Preliminary Results of the Survival and Fracture Load of Roots Restored With Intracanal Posts: Weakened vs Nonweakened Roots

2014 ◽  
Vol 39 (5) ◽  
pp. 541-555 ◽  
Author(s):  
VF Wandscher ◽  
CD Bergoli ◽  
IF Limberger ◽  
TM Ardenghi ◽  
LF Valandro
Keyword(s):  
Survival Rate ◽  
Glass Fiber ◽  
Survival Rates ◽  
Acrylic Resin ◽  
Fracture Load ◽  
Load Test ◽  
Fiber Posts ◽  
Bone Level ◽  
Glass Fiber Posts ◽  
Post And Core

SUMMARY Purpose To evaluate the fracture load and survival rate of weakened and non-weakened roots restored with different intracanal posts. Methods Eighty teeth (16 mm) were prepared to a length of 10 mm with a custom drill. Fifty roots were weakened with a tapered diamond drill, and 30 roots were not. The specimens were embedded with acrylic resin up to 3 mm from the coronal aspect, and the periodontal ligament was simulated. The 50 weakened roots were restored with (n=10) CPC-gold (cast post and core made of gold alloy), CPC-Ni (cast post and core made of Ni-Cr alloy), FP (glass fiber posts), FP-W (glass fiber posts with a wider coronal diameter), and FP-CR (fiber posts relined with composite resin). The 30 nonweakened roots were restored with (n=10) CPC-gold, CPC-Ni, and FP. All of the posts were adhesively cemented. All of the specimens were mechanically cycled (37°C, 45°, 130 N, 2.2 Hz, and 1.5 million pulses) and evaluated after every 5 × 104 cycles to evaluate the presence of cracks as a primary outcome (event). The specimens that survived cycling were subjected to a fracture load test (load application on the palatal aspect at a 45° inclination). Failure mode was classified as favorable (above the simulated bone level) and catastrophic (below the simulated bone level). Survival rates were estimated using the Kaplan-Meier method. Fracture load data were analyzed using the Kruskal-Wallis test (α=0.05) for weakened roots, one-way analysis of variance, and Tukey test (p<0.05) for non-weakened roots, and Student t-test (p<0.05) compared nonweakened vs weakened roots for the same post system. Results For the preliminary survival results, FP-W showed a higher survival rate when compared with CPC (gold/Ni). For the fracture load (N), the statistical analysis (p<0.0001) presented differences among the weakened groups: CPC-gold (541.4) = CPC-Ni (642.6) > FP (282.2) = FP-W (274.1) = FP-RC (216.6). No differences were observed for the groups that were nonweakened (majority of favorable failures): CPC-gold (459.3) = CPC-Ni (422.0) = FP (347.9). Weakened roots restored with CPC-gold promoted high values of load fracture and unfavorable failure rates. Conclusion Cast post and cores or fiber posts can be used for restoring nonweakened roots. However, for weakened roots, a fiber post with a wider cervical emerging diameter appears to be a better alternative when compared with cast post and cores.

CAD/CAM Milled Glass Fiber Posts: Adaptation and Mechanical Behavior in Flared Root Canals

2021 ◽  
Author(s):  
MER Gama ◽  
GS Balbinot ◽  
GC Ferreira ◽  
EG Mota ◽  
VCB Leitune ◽  
...  
Keyword(s):  
Bond Strength ◽  
Glass Fiber ◽  
Fiber Post ◽  
Root Canals ◽  
Fiber Posts ◽  
Cad Cam ◽  
Glass Fiber Posts ◽  
Glass Fiber Post ◽  
Post And Core ◽  
Push Out

SUMMARY This study aimed to evaluate the cementation and mechanical behavior of flared root canals restored with CAD/CAM milled glass fiber post-and-core systems. Sixty-six endodontically treated human canines with a flared root canal were divided into three different groups according to the type of post: GPF received prefabricated posts; GREL received relined glass fiber posts, and GMILLED received CAD/CAM milled glass fiber posts. Cementation was performed with self-adhesive resin cement. The samples were submitted to x-ray microcomputed tomography analysis for the analysis of voids and gaps. The roots were sectioned and submitted to the push-out bond strength test. The load-to-fracture was evaluated in post-and-core systems. GMILLED presented lower void and lower gap volumes when compared to GPF and GREL. On the load-to-fracture test, GREL presented statistically significant higher values than GMILLED. GPF values had no statistically significant difference from the two other groups. On the push-out bond strength test, GPF presented statistically significant lower values when compared to GREL and GMILLED. The most common failure pattern was between dentin and cement in all groups. CAD/CAM milled glass fiber post-and-core systems presented an enhanced adaptation of glass fiber posts to flared root canal systems. Their results were comparable to relined posts in bond strength, while load-to-fracture-results for GMILLED were lower than those for GPF.

scholarly journals Fracture Strength and Stress Distribution in Premolars Restored with Cast Post-and-Cores or Glass-Fiber Posts Considering the Influence of Ferule

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Atais Bacchi ◽  
Ricardo Armini Caldas ◽  
Daniel Schmidt ◽  
Mauricio Detoni ◽  
Matheus Albino Souza ◽  
...  
Keyword(s):  
Stress Distribution ◽  
Glass Fiber ◽  
Fracture Strength ◽  
Lower Percentage ◽  
Element Analysis ◽  
Mean Values ◽  
Failure Patterns ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Post And Core

Objectives. The aim of this study was to evaluate the influence of ferule and the post type on the fracture strength and stress distribution in premolars. Materials and Methods. Forty human mandibular premolars were decoronated, allocated in four groups, and restored as follows: CPC-NF: cast post-and-core and absence of ferule; CPC-F: cast post-and-core and presence of ferule; FPC-NF: glass-fiber posts and absence of ferule; FPC-F: glass-fiber posts and presence of ferule. The fracture strength (FS) and failure patterns were evaluated. Finite element analysis (FEA) evaluated the stress distribution. Results. FS did not differ between CPCs and FPC either in presence or in absence of ferule. The presence of ferule increased FS with both post types. Mean values of FS for ferule groups were higher than functional or parafunctional loads reported in literature, which was not the case for FPC-NF when compared to parafunctional loads. FEA with a functional load showed slightly higher compressive stresses in dentin in the group CPC-NF, which was much lower than the compressive strength of dentin. Lower percentage of catastrophic failures was observed in nonferule groups irrespective of post type, which was explained by the stress concentration in the cervical root region when FEA with the FS load was simulated. Conclusion. Ferule effect was shown to be more important than post type in the analysis. Both posts showed potential to withstand functional loads irrespective of presence of ferule. However, the mean FS was lower than parafunctional loads for FPC in the absence of ferule.

scholarly journals Stress Generated by Customized Glass Fiber Posts and Other Types by Photoelastic Analysis

2015 ◽  
Vol 26 (3) ◽  
pp. 222-227 ◽  
Author(s):  
Kátia Bosso ◽  
Alcides Gonini Júnior ◽  
Ricardo Danil Guiraldo ◽  
Sandrine Bittencourt Berger ◽  
Murilo Baena Lopes
Keyword(s):  
Glass Fiber ◽  
High Stress ◽  
Resin Cement ◽  
Fiber Post ◽  
Tooth Structure ◽  
Biomechanical Behavior ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Glass Fiber Post ◽  
Post And Core

Endodontic posts are necessary to provide adequate retention and support when no sufficient remaining structure is available to retain the core. There are different materials and techniques to construct post-and-core, but there is no consensus about which one promotes better stress distribution on the remaining tooth structure. This study aimed to quantify and evaluate the distribution of stress in the root produced by customized glass fiber posts compared to different endodontic posts. Twenty-five simulated roots from photoelastic resin were made and divided into 5 groups: CPC, cast post-and-core; SP, screw post; CF, carbon fiber post; GF, glass fiber post; and CGF, customized glass fiber post. After cementing CPC and SP posts with zinc phosphate cement, and CF, GF and CGF posts with resin cement, resin cores were made for groups 2-5. Specimens were evaluated with vertical or 45° oblique loading. To analyze the fringes, the root was divided into 6 parts: palatal cervical, palatal middle, palatal apical, vestibular cervical, vestibular middle, and vestibular apical. The formed fringes were photographed and quantified. Data were recorded and subjected to two-way ANOVA and Tukey's test (5%). SP (1.95±0.60) showed higher stress (p<0.05) compared to the others (CPC-0.52±0.74; CF-0.50±0.75, GF-0.23±0.48 and CGF-0.45±0.83). All posts showed high stress in apical third (CPC-1.40±0.65; SP-2.30±0.44, CF-1.80±0.45, GF-1.20±0.45, CGF-1.70±1.03) Low stress was found in cervical third (CPC-0.20±0.45; CF-0.00±0.00, GF-0.00±0.00, CGF-0.00±0.00), except by SP (1.90±0.65), which showed statistical difference (p<0.05). Customized post showed high stress concentration at the root and conventional glass fiber posts showed more favorable biomechanical behavior.

scholarly journals Three-Year Follow Up of Customized Glass Fiber Esthetic Posts

2011 ◽  
Vol 05 (01) ◽  
pp. 107-112 ◽  
Author(s):  
Rogério Goulart da Costa ◽  
Eduardo Christiano Caregnatto de Morais ◽  
Moira Pedroso Leão ◽  
Márcio José Fraxino Bindo ◽  
Edson Alves Campos ◽  
...  
Keyword(s):  
Glass Fiber ◽  
Root Canal ◽  
Fiber Glass ◽  
Endodontically Treated Teeth ◽  
Core System ◽  
Fiber Posts ◽  
Suitable Treatment ◽  
Glass Fiber Posts ◽  
Post And Core

ABSTRACTCustomized glass fiber posts that is well adjusted into the root canal and have mechanical properties similar to those of dentin may be a suitable treatment for severely compromised endodontically treated teeth. This article reports a 3-year follow up of severely damaged endodontically treated teeth restored with unidirectional fiber glass customized post and core system instead of a conventional fiber post. The fabrication of this glass fiber customized post is a simple technique, providing an increased volume of fibers into the root canal, and an adequate polymerization of the post-core system. Over a three-year period, the treatments demonstrated good clinical and radiographic characteristics, with no fracture or loss of the post and/or crown. This technique can be considered effective, less invasive, and suitable for restore endodontically treated teeth. (Eur J Dent 2011;5:107-112)

Better Glass-fiber Post Preservation in Teeth with Ferrule When Subjected to Chewing

2021 ◽  
Author(s):  
CP Gré ◽  
DP Lise ◽  
RQ Ramos ◽  
B Van Meerbeck ◽  
LCC Vieira ◽  
...  
Keyword(s):  
Glass Fiber ◽  
Failure Modes ◽  
Acrylic Resin ◽  
Fiber Post ◽  
Composite Cement ◽  
Mechanical Fatigue ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Glass Fiber Post ◽  
Post Hoc

SUMMARY Objectives: To evaluate the influence of ferrule effect and mechanical fatigue aging on glass-fiber post push-out bond strength (PBS) to root-canal dentin at different root thirds of premolars. Methods and Materials: Thirty-two sound maxillary premolar teeth were collected, and randomly assigned to two experimental groups (n=16): ‘Remaining Dentin Ferrule’ (RDF) = coronal crown cut 2.0 mm above the cemento-enamel junction (CEJ); ‘Without Dentin Ferrule’ (WDF) = coronal crown cut at the cemento-enamel junction. Teeth were endodontically treated, post spaces were prepared up to 10.0-mm depth from CEJ, and glass-fiber posts were cemented using a dual-cure self-adhesive composite cement. Standardized cores were built using a light-cure composite, upon which tooth cores were prepared using a 1.5-mm taper ogival-end diamond bur. Crowns were handmade using self-cure acrylic resin and cemented using the aforementioned composite cement. Half of the specimens were subjected to 1,200,000 cycles of mechanical fatigue in a chewing simulator (F = ‘Fatigue’), while the other half were stored in distilled water at 37°C for 1 week (C = ‘Control’). All specimens were horizontally sectioned into 1.0-mm thick slices prior to PBS test; the failure modes were assessed using stereomicroscopy and scanning electron microscopy (SEM). Data were analyzed for each root third using two-way analysis of variance (ANOVA) followed by Tukey HSD post-hoc test; frequency distribution was compared by Chi-square test (α=0.05) and post-hoc comparisons with Bonferroni. Results: The mean PBS in MPa (SD) were = RDF_F = 10.4 (2.9); WDF_F = 6.9 (1.7); RDF_C = 14.5 (2.7); WDF_C = 14.2 (2.9). Similar PBS were found for the root thirds. For all root thirds, significant differences were found for both the factors Dentin Ferrule and Fatigue, and their interaction (p&lt;0.05). The lowest PBS was found for specimens without dentin ferrule subjected to chewing fatigue (p&lt;0.001). Most failures occurred at the composite cement/dentin interface, followed by mixed and composite cement/glass-fiber post interfacial failures. There was a significant increase in mixed failures for the WDF_F group (p&lt;0.001). Conclusion: Absence of 2.0-mm remaining dentin ferrule in premolars resulted in a higher decrease of the glass-fiber posts’ PBS to dentin after mechanical fatigue, irrespective of root third.

Effect of Ferrule Thickness on Fracture Resistance of Teeth Restored With a Glass Fiber Post or Cast Post

2019 ◽  
Vol 44 (6) ◽  
pp. E299-E308 ◽  
Author(s):  
PE Fontana ◽  
TC Bohrer ◽  
VF Wandscher ◽  
LF Valandro ◽  
IF Limberger ◽  
...  
Keyword(s):  
Glass Fiber ◽  
Fracture Resistance ◽  
Clinical Decision ◽  
Study Groups ◽  
Fracture Load ◽  
Load Test ◽  
Fiber Post ◽  
Mechanical Cycling ◽  
Glass Fiber Post ◽  
Post And Core

SUMMARY Purpose: To investigate the influence of ferrule thickness on fracture resistance after mechanical cycling of teeth restored with different intracanal posts. Methods and Materials: One hundred twenty bovine incisor teeth were randomized into six study groups, based on the intracanal post used (fiber post or cast post and core) and the presence and thickness of a ferrule (without ferrule, presence of 0.5-mm or 1-mm-thick ferrule, retaining unaltered 2-mm ferrule height). The root posts and the metal crowns were cemented using an adhesive cement. The samples were subjected to mechanical cycling (at 37°C, 45°, 130 N, 2.2 Hz, and 2 × 106 pulses). Afterward, they were subjected to a fracture load test at a speed of 0.5 mm/min and on a 45° slope until failure occurred. The failures were classified as favorable or unfavorable. The fracture resistance data were analyzed with two-way analysis of variance and Tukey test. The chi-square test was used to analyze the pattern of failure. Results: When considering the cast post and core, the 1-mm ferrule thickness group presented a higher resistance to fracture than did the group in which a ferrule was not used (p=0.001). When using a glass fiber post, the groups showed no differences in fracture resistance. Overall, 96.7% of the specimens survived the mechanical cycling. Of the fractures, 58.6% of the fractures were unfavorable, while 41.6% were favorable. Conclusions: A thicker ferrule statistically increased the fracture resistance only for cast post and core when it was at least 1 mm thick, despite causing more unfavorable failures. Thus, ferrule thickness should be considered when choosing different intracanal posts, to reduce the occurrence of unfavorable failures. In the absence of a ferrule, the use of a cast post and core presents more favorable failures, and in the presence of a 1-mm-thick ferrule, the use of a glass fiber post seems to be the best clinical decision.

Analysis of Dentinal Stress Distribution of Maxillary Central Incisors Subjected to Various Post-and-core Applications

2006 ◽  
Vol 31 (1) ◽  
pp. 89-96 ◽  
Author(s):  
S. Toksavul ◽  
M. Zor ◽  
M. Toman ◽  
M. A. Güngör ◽  
I. Nergiz ◽  
...  
Keyword(s):  
Stress Concentration ◽  
Stress Distribution ◽  
Glass Fiber ◽  
Clinical Relevance ◽  
Zirconia Ceramic ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Post And Core ◽  
Fea Analysis ◽  
Cervical Area

Clinical Relevance According to FEA analysis, under a simulated occlusal load, the cervical area of endodontically treated and crowned maxillary central incisors was the most stress concentrated area. Zirconia ceramic posts create slightly less dentinal stress concentration than titanium and glass-fiber posts.

scholarly journals Fracture load and shear stress of prefabricated glass fiber posts

2019 ◽  
Vol 18 ◽  
pp. e191561
Author(s):  
Helder Callegaro Velho ◽  
Paolo Baldissara ◽  
Jovito Adiel Skupien ◽  
Vinicius Felipe Wandscher
Keyword(s):  
Shear Stress ◽  
Glass Fiber ◽  
Fracture Load ◽  
Load Testing ◽  
Fiber Post ◽  
Plane Shear ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Type Of Failure ◽  
One Way Anova

Aim: This study evaluated the fracture load and pattern failure of different prefabricated glass fiber posts (GFPs) of the same diameter. Methods: Seventy-eight (n=13 for six groups) GFPs of 1.6 mm coronal diameter of different brands were evaluated— Exacto (Angelus), Power Post (BM4), White Post DC (FGM), HiRem (Overfibers), MAQ (Maquira), and SD (Supordont). The posts were subjected to fracture load testing (45° of inclination and 1 mm/min until fracture). Each factor (load (N) and shear stress (MPa)) was analyzed separately using one-way ANOVA followed by the Tukey test (α=0.05). Results: The type of failure was evaluated on a stereomicroscope (×10). The Power Post samples presented higher values of fracture load (p<0.001) followed by Maquira fiber post, White Post , HiRem, Superpost, and the Exacto posts. The failure pattern observed was intralaminar mode II in-plane shear, such as a failure occur parallel to fibers. Conclusion: Despite the same diameter of GFPs, the fracture load and shear resistance were brand-dependent.

scholarly journals Effect of surface treatments on push-out bond strength of calcium silicate-based cements to fiber posts

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amr M. Elnaghy ◽  
Ayman Mandorah ◽  
Ali H. Hassan ◽  
Alaa Elshazli ◽  
Shaymaa Elsaka
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Glass Fiber ◽  
Calcium Silicate ◽  
Surface Treatments ◽  
The Other ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Push Out ◽  
Effect Of Surface

Abstract Background To evaluate the effect of surface treatments on the push-out bond strength of Biodentine (BD) and white mineral trioxide aggregate (WMTA) to fiber posts. Methods Two brands of fiber posts were used: Reblida post; RP and RelyX post; RX. Each type of post (n = 80/group) was divided into four groups (n = 20/group) and exposed to surface treatment as follows: Control (no treatment), sandblasting (SB), hydrofluoric acid (HF), and TiF4 4 wt/v%. Each group was further subdivided into two subgroups (n = 10/subgroup) based on the type of CSCs used as follows: Subgroup A: BD and Subgroup B: WMTA. Push-out bond strength of BD and WMTA to glass fiber posts was assessed. Data were statistically analyzed using three-way ANOVA and Tukey’s test. A Weibull analysis was performed on the push-out bond strength data. Results BD showed higher bond strength than WMTA (P < 0.001). The push-out bond strength for posts treated with TiF4 4 wt/v% showed greater bond strength than the other surface treatments (P < 0.05). The BD/RP-TiF4 4 wt/v% showed the greater characteristic bond strength (σ0) (15.93) compared with the other groups. Surface treatments modified the surface topography of glass fiber posts. Conclusions The BD/RP-TiF4 4 wt/v% showed greater bond strength compared with the other groups. The TiF4 4 wt/v% surface treatment enhanced the bond strength of BD and WMTA to glass fiber posts than the other treatments. Surface treatment of fiber post with TiF4 4 wt/v% could be used to improve the bond strength with calcium silicate-based cements.

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