Are dentin posts biomechanically intensive?: A laboratory and FEA study

The goal of this laboratory and finite elemental stress analysis (FEA) study was to compare fracture strength of dentin post (DP) with stainless steel and glass fiber posts. Single-rooted teeth were decoronated and restored with ParaPost (PP), i-TFC (TFC), and DPs (n = 10). Resin cores were created and loaded until failure (1.0 mm/min). The data were analyzed (ANOVA, Tukey, Chi-Square tests). Three-dimensional FEA models of the posts were created and the stress distributions were calculated using Solid Works/Cosmos works structural analysis program. A significant difference was found among the groups (p < 0.001). TFC group showed the highest and the DP group showed the lowest fracture resistance (p < 0.001). PP created more stress at the root dentin and inside the post. Restoration of roots with glass fiber and DPs may reduce stresses within the core material and the remaining root. However, a fracture-resistant restoration cannot be achieved by using a DP.     

Push-out bonding strengths of four different dowel systems luted with two different adhesive systems

This in vitro study investigates the bonding capacity of resin cements to dowels, using the push-out bonding strength of four different dowel systems, namely, stainless steel dowels (SSD), resin-supported polyethylene fiber dowels (RSPFD), zirconia dowels (ZD), and superpost glass fiber dowels (GFD), luted in root canals, using two different resin cements, namely, Multilink Automix Cement and Clearfil Esthetic Cement. Ninety-six maxillary central incisor teeth were sectioned below the cementoenamel junction, and the roots were treated endodontically. Then the roots were placed into four groups, based on the dowel systems used. The roots were further placed into two subgroups, based on the cement type used as subgroup A and subgroup B. Push-out bonding tests were performed on the bonded specimens, which were cut into 1 mm thick sections. A two-way ANOVA test and Tukey’s HSD tests were performed. The push-out bonding strength values for SSD, ZD, and RSPFD were not significantly different (p > 0.05). The means for GFD were significantly higher than the means for ZD (p < 0.05) when Multilink Automix Cement was used. However, when Clearfil Esthetic Cement was used, the means for RSPFD were significantly higher (p < 0.001) than the means for the other systems. When Clearfil Esthetic Cement was used, the RSPF dowel system provided significantly higher bonding strength values than the other systems.     

Effect of cyclic loading and resin cement type used for luting fiber posts on bond strength at different root levels of crown-restored human teeth

Objective: This study aimed to evaluate the bond strength (BS) of glass fiber posts (GFP) at different root levels when luted with conventional or self-adhesive cements in crown-restored human premolars subjected, or not, to cyclic mechanical loading.

Materials and Methods: Sixty lower premolar roots were endodontically treated and prepared for a GFP system. Half of the roots (n = 30) had their posts cemented with a self-adhesive resin cement, while the remaining roots followed a three-step conditioning method: acid etch, bonding agent, and a conventional resin cement. Metal crowns were luted onto the post-core preparations and the specimens were embedded to simulate the periodontium. Half of the specimens from each group (n = 15) were submitted to cyclic loading simulations (130 N; 2.0 Hz) and then sections were obtained from each root for the pushout BS test.

Results: Independently of the cyclic loading and the root level tested, the conventional resin cement provided significantly higher values of BS (p = 0.002). For either cement or either root level, cyclic loading caused a significant decrease in BS values (p = 0.023). The Tukey test indicated that, regardless of the resin cement used or the cyclic loading, BS was highest at the middle and cervical thirds of the root (p = 0.026), and their values did not differ between themselves.

Conclusions: When used for luting GFP, self-adhesive resin cement resulted in lower pushout BS than the conventional counterpart, with cyclic loading causing a decrease in BS of the GFP to dentin for both resin cements.     

Effect of root canal sealers on the push-out bond strengths of tooth-colored posts to root dentine

Objectives: This study evaluated the effect of different root canal sealers on the push-out bond strength of tooth-colored posts to root dentin. Material and methods: Eighty human mandibular premolar teeth with single roots were decoronated and randomly divided into two groups according to post material: G1–G5: Cytec blanco; G6–G10: Cosmopost. In each group, the specimens were further subgrouped according to the filling material plus sealer (n = 8): G1, G6: Gutta-percha + AH Plus; G2, G7: Resilon + Epiphany SE; G3, G8: Gutta-percha + Sealite; G4, G9: Gutta-percha + iRoot SP; and G5, G10: control (unobturated). Cytec blanco and Cosmopost of 1.4 mm diameter were adhesively luted to samples using Variolink II. Push-out test was performed in a universal testing machine, and failure modes were examined under stereomicroscope. Data were analyzed with the two-way ANOVA and post hoc Tukey’s tests. Statistical significance was set to 0.05. Results: Roots obturated with AH Plus (3.48 ± 1.41 MPa), Sealite (3.47 ± 0.65 MPa), and Resilon (3.36 ± 1.23 MPa) had the lowest bond strength (p < 0.005). iRoot SP and control group samples showed the highest bond strength values (7.38 ± 0.89 MPa and 6.43 ± 1.16 MPa, respectively) (p < 0.05). Significant differences were observed among tooth-colored posts and sealers (p < 0.05). Adhesive failures were predominant in all groups (48%). Conclusions: When the resin cement Variolink II was used, the types of root canal filling materials and sealers could affect the retentions of the fiber/zirconium posts; the fiber post revealed the higher bond values than the zirconium post; and the calcium silicate-based sealer (iRoot SP) revealed the highest bond strengths.     

Mechanical properties of flared root canals restored with fiber post and chemically activated resin: study using push-out bond strength and fracture load tests

This study aimed to evaluate the fracture load and push-out bond strength of flared root canals restored with different procedures, including a technique with a fiber post and a chemically activated resin composite. Eighty human canines were selected and treated endodontically. Two methodologies were used: push-out and fracture load. The teeth were divided into four groups: Cast metal core (CMC); PAN (direct anatomic post); PAC (fiber post and accessory posts); and PE (fiber post with chemically activated resin composite). For the fracture load test, the samples were submitted to load application in a universal testing machine. The fracture mode was evaluated visually. Forty other samples were submitted to the push-out test. The fracture load (n = 10) and the bond strength (n = 10) were analyzed by analysis of variance and Tukey tests (α < 0.05). CMC presented the highest fracture load (p < 0.05), and no significant differences were observed in the fracture load values for Groups PAN, PAC, and PE. CMC presented 90% of unfavorable failures; PAN and PAC, the remaining 10% of these failures. PE presented only favorable failures. PAC presented lower push-out bond strength values. The fracture load for CMC procedure was higher than that of the others, but presented 90% unfavorable fractures, indicating the use of any of the glass fiber post techniques evaluated for restoring flared root canals due to favorable fracture modes.     

Effect of various post materials and resin luting cements on microleakage in endodontically treated root canals

The effect of various post materials luted with different resin luting cements on microleakage in root canals was studied in the present study. Sixty carious and crack-free premolars were prepared using a step-back technique and obturated with gutta-percha. The roots were randomly divided into six groups (n = 10). Two different post types, glass fiber reinforced posts and zirconium posts (ZP), were cemented three different resin adhesive cements (Panavia F 2.0, Smartcem 2, and Variolink II) in the root canals. All specimens were thermal cycled and stored in the methylene blue solution for one week. The roots were sectioned horizontally into three sections: apical, middle, and coronal. The occlusal direction of each section was digitally photographed under a stereomicroscope. Dye penetration area was calculated as the methylene blue-infiltrated surface divided by total dentin area. After the two-way Anova test results, Tukey HSD and Bonferroni tests were used for multiple comparisons. According to the test results, ZP luted with Panavia F showed the best microleakage results and glass fiber posts luted with smartcem 2 showed the most unsuccessful microleakage results (p = 0.146).     

Influence of Dynamic Loading and Different Adhesive Systems on the Microleakage in Root Canals

Abstract

The objective of this study was to evaluate the influence of dynamic loading and different adhesive systems on the microleakage in root canals.

80 human premolars were used in this study. The crowns of the teeth were sectioned at the cemento-enamel junction using a low speed diamond saw. After post space preparation, the roots were randomly assigned to 4 groups (n = 20) and restored with different adhesive systems. Group 1: Rely X ARC (RA) + Single Bond (SA), Group 2: Clearfil SA Cement (CL), Group 3: Panavia F 2.0 (PAN), Group 4: Rely X Unicem (RU). All the teeth were restored with the same type of glass fiber post and coronal cores built up with light-polymerizing hybrid composite resin. Half of the specimens of each group (n = 10) were subjected to additional dynamic loading in a universal testing machine. Apical parts of the roots were attached to computerized fluid filtration device for leakage measurement.

The two-way ANOVA test was used first to detect overall significance, followed by two-sample t-test to identify which pairs of groups had significant differences. For each outcome statistical significance was set at p < 0.05. Dynamic loading significantly increased the microleakage values for Rely X ARC (p = 0.005), Clearfil SA Cement (p = 0.002) and Rely X Unicem groups (p = 0.001) but Panavia F 2.0 group was not affected by the dynamic loading (p = 0.111). One-way ANOVA test was applied to detect any significant differences in microleakage values for the adhesive systems. In the unloaded groups, there is no difference between the adhesive systems (p = 0.13). For the dynamically loaded groups, there is only significant difference between PAN and RA groups (p = 0.010). Post-hoc pairwise comparisons were done using Tukey’s multiple comparisons. Differences between Rely X ARC-Clearfil SA Cement and Rely X ARC-Panavia F 2.0 are statistically significant (p = 0.009, 0.013).     

Effect of Er,Cr:YSGG laser surface conditioning on the adhesion of fiber- reinforced composite and zirconia intraradicular posts to the root dentin

This study evaluated the influence of Er,Cr:YSGG laser surface conditioning on push-out bond strength of different root posts to the root dentin. Extracted (N = 27, n = 9 per group) and endodontically treated human mandibular premolars were prepared to receive the posts. Three types of posts, namely quartz fiber (D), glass fiber (S), and zirconium dioxide post (C) were luted with resin cement. The posts were randomly assigned to one of the surface conditioning method: (a) No conditioning, control (L0), (b) Er,Cr:YSGG laser at 175 mJ, 3.5 W for 60 s (L1), and (c) at 225 mJ, 4.5 W for 60 s, with 60 μs pulse duration and repetition rate was 20 Hz (L2) irradiation. Six sections (two coronal, two middle, and two apical) were made in each tooth yielding to 1 mm thick specimens. The specimens were stored in distilled water at 37?°C for 24 h and push-out bond strength (MPa) was tested in a Universal Testing Machine (1 mm/min). Data were analyzed using Kruskall–Wallis and Dunns`s post hoc tests (α = 0.05). In group D, both laser treated groups (L1:16.16 ± 19.89; L2:8.24 ± 9.26) presented significantly less bond strength compared to control group (L0:28.3 ± 16.8) (p < 0.001). Mean push-out bond strength values did not significantly differ according to the root segments (coronal, middle, and apical) (p = 0.106). Application of Er,Cr:YSGG laser, with the parameters tested, did not increase the bond strength of zirconium glass fiber and zirconium oxide posts. Laser surface conditioning decreased the bond strength of quartz fiber posts in the root canal.     

Micromorphology of resin–dentin interfaces using self-adhesive and conventional resin cements: A confocal laser and scanning electron microscope analysis

Purpose: The aim of this study was to evaluate the resin–dentin morphology created by four dual-cured resin cements. Materials and Methods: Two self-adhesive resin cements (RelyX Unicem, 3 M ESPE and Clearfil SA Luting, Kuraray Med.) and two conventional resin cementing systems (RelyX ARC, 3 M ESPE and Clearfil Esthetic Cement, Kuraray Med.) were evaluated. Occlusal dentin surfaces of 32 extracted human third molars were flattened to expose coronal dentin. Teeth were assigned to 8 groups (n=4), according to resin cement products and microscope analysis (SEM: scanning electron microscope or CLSM: confocal laser scanning microscopy). For CLSM, two different fluorescent dyes, fluorescein isothiocyanate–dextran and rhodamine B, were incorporated into the adhesive system and resin cement, respectively. The resin cements were applied to indirect composite resin disks, which were cemented to dentin surface according to manufacturer's instructions. After 24 h, all restored teeth were vertically sectioned into 1-mm-thick slabs for SEM or CLSM analyses. Results: Scotchbond Multi-Purpose Plus/RelyX ARC cementing system formed a thin hybrid layer and resin tags penetration into the dentin tubules. Clearfil DC Bond/Clearfil Esthetic Cement showed only short resin tags. Neither hybrid layer nor resin tags were detected for self-adhesive resin cements. Conclusion: Representative SEM and CLSM images provided resin–dentin interfaces variability among resin cements studied.     

Long-term bond strength of fiber posts cement to dentin with self-adhesive or conventional resin cements

The aim of this study was to evaluate the immediate and the long-term push-out bond strength of glass fiber posts (GFP) cemented with conventional or self-adhesive dual-curing resin cements, at different root depths. Prior to cementation, the GFP (Reforpost #3, Angelus) were etched with 37% phosphoric acid for 30 s followed by silane for 1 min. Thirty canine roots were divided into two groups (n = 15) according to resin cement type: ARC – dual resin cement (RelyX ARC/3M ESPE) combined with an three-step etch-and-rinse adhesive (Adper Scotch Bond Multi-Purpose Plus 3M/ESPE) or U200 – self-adhesive resin cement (RelyX U200/3M ESPE). The manufacturer’s instructions were followed. After 48 h, the roots were cross-sectioned at three different depths, resulting in serial slices corresponding to the cervical, middle, and apical root thirds. Slices were randomly divided into two groups, according to the period of water storage prior to push-out bond strength analysis: 48 h or 180 days. The data (MPa) were analyzed using three-way ANOVA for randomized blocks (p < 0.05), which showed no significant interaction between the three factors (p = 0.716). The main study factors were also proven not significant (cement: p = 0.711; time: 0.288; root third: p = 0.646). In conclusion, root depth, cement type (self-adhesive or conventional), and storage in water for 180 days did not influence the bond strength of GFP to intracanal dentin.     

The effect of bulk-fill flowable composites on the fracture resistance and cuspal deflection of endodontically treated premolars

The aim of this study was to evaluate the effect of bulk-fill flowable composites on cuspal deflection and fracture resistance of endodontically treated teeth. Forty-two maxillary premolars were subjected to endodontic treatment followed by the preparation of mesioocclusodistal cavities. Teeth were divided into six groups according to restorative materials as follows: Group 1: Clearfil Majesty Flow and Clearfil Majesty Posterior; Group 2: Venus Bulk Fill and Clearfil Majesty Posterior; Group 3: Clearfil Majesty Posterior; Group 4: Vertise Flow and Clearfil Majesty Posterior; Group 5: SDR and Clearfil Majesty Posterior; and Group 6: x-tra base and Clearfil Majesty Posterior. A single-step self-etch adhesive (OptiBond All-in-One) was applied to all groups, except Group 4. The cavities were restored with a centripetal incremental insertion technique and flowable composites using a 2-mm-thick base material, except for Group 3. The distance between cusp tips was measured before and after the cavity preparations, after the restorations, and after thermal cyclus with a digital micrometer. After measuring, each tooth was subjected to compressive loading with a stainless steel ball (4 mm diameter) perpendicular to the occlusal surface with a crosshead speed of 1 mm/min, and mean loads necessary to fracture were recorded in Newtons. The data were statistically analyzed by Kruskal–Wallis test. No statistically significant differences were found between groups in fracture strength or cuspal deflections (p > 0.05). Bulk-fill flowable composite bases did not change the cuspal deflection or fracture resistance of endodontically treated teeth, compared with that of a conventional flowable base and conventional resin composite.     

Effect of the frequency of mechanical pulses for fatigue aging testing on push-out bond strength between glass fiber posts and root dentin

The aim of this study was to evaluate the influence of the frequency of mechanical pulses during mechanical fatigue aging on bond strength between glass fiber posts and root dentin. Fiber posts were adhesively cemented in 30 bovine roots and the core was built up with composite. All specimens were subjected to mechanical cycling (45° angle; 37 °C; 50 N; 2×10⁶ pulses) at different frequencies: 2, 4, and 8 Hz. After the fatigue, each specimen was submitted to push out test. The bond strength was calculated for data analysis (one-way ANOVA, p = 0.05). The frequency did not affect the push-out (p = 0.7). The main failure mode was between dentin and cement in all groups. The mechanical pulses were not influenced by the bond strength between root dentin and fiber posts. Thus, it is possible to decrease the time-consuming in vitro tests involving posts without damaging the reliability of the test.     

Compressive strength and failure types of cusp replacing direct resin composite restorations in previously amalgam-filled premolars versus sound teeth

This study evaluated the fracture resistance of cusp replacing direct resin composite restorations (DCR) in premolars that had been previously filled with amalgam mesial–occlusal–distal (MOD) restorations and compared their fracture resistance with those made on sound dentin and intact teeth. Recently extracted human premolars with either MOD amalgam restorations or sound/intact ones were selected for the study. Cavities with cusp reduction were made for the following groups: (a) Group 1: DCRs on previously amalgam-affected dentin (n = 11), (b) Group 2: DCRs on sound dentin (n = 10), and (c) Group 3: intact premolars (n = 9). Teeth in Groups 1 and 2 were restored with a 3-step etch and rinse adhesive (Quadrant Unibond) and filled with hybrid composite (Clearfil Photo Posterior). All specimens were thermocycled for 5000 cycles (5–55 °C). The buccal cusps of the teeth were loaded until fracture under compression at 45° to the long axis of the teeth in a universal testing machine (1 mm/min). Data (N) were statistically analyzed using one-way ANOVA and Student’s t-test (α = 0.01). Intact teeth (Group 3) showed significantly higher fracture resistance (893 ± 196) compared to both restored groups (p < 0.01). No significant difference was found between the DCRs made on amalgam-affected dentin (Group 1: 607 ± 166) and sound dentin (Group 2: 588 ± 183) (p > 0.01). More than half of the teeth of Groups 2 and 3 showed unrepairable fractures with pulp exposure.     

Load-bearing capacity and failure types of premolars restored with sonic activated bulk-fill-, nano-hybrid and silorane-based resin restorative materials

This study evaluated the load-bearing capacity of premolars restored with three types of resin composite materials in mesio-occluso-distal (MOD) cavities. Extracted human premolars (N = 30, n = 10 per group) were randomly divided into three groups; MOD cavities were prepared and restored with one of the following resin materials: Group BFC: Bulk-fill composite (SonicFill, Kerr Corporation), Group NC: Nanohybrid resin composite (Filtek Z550, 3M ESPE), Group SC: Silorane-based composite (Filtek Silorane, 3M ESPE). For NC Clearfil SE Bond (Kuraray, Japan) and for SC, Silorane adhesive resin (Filtek Silorane System Adhesive, 3M ESPE) were used. The cavities in NC and SC groups were restored incrementally, while those in BFC groups were restored in bulk. After water storage (24 h, 37 °C), each tooth was subjected to compressive loading with a stainless steel ball (diameter: 4 mm) perpendicular to the occlusal surface (1 mm/min). Failure types were categorized according to being repairable or irrepairable. Data were statistically analysed using Kruskal-Wallis test (α = 0.05). Two-parameter Weibull distribution values including the Weibull modulus, scale (m) and shape (0) values were calculated. Fracture resistance of premolars restored with BFC (829.84), NC (701.35) and SC (807.73) did not show significant difference (p = 0.72). Weibull distribution presented lower shape (0) for SC (m = 2.77) and NC (m = 3.09) compared to BFC (m = 5.01). The incidence of repairable failures was more common in BFC (80%) compared to NC (60%) and SC (50%). Adhesive failures were more often observed in NC (80%) and SC (70%) groups.     

A novel chemical aging method for evaluating degradation of resin-dentin bond: a preliminary study

Purpose: to investigate the use of NaOH solution as storage medium on dentin micro-tensile bond strengths (MTBS) and the micromorphology of resin–dentin interfaces. Materials and Methods: mid-coronal dentin was exposed for 45 human third molars. One of five dentin adhesives investigated was applied to each dentin surface, followed by placement of a resin composite from the same manufacturer (Clearfil S3 Bond + Clearfil Majesty, Clearfil SE Bond + Clearfil Majesty, Kuraray Co. Ltd; Adper Easy One + Z250, Adper Single Bond 2 + Z250, 3M ESPE; Gluma Comfort Bond + Charisma, Heraeus Kulzer). Bonded specimens were sectioned through resin–dentin interfaces into multiple beams with a cross-sectional area of about 1 mm². The beams were kept in 10 wt% NaOH solution at 37 °C for 0, 2, 4, 6, 8, 10, or 12 h respectively prior to MTBS evaluation. The MTBS data were analyzed statistically. Failure modes were determined by stereomicroscopy. Representative fractured surfaces and resin–dentin interfaces were examined by scanning electron microscopy. Resin–dentin interfaces were also analyzed by transmission electron microscopy (TEM). Results: dentin MTBS decreased significantly with increased storage time in NaOH. Micro-gaps appeared along the resin–dentin interfaces after NaOH treatment and became wider over time. An electron-dense hybrid layer was observed by TEM in the control group, while an electron-lucent band was detected at the resin–dentin interfaces of specimens treated with NaOH for 8 h. Conclusion: aging of resin–dentin bonds in NaOH solution may be used as an expedited chemical aging method for evaluating degradation of dentin bond.     

Micro-computerized tomography analysis of cement voids and pull-out strength of glass fiber posts luted with self-adhesive and glass-ionomer cements in the root canal

This study evaluated the pull-out strength of different glass fiber posts and measured volume of cement and voids in the cement in the root canal utilizing micro-computerized tomography (micro-CT) analysis after they were cemented with two different luting cements. Canine teeth (N = 40) were endodontically treated and randomly divided into four groups depending on the fiber post and the cement type (n = 10 per group) as follows: Group RU: (RelyX + RelyX U200), Group PU: (PINpost + RelyX U200), Group RF: (RelyX + FujiCEM 2), Group PF: (PINpost + FujiCEM 2). Each tooth was scanned using micro-CT and the percentage of cement and void volume at the coronal, middle, and apical levels was calculated. Pull-out tests were performed by applying tensile load parallel to the long axis of the posts (0.5 mm/min). Data were analyzed using, ANOVA, Kruskal–Wallis, and Mann–Whitney U tests (α = 0.05). Regardless of cement type, the percentage (%) of cement volume in the RelyX post groups (RU:31–36; RF:29–40) was significantly higher than that in the PINpost groups (PU:19–23; PF:18–22) (p < 0.05). The percentage of void volume at the PINpost groups (PU:6–11; PF:8–13) was significantly lower than that in the RelyX groups (RU:2; RF:3) (p < 0.05). No significant differences were observed in pull-out strength (N) between the four experimental groups (RU:358.8 ± 56.2; RF:299 ± 64.8; PU:311.9 ± 61.3; PF:293.1 ± 91.3) (p > 0.05). The micro-CT analysis demonstrated that the percentage of cement and void volumes vary depending on the type of fiber post and cement used. No correlation between cement, void volume, and pull-out strength was observed.     

Degree of conversion and adhesion of methacrylate-based resin cements with phosphonic or phosphoric acid acrylate to glass fiber posts at different regions of intraradicular dentin

This study evaluated the degree of conversion (DC) and adhesion of methacrylate-based resin cements to glass fiber posts at different regions of intraradicular dentin. Single-rooted teeth (N?=?24, n?=?12 per group) were cut at the cement–enamel junction (CEJ), endodontically treated and post space (depth?=?8 mm) was prepared. Teeth were randomly divided into two groups according to the resin cements: (a) Group ML: methacrylate-based cement with phosphonic acid acrylate (Multilink Automix, Ivoclar Vivadent); (b) Group RXU: methacrylate-based cement with phosphoric acid acrylate (RelyX Unicem 2 Automix, 3 M ESPE). Fiber-reinforced composite root posts (RelyX Fiber Post, 3 M ESPE) were cemented according to the manufacturers’ instructions of the resin cements. Root slices of 2-mm thickness (n?=?3 per tooth) were cut below the CEJ 1, 3, and 5 mm apically. The DC of each section was analyzed with micro-Raman spectrometer and push-out test was performed in the Universal Testing Machine (0.5 mm/min). After debonding, all specimens were analyzed using optical microscope to categorize the failure modes. While data (MPa) were statistically evaluated using Kruskal Wallis, Mann–Whitney U tests for DC data 3-way ANOVA and Tukey’s tests were used (α?=?0.05). Regardless of the resin cement type, the mean push-out bond strength results (MPa), were significantly higher for the coronal slices (ML: 9.1?±?2.7; RXU: 7.3?±?4.1) than those of the most apical ones (ML: 7?±?4.9; RXU: 2.89?±?1.5) (p?=?0.002). Resin cement type and (p?p?=?0.002) significantly affected the DC values, while the interaction terms were not significant (p?=?0.606). Overall, DC was significantly higher for ML (67?±?8.2%) than RXU (26?±?8.8%) (p?相似文献   

Shear bond strengths of five intraoral porcelain repair systems

In fixed prosthodontics, fracture of the porcelain veneer is not an uncommon problem under clinical conditions due to, e.g., malfunction, trauma or technical failures. To avoid time-consuming and cost-intensive renewal of the entire restoration, repair of the chipped veneer is desirable. The aim of this in vitro study was to evaluate the shear bond strengths of five intraoral porcelain repair kits based on different chemical bonding systems. 45 metal plates veneered with feldspathic porcelain were fabricated. The surface treatment was performed using five porcelain repair systems based on tribochemical silica coating (Cojet), mechanical roughening (Silistor, Cimara, Ceramic Repair) or etching (Clearfil Repair) followed by application of silane coupling agents (five specimens each). Cylinders of composite resin of Charisma and Pertac Hybrid were bonded using Cojet, Silistor, Cimara and Ceramic Repair, and of Clearfil AP-X with Clearfil Repair onto the porcelain specimens. After thermocycling (5000 cycles, 5–55°C) shear bond strength was measured according to ISO 10477 followed by assessment of the failure mode. Statistical analysis was carried out with one-way ANOVA and Bonferroni–Dunn's multiple comparisons post-hoc analysis for test groups (α = 0.05). Shear bond strengths higher than 10 MPa were found for all test groups except for Ceramic Repair with Pertac Hybrid (8.1 ±1.3 MPa), which was significantly lower than all other groups (P < 0.05). Highest shear bond strength was found for Silistor with Charisma (23.1 ± 5.8 MPa), which was significantly higher (P < 0.05) than all other groups except Cojet with Charisma (17.8 ± 3.6 MPa) and Clearfil Repair (20.3 ± 5.0 MPa). Cojet and Silistor with Charisma, Cimara, as well as with Clearfil mainly showed cohesive or mixed failure modes (cohesive and interfacial). Bond strengths of the combinations Silistor-Charisma, Clearfil Repair-Clearfil AP-X and Cojet-Charisma were superior to all other combinations used in the present tests.     

Fracture resistance of endodontically treated maxillary incisors restored with zirconia posts: effect of the internal plateau preparation

ABSTRACT

We report on a new approach to increase the fracture resistance of endodontically treated teeth. We propose a preparation of horizontal internal plateau (IP) in dentine and the use of retentive zirconia posts to achieve a more favourable load transmission. The aim of our work was to investigate the effect of the IP depth and the post diameter on the fracture resistance and the failure mode of maxillary central incisors. Seventy-two teeth were, divided into six groups of 12. IP 4?mm in diameter and 0, 1 or 2?mm in depth was prepared and zirconia posts of two diameters luted. Specimens were loaded until failure and fractures were classified as reparable or not. Two-way ANOVA, Tukey’s HSD test and Poisson regression were used for statistical analysis (α?=?0.05). Significantly improved fracture resistance and predominantly favourable failure modes were found when 2-mm deep IP is prepared.     

Evaluation of different restoration techniques on fracture resistance of teeth with palatinal cusp fracture

We evaluated reattached tooth fragments in terms of fracture resistance in endodontically treated maxillary premolars with one remaining wall. In total, 60 double-rooted, mature, human maxillary premolars with double canals were used. Ten intact teeth were served as a control group without any application. After endodontic treatment, the palatal wall of the teeth was cut parallel to the horizontal axis on the cementoenamel junction using a diamond disc. The teeth were randomly divided into five groups (n = 10) and were restored as follows. Group 1: restored with composite resin; Group 2: palatal wall bonded to the teeth using adhesive resin, then restored with composite resin; Group 3: teeth restored as in Group 2, plus a post space prepared below 2 mm from the palatinal cusp horizontally, then fibre post bonded using adhesive resin cement; Group 4: cavity enlarged to a depth of 2 mm in the cusp of the palatal wall, then restoration performed as in Group 2; and Group 5: fibre post placed in the root canal and then restoration performed as in Group 1. Failure load testing was performed with a universal testing machine. Kruskal–Wallis and Conover’s multiple comparison tests were used to analyse the data. In the restoration groups the highest median load at failure was observed in Group 4, in which cusp capping was used; the lowest was found in Group 3, in which a horizontal fibre post was applied with the reattached tooth fragments.