. The statistical significance level was determined as 0.05. RESULTS The bond strength of all test groups decreased after the cycling loading. The bond strength values of zirconia posts showed a statistically significant difference (p < 0.05). The 10 mm length 1.75 mm diameter posts made of Zirconium had the highest bond strength observed in all control and cyclic loading groups of test specimens (9.74 MPa-6.25 MPa). The PEEK test specimens with a 7 mm length and 1.75 mm diameter showed the weakest bond strength in all control and cyclic loading groups (5.44 MPa-3.37 MPa). The average of the cervical region's bond strength values was statistically significantly higher than the apical region (p < 0.05). CONCLUSION Within the limitations of this study, one-piece custom-milled Zirconia post-cores appear promising, as they perform well under functional forces, especially in the anterior region. In addition, custom-milled PEKK post-cores might be considered a suitable alternative to prefabricated fiber-reinforced posts.
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Affiliation(s)
- Serife Kole
- , Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
| | - Gulfem Ergun
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey
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Liao M, Meng H, Xie H, Chen C. Evaluation of a half-digital technique for fabricating customized post-cores: A pilot study. Heliyon 2023; 9:e15363. [PMID: 37095915 PMCID: PMC10122031 DOI: 10.1016/j.heliyon.2023.e15363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 03/25/2023] [Accepted: 04/04/2023] [Indexed: 04/26/2023] Open
Abstract
Objectives The current half-digital post-core fabrication technique can replace the conventional methods; however, it does not consider the impact occlusion has on the digital design. This study proposed a half-digital workflow that integrated intracanal impression with dentition scanning, and evaluated the accuracy of the post-cores fabricated by it. Methods Standard models with three extracted teeth (a central incisor, a premolar, and a molar) were prepared. Eight post-cores were fabricated for each tooth by the half-digital technique and eight by the conventional technique as controls. Scanning was performed with a microcomputed tomography system. The volume of the overall space (VOS) between the post and canal wall, the space areas in three standardized sections (A, B, and C), and the apical gap (AG) were calculated and statistically analyzed using two-way analysis of variance. Statistical significance was set at p < 0.05. Results The two techniques differed significantly in the VOS (p < 0.05), section B (p < 0.05), and AG (p < 0.05) of all three teeth but not for sections A (p = 0.099) and C (p = 0.636). Conclusions The half-digital technique investigated in this study could produce better-fitting customized post-cores than the conventional technique.
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Affiliation(s)
- Mengyuan Liao
- Department of Prosthodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Key Laboratory of Oral Diseases, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing, Jiangsu Province, 210029, China
| | - Hongliang Meng
- Department of Prosthodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Key Laboratory of Oral Diseases, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing, Jiangsu Province, 210029, China
| | - Haifeng Xie
- Department of Prosthodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Key Laboratory of Oral Diseases, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing, Jiangsu Province, 210029, China
| | - Chen Chen
- Jiangsu Province Key Laboratory of Oral Diseases, Nanjing, Jiangsu Province, 210029, China
- Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing, Jiangsu Province, 210029, China
- Department of Endodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210029, China
- Corresponding author. The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210029, China.
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26
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Abdulwahed A. Canal pretreatment using cold atmospheric argon plasma, chitosan and Chlorine p6 activated by photodynamic therapy with EDTA as a final irrigant on the pushout bond strength of fiber post. Photodiagnosis Photodyn Ther 2023; 42:103517. [PMID: 36931366 DOI: 10.1016/j.pdpdt.2023.103517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/28/2023] [Accepted: 03/14/2023] [Indexed: 03/17/2023]
Abstract
AIMS To evaluate the effect of contemporary root canal irrigants i.e., Cold atmospheric argon plasma (CAAP), Chlorine p6 (Clp6), and chitosan on the push-out bond strength (PBS) of glass fiber post (GFP) and marten hardness (MH) of root canal dentin compared to NaOCl+EDTA. MATERIALS AND METHODS The anatomic crown of sixty human mandibular premolars was removed by transversal section till cement-enamel junction (CEJ). Root canals were prepared and canals were dried and obturated using gutta-percha points and AH plus sealer. Post space was prepared and specimens were arbitrarily divided into four groups based on the post-space irrigation. (n=15) Group 1: 5.25% NaOCl + 17% EDTA, Group 2: CAAP + 17% EDTA, Group 3: Chitosan + 17% EDTA and Group 4: Clp6 + 17% EDTA. For MH evaluation five samples from each disinfected group were taken and MH was assessed with the help of an ultra microhardness tester. GFP was cemented using self-etch dual cure cement on the remaining 10 samples from each group. Samples were vertically planted in acrylic resin blocks 1mm thick slices were subjected to push-out testing and failure mode analysis using a universal testing machine and Stereomicroscope. ANOVA and Tukey multiple comparison tests were used to compare the means of bond integrity attained (p=0.05). RESULTS The maximum values of PBS and MH were displayed in group 1 (5.25% NaOCl + 17% EDTA) specimens. However, group 3 exhibited the minimum values of bond strength and MH scores. Intergroup comparison analysis revealed that group 2, group 3, and group 4 displayed comparable outcomes of PBS and MH (p > 0.05). The cervical and middle third of group 1 specimens displayed a cohesive type of failure. However, the apical section of group 1 and other tested groups exhibited the adhesive type of failure. CONCLUSION Canal irrigation with 5.25% NaOCl and 17% EDTA appears to be better in terms of improving the bond integrity of fiber posts with no compromise in MH of the dentin as compared to the contemporary irrigant used.
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Affiliation(s)
- Abdulaziz Abdulwahed
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, P.O.Box: 173, Al-Kharj 11942, Saudi Arabia.
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27
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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] [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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28
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Vohra F, Kuyunov I, Alsaif RF, El Mourad AM. Effect on Martens Hardness and pushout bond strength of fiber post to canal dentin final irrigated with Fotoenticine, Chitosan, and ozone. Photodiagnosis Photodyn Ther 2023; 42:103546. [PMID: 37001713 DOI: 10.1016/j.pdpdt.2023.103546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 03/13/2023] [Accepted: 03/24/2023] [Indexed: 03/31/2023]
Abstract
AIMS To estimate the effect of contemporary final root canal irrigants (Ozonated water (OW), Chitosan, and Fotoenticine (FTC) on the bond scores of glass fiber post (GFP) and Martens hardness (MH) of root dentin. MATERIALS AND METHODS Sixty extracted human premolars having a single straight canal that ends in a closed apex were included. Specimens were de-crowned till the cementoenamel junction preserving 12 mm of root length and were mounted vertically. Canal therapy was performed using a crown-down approach. Obturation was performed followed by post-space preparation. Samples were allocated into 4 groups based on chemical irrigations and photosensitizers used(n = 15). Group 1 (5.25% NaOCl + 17% EDTA), group 2 (5.25% NaOCl + FTC), group 3 (5.25% NaOCl + Chitosan), group 4 (5.25% NaOCl + OW). The ultra microhardness tester was put under a load of 5 mN at a speed of 1.5 mN/s for 1 s to assess the MH. The fiber post was luted with dual-cure cement and slices of 1 mm were prepared from each third of the tooth. PBS and failure mode analysis were performed using a universal testing machine (UTM) and stereomicroscope respectively. ANOVA and Tukey multiple comparisons t-tests for assessment of PBS and MH p > 0.05 RESULTS: Group 1 (5.25% NaOCl + 17% EDTA) exhibited the highest MH (0.19 ± 0.04 GPa). Whereas, group 2 (5.25% NaOCl + FTC) displayed the lowest MH (0.011 ± 0.14 GPa). The highest PBS was exhibited by the coronal third of group 1 (5.25% NaOCl + 17% EDTA) (7.11 ± 0.81 MPa). The apical section of group 3 specimens (5.25% NaOCl + Chitosan) (2.33 ± 0.26 MPa) unveiled the lowest PBS. Intergroup comparison analysis revealed that group 2 and group 3 displayed comparable outcomes of PBS. Group 1 and Group 4 also demonstrated no significant difference in the bond scores in all three sections. CONCLUSION OW as a final irrigant can be used as an alternative to EDTA as it improves the bond strength with minimum impact on marten hardness.
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Affiliation(s)
- Fahim Vohra
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Saudi Arabia.
| | - Isaac Kuyunov
- Specialist in Prosthodontics, Rochester, NY 14618, USA
| | - Rawan F Alsaif
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Aminah M El Mourad
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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29
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Synthesis and Characterization of Zirconia–Silica PMMA Nanocomposite for Endodontic Implants. Dent J (Basel) 2023; 11:dj11030057. [PMID: 36975554 PMCID: PMC10047012 DOI: 10.3390/dj11030057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 01/22/2023] [Accepted: 01/28/2023] [Indexed: 02/25/2023] Open
Abstract
This study aimed to enhance the mechanical properties of PMMA composites by introducing various types of fillers, including ZrO2, SiO2, and a mixture of ZrO2-SiO2 nanoparticles, which were prepared as prototypes for an endodontic implant. The ZrO2, SiO2, and mixed ZrO2-SiO2 nanoparticles were synthesized using the sol–gel method and the precursors Tetraethyl Orthosilicate, Zirconium Oxychloride, and a mixture of both precursors, respectively. Before polymerization, the as-synthesized powders were subjected to the bead milling process to obtain a well-dispersed suspension. Two scenarios for the fillers were implemented in the preparation of the PMMA composite: a mixture of ZrO2/SiO2 and ZrO2-SiO2 mixed with two different types of silane: (3-Mercaptopropyl) trimethoxysilane (MPTS) and 3-(Trimethoxysilyl) Propyl Methacrylate (TMSPMA). The observation of the characteristics of all of the investigated fillers included the use of a particle-size analyzer (PSA), a Zeta-potential analyzer, FTIR, XRF, XRD, and SEM. The mechanical properties of the MMA composites, as prepared under various scenarios, were observed in terms of their flexural strength, diametrical tensile strength (DTS), and modulus of elasticity (ME). These levels of performance were compared with a PMMA-only polymer. Each sample was measured five times for flexural strength, DTS, and ME. The results showed that the best PMMA composite was SiO2/ZrO2/TMSPMA, as revealed by measurements of the flexural strength, DTS, and ME corresponding to 152.7 ± 13.0 MPa, 51.2 ± 0.6 MPa, and 9272.8 ± 2481.4 MPa, which are close to the mechanical properties of dentin. The viability of these PMMA composites, as measured up to day 7, was 93.61%, indicating that they are nontoxic biomaterials. Therefore, it was concluded that the PMMA composite created with SiO2/ZrO2/TMSPMA can be considered to be an acceptable endodontic implant.
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30
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Ince Yusufoglu S, Saricam E, Ozdogan MS. Finite Element Analysis of Stress Distribution in Root Canals When Using a Variety of Post Systems Instrumented with Different Rotary Systems. Ann Biomed Eng 2023:10.1007/s10439-023-03145-w. [PMID: 36705864 DOI: 10.1007/s10439-023-03145-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 01/11/2023] [Indexed: 01/28/2023]
Abstract
It is very important for clinicians to provide restorative treatments that provide durability for endodontically treated teeth. Trauma, occlusal premature contact, and features of teeth are some of the issues that can cause vertical root fractures (VRFs) in root canal-treated teeth. The aim of this 3-D study was to compare stress distribution on mandibular premolar teeth when using a variety of post designs instrumented with different rotary systems. Six mandibular premolar teeth were instrumented with the following tools: ProTaper Next, WaveOne (WO), Reciproc (R), ReciprocBlue (RB), F6-Skytaper, and TF-Adaptive. Teeth were scanned using cone beam computed tomography (CBCT) and the images were transferred to the Catia V5R25 software. Data were recorded in a stereolithography (STL) format. Four different post systems were used, fabricated from metal, fiber, zirconia, and titanium, respectively. Dentin, gutta, post, core, and crown models were added to the solid model. ANSYS V17.2 finite element analysis (FEA) software was used to determine stress distribution on each assembly. Finite analysis models were created that allowed for the calculation of stress distribution of 250-N loading at a 45° angle and vertical in relation to the roots. The maximum principal stress and von Mises values were higher under oblique loading on the roots. The F6-Skytaper and WO systems showed lower stress than other systems. The TF-Adaptive instrument showed higher stress distribution than the other models. Fiber and titanium posts showed lower stress than others. The F6-Skytaper, R, and RB instruments were found to be most effective in terms of displacement of the crown, resulting in the lowest stress values. Fiber and titanium posts showed better results than other post systems, while root canals instrumented with the F6-Skytaper and WO instruments were less likely to result in root fractures.
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Affiliation(s)
- Selen Ince Yusufoglu
- Department of Endodontics, Faculty of Dentistry, Ankara Yıldırım Beyazit University, Ankara, Turkey.
| | - Esma Saricam
- Department of Endodontics, Faculty of Dentistry, Ankara Yıldırım Beyazit University, Ankara, Turkey
| | - Mahmut Sertac Ozdogan
- Department of Prosthodontics, Faculty of Dentistry, Ankara Yıldırım Beyazit University, Ankara, Turkey
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31
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Jitumori RT, Rodrigues RC, Reis A, Gomes JC, Gomes GM. Effect of dentin moisture on the adhesive properties of luting fiber posts using adhesive strategies. Braz Oral Res 2023; 37:e42. [PMID: 37132729 DOI: 10.1590/1807-3107bor-2023.vol37.0042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 10/07/2022] [Indexed: 05/04/2023] Open
Abstract
The purpose of this study was to evaluate the effect of dentin moisture (moist and dry) on the bonding of fiber posts to root dentin with different adhesive strategies (etch-and-rinse, self-etch, and self-adhesive). Seventy-two extracted single-rooted human teeth were endodontically treated and divided into six groups (n = 12) according to the moisture of dentin surface and adhesive systems as follows: a) etch-and-rinse/moist, b) etch-and-rinse/dry, c) self-etch/moist, d) self-etch/dry, e) self-adhesive/moist, and 6) self-adhesive/dry. The specimens were sectioned into six slices for push-out bond strength (BS), nanoleakage (NL) by SEM, and Vickers microhardness (VHN) of the resin cement. A universal testing machine (AG-I, Shimadzu Autograph) was used at a crosshead speed of 0.5 mm/min until post extrusion, with a load cell of 50 kg for evaluation of the push-out strength. Data on BS, NL, and VHN were evaluated by two-way ANOVA and Tukey's test (α = 0.05). Dentin moisture as the main factor was not significantly different for the push-out test. However, higher BS values can be observed for the etch-and-rinse group. A lower percentage of NL was found in the dry dentin groups. The moisture pattern was not significant in the hardness values for the pre-etching groups. Additional moisture did not increase the evaluated properties.
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Affiliation(s)
- Renata Terumi Jitumori
- Universidade Estadual de Ponta Grossa - UEPG, School of Dentistry, Department of Restorative Dentistry, Ponta Grossa, PR, Brazil
| | - Rafaela Caroline Rodrigues
- Universidade Estadual de Ponta Grossa - UEPG, School of Dentistry, Department of Restorative Dentistry, Ponta Grossa, PR, Brazil
| | - Alessandra Reis
- Universidade Estadual de Ponta Grossa - UEPG, School of Dentistry, Department of Restorative Dentistry, Ponta Grossa, PR, Brazil
| | - João Carlos Gomes
- Universidade Estadual de Ponta Grossa - UEPG, School of Dentistry, Department of Restorative Dentistry, Ponta Grossa, PR, Brazil
| | - Giovana Mongruel Gomes
- Universidade Estadual de Ponta Grossa - UEPG, School of Dentistry, Department of Restorative Dentistry, Ponta Grossa, PR, Brazil
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AlMokhatieb AA. The effect of 400 nm femtosecond laser and Zn(II)chlorin e6 methyl ester (Zn(II)e6Me) photosensitizer on disinfection of radicular dentin bonded to glass fiber post. Photodiagnosis Photodyn Ther 2022; 40:103120. [PMID: 36116674 DOI: 10.1016/j.pdpdt.2022.103120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 09/11/2022] [Accepted: 09/13/2022] [Indexed: 12/14/2022]
Abstract
AIM To assess and compare push-out bond strength (PBS) when canal disinfected with 5.25% NaOCl, 400 nm femtosecond laser, and natural PS activated by PDT (CP and Zn (II) Ce6 methyl ester) on bond efficacy of radicular dentin bonded to glass fiber post. MATERIAL AND METHODS A sum of 40 non-traumatic, cautiously extracted with closed apex human mandibular premolars were collected and decoronated up to the cement-o-enamel junction. Canals of all specimens were cleaned and shaped using a Protaper universal NiTi system via a crown-down approach, then finally dried out and obturated with gutta-percha. Post alignment space was formed with peso reamers and sanitized. Then samples were randomly allocated into four groups as per the radicular dentin designated disinfection protocols. Group 1 disinfected with curcumin photosensitizer + EDTA, group 2: 5.25% NaOCl and EDTA, group 3: Zn (II) Ce6 methyl ester and EDTA and group 4 sanitized with 400 nm fs-laser + EDTA. GFP was cemented into the radicular canal space and specimens were placed in a thermocycler. Segmentation of the root was done at three levels (coronal, middle, and apical) and positioned in a universal testing machine for PBS analysis. Failure mode analysis was performed using a stereomicroscope and statistical analysis was executed by one-way ANOVA and Tukey multiple comparison tests at a statistically significant level of p < 0.05. RESULTS The highest PBS was revealed by group 2 canal disinfected with 5.25% NaOCl +17% EDTA (control) at coronal (9.49 ± 1.42 MPa) and middle (7.545 ± 0.15 MPa) root levels. Whereas, the lowest PBS was displayed by group 3: Zn (II) Ce6 methyl ester +17% EDTA at coronal (6.31 ± 0.54 MPa) middle (4.85 ± 0.11 MPa) root levels respectively. Intergroup comparison presented that radicular dentin disinfected with 400 nm femtosecond laser + 17% EDTA substantiated comparable PBS result to group 2 (control) at all three root levels (p > 0.05). Likewise, root surface disinfection with Curcumin activated by PDT+17% EDTA unveiled no statistically significant result for specimens disinfected with Zn(II) Ce6 methyl ester +17% EDTA(p > 0.05). Furthermore, apical root segments in all groups showed a substantial decrease in PBS value and were comparable (p > 0.05). CONCLUSION The bond efficacy of glass fiber post to radicular dentin disinfected with 400 nm femtosecond laser has the potential to be used as an alternative to conventional sodium hypochlorite.
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Affiliation(s)
- Ahmed A AlMokhatieb
- Conservative Dental Department, College of Dentistry, Prince Sattam bin Abdul Aziz University, Alkharj, Saudi Arabia.
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Elter B, Diker B, Tak Ö. The trueness of an intraoral scanner in scanning different post space depths. J Dent 2022; 127:104352. [PMID: 36334784 DOI: 10.1016/j.jdent.2022.104352] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 10/10/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES The purpose of this in vitro study was to evaluate the trueness of scanning the post space up to 20 mm with an intraoral scanner (IOS). METHODS We captured 20-, 18-, 16-, 14-, 12-, and 10-mm length post space scans using an IOS (Primescan) eight times each by shortening the apical 2 mm end of the same mandibular canine tooth. The reference impressions of each length group were taken using a light-body polyvinyl siloxane impression material and were scanned with an extraoral scanner. The recorded standard tessellation language (STL) data of all impressions were uploaded to a 3D matching program for the trueness evaluation via the root mean square (RMS) calculation. For the statistical analysis, the Kruskal-Wallis and post-hoc Mann-Whitney U nonparametric tests were performed to compare the differences among the groups (α=0.05). RESULTS The median RMS values increased in direct proportion to the length of the post space from 10 mm (357.1 µm) to 20 mm (897.5 µm). We noted a significant difference among groups (p< 0.001). In the pairwise comparisons, there were no significant differences between the 14 mm and 16 mm groups (p=0.431) or between the 18 mm and 20 mm groups (p=0.036), while other paired groups showed significant differences (p=0.001). CONCLUSIONS The scanned space depth affected the trueness of the IOS (Primescan). If the post depth was below 14 mm, and the minimum diameter was 2.2 mm, Primescan could be used for impressions of the post-core structure, simplifying the impression procedure. CLINICAL SIGNIFICANCE IOS seems to be a promising technology for taking digital impressions of post spaces, but cannot be recommended as a routine procedure at its present stage, as final results are highly dependent on the clinical situation. Further studies with different IOS systems are needed to gain sound evidence.
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Affiliation(s)
- Bahar Elter
- Baskent University Istanbul Hospital, Uskudar, Istanbul, Turkey.
| | - Burcu Diker
- Faculty of Dentistry, Bezmialem Vakıf University, Topkapı, Istanbul, Turkey
| | - Önjen Tak
- Faculty of Dentistry, Department of Prosthodontics, Istinye University, Topkapı, Istanbul, Turkey
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Habib SR, Ansari AS, Khan AS, Alamro NM, Alzaaqi MA, Alkhunefer YA, AlHelal AA, Alnassar TM, Alqahtani AS. Push-Out Bond Strength of Endodontic Posts Cemented to Extracted Teeth: An In-Vitro Evaluation. MATERIALS (BASEL, SWITZERLAND) 2022; 15:6792. [PMID: 36234146 PMCID: PMC9572078 DOI: 10.3390/ma15196792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/25/2022] [Accepted: 09/26/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: An ideal bond strength between endodontic posts and root canal dentin is essential for optimal retention and good prognosis. This study aimed to evaluate the push-out bond strength (PBS) of prefabricated fiber and metal posts, luted with resin cement to natural dentin. (2) Methods: Extracted premolars with similar root dimensions were assigned into two groups of 30 each for the metal and fiber posts. Teeth were mounted in acrylic blocks exposing 2 mm of the coronal root. Teeth were subjected to endodontic treatment and post-space preparations. Two groups were further subdivided into three sub-groups (n = 10) according to the size of the posts (# 4, 5 and 6). Posts were cemented with resin cement. Specimens were sectioned into 4 mm slices and subjected to the PBS test. (3) Results: The mean PBS was similar for the metal and fiber posts bonded with resin cement, showing a statistically significant result. An increase in post size increased the bond strength initially, but a further increase in size did not show any marked difference. A total of 71.66% of tested specimens failed with the adhesive failure mode. (4) Conclusions: Metal posts showed slightly higher retention compared to the fiber posts, although the p-value was similar for both types. An increase in the size of posts showed increased retention. The most common mode of failure was adhesive failure between cement and dentin.
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Affiliation(s)
- Syed Rashid Habib
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Abdul Sadekh Ansari
- Dentistry Hospital, King Saud University Medical City, Riyadh 11545, Saudi Arabia
| | - Aleshba Saba Khan
- Department of Prosthodontics, Shahida Islam Dental College, Lodhran 59320, Pakistan
| | - Nawaf M. Alamro
- College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | | | | | - Abdulaziz A. AlHelal
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Talal M. Alnassar
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Abdulaziz S. Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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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] [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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Finite Element Study of PEEK Materials Applied in Post-Retained Restorations. Polymers (Basel) 2022; 14:polym14163422. [PMID: 36015679 PMCID: PMC9412468 DOI: 10.3390/polym14163422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/06/2022] [Accepted: 08/12/2022] [Indexed: 11/30/2022] Open
Abstract
Background: This study aimed to investigate the biomechanical behaviors of polyether ether ketone (PEEK) and traditional materials (titanium and fiber) when used to restore tooth defects in the form of prefabricated post or customized post via computational modelling. Methods: First, the prototype of natural tooth, and the prototypes of prefabricated post and customized post were established, respectively, whilst the residual root was restored with dentin ferrule using reverse engineering methods. Then, the stress and strain of CFR-PEEK (PEEK reinforced by 30% carbon fiber) and pure PEEK (PEEK without any reprocessing) post were compared with those made in traditional materials using the three-dimensional finite element method. Results: From the stress point of view, compared with metal and fiber posts, CFR-PEEK and pure PEEK prefabricated post both demonstrated reduced post-core interface stress, post stress, post-root cement stress and root cement stress; moreover, CFR-PEEK and pure PEEK customized post demonstrated reduced post stress, post-root cement stress and root cement stress, while the strain of CFR-PEEK post was the closest to that of dentin. Conclusions: Compared with the traditional posts, both the CFR-PEEK and pure PEEK posts could reduce the risk of debonding and vertical root fracture, whether they were used as prefabricated posts or customized posts, but the biomechanical behavior of carbon fiber-reinforced CFR-PEEK restorations was the closest to dentin, no matter if they were used as prefabricated post or customized post. Therefore, the CFR-PEEK post could be more suitable to restore massive tooth defects. Pure PEEK needs filler reinforcement to be used for post-retained restoration.
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Kanzler Abdel Raouf V, Jockusch J, Al-Haj Husain N, Dydyk N, Özcan M. Push-Out Bond Strength Assessment of Different Post Systems at Different Radicular Levels of Endodontically Treated Teeth. MATERIALS 2022; 15:ma15155134. [PMID: 35897567 PMCID: PMC9332514 DOI: 10.3390/ma15155134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 07/21/2022] [Accepted: 07/22/2022] [Indexed: 02/01/2023]
Abstract
This study assessed the bond strength of prefabricated post systems at different root levels of endodontically treated teeth. One-rooted human premolars (N = 70; n = 10) were cut to 2 mm above the cement-enamel junction. Root canals were treated and randomly assigned to one of the seven post systems: T: Titanium (Mooser), ZrO: Zirconia (Cosmopost), G: Fiber (FRC Postec Plus), E1: Fiber (Direct) (Everstick post), E2: Fiber (Indirect) (Everstick post), PP: Fiber (PinPost), and LP: Injectable Resin/Fiber composite (EverX Posterior). All posts were luted using a resin cement (Variolink II), and the roots were sectioned at the coronal, middle, and apical root levels. Push-out tests were performed in the Universal Testing Machine (0.5 mm/min). Data (MPa) were analyzed using two-way ANOVA and Tukey’s tests (α = 0.05). The results showed that the bond strength (mean ± SD) of E2 posts were highest (5.3 ± 2.7) followed by PP (4.1 ± 2.0); G (4.0 ± 1.6); LP (2.6 ± 1.9): T (2.2 ± 1.5) and ZrO (1.9 ± 1.0) posts systems. No significant differences were found in bond strength of all post systems. The bond strength in the coronal root level was the highest with 3.6 ± 2.2 MPa. The bond strength of FRC post systems was significantly higher than those of rigid posts of titanium or ZrO2. Bond strength results were the highest in the coronal root level for all tested post systems but did not differ significantly from the other two root levels.
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Affiliation(s)
- Valérie Kanzler Abdel Raouf
- Division of Dental Biomaterials, Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (V.K.A.R.); (N.A.-H.H.); (N.D.)
| | - Julia Jockusch
- University Research Priority Program Dynamics of Healthy Aging“, University of Zurich, 8050 Zurich, Switzerland;
| | - Nadin Al-Haj Husain
- Division of Dental Biomaterials, Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (V.K.A.R.); (N.A.-H.H.); (N.D.)
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland
| | - Nataliya Dydyk
- Division of Dental Biomaterials, Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (V.K.A.R.); (N.A.-H.H.); (N.D.)
- Department of Prosthetic Dentistry, Danylo Halytskyy Lviv National Medical University, 79010 Lviv, Ukraine
| | - Mutlu Özcan
- Division of Dental Biomaterials, Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (V.K.A.R.); (N.A.-H.H.); (N.D.)
- Correspondence: ; Tel.: +41-44-6343251; Fax: +41-44-6344305
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Jurema ALB, Correia AMDO, Spinola MDS, Bresciani E, Caneppele TMF. Influence of different intraradicular chemical pretreatments on the bond strength of adhesive interface between dentine and fiber post cements: A systematic review and network meta-analysis. Eur J Oral Sci 2022; 130:e12881. [PMID: 35673777 DOI: 10.1111/eos.12881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 05/11/2022] [Indexed: 11/26/2022]
Abstract
Systematic review and network meta-analyses were performed to answer the question: Do intraradicular chemical pretreatments affect the bond strength of the adhesive interface between dentine and fiber post cements? A literature search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, and Cochrane Library in October 2018 (updated September 2021). In vitro studies that compared the bond strength assessed by push-out tests following at least two dentine chemical treatments prior to fiber post cementation were included. Risk of bias was evaluated. A random-effects Bayesian-mixed treatment comparison model was used to compare push-out bond strength of different chemical pretreatments. SUCRA (surface area under the cumulative ranking) analysis was performed to rank the pretreatments. After removing duplicates and screening titles and abstracts, 61 studies remained. SUCRA analysis showed that the best bond strength values for self-etch, etch-and-rinse, and self-adhesive cements were ethyl acetate (SUCRA: 99.8%), low concentration NaOCl (SUCRA: 83.4%), and grape seed extract (SUCRA: 97.6%), respectively. According to the SUCRA rankings, ethanol was in a good position for all adhesive strategies (SUCRA: 78.6%). The use of chemical pretreatments in intraradicular dentine of endodontically treated teeth depends on the adhesive and cementation strategy. The pretreatment generally associated with the highest bond strength was ethanol.
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Affiliation(s)
- Ana Luiza Barbosa Jurema
- Department of Restorative Dentistry, São Paulo State University- UNESP, Institute of Science and Technology, São Paulo, Brazil
| | | | - Manuela da Silva Spinola
- Department of Restorative Dentistry, São Paulo State University- UNESP, Institute of Science and Technology, São Paulo, Brazil
| | - Eduardo Bresciani
- Department of Restorative Dentistry, São Paulo State University- UNESP, Institute of Science and Technology, São Paulo, Brazil
| | - Taciana Marco Ferraz Caneppele
- Department of Restorative Dentistry, São Paulo State University- UNESP, Institute of Science and Technology, São Paulo, Brazil
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Vertical root fracture resistance and crack formation of root canal-treated teeth restored with different post-luting systems. Odontology 2022; 110:719-725. [PMID: 35523910 PMCID: PMC9463252 DOI: 10.1007/s10266-022-00709-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 04/11/2022] [Indexed: 11/26/2022]
Abstract
The aim was to investigate the vertical root fracture (VRF) resistance and crack formation of root canal-treated teeth restored with different post-luting systems. Human maxillary lateral incisors of similar size were decoronated, assigned to five groups (n = 18, power = 0.9) and embedded in acrylic blocks with artificial periodontal ligament. After root canal filling, post spaces were prepared to place coated fiber-reinforced composite (FRC) or sandblasted titanium (Ti) posts of the same shape and size. Half of the posts were zinc phosphate cemented (C), while the other half was adhesively luted (A). Untreated teeth served as control. After thermal cycling and staircase loading in a chewing simulator, the crack formation on the root dentin surface was microscopically examined and classified as no defect, craze line, vertical crack, and horizontal crack. Subsequently, the samples were loaded until root fracture. Data were analyzed by one-way ANOVA, Tukey’s test, and Fisher’s exact test. All samples survived the chewing simulation without VRF, but crack formation was significantly different between the groups (P = 0.009). The control showed significantly fewer defects than FRC/C, Ti/C, and Ti/A (P = 0.001, P = 0.008, P = 0.008, respectively). FRC/C showed the highest incidence of vertical cracks. FRC/A had the lowest incidence of defects. There was no significant difference in VRF resistance between the groups (P = 0.265). Adhesively luted FRC posts did not increase VRF resistance but reduced the risk of defects. Most defects were craze lines and vertical root cracks.
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al-Qarni FD. Customized Post and Cores Fabricated with CAD/CAM Technology: A Literature Review. Int J Gen Med 2022; 15:4771-4779. [PMID: 35571288 PMCID: PMC9091696 DOI: 10.2147/ijgm.s365296] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 04/22/2022] [Indexed: 11/23/2022] Open
Abstract
Post and core restorations are a widely accepted method to restore endodontically treated teeth with compromised tooth structure. The use of computerized technology to fabricate customized post and cores is a simple and quick alternative to conventional methods. A literature search was conducted, and a summary of articles describing fabrication techniques and materials used to fabricate post and cores with computer-aided design and computer-aided manufacturing (CAD/CAM) has been provided. Several techniques have been reported to restore endodontically treated teeth with CAD/CAM post and cores, including direct and indirect methods. Zirconia, composite resin, and hybrid ceramic were the most commonly reported materials. Published reports on CAD/CAM post and core are limited; however, further studies are needed to investigate the long-term outcome of this treatment.
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Affiliation(s)
- Faisal D al-Qarni
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
- Correspondence: Faisal D al-Qarni, Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, Tel +966 13 333 1404, Email
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Pulido C, Gomes OM, Loguercio AD, Dávila-Sánchez A, Camilotti F, da Cruz GK, Arrais CAG. How the translucency of direct anatomic fiber posts affects the bond strength and microhardness of a self-adhesive luting agent in flared roots. Clin Oral Investig 2022; 26:4447-4456. [PMID: 35166941 DOI: 10.1007/s00784-022-04408-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 02/06/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate the influence of the composite resin translucency used in direct anatomic fiber posts on the bond strength (BS) and microhardness (VHN) of a luting agent into flared roots. MATERIALS AND METHODS The root canals of 70 single-rooted premolars were endodontically treated and prepared to simulate an oversized root canal. Prior to post cementation, composite resins with varying translucency (high translucent, HT; medium translucent, MT; high opacity, HO) were placed around the fiber posts to create anatomic fiber posts. The attenuation profile (%) of light passing either through the post or through the anatomic posts (n = 8) was obtained prior to the cementing procedures. A positive control group (PC) in which a prefabricated fiber post (PFP) with the diameter compatible with the root canal was cemented and a poorly adapted fiber post (negative control group, NC) were also evaluated. For both tests, the data were subjected to 2-way ANOVA and Bonferroni tests (α = 0.05). RESULTS A more severe light attenuation through the post at the cervical (P < .001) and medium (P < 0.001) thirds was noted when less translucent composite resin surrounded the anatomic post. HO groups showed lower BS (P = .009) and VHN (P < .001) values than the other groups, regardless of root third. No significant difference in BS values was noted between PC and HT groups. CONCLUSION The use of a more translucent composite resin in anatomic fiber posts increased the microhardness and bond strength of a dual polymerization self-adhesive RLA compared to the use of MT and HO composite. A well-adapted PFP showed the highest adhesive and mechanical behavior. CLINICAL RELEVANCE Clinicians should choose more translucent composite resins to create direct anatomic fiber posts to be cemented in flared root canals. That choice may allow improved mechanical properties of self-adhesive RLA and higher bond strength to the root canal as a consequence.
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Affiliation(s)
- Camilo Pulido
- Department of Restorative Dentistry, School of Dentistry, Diego de Robles Y Av. Interoceánica, Universidad San Francisco de Quito USFQ, Quito, Ecuador, 170901.
| | - Osnara Mongruel Gomes
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa. Ponta Grossa, Paraná, Brazil
| | - Alessandro Dourado Loguercio
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa. Ponta Grossa, Paraná, Brazil
| | - Andrés Dávila-Sánchez
- Department of Restorative Dentistry, School of Dentistry, Diego de Robles Y Av. Interoceánica, Universidad San Francisco de Quito USFQ, Quito, Ecuador, 170901
| | - Fernando Camilotti
- Department of Physics, State University of Ponta Grossa. Ponta Grossa, Paraná, Brazil
| | | | - Cesar Augusto Galvão Arrais
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa. Ponta Grossa, Paraná, Brazil
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Survival Rates of Endodontically Treated Posterior Teeth Restored with All-Ceramic Partial-Coverage Crowns: When Systematic Review Fails. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19041971. [PMID: 35206160 PMCID: PMC8871862 DOI: 10.3390/ijerph19041971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 02/06/2022] [Accepted: 02/07/2022] [Indexed: 11/17/2022]
Abstract
Background: To determine the survival rates of endodontically treated posterior teeth (EDPT) restored with partial coverage all-ceramic crowns with or without the use of fiber posts. Methods: MEDLINE and Cochrane searches were conducted in order to identify Randomized Clinical Trials (RCTs) related to endodontically treated posterior teeth restored with partial coverage crowns. The search period was extended until February 2020 and only in vivo, human, and studies in the English language were included. A manual search was also conducted and additional articles, if found, were included in the database. Results: The initial search for the selected databases identified 495 studies, which were all screened for inclusion through titles, abstracts and full-text reading. Out of these 495 studies, only one article met the eligibility criteria and was included in this systematic review. Statistical analysis could not be performed. Conclusions: Only one RCT was identified in this systematic review. More clinical evidence is necessary to assess the survival rate of EDPT with partial-coverage crowns. This systematic review failed because it did not find scientific evidence to support the use of indirect bonded restorations on EDPT.
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Malekipour M, Hoseini M, Shirani F. The Effect of Application of Sonic Vibration on the Bond Strength of Glass Fiber Post to Root Dentin using Duo-link and Theracem cements: An In Vitro Study. DENTAL HYPOTHESES 2022. [DOI: 10.4103/denthyp.denthyp_122_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Gehlot P, Krishnarayan P. Influence of glass fiber post design and luting cements on ease of post removal and fracture strength of endodontically retreated teeth: An in vitro study. J Int Soc Prev Community Dent 2022; 12:199-209. [PMID: 35462745 PMCID: PMC9022389 DOI: 10.4103/jispcd.jispcd_249_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 10/12/2021] [Accepted: 10/18/2021] [Indexed: 12/03/2022] Open
Abstract
Aims and Objectives: The aim of this study was to evaluate the time needed to remove two types of glass fiber posts cemented with two different cements and removed with two different techniques and to evaluate the fracture strength of teeth after post removal. Materials and Methods: Root canal treatment was completed in 80 extracted single-rooted premolars and the teeth were decoronated. Following canal preparation, the roots were coated with polysiloxane impression material and embedded in acrylic resin cubes. The specimens were randomly divided into eight experimental groups (n = 10) based on the type of fiber post inserted: Reforpost (R) or Contec Blanco (C); luting cement: Multilink-N/self-etch (M) or G-Cem/self-adhesive (G); technique of removal: Peeso reamer (P); or ultrasonic (U). The posts were removed with respective technique under magnification and the time (in seconds) of post removal was determined. Following post removal, the fracture strength of the specimens was determined using a universal testing machine. The mode of failure was also determined. Data were analyzed by three-way analysis of variance (ANOVA), one-way ANOVA, Tukey’s post hoc test, t test, and correlation. Chi-square analysis was performed to compare the failure mode. Statistical significance was set at P < 0.05. Results: The post and cement types had an influence in post removal time (P < 0.05). There was no role of post or cement types on the fracture strength of teeth after post removal with either technique (P > 0.05). A weak negative correlation was found between the post removal time and fracture resistance for both Peeso reamer (r = –0.373) and ultrasonic (r = –0.177) techniques. Both techniques of post removal produced a majority of favorable failures (P > 0.05). Conclusion: The type of post and luting cement plays a significant role in ease of post removal by Peeso reamer or ultrasonic technique. Post-removal technique had no effect on the fracture strength of teeth. Parallel serrated fiber post luted with self-etch resin cements was difficult to remove as compared with parallel smooth surface post luted with self-etch or self-adhesive resin cement.
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Disinfection of radicular dentin using Riboflavin, Rose Bengal, Curcumin, and Porfimer sodium on extrusion bond strength of fiber post to radicular dentin. Photodiagnosis Photodyn Ther 2021; 37:102625. [PMID: 34781034 DOI: 10.1016/j.pdpdt.2021.102625] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 10/22/2021] [Accepted: 11/09/2021] [Indexed: 01/10/2023]
Abstract
AIM To assess the influence of different photosensitizers activated by PDT as a disinfectant in comparison to conventional sodium hypochlorite (NaOCl) on the EBS (extrusion bond strength) of FRCP with radicular dentin. METHODS A total of fifty single-rooted human maxillary central incisors with fully developed apices were selected. Endodontic treatment of samples was performed using 10K file to obtain patency than sequentially with a 25K file followed by rotary pro tapers till F2 with constant irrigation. The canal was dried and obturated with corresponding gutta-percha and sealer. A Peso reamer was employed to prepare post space. Based on canal disinfection regimes, samples were divided into five groups. Group 1 Riboflavin (RF)+17%EDTA, group 2 Rose bengal (RB) +17%EDTA, group 3 Curcumin CP +17%EDTA, group 4 Porfimer sodium, Photofrin (PS) +17%EDTA and group 5 2.25% NaOCl +17% EDTA (control). Following disinfection, the canal space of all specimens was dried followed by FRCP cementation. Specimens were placed on a Universal testing machine (UTM) for EBS. The type of bond failure was evaluated using a stereomicroscope. ANOVA and Tukey multiple comparison tests were used to compare means. RESULTS The highest EBS was shown by group 1 canal disinfected with riboflavin (RF) and 17% EDTA at all three levels. The lowest EBS was displayed in group 5 canal cleaned with 2.25% NaOCl and 17% EDTA. Intragroup assessment disclosed a decrease in EBS from cervical one-third to apical one-third in all experimental groups. Intergroup comparison revealed group 4 using PS and 17% EDTA and group 5 canal disinfected with 2.25% NaOCl and 17% EDTA at all three levels of root structure coronal, middle, and apical exhibited comparable EBS (p>0.05). CONCLUSION Root canal dentin treated with different PS (RF, RB, CP) has the potential to be used as canal disinfection as it demonstrates better EBS than the conventional disinfecting regime (2.25% NaOCl +17% EDTA). PS and 17% EDTA as a canal disinfectant need further investigation.
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Serino G, Comba A, Baldi A, Carossa M, Baldissara P, Bignardi C, Audenino A, Torres CGR, Scotti N. Could light-curing time, post-space region and cyclic fatigue affect the nanomechanical behavior of a dual-curing cement for fiber post luting? J Mech Behav Biomed Mater 2021; 125:104886. [PMID: 34695660 DOI: 10.1016/j.jmbbm.2021.104886] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 09/29/2021] [Accepted: 10/04/2021] [Indexed: 12/19/2022]
Abstract
OBJECTIVE To evaluate the effects of curing time, post-space region and cyclic fatigue on the micromechanical properties of a fiber-post luting cement. The null hypotheses were that (1) curing time, (2) fatigue and (3) post-space region does not affect the nanoindentation modulus and hardness of the dual-curing cement. MATERIALS AND METHODS 48 premolars were endodontically treated and a class I cavity and 8 mm deep post space was prepared. Fiber posts were luted with a universal, dualized adhesive system and a dual-curing cement following manufacturer's instructions. Specimens were divided into three groups (16 specimens for each group) according to light-curing time (no light-curing, 20 s light-curing and 120 s light-curing), which was performed with a LED lamp at 1000 mW/cm 2. The coronal part of the cavity was restored using a nano-filled resin composite. After 24 h, 8 specimens for each group were randomly extract in order to undergo to fatigue test in wet condition through a chewing simulator, while the other specimens were kept in distilled water as benchmark. All the restored teeth were then sectioned in 1 mm thick slices perpendicularly to the fiber post axis. Specimen slices were classified in coronal and apical to be tested through a nanoindenter. Data were analyzed through Kruskal-Wallis test with a significance level of 1%, in order to evaluate the influence of treatments (i.e., curing time and cyclic loading) on the micromechanical properties of the tested luting cement. RESULTS Both fatigue and curing time significantly influenced nanoindentation modulus and hardness of dual-curing cement (p < 0.01). No significant differences were reported for post space region. A significant interaction was found among the analyzed factors (p < 0.01). SIGNIFICANCE 120 s light-curing time is recommended in order to achieve optimal mechanical proprieties, independently from post space region and cyclic fatigue. As matter of fact, 120 s light-curing allowed to prevent strain hardening induced by the fatigue simulation.
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Affiliation(s)
- Gianpaolo Serino
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy; Polito BIO Med Lab, Politecnico di Torino, Turin, Italy
| | - Allegra Comba
- Department of Surgical Sciences, Dental School, Turin, Italy
| | - Andrea Baldi
- Department of Surgical Sciences, Dental School, Turin, Italy
| | - Massimo Carossa
- Department of Surgical Sciences, Dental School, Turin, Italy
| | - Paolo Baldissara
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Cristina Bignardi
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy; Polito BIO Med Lab, Politecnico di Torino, Turin, Italy
| | - Alberto Audenino
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy; Polito BIO Med Lab, Politecnico di Torino, Turin, Italy
| | - Carlos Gomes Rocha Torres
- Department of Restorative Dentistry, Sao Paulo State University - UNESP, Sao Jose Dos Campos, Brazil
| | - Nicola Scotti
- Department of Surgical Sciences, Dental School, Turin, Italy.
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Push Out Bond Strength of a Glass Fibre Post to Root Dentine Pretreated with Proanthocyanidin and Phytosphingosine - An In Vitro Study. Eur Endod J 2021; 6:230-234. [PMID: 34650018 PMCID: PMC8461486 DOI: 10.14744/eej.2021.22931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To evaluate the push out bond strength of a glass fibre post to root dentine pretreated with 6.5% proanthocyanidin (PAC) and 0.02% phytosphingosine (PHS). METHODS Thirty-three freshly extracted single rooted human teeth were decoronated to a length of 14 mm. Root canals were prepared using rotary NiTi files and obturated with gutta percha and resin sealer. Post space was prepared using peeso reamers, retaining 5 mm of apical gutta percha. Following smear layer removal and acid etching of the post space, samples were randomly assigned to 3 groups based on the dentine pretreatment, namely the control (no pretreatment) group, 6.5% PAC group, and 0.02% PHS group. A glass fibre post was luted using a dual cure adhesive and luting cement. 1 mm thick root slices were sectioned from coronal, middle and apical levels of the post and their push out bond strength was evaluated using a universal testing machine. Data was analysed with one-way ANOVA and Games-Howell post hoc test (P<0.05). RESULTS At all levels, PHS showed higher push out bond strength than PAC and control groups, with a significant difference between the experimental groups at the middle and apical thirds (P<0.05). The push out bond strength of PAC group was significantly higher than the control group in the coronal and apical thirds (P<0.05). CONCLUSION Both PAC and PHS improved the push out bond strength of a glass fibre post to dentine.
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Photodynamic therapy and other pretreatment methods on epoxy-based glass fiber post on the push-out bond strength to radicular dentin. Photodiagnosis Photodyn Ther 2021; 36:102526. [PMID: 34509684 DOI: 10.1016/j.pdpdt.2021.102526] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 08/27/2021] [Accepted: 09/07/2021] [Indexed: 01/22/2023]
Abstract
AIM To assess the push-out bond strength (PBS) of glass fiber post (GFP) conditioned using different surface treatment regimens bonded to radicular dentin MATERIAL AND METHODS: Sixty central incisors and canine were collected and disinfected. Decoronation following working length was determined using K-file. Rotary file system was used for cleaning and shaping. Canals of all samples were dried with paper points and obturated with gutta percha. Canal space was prepared with peso reamers. Now samples were randomly allocated into six groups based on pretreatment of GFP. Post in group 1 treated with 9% HFA+ Silane, post in group 2 surface treated with silane only, Post in group 3 surface treated with airborne particle (50 µm), group 4 post conditioned with photodynamic therapy (PDT), group 5 post pretreatment was performed with MBP and in group 6 GFP was not treated. Conditioned and non-conditioned posts were positioned in canal space and cemented. Tooth were sectioned coronally, middle and apically. Sections were positioned in universal testing machine (UTM) and debonded surfaces were evaluated for failure modes. The means and standard deviations of PBS were examined using one-way analysis of variance (ANOVA). RESULTS Coronal third of group 3 in which posts were sandblasted using airborne Al2O3 particle presented the highest PBS (11.21±0.64 MPa). Whereas, an apical section of group 4 in which posts were treated with PDT exhibited the lowest bond integrity. CONCLUSION Sandblasting using airborne particles (50 µm) and hydrogen peroxide (H3PO4) conditioned with GFP exhibited significantly higher bond strength as compared to the control. However, PDT decreases the PBS of fiber post with the root dentin.
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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] [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] [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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