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Effect of fibre post length and adhesive strategy on fracture resistance of endodontically treated teeth after fatigue loading.

AbstractOBJECTIVES:
To evaluate the effect of the length of fibre-posts(1) and type of adhesive cement(2) on the fracture resistance of endodontically treated teeth, after fatigue loading.
METHODS:
Eighty extracted upper pre-molars were sectioned at the CEJ and endodontically treated. After 24 h of water storage at 37°C, RelyX Posts (3M-ESPE) were cemented with Panavia F 2.0 (Kuraray) or RelyX Unicem (3M-ESPE). A standardized composite core was built. Specimens were divided into four groups depending on the post-core ratio: (A) 2/1 (control); (B) 3/2; (C) 1/1 (small diameter); (D) 1/1(large diameter) and submitted to 1,200,000 cycles using a chewing simulator (Willytech). Immediately afterwards, all specimens that survived fatigue loading were fractured using a universal loading device (Micro-tester, Instron). Data were analysed with ANOVA.
RESULTS:
Four percent of the specimens failed during fatigue loading. The length of the post into the root affected the fracture resistance. The statistical outcome varied according to the inclusion of specimens failed during fatigue loading. However, the control group always had the lowest fracture resistance. The type of adhesive cement did not affect the fracture resistance. A prevalence of not-repairable failures was observed in specimens restored with the longest posts, whilst shorter posts led to more repairable failures.
CONCLUSIONS:
Shortening the post length and the ensuing preservation of more tooth structure, offer the potential for reparability through an in-built fail safe mechanism and may thus reduce the occurrence of catastrophic failures.
AuthorsF Zicari, B Van Meerbeek, R Scotti, I Naert
JournalJournal of dentistry (J Dent) Vol. 40 Issue 4 Pg. 312-21 (Apr 2012) ISSN: 1879-176X [Electronic] England
PMID22285922 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Ltd. All rights reserved.
Chemical References
  • Composite Resins
  • Dental Cements
  • Dental Materials
  • Dentin-Bonding Agents
  • ED Primer II
  • Methacrylates
  • Panavia-Fluoro
  • Rely X Unicem
  • Resin Cements
  • fiberglass
  • Water
Topics
  • Bicuspid (physiopathology)
  • Bite Force
  • Cementation (methods)
  • Composite Resins (chemistry)
  • Dental Cements (chemistry)
  • Dental Materials (chemistry)
  • Dental Prosthesis Design
  • Dental Stress Analysis (instrumentation)
  • Dentin-Bonding Agents (chemistry)
  • Glass (chemistry)
  • Humans
  • Materials Testing
  • Methacrylates (chemistry)
  • Post and Core Technique (instrumentation)
  • Resin Cements (chemistry)
  • Root Canal Preparation (instrumentation, methods)
  • Stress, Mechanical
  • Surface Properties
  • Temperature
  • Time Factors
  • Tooth Fractures (physiopathology)
  • Tooth, Nonvital (physiopathology, therapy)
  • Water (chemistry)

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