This study was designed to compare the impact of post and core systems on resistance to fracture of endodontically treated anterior teeth with flared root canals and to assess their fracture pattern. Sixty central inc...This study was designed to compare the impact of post and core systems on resistance to fracture of endodontically treated anterior teeth with flared root canals and to assess their fracture pattern. Sixty central incisors were cut horizontally 2 mm coronal to the cementoenamel junction(CEJ). After root canal therapy, teeth were assigned into 6 groups(n = 10 each) based on a post system and used as follows: Group C, non-flared root received size #1 glass fiber posts(Control); Group AP, flared root restored with anatomical post; Group RC, flared root restored with size #1 fiber post and cemented with thick layer of resin cement; Group CR, flared root restored with size #1 and reinforced with composite resin; Group CM, cast post-core; Group CP, CAD/CAM polymer-infiltrated ceramic post and core.Following post cementation, core build-up and crown insertion, the specimens were thermo-cycled up to 10,000 cycles(5 C/55 C; 30 seconds dwell time, 6 seconds transition time) and then statically loaded at 1 mm/minute crosshead speed using a universal testing machine. One-way ANOVA and Tukey HSD post hoc test(α= 0.05) were used for data analysis. Group C recorded significantly higher resistance to fracture values [(826.9±39.1) N] followed by group CP [(793.8±55.6) N] while group RC yielded the lowest fracture resistance values [(586.7±51.4) N]. The resistance to fracture of wide root canals can be enhanced by using one-piece CAM/CAM post and core as an alternative to the use of either glass fiber post, relined with composite resin increasing the thickness of luting cement or the use of cast post and core system. However, this was an in vitro investigation and further in vivo studies are necessary.展开更多
To evaluate the effect of restorative materials on stress distribution of endodontically treated teeth, the 3D models of an endodontically treated mand^ular first molar, restoration, and cement layer were created. Thr...To evaluate the effect of restorative materials on stress distribution of endodontically treated teeth, the 3D models of an endodontically treated mand^ular first molar, restoration, and cement layer were created. Three different materials （composite resin, ceramage and ceramic） were studied and two loading conditions （vertical and oblique load） were simulated. Mohr-Coulomb failure criterion of enamel, dentine, endocrown and cement were evaluated separately. It is indicated that under both loading conditions, the highest values of Mohr-Coulomb failure criterion were observed in Ceramage-restored group for remaining tooth structure while in ceramic-restored group for the restoration. Compared to composite resin and Ceramage, ceramic endocrown transferred less stress, namely was more protective to the tooth structure.展开更多
文摘This study was designed to compare the impact of post and core systems on resistance to fracture of endodontically treated anterior teeth with flared root canals and to assess their fracture pattern. Sixty central incisors were cut horizontally 2 mm coronal to the cementoenamel junction(CEJ). After root canal therapy, teeth were assigned into 6 groups(n = 10 each) based on a post system and used as follows: Group C, non-flared root received size #1 glass fiber posts(Control); Group AP, flared root restored with anatomical post; Group RC, flared root restored with size #1 fiber post and cemented with thick layer of resin cement; Group CR, flared root restored with size #1 and reinforced with composite resin; Group CM, cast post-core; Group CP, CAD/CAM polymer-infiltrated ceramic post and core.Following post cementation, core build-up and crown insertion, the specimens were thermo-cycled up to 10,000 cycles(5 C/55 C; 30 seconds dwell time, 6 seconds transition time) and then statically loaded at 1 mm/minute crosshead speed using a universal testing machine. One-way ANOVA and Tukey HSD post hoc test(α= 0.05) were used for data analysis. Group C recorded significantly higher resistance to fracture values [(826.9±39.1) N] followed by group CP [(793.8±55.6) N] while group RC yielded the lowest fracture resistance values [(586.7±51.4) N]. The resistance to fracture of wide root canals can be enhanced by using one-piece CAM/CAM post and core as an alternative to the use of either glass fiber post, relined with composite resin increasing the thickness of luting cement or the use of cast post and core system. However, this was an in vitro investigation and further in vivo studies are necessary.
基金Founded by National Natural Science Foundation of China(No.51305306)Hubei Province Science and Technology Support Program(No.2013BCB025)Fundamental Research Funds for the Central University(No.2042014kf0274)
文摘To evaluate the effect of restorative materials on stress distribution of endodontically treated teeth, the 3D models of an endodontically treated mand^ular first molar, restoration, and cement layer were created. Three different materials （composite resin, ceramage and ceramic） were studied and two loading conditions （vertical and oblique load） were simulated. Mohr-Coulomb failure criterion of enamel, dentine, endocrown and cement were evaluated separately. It is indicated that under both loading conditions, the highest values of Mohr-Coulomb failure criterion were observed in Ceramage-restored group for remaining tooth structure while in ceramic-restored group for the restoration. Compared to composite resin and Ceramage, ceramic endocrown transferred less stress, namely was more protective to the tooth structure.
