Abstract
To evaluate the marginal adaptation of endodontically treated molars restored with CAD/CAM composite resin endocrowns either with or without reinforcement by fibre reinforced composites (FRCs), used in different configurations. 32 human endodontically treated molars were cut 2 mm over the CEJ. Two interproximal boxes were created with the margins located 1 mm below the CEJ (distal box) and 1 mm over the CEJ (mesial box). All specimens were divided in four groups (n = 8). The pulp chamber was filled with: group 1 (control), hybrid resin composite (G-aenial Posterior, GC); group 2, as group 1 but covered by 3 meshes of E-glass fibres (EverStick NET, Stick Tech); group 3, FRC resin (EverX Posterior, GC); group 4, as group 3 but covered by 3 meshes of E-glass fibres. The crowns of all teeth were restored with CAD/CAM composite resin endocrowns (LAVA Ultimate, 3M). All specimens were thermo-mechanically loaded in a computer-controlled chewing machine (600,000 cycles, 1.6 Hz, 49 N and simultaneously 1500 thermo-cycles, 60 s, 5–55 °C). Marginal analysis before and after the loading was carried out on epoxy replicas by SEM at 200× magnification. For all the groups, the percentage values of perfect marginal adaptation after loading were always significantly lower than before loading (p < 0.05). The marginal adaptation before and after loading was not significantly different between the experimental groups (p > 0.05). Within the limitations of this in vitro study, the use of FRCs to reinforce the pulp chamber of devitalized molars restored with CAD/CAM composite resin restorations did not significantly influenced their marginal quality.
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References
Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature—part 1. Composition and micro- and macrostructure alterations. Quintessence Int. 2007;38:733–43.
Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002;87:503–9.
Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for posterior teeth. Int J Periodontics Restor Dent. 2002;22:241–9.
Krejci I, Duc O, Dietschi D, de Campos E. Marginal adaptation, retention and fracture resistance of adhesive composite restorations on devital teeth with and without posts. Oper Dent. 2003;28:127–35.
Magne P, Knezevic A. Simulated fatigue resistance of composite resin versus porcelain CAD/CAM overlay restorations on endodontically treated molars. Quintessence Int. 2009;40:125–33.
Lin C, Chang Y, Pa C. Estimation of the risk of failure for an endodontically treated maxillary premolar with MODP preparation and CAD/CAM ceramic restorations. J Endod. 2009;35:1391–5.
Bindl A, Mörmann WH. Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years-preliminary results. J Adhes Dent. 1999;1:255–65.
Bindl A, Richter B, Mormann WH. Survival of ceramic computer-aided design/manufacturing crowns bonded to preparations with reduced macroretention geometry. Int J Prosthodont. 2005;18:219–24.
Pashley DH, Tay FR, Breschi L, Tjaderhane L, Carvalho RM, Carrilho M, Tezvergil-Mutluay A. State of the art etch-and-rinse adhesive. Dent Mater. 2011;27:1–16.
Bernhart J, Bräuning A, Altenburger MJ, Wrbas KT. Cerec3D endocrowns—two-year clinical examination of CAD/CAM crowns for restoring endodontically treated molars. Int J Comput Dent. 2010;13:141–54.
Dere M, Ozcan M, Göhring TN. Marginal quality and fracture strength of root-canal treated mandibular molars with overlay restorations after thermocycling and mechanical loading. J Adhes Dent. 2010;12:287–94.
Fennis WMM, Tezvergil A, Kuijs RH, Lassila LVJ, Kreulen CM, Creugers NHJ, Vallittu PK. In vitro fracture resistance of fiber reinforced cusp-replacing composite restorations. Dent Mater. 2005;21:565–72.
Garoushi SK, Lassila LV, Vallittu PK. Fiber-reinforced composite substructure: load-bearing capacity of an onlay restoration. Acta Odontol Scand. 2006;64:281–5.
Rocca GT, Rizcalla N, Krejci I. Fiber-reinforced resin coating for endocrown preparations: a technical report. Oper Dent. 2012;38:242–8.
Garoushi S, Lassila LV, Tezvergil A, Vallittu PK. Load bearing capacity of fibre-reinforces and particulate filler composite resin combination. J Dent. 2006;34:179–84.
Forberger N, Göhring TN. Influence of the type of post and core on in vitro marginal continuity, fracture resistance, and fracture mode of lithia disilicate-based all-ceramic crowns. J Prosthet Dent. 2008;100:264–73.
Stricker EJ, Göhring TN. 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. 2006;34:326–35.
Zarone F, Sorrentino R, Apicella D, Valentino B, Ferrari M, Aversa R, Apicella A. Evaluation of the biomechanical behavior of maxillary central incisors restored by means of endocrowns compared to a natural tooth: a 3D static linear finite elements analysis. Dent Mater. 2006;22:1035–44.
Hitz T, Ozcan M, Göhring TN. Marginal adaptation and fracture resistance of root-canal treated mandibular molars with intracoronal restorations: effect of thermocycling and mechanical loading. J Adhes Dent. 2010;12:279–86.
Ramirez-Sebastià A, Bortolotto T, Roig M, Krejci I. Composite vs ceramic computer-aided design/computer-assisted manufacturing crowns in endodontically treated teeth: analysis of marginal adaptation. Oper Dent. 2013;38:663–73.
Rocca GT, Krejci I. Bonded indirect restorations for posterior teeth: from cavity preparation to provisionalization. Quintessence Int. 2007;38:371–9.
Rocca GT, Krejci I. Bonded indirect restorations for posterior teeth: the luting appointment. Quintessence Int. 2007;38:543–53.
Krämer N, Reinelt C, Richter G, Frankenberger R. Four-year clinical performance and marginal analysis of pressed glass ceramic inlays luted with ormocer restorative vs conventional luting composite. J Dent. 2009;37:813–9.
Magne P, Knezevic A. Thickness of CAD–CAM composite resin overlays influences fatigue resistance of endodontically treated premolars. Dent Mater. 2009;25:1264–8.
Schulte AG, Vöckler A, Reinhardt R. Longevity of ceramic inlays and onlays luted with a solely light-curing composite resin. J Dent. 2005;33:433–42.
Gregor L, Bouillaguet S, Onisor I, Ardu S, Krejci I, Rocca GT. Microhardness of light- and dual-polymerizable luting resins polymerized through 7.5-mm-thick endocrowns. J Prosthet Dent. 2014;112:942–8.
Ito S, Hashimoto M, Wadgaonkar B, Svizero N, Carvalho RM, Yiu C, Rueggeberg FA, Foulger S, Saito T, Nishitani Y, Yoshiyama M, Tay FR, Pashley DH. Effects of resin hydrophilicity on water sorption and changes in modulus of elasticity. Biomaterials. 2005;26:6449–59.
Garoushi SK, Shinya A, Shinya A, Vallittu PK. Fiber-reinforced onlay composite resin restoration: a case report. J Contemp Dent Pract. 2009;10:104–10.
Gohring TN, Roos M. Inlay-fixed partial dentures adhesively retained and reinforced by glass fibers: clinical and scanning electron microscopy analysis after five years. Eur J Oral Sci. 2005;113:60–9.
Xu HH, Quinn JB, Smith DT, Antonucci JM, Schumacher GE, Eichmiller FC. Dental resin composites containing silica-fused whiskers—effects of whisker-to-silica ratio on fracture toughness and indentation properties. Biomaterials. 2002;23:735–42.
Petersen RC. Discontinuous fiber-reinforced composites above critical length. J Dent Res. 2005;84:365–70.
Garoushi S, Sailynoja E, Vallittu PK, Lassila L. Physical properties and depth of cure of a new short fiber reinforced composite. Dent Mater. 2013;29:835–41.
Krejci I, Lutz F, Krejci D. The influence of different base materials on marginal adaptation and wear of conventional Class II composite resin restorations. Quintessence Int. 1988;19:191–8.
Dietschi D, Olsburgh S, Krejci I, Davidson C. In vitro evaluation of marginal and internal adaptation after occlusal stressing of indirect class II composite restorations with different resinous bases. Eur J Oral Sci. 2003;111:73–80.
Rocca GT, Gregor L, Sandoval MJ, Krejci I, Dietschi D. In vitro evaluation of marginal and internal adaptation after occlusal stressing of indirect class II composite restorations with different resinous bases and interface treatments. “Post-fatigue adaptation of indirect composite restorations”. Clin Oral Investig. 2012;16:1385–93.
Lin C, Chang Y, Pai C. Evaluation of failure risks in ceramic restorations for endodontically treated premolar with MOD preparation. Dent Mater. 2011;27:431–8.
Lutz E, Krejci I, Oldenburg TR. Elimination of polymerization stresses at the margins of posterior composite resin restorations: a new restorative technique. Quintessence Int. 1986;17:777–84.
Friedl KH, Schmalz G, Hiller KA, Mortazavi F. Marginal adaptation of composite restorations versus hybrid ionomer/composite sandwich restorations. Oper Dent. 1997;22:21–9.
Heintze SD. Clinical relevance of tests on bond strength, microleakage and marginal adaptation. Dent Mater. 2013;29:59–84.
Frankenberger R, Krämer N, Lohbauer U, Nikolaenko SA, Reich SM. Marginal integrity: is the clinical performance of bonded restorations predictable in vitro? J Adhes Dent. 2007;9:107–16.
Bortolotto T, Onisor I, Krejci I. Proximal direct composite restorations and chairside CAD/CAM inlays: Marginal adaptation of a two-step self-etch adhesive with and without selective enamel conditioning. Clin Oral Investig. 2007;11:35–43.
Onisor I, Bouillaguet S, Krejci I. Influence of different surface treatments on marginal adaptation in enamel and dentin. J Adhes Dent. 2007;9:297–303.
Heintze SD, Blunck U, Göhring TN, Rousson V. Marginal adaptation in vitro and clinical outcome of class V restorations. Dent Mater. 2009;25:605–20.
Ausiello P, Apicella A, Davidson CL. Effect of adhesive layer properties on stress distribution in composite restorations a 3D finite element analysis. Dent Mater. 2002;18:295–303.
Giachetti L, Scaminaci Russo D, Bambi C, Grandini R. A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations. J Contemp Dent Pract. 2006;7:79–88.
Versluis A, Tantbirojn D, Pintado MR, DeLong R, Douglas WH. Residual shrinkage stress distributions in molars after composite restoration. Dent Mater. 2004;20:554–64.
Acknowledgments
The Authors wish to thank GC and 3M Espe for their generous supply of the tested materials.
Conflict of interest
G. T. Rocca, C. M. Saratti, A. Poncet, A. J. Feilzer, I. Krejci declare that they have no conflict of interest.
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Rocca, G.T., Saratti, C.M., Poncet, A. et al. The influence of FRCs reinforcement on marginal adaptation of CAD/CAM composite resin endocrowns after simulated fatigue loading. Odontology 104, 220–232 (2016). https://doi.org/10.1007/s10266-015-0202-9
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DOI: https://doi.org/10.1007/s10266-015-0202-9