Abstract
Objectives
To make an in vitro assessment of fracture resistance of weakened and non-weakened teeth receiving intraradicular reinforcement using Rebilda bundled glass fiber–reinforced composite posts (GT), Rebilda conventional glass fiber posts (RP), or both systems combined (GT + RP).
Materials and methods
Eighty sound bovine incisors were prepared and divided randomly into eight groups as follows: (a) nWnR: without simulating weakness, and without intraradicular reinforcement; (b) WnR: simulating weakness, but without intraradicular reinforcement; (c) nWGT: without simulating weakness, but with GT; (d) WGT: simulating weakness, and with GT; (e) nWRP: without simulating weakness, but with RP; (f) WRP: simulating weakness, and with RP; (g) nWGTRP: without simulating weakness, but with GT + RP; (h) WGTRP: simulating weakness, and with GT + RP. The specimens were subjected to the load-to-fracture test using the DL-2000MF universal testing machine. The finite element method assessed the mechanical behavior and stress distribution in endodontically treated teeth.
Results
The groups nWGTRP and WGTRP presented the best results in the load-to-fracture test, with the former being better than the latter, but with no statistically significant difference (P > 0.05). However, there was a significant difference between these and the other groups (P < 0.05), except for nWRP. Stress distribution inside the canal wall was different among the groups, with promising mechanical behavior for nWGTRP and nWRP.
Conclusions
The Rebilda conventional fiber post (RP), combined with the Rebilda bundled glass fiber–reinforced composite post (GT) improves the resistance and stress distribution of immature teeth.
Clinical relevance
Longitudinal fracture is less frequent in teeth restored with GT and RP posts.
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References
Cvek M (1992) Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 8:45–55
Goldman M (1974) Root-end closure techniques including apexification. Dent Clin North Am 18:297–308
Cvek M (1972) Treatment of non-vital permanent incisors with calcium hydroxide. I. Follow-up of periapical repair and apical closure of immature roots. Odontol Revy 23:27–44
Çiçek E, Yılmaz N, Koçak MM et al (2017) Effect of mineral trioxide aggregate apical plug thickness on fracture resistance of immature teeth. J Endod 43:1697–1700. https://doi.org/10.1016/j.joen.2017.05.007
Andreasen JO, Farik B, Munksgaard EC (2002) Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 18:134–137. https://doi.org/10.1034/j.1600-9657.2002.00097.x
Batur YB, Erdemir U, Sancakli HS (2013) The long-term effect of calcium hydroxide application on dentin fracture strength of endodontically treated teeth. Dent Traumatol 29:461–464. https://doi.org/10.1111/edt.12037
Kahler SL, Shetty S, Andreasen FM, Kahler B (2018) The effect of long-term dressing with calcium hydroxide on the fracture susceptibility of teeth. J Endod 44:464–469. https://doi.org/10.1016/j.joen.2017.09.018
Cochrane S, Burrow MF, Parashos P (2019) Effect on the mechanical properties of human and bovine dentine of intracanal medicaments and irrigants. Aust Dent J 64:35–42. https://doi.org/10.1111/adj.12655
Haralur SB, Al Ahmari MA, AlQarni SA, Althobati MK (2018) The effect of intraradicular multiple fiber and cast posts on the fracture resistance of endodontically treated teeth with wide root canals. Biomed Res Int 2018:1671498. https://doi.org/10.1155/2018/1671498
Abdelaziz KM, Khalil AA, Alsalhi IY et al (2017) Fracture resistance of tilted premolars restored with different post-core systems. J Int Soc Prev Community Dent 7:344–350. https://doi.org/10.4103/jispcd.JISPCD_382_17
Abduljawad M, Samran A, Kadour J et al (2016) Effect of fiber posts on the fracture resistance of endodontically treated anterior teeth with cervical cavities: an in vitro study. J Prosthet Dent 116:80–84. https://doi.org/10.1016/j.prosdent.2015.12.011
Lassila LVJ, Tanner J, Le Bell A-M et al (2004) Flexural properties of fiber reinforced root canal posts. Dent Mater 20:29–36
Bitter K, Noetzel J, Stamm O et al (2009) Randomized clinical trial comparing the effects of post placement on failure rate of postendodontic restorations: preliminary results of a mean period of 32 months. J Endod 35:1477–1482. https://doi.org/10.1016/j.joen.2009.07.026
Bonfante G, Kaizer OB, Pegoraro LF, do Valle AL, (2007) Fracture strength of teeth with flared root canals restored with glass fibre posts. Int Dent J 57:153–160
Sivieri-Araujo G, Tanomaru-Filho M, Guerreiro-Tanomaru JM et al (2015) Fracture resistance of simulated immature teeth after different intra-radicular treatments. Braz Dent J 26:211–215. https://doi.org/10.1590/0103-6440201300186
Sharafeddin F, Alavi AA, Zare S (2014) Fracture resistance of structurally compromised premolar roots restored with single and accessory glass or quartz fiber posts. Dent Res J (Isfahan) 11:264–271
Zhang Y, Han JM, Liu L, Deng XL (2019) Study of bond strength of one-piece glass fiber posts-and-cores with flared root canals in vitro. Beijing Da Xue Xue Bao 51:327–334
Penteado MM, Mendes Tribst JP, Dal Piva AM, de O, et al (2020) Influence of different restorative material and cement on the stress distribution of ceramic veneer in upper central incisor. Indian J Dent Res 31:236–240. https://doi.org/10.4103/ijdr.IJDR_150_18
Tribst JPM, Dal Piva AM, de O, Madruga CFL, et al (2018) Endocrown restorations: influence of dental remnant and restorative material on stress distribution. Dent Mater 34:1466–1473. https://doi.org/10.1016/j.dental.2018.06.012
Carvalho CAT, Valera MC, Oliveira LD, Camargo CHR (2005) Structural resistance in immature teeth using root reinforcements in vitro. Dent Traumatol 21:155–159. https://doi.org/10.1111/j.1600-9657.2005.00312.x
Ali MRW, Mustafa M, Bårdsen A, Bletsa A (2019) Fracture resistance of simulated immature teeth treated with a regenerative endodontic protocol. Acta Biomater Odontol Scand 5:30–37. https://doi.org/10.1080/23337931.2019.1570822
Teruel JdD, Alcolea A, Hernández A, Ruiz AJO (2015) Comparison of chemical composition of enamel and dentine in human, bovine, porcine and ovine teeth. Arch Oral Biol 60:768–775. https://doi.org/10.1016/j.archoralbio.2015.01.014
Zhou L, Wang Q (2013) Comparison of fracture resistance between cast posts and fiber posts: a meta-analysis of literature. J Endod 39:11–15. https://doi.org/10.1016/j.joen.2012.09.026
Vyas R, Suchitra SR, Gaikwad PT et al (2018) Assessment of fracture resistance capacity of different core materials with porcelain fused to metal crown: an in vitro study. J Contemp Dent Pract 19:389–392
Wang X, Shu X, Zhang Y et al (2019) Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth: a systematic review and meta-analysis. Quintessence Int 50:8–20. https://doi.org/10.3290/j.qi.a41499
Adanir N, Ureyen Kaya B, Kececi AD (2015) Fracture resistance of roots restored with four different fiber-reinforced composite posts. Med Princ Pract 24:538–543. https://doi.org/10.1159/000433436
Pomini MC, Machado MM, de Paula QG et al (2019) In vitro fracture resistance and bond strength of self-adhesively luted cast metal and fiber-reinforced composite posts and cores: influence of ferrule and storage time. Int J Prosthodont 32:205–207. https://doi.org/10.11607/ijp.5956
Marchi GM, Paulillo LAMS, Pimenta LAF, De Lima FAP (2003) Effect of different filling materials in combination with intraradicular posts on the resistance to fracture of weakened roots. J Oral Rehabil 30:623–629
Ossareh A, Rosentritt M, Kishen A (2018) Biomechanical studies on the effect of iatrogenic dentin removal on vertical root fractures. J Conserv Dent 21:290–296. https://doi.org/10.4103/JCD.JCD_126_18
Yang SY, Zeng YX, Cai H et al (2018) Influence of fracture resistance of prosthesis with different thickness of ferrule restored with fiber post and resin core and crown. Zhonghua Kou Qiang Yi Xue Za Zhi 53:766–770. https://doi.org/10.3760/cma.j.issn.1002-0098.2018.11.009
Schestatsky R, Dartora G, Felberg R et al (2018) Do endodontic retreatment techniques influence the fracture strength of endodontically treated teeth? A systematic review and meta-analysis. J Mech Behav Biomed Mater 90:306–312. https://doi.org/10.1016/j.jmbbm.2018.10.030
Raygot CG, Chai J, Jameson DL (2001) Fracture resistance and primary failure mode of endodontically treated teeth restored with a carbon fiber-reinforced resin post system in vitro. Int J Prosthodont 14:141–145
Balkaya MC, Birdal IS (2013) Effect of resin-based materials on fracture resistance of endodontically treated thin-walled teeth. J Prosthet Dent 109:296–303. https://doi.org/10.1016/S0022-3913(13)60304-2
Watanabe T, Miyazaki M, Inage H, Kurokawa H (2004) Determination of elastic modulus of the components at dentin-resin interface using the ultrasonic device. Dent Mater J 23:361–367
de Andrade G-S, Tribst J-P-M, Dal Piva A-MO et al (2019) A study on stress distribution to cement layer and root dentin for post and cores made of CAD/CAM materials with different elasticity modulus in the absence of ferrule. J Clin Exp Dent 11:e1–e8. https://doi.org/10.4317/jced.55295
Zogheib LV, Pereira JR, do Valle AL et al (2008) Fracture resistance of weakened roots restored with composite resin and glass fiber post. Braz Dent J 19:329–333. https://doi.org/10.1590/s0103-64402008000400008
Ambica K, Mahendran K, Talwar S et al (2013) Comparative evaluation of fracture resistance under static and fatigue loading of endodontically treated teeth restored with carbon fiber posts, glass fiber posts, and an experimental dentin post system: an in vitro study. J Endod 39:96–100. https://doi.org/10.1016/j.joen.2012.07.003
Stricker EJ, Göhring TN (2006) Influence of different posts and cores on marginal adaptation, fracture resistance, and fracture mode of composite resin crowns on human mandibular premolars. An in vitro study J Dent 34:326–335. https://doi.org/10.1016/j.jdent.2005.07.007
Dietschi D, Duc O, Krejci I, Sadan A (2008) Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Int 39:117–129
De Andrade GS, Tribst JPM, Orozco EI et al (2020) Influence of different post-endodontic restorations on the fatigue survival and biomechanical behavior of central incisors. Am J Dent 33:227–234
Sano H, Shono T, Sonoda H et al (1994) Relationship between surface area for adhesion and tensile bond strength–evaluation of a micro-tensile bond test. Dent Mater 10:236–240
Costa A, Xavier T, Noritomi P et al (2014) The influence of elastic modulus of inlay materials on stress distribution and fracture of premolars. Oper Dent 39:E160–E170. https://doi.org/10.2341/13-092-L
Farah JW, Dougherty EW (1981) Unfilled, filled, and microfilled composite resins. Oper Dent 6:95–99
Rüttermann S, Alberts I, Raab WHM, Janda RR (2011) Physical properties of self-, dual-, and light-cured direct core materials. Clin Oral Investig 15:597–603. https://doi.org/10.1007/s00784-010-0405-y
VOCO (2017) The Elastic modulus (GPa) and Poisson ratio of the fiber post. https://www.voco.dental/en/portaldata/1/resources/products/folders/gb/rebilda-post-gt_fol_gb.pdf.
Funding
This study was supported by the Restorative Dentistry Department, Institute of Science and Technology, São Paulo State University (ICT-UNESP), São José dos Campos, SP, Brazil.
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Santos, T.d.A., Abu Hasna, A., Abreu, R.T. et al. Fracture resistance and stress distribution of weakened teeth reinforced with a bundled glass fiber–reinforced resin post. Clin Oral Invest 26, 1725–1735 (2022). https://doi.org/10.1007/s00784-021-04148-4
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DOI: https://doi.org/10.1007/s00784-021-04148-4