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Evaluation of two post core systems using two different methods (fracture strength test and a finite elemental stress analysis)
Scopus
Toplam 193 atıf DOI
The aim of this study was to compare a fiber composite laminate (FCL) post core and a conventional cast post core system by using two different methods. The first method was a conventional fracture strength test, and the second was a finite elemental stress-analysis method (FEM). For the conventional fracture strength test, 20 extracted, human upper, central incisors were used. The teeth were decoronated, treated endodontically, and restored with two post core systems. After embedding the samples in resin blocks, a loading force was applied to the teeth at a crosshead speed of 5 mm/ min at an angle of 45 degrees to the long axis of the ooth. The data were recorded, and the results were compared by using the Mann-Whitney U test. There was no statistically significant difference between the two post systems (p>0.05). For FEM analysis, a pseudo three-dimensional model of a maxillary central incisor, theoretically restored with either a cast post or an FCL, was used. The analysis was performed by using the structural analysis program (SAP90). FEM analysis showed that stress was accumulated within the cast post core system, and transmission of stress to supportive structures and the tooth was low. This is an advantage for tooth and supporting tissues. When the FCL post core system was evaluated by FEM, the results indicated that this system transferr stress to supportive structures and the tooth while stress accumulation within the post system was low. This is an advantage for the restoration but disadvantage for the supporting tissues. Copyright © 2002 by The American Association of Endodontists.
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The effect of different restoration techniques on the fracture resistance of endodontically-treated molars
Scopus
Havuzumuzda Open Access 108 atıf almış
Aim: This study compared the fracture resistance of endodontically-treated mandibular molars with mesio-occluso-distal (MOD) cavities restored using different restoration techniques. Methodology: Sixty sound extracted mandibular molars were randomly assigned to six groups (n=10). Group 1 did not receive any preparation. The teeth in Groups 2-6 received root canal treatment and a MOD cavity preparation. The teeth in Group 2 were kept unrestored. Group 3 was restored conventionally with amalgam. Group 4 was restored with a dentin bonding system (DBS, Clearfil SE Bond) and resin composite (CR) (Clearfil Photoposterior). Group 5 was restored with indirect hybrid ceramic inlay material (Estenia). In Group 6, polyethylene ribbon fiber (Ribbond) was inserted into cavities in a buccal-to-lingual direction and the teeth were then restored with DBS and CR. After finishing and polishing, the specimens, except for Group 2, were loaded to failure by a chewing simulation device (60,000 cycles × 50 N load, 1.3 Hz frequency) in an artificial environment at 37°C. Each tooth was subjected to compressive loading perpendicular to the occlusal surface at a crosshead speed of 1 mm/minute. The mean loads necessary to fracture were recorded in Newtons and the results were statistically analyzed. Results: The mean fracture values were as follows: Group 1: 2485.3 ± 193.9 a, Group 2: 533.9 ± 59.4b, Group 3: 1705.8 ± 135.7c, Group 4: 2033.3 ± 137.6cd, Group 5: 2121.3 ± 156.5d, Group 6: 1908.9 ± 132.2cd. There were statistically significant differences between the groups annotated with different letters. Thus, Group 1 (intact teeth) had the greatest fracture resistance and Group 2 (non-restored teeth) the poorest. No statistically significant differences were found between Groups 3 (amalgam), 4 (resin composite) and 6 (polyethylene ribbon fiber reinforced composite) (p>0.05). Group 5 (indirect hybrid ceramic inlay) had greater fracture resistance than Group 3 (p<0.05). Conclusions: Within the limitations of this study, although all of the restoration groups were stronger than the prepared-only group, none of the restoration techniques tested was able to completely restore the fracture resistance lost from MOD cavity preparation. However, use of indirect hybrid inlay restorations in these teeth may be recommended, because this restoration technique indicated more favorable fracture failure modes than other restoration techniques used in this study and particularly greater fracture strength than amalgam restorations. The promising result of indirect hybrid inlay restorations may need to be confirmed by long-term clinical studies. © Operative Dentistry, 2008.
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Kurumlar (1)
Selçuk Üniversitesi
Selçuklu, Turkey