Sei sulla pagina 1di 8

Dental Materials Journal 2016; 35(2): 233–240

Mechanical resistance evaluation of a novel anatomical short glass fiber


reinforced post in artificial endodontically treated premolar under rotational/
lateral fracture fatigue testing
Hsuan-Wen WANG1, Yen-Hsiang CHANG2 and Chun-Li LIN1

1
Department of Biomedical Engineering, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei 112, Taiwan
2
Department of General Dentistry, Chang Gung Memorial Hospital, 123, Ding-Hu Road, Kuei-Shan, Tao-Yuan 333, Taiwan
Corresponding author, Chun-Li LIN; E-mail: cllin2@ym.edu.tw

This study develops a novel anatomical short glass fiber reinforced (anatomical SGFR) post and evaluates the mechanical performance
in artificial endodontically treated premolars. An anatomical SGFR fiber post with an oval shape and slot/notch designs was
manufactured using an injection-molding machine. The three-point bending test and crown/core restorations using the anatomical
SGFR and commercial cylindrical fiber posts under fatigue test were executed to understand the mechanical resistances. The results
showed that static and dynamic rotational resistance were found significantly higher in the anatomical SGFR fiber post than in the
commercial post. The endurance limitations at 1.2×106 cycles were 66.81 and 64.77 N for the anatomical SGFR and commercial fiber
posts, respectively. The anatomical SGFR fiber post presented acceptable value of flexural strength and modulus, better fit adaption
in the root canal resist torque more efficiency but was not a key issue in the lateral fracture resistance in an endodontically treated
premolar.

Keywords: Endodontically treated tooth, Fiber post, Flexural strength, Rotational resistance, Fatigue

However, another study implied that oval posts do


INTRODUCTION
not adapt better than circular posts to the oval canal
The increasing popularity and widespread use of fiber morphology14).
posts is inevitably changing the endodontically treated Today’s fiber posts usually contain a high volume
tooth reconstruction procedure1). The major advantage of continuous (long) reinforced glass fibers embedded in
of fiber posts is their similar elastic modulus to dentine, a polymer matrix, which keeps the fibers together and
producing a stress field similar to that of natural teeth. extruded through a preformed cast to form cylindrical/
Metal posts exhibit high stress concentrations at the oval (conical) profiles14). Anatomical post using short
post-dentine interface2). Clinical studies have reported glass fibers reinforced with different cross-sections and
that using a fiber post could reduce the incidence of slot/grooves enhance retentions can be manufactured
root fractures and the most common cause of failure by using precise injection molding. However, the
becomes debonding3-9). Debonding is more likely to occur inherent mechanical behaviors of the flexural strength
in the absence of the desirable “ferrule effect”, or in the and flexural modulus components for this low volume
presence of an excessively thick layer of cement because percentage of short glass fiber reinforced posts are
there is a high prevalence of oval shaped canals in human warranted. Simulating the failure process of post/core/
dentition, even in the apical region10-12). Canals are crown restorations to receive the repetitive (fatigue) and
prepared to preserve the morphology as far as possible the multi-vectorial nature of inter-oral (rotational and
to receive a post to adapt to the root canal anatomy as lateral loads) forces must be evaluated.
produced by endodontic treatment. The objective of this study was therefore to develop
In recent years translucent and radiopaque fiber a novel anatomical post containing short glass fiber
posts have been achieved. However, the evolution of reinforced (anatomical SGFR) with slot/notch retention
fiber post shapes are only include a double cylinder designs manufactured using precise injection molding.
designed for retention purposes, cylindrical (Endopost) The novel anatomical SGFR fiber post is evaluated and
and simplified oval (conical) profiles (DT posts), based on compared to commercial cylindrical continuous fiber
the good performances of the new bonding procedures13). post of flexural strength/flexural modulus using the
A controversy still remains as to whether anatomical three-point bending test and rotational/lateral fracture
posts adapt better than circular posts to the oval resistance on crown/core restorations in artificial acrylic
canal morphology. Some studies pointed out that the teeth under static/fatigue tests.
resin cement thickness was significantly lower in the
anatomical post group than in the control standardized MATERIALS AND METHODS
posts with good anatomical posts adaptation evident1).
Anatomical SGFR fiber post design and manufacture
The total length of this post is 17 mm included contained
Color figures can be viewed in the online issue, which is avail-
able at J-STAGE.
Received Jul 5, 2015: Accepted Oct 20, 2015
doi:10.4012/dmj.2015-199 JOI JST.JSTAGE/dmj/2015-199
234 Dent Mater J 2016; 35(2): 233–240

tip (6 mm), middle (6 mm) and coronal (5 mm) regions. and supplied as in granulate based on semi-crystalline
Corresponding three cross-sections in the fiber post were polyamides. It is a 70% glass-fiber reinforced engineering
designed in circular shape (radius: r1 is 1.0 mm) at the thermoplastic material with 0.8–1.0 mm length based
tip region to fit well with the tooth root apical, circular- on a combination of semi-crystalline polyamide matrix
oval shape (radius from r1 changed to r2, r2 is 1.6 mm) with partially aromatic copolyamide. The volume of
at the middle region and oval shape (major axis: a=2r2; one anatomical SGFR post is 24.56 mm3 calculated
minor axis: b=r2) at the coronal region to fit well the from CAD package and its corresponding mass is 6.7e-
tooth anatomical oval shape. Surface slots with 0.25 mm 3 g measured by electronic balance (Shimadzu TX223L,
radius surrounding the post and four transverse notches SHIMADZU, Kyoto, Japan). Therefore, the fiber volume
with 0.7 mm pitch were designed to increase the contact of this material is 6.7e-3 g*70%/(1.85*10-3)=2.535 mm3.
areas between the post and cement to enhance the post, Comparison of detailed information of a laboratory fiber
cement and core retention (Fig. 1(a)). post and commercial fiber post were indicated in Table
The anatomical SGFR fiber post material 1 and the sectional photographs of a laboratory fiber
“GRIVORY GVX-7H natural” (EMS-CHEMIE Holding post was showed in Fig. 1(a). The profile comparison
AG, Herrliberg, Switzerland) was supplied as in between our new novel anatomical SGFR fiber post and
granulate based on semi-crystalline polyamides and the the commercial X-Post is shown in Fig. 1(b).
SGFR fiber post was manufactured using an injection-
molding machine (Polypax, Green Point Enterprise, Mechanical three-point bending test of posts
Taichung, Taiwan). Granulated of thermoplastic plastic The three-point bending test was used according to the
(GVX-7H) was fed from a hopper into the injection ISO 10477 standard to measure the flexural strength
molding machine with 270ºC polymer and was forced and modulus of our anatomical SGFR and X-Post. The
under high pressure (150 bar) into a mold cavity SGFR-post was placed on the jig horizontal (span length
through an opening valve. The molding was warmed was 10 mm) and aligned the middle of the post with the
before injecting and the plastic was injected quickly to tip of the load device. The load was applied on the post
prevent it from hardening (speed 0.77 s, 56 bar, 270ºC) till the fracture occur and recorded the fracture position.
and pressure was maintained for a short time (0.5 s, The cross-sectional area of all posts were oval shape
50 bar) to prevent the material creeping during setting and the calculating formula was modified to obtain the
(hardening). The mold was equipped with a cooling Flexural strength (δf) and flexural modulus (Ef). Flexural
system providing controlled cooling and solidification strength (δf) and flexural modulus (Ef) were calculated
of the material (cooling time 20 s). The polymer was from the following formulas15):
held in the mold until solidification and then the mold
opens to complete SGFR post prototyping. The density 8Fmax l 4Sl3
Circular-shaped cylinder: δf = Ef =
of anatomical SGFR post material “GRIVORY GVX- πd3 3πd4
7H natural” (EMS-CHEMIE Holding AG) is 1.85 g/cm3

(a) (b)
Fig. 1 (a) Schematic of an anatomical SGFR fiber post design contained three different cross-sections (circular/circular-
oval/oval) and combined slot/notch retention designs. (b) Schematics of anatomical SGFR and commercial fiber post
inserted in an endodontically treated premolar.
Dent Mater J 2016; 35(2): 233–240 235

Table 1 Comparison of detailed information of a laboratory fiber post and commercial fiber post

Fiber volume / Density Type of glass fiber Length of fiber Composition of the matrix

Semi-crystalline Polyamide
0.8–1.0 mm
SGFR-Post 70%(w/w) / 1.85 g/cm3 E-Glass Fiber with partially aromatic
(Short fiber)
copolyamide (70%)

X-Post Radix Zirconium-enriched 200 mm


76.2%(w/w)* Epoxy resin (40%)31)
Fiber Post glass fiber (60%)31) (Long fiber)

*Custom test by FTIR (Fourier transform infrared spectroscopy) & TGA (Thermogravimetric Analysis) technique from Plastic
Industry Development Center, Taichung, Taiwan.

8Fmax l 4Sl3 Static and cyclic rotational resistance tests


Oval-shaped cylinder: δf = Ef =
π2ab 3πa3b Sixteen butterfly-shaped crown sampled were randomly
arranged into two groups, anatomical SGFR fiber post
where Fmax is the applied load (N) at the highest point of and X-Post for the rotational resistance tests using the
load-deflection curve, l is the span length (10.0 mm), d SE MODEL 2205NS (SE Test systems, Taiwan) torque
is the diameter of the circular specimen. The formulas testing machine. The sample was clamped at the XY
for oval-shaped cylinder were derivation from circular- plate upon the machine and the crown portion aligned
shaped cylinder, where a and b are lengths of major and to a custom load device with a reverse butterfly-shaped
minor axis in the oval specimen. S (stiffness) =F/D; the mount to perform the rotational resistance test (Fig. 2).
stiffness (N/m) and D is the deflection corresponding A downward 49 N load (about 5 kg) was applied to the
to load F at a point in the straight line portion of the crown portion to simulate the axial occlusal force16).
trace. Five samples in each group were arranged to perform
the static rotational resistance tests. Torque was applied
Artificial endodontically treated premolar preparation through the butterfly-shaped crown under a rotational
In order to reduce the variation for a large amount of speed of 1.5 degree/s until the sample fractured. The
natural teeth, a freshly extracted intact maxillary upper remaining three samples in each group were used to
second premolar was scanned with micro-CT (Skyscan, perform cyclic rotational resistance tests. The condition
Aartselaar, Belgium) to generate solid CAD program for the torque values was ±31 N-cm17) under a rotational
models (ProEngineer Wildfire 5, Parametric Technology, speed of 3 degree/s, i.e. the sample crown portion was
Needham, MA, USA). The dimension of the remaining driven counterclockwise and clockwise to reach a
dentin was defined to 15 mm in total length, containing positive and negative torque value of 31 N-cm in one
a ferrule design 2.5 mm in height, 1.5 mm in width and load cycle to simulate the post and core restorations
1.3 mm diameter with a root canal 3 mm in height (Fig. receiving the multi-vectorial nature of intra-oral force
1(b)). The solid dentin model can be milled to duplicate (rotational). The number of cyclic torque was continued
the artificial acrylic dentin (Regular Transparent- until 1.0×105 cycles or the sample presented noteworthy
BX-001, NAN-YA Plastic, Taipei, Taiwan) (Fig. 1(b)) deformation/fracture18). The sum of the counterclockwise
and was embedded from the root to 1.5 mm below and clockwise rotation degrees was recorded in each
the CEJ into a simplified bone block with epoxy resin torque test for all samples. The rotation degree versus
material containing an inner socket cut from the dentin number of torque cycles was plotted to understand the
outer profile. failure process.
The artificial tooth was cleaned using an ultrasonic
system and then washed in water for 30 s. The total Lateral static and fatigue fracture resistance tests
length of our anatomical SGFR and commercial fiber Thirty six samples were also arranged into anatomical
posts (X-Post Radix Fiber Post No. 1, Dentsply Maillefer, SGFR fiber post and X-Post groups to produce the lateral
Ballaigues, Switzerland) was 13 mm and inserted into static/fatigue resistance tests using the Instron E3000
the root canal according to clinical treatment procedures. (Instron, Canton, MA, USA) material testing machine.
A preformed milled aluminum crown (butterfly-shaped) The sample was mounted with a 45° inclination to the
and composite core (Core-x-flow, Dentsply Maillefer) long axis of the tooth in the test machine.
were then luted using RelyX U200 cement (3M ESPE, Six samples in each group were arranged to perform
Seefeld, Germany). Fifty-two samples were prepared a static lateral resistance test that was designed to drive
and separated into two groups, 16 and 36 samples were a static compression force onto the tooth using steel cone
arranged for the following rotational static/dynamic and acting on the lingual cusp as a lateral load (Fig. 3(f)).
lateral static/fatigue resistance tests, respectively. The crosshead speed was set at 0.05 mm/s until fracture
occurred. The fatigue tests were carried out according to
236 Dent Mater J 2016; 35(2): 233–240

Fig. 2 Dimensions of the artificial acrylic dentin preparation and crown/core


restoration using anatomical SGFR/commercial fiber posts in an endodontically
treated premolar.

Fig. 3 (a) Schematic of static and cyclic rotational resistance tests setup. (b)(c) Fracture modes
of static rotational resistance tests for anatomical SGFR and commercial fiber posts,
respectively. (d)(e) Fracture modes of cyclic rotational resistance tests for anatomical
SGFR and commercial fiber posts, respectively. (f) Schematic of static and fatigue
lateral fracture resistance tests setup. (g)(h) Fracture modes of static lateral fracture
resistance tests for anatomical SGFR and commercial fiber posts, respectively. (i)(j)
Fracture modes of fatigue lateral fracture resistance tests for anatomical SGFR and
commercial fiber posts, respectively.
Dent Mater J 2016; 35(2): 233–240 237

the lateral static resistance test maximum load modified rotational resistance test (Fig. 4). Mapping the initial
with the standard ISO 14801(2007) test method to failure locations to the number of torque cycles in the
evaluate the restoration mechanical resistance in an anatomical SGFR fiber post were 100,000, 96,182 and
endodontically treated tooth. The cyclic loads were set 100,000 and the rotation degree sums were 7.13°,
at 50, 40, 35 and 30% of the static maximum load. The 8.23° and 5.68° for three samples, respectively. The
test frequency was set at 6 Hz according study of Nie et corresponding cyclic torque/sum of rotation degrees
al.19). Three specimens were tested at each cyclic load. were 61,001, 52,045 and 55,889/11.21°, 10.38° and 8.55°
The number of cycles at each load was recorded until for the X-Post. The initial failure for the number of
1.2×106 cycles, which represented 5 years of simulated torque cycles in the anatomical SGFR fiber post were
function or 1 mm vertical displacement or restoration found significantly higher than those for the X-Post
failure occurred in the sample19). (p=0.0006). The failure modes also showed that the
anatomical SGFR fiber and X-Post separated from the
RESULTS cement layers, with the smooth post fracture section only
found in the anatomical SGFR fiber post and cracked
The average value and standard deviation of δf /Ef for flaw found only in the X-Post (Figs. 3(d) and (e)).
the three-point bending tested for anatomical SGFR
fiber post and X-Post were listed in Table 2. The t-test
showed that significant difference for δf (p=0.00259) and
no significant difference for Ef (p=0.006) were found
between the anatomical SGFR fiber post and X-Post.
The maximum torque values/corresponding to the
breaking angle (average value±standard deviation) in
the static rotational resistance tests were listed in Table
3. The anatomical SGFR fiber post rotational resistance
was found significantly higher than that of the X-Post
but the corresponding breaking angles presented no
significant difference. The failure modes showed that
the anatomical SGFR fiber and X-Post separated from
the cement layers. Both posts fractured at one third of
the post but different fracture failure modes were found.
Smooth fracture section for the anatomical SGFR fiber
post and remaining split fiber fracture for the X-Post
were found, respectively (Figs. 3(b) and (c)).
The location of a dramatic curve slope change in the Fig. 4 The sum of the counterclockwise and clockwise
rotation degree figure versus number of cyclic torque rotation degrees versus number of cyclic torques in
plots can be observed as the initial failure in the cyclic the cyclic rotational resistance tests.

Table 2 The average value and standard deviation of δf /Ef for the three-point bending tested for anatomical SGFR fiber post
and X-Post

X-Post SGFR-Post
Sample Flexural Strength (δf) Flexural Modulus (Ef) Flexural Strength (δf) Flexural Modulus (Ef)
(MPa) (GPa) (MPa) (GPa)

Average 925.8 25.8 743.2 28.1

Std 55.90 0.48 11.40 1.94

Table 3 The maximum torque values/corresponding to the breaking angle (average value±standard deviation) in the static
rotational resistance tests

X-Post SGFR-Post
Sample
Torque force (N-mm) Angle (°) Torque force (N-mm) Angle (°)

Average 115.9 12.03 138.88 11.35

Std 11.28 4.488 4.21 1.837


238 Dent Mater J 2016; 35(2): 233–240

Table 4 Load levels of the static maximum resistance load for anatomical SGFR fiber post and X-Post and their corresponding
cycle number after restored tooth failure in fatigue tests

X-Post Anatomic SGFR fiber post


% of Max. Load
Max static Load=215.9(N) Max static Load=222.7(N)
(%)
Load (N) Sample Cycles Load (N) Sample Cycles

No1 2,000 No1 1,799


Between Between
50 No2 18,952 No2 4,000
107.95 to 10.8 111.35 to 11.14
No3 7,124 No3 11,029

No1 28,025 No1 30,505


Between Between
40 No2 41,258 No2 55,218
86.36 to 8.64 89.08 to 8.91
No3 48,214 No3 56,124

No1 37,123 No1 56,035


Between Between
35 No2 40,125 No2 59,745
75.57 to 7.56 77.95 to 7.79
No3 40,824 No3 65,189

No1 1,200,000 No1 1,200,000


Between Between
30 No2 1,200,000 No2 1,200,000
64.77 to 6.48 66.81 to 6.68
No3 1,200,000 No3 1,200,000

results concluded that the endurance limitation at


1.2×106 cycles were at 30% of the maximum resistance
load value, almost the same for the anatomical SGFR
fiber post and X-Post (anatomical SGFR fiber post=66.81
N and X-Post=64.77 N). The fatigue test failure modes
presented similar trends to those found in the static
resistance tests (Figs. 3(i) and (j)).

DISCUSSION
One of the relevant problems clinicians recently faced
when restoring endodontically treated teeth is the
mismatch between the post space diameter and that of
Fig. 5 Load-cycle diagram for fatigue lateral fracture the post20). The resin cement thickness around the fiber
resistance tests for anatomical SGFR and post can vary because flared canals develop from carious
commercial fiber posts. extension, trauma, pulpal pathosis and iatrogenic
misadventure. Flared canals can compromise the post
adaptation to canal walls20). Clinical studies have
revealed that when using fiber posts, the most common
The lateral static fracture resistance results were cause of failure is not root fracture but debonding8,9,21).
222.7±47.18 and 215.9±25.18 (mean value and standard Excessively thick cement layers, especially at the
deviation) expressed in Newton units with no significance root coronal or middle can cause post misfit, which
(p=0.393) found. Incline fracture patterns were found predisposes the reconstruction to debonding22). Although
propagated from the buccal cervical region to the middle changing the fiber post from circular to oval profiles
of the root canal in both crown/core/post restorations has been proposed in many studies to improve the post
(Figs. 3(g) and (h)). The load levels set in the four cyclic fit adaption, reducing the risk of debonding, oval post
tests for 50, 40, 35 and 30% of the static maximum development is constrained by inherent manufacture
resistance load for the anatomical SGFR fiber and process issues. This study proposes a novel anatomical
X-Post and their corresponding number of cycles SGFR fiber post with surface slot/notch designs that can
after restoration failure are listed in Table 4. A load- be produced from granulate based on semi-crystalline
cycle diagram that presents the number of load cycles polyamides with reinforced glass fibers, formed using
endured by each specimen and the corresponding peak mold process manufacturing. The large amount of
load is shown in Fig. 5. The fatigue resistance test endodontically treated dentin needed for fiber post
Dent Mater J 2016; 35(2): 233–240 239

insertion and core/crown restorations for a series of static and fatigue lateral resistance test results, the
mechanical resistance tests dictates artificial acrylic fatigue test results S-N curve can be fitted using data
dentin with uniform prepared root canals duplicated from 50–30% fatigue tests and linear trend curves from
using a CNC milling machine with 0.1 mm resolution anatomical SGFR fiber post and X-Post showed that the
to reduce size variations, chemical components, density anatomical SGFR fiber post presented better mechanical
and structure in natural teeth selection. Analogous performance for long term lateral resistance. The
approaches that also used endodontic resin blocks in number of 1.2×106 cycles in the fatigue test indicated
vitro experiments can be found in previous studies that that the number of occlusal contacts that occur in vivo,
reveal its feasibility23,24). Pontius et al.27) suggested that there are 1.2×106 active
Although the three-point bending results showed cycles in 5 years of service. The load frequency 6 Hz set
that the commercial X-Post (925.8 MPa) flexural in the fatigue test was suggested by a study by Nie et
strength was higher by about 20% over our anatomical al.19), who indicated that the 6 Hz test frequency was
SGFR fiber post (743.2 MPa), these values were fall into reasonable when the fiber post was exposed in an air
the common available flexural strength range from 600– environment to perform fatigue test. The endurance
1,149 MPa from a pool of seven commercial fiber posts limitation at 1.2×106 cycles was 66.81 N for the
examined in a study by Plotino et al.25). Plotino et al. anatomical SGFR fiber post and 67.77 N for the X-Posts,
also pointed out that fiber posts present the capability falling into the reasonable area in previous work ranging
to resist structural fracture when its flexural strength from 50–127.4 N16,28,29). All failure modes were found in
is greater than the tooth’s corresponding strength of the artificial dentin but not the post itself indicating
almost 212.9±41.9 MPa. No significant difference was that post fit adaption in root canal was not a key issue in
found in flexural modulus between our anatomical SGFR the lateral resistance test.
fiber post (28.1±1.94 GPa) and X-Post (25.8±0.48 GPa). Although a novel anatomical SGFR fiber post
Both are higher than the 17.5±3.8 GPa tooth dentin contained short glass fibers reinforced glass with slot/
value. Plotino et al. and other researchers addressed notch retention designs developed using injection
that fiber posts have a modulus similar to that of dentin molding, some assumptions made in this study limit the
and express better flexibility allowing a similar stress anatomical SGFR fiber post applicability. For instance,
distribution to that occurring in natural teeth25,26). natural teeth and viscoelastic PDL were not utilized in
The static rotational test result showed that these experiments. The translucent characteristics of
anatomical SGFR fiber posts present higher resistance the anatomical SGFR fiber post and bonding strength
than the X-Post. This phenomenon might be explained between the post and resin cement are need to be
by the post’s moment of inertia which can be calculated warranted. The translucent characteristic between the
from formulas of mr2/2 for circle and m (a2+b2)/4 for oval anatomical SGFR post than in the commercial post was
shapes, respectively (where m is mass, r is radius, a, b evaluated by X-ray. The result addressed that SGFR
are main and minor axis in oval). The ratio of anatomical post in the X-ray imaging is visible in the tooth root
SGFR fiber post and X-Post is 1.67:0.91 when the canal but revealed low contrast when compared to
mass effect is ignored. The cyclic torque test value of commercial X-Post. Otherwise, bonding strength
31 N-cm applied in our test was according to the study between the post and resin cement need to be evaluated
of Wiskott et al. who indicated that this value was in the further study.
50% of the smallest failure load in a series of implant- Conclusions can only be made based on the three-
abutment rotational resistance tests and was suitable point bending test showing that the anatomical SGFR
for application to restored teeth as the load (torque) post flexural strength and flexural modulus were
condition. The number of cyclic torque sets as 105 acceptable and fell into the available commercial
were not able to simulate real occlusal time and were range for continuous (long) reinforced fiber posts. The
used only for the functional test. The results indicated novel anatomical SGFR fiber post presented more
that the average number of cyclic torque revolutions efficient torque resistance in an endodontically treated
for post fracture was 98,727 for the anatomical SGFR premolar with better root canal fit adaption. However,
fiber post and 56,312 for the X-Post. The post and canal no significant differences were found in the lateral static
cross-section area ratio in the fracture section were resistance test and endurance limitation in the fatigue
also obtained as 47 and 20% for the anatomical SGFR test. The lateral resistance tests was not a key issue in
fiber post and X-Post. These results imply that better addressing post fit adaptation to the root canal.
fit adaption by the anatomical SGFR fiber post is also
resistant to torque more efficiency in an endodontically ACKNOWLEDGMENTS
treated premolar. Reasonable results were found in
static/cyclic resistance test failure modes, revealing This study supported in part by MOST project
that split fracture was found in the X-Post due to its 101-2622-B-010-001-CC2, 101-2320-B-182A-001-MY2
continuous (long) reinforced glass fibers. Adhesive layer and 103-2221-E-010 -011 -MY2 of the Ministry of Science
debonding was found in both posts, implying that the and Technology, Taiwan. Authors would also like to
cement bond strength was not enough to resist rotation thank to Green Point Enterprise, Taichung, Taiwan that
torque. assistant to manufacture of the anatomical SGFR fiber
Although no significant differences were found in post.
240 Dent Mater J 2016; 35(2): 233–240

Periasamy R. Comparative evaluation of fracture resistance


REFERENCES under static and fatigue loading of endodontically treated
1) Grandini S, Goracci C, Monticelli F, Borracchini A, Ferrari teeth restored with carbon fiber posts, glass fiber posts, and
M. SEM evaluation of the cement layer thickness after luting an experimental dentin post system: an in vitro study. J
two different posts. J Adhes Dent 2005; 7: 235-240. Endod 2013; 39: 96-100.
2) Pegoretti A, Fambri L, Zappini G, Bianchetti M. Finite element 17) Wiskott HW, Meyer M, Perriard J, Scherrer SS. Rotational
analysis of a glass fibre reinforced composite endodontic post. fatigue-resistance of seven post types anchored on natural
Biomaterials 2002; 23: 2667-2682. teeth. Dent Mater 2007; 23: 1412-1419.
3) Bitter K, Kielbassa AM. Post-endodontic restorations with 18) Craig RG. Restorative dental materials, 9th ed, Mosby, St
adhesively luted fiber-reinforced composite post systems: a Louis, 1993; 75-77.
review. Am J Dent 2007; 20: 353-360. 19) Nie EM, Chen XY, Zhang CY, Qi LL, Huang YH. Influence of
4) Ferrari M, Cagidiaco MC, Goracci C, Vichi A, Mason PN, masticatory fatigue on the fracture resistance of the pulpless
Radovic I, Tay F. Long-term retrospective study of the clinical teeth restored with quartz-fiber post-core and crown. Int J
performance of fiber posts. Am J Dent 2007; 20: 287-291. Oral Sci 2012; 4: 218-220.
5) Monticelli F, Grandini S, Goracci C, Ferrari M. Clinical 20) Perez BE, Barbosa SH, Melo RM, Zamboni SC, Ozcan M,
behavior of translucent-fiber posts: a 2-year prospective Valandro LF, Bottino MA. Does the thickness of the resin
study. Int J Prosthodont 2003; 16: 593-596. cement affect the bond strength of a fiber post to the root
6) Naumann M, Sterzenbach G, Rosentritt M, Beuer F, dentin? Int J Prosthodont 2006; 19: 606-609.
Frankenberger R. Is adhesive cementation of endodontic 21) Fredriksson M, Astbäck J, Pamenius M, Arvidson K. A
posts necessary? J Endod 2008; 34: 1006-1010. retrospective study of 236 patients with teeth restored by
7) Ozkurt Z, Kayahan MB, Sunay H, Kazazoğlu E, Bayirli G. carbon fiber-reinforced epoxy resin posts. J Prosthet Dent
The effect of the gap between the post restoration and the 1998; 80: 151-157.
remaining root canal filling on the periradicular status in a 22) Ferrari M, Vichi A, Grandini S, Goracci C. Efficacy of a
Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral self-curing adhesive-resin cement system on luting glass-
Radiol Endod 2010; 110: 131-135. fiber posts into root canals: an SEM investigation. Int J
8) Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical Prosthodont 2001; 14: 543-549.
considerations for the restoration of endodontically 23) Lassila LV, Tanner J, Le Bell AM, Narva K, Vallittu PK.
treated teeth: a systematic review of the literature, Part Flexural properties of fiber reinforced root canal posts. Dent
II (Evaluation of fatigue behavior, interfaces, and in vivo Mater 2004; 20: 29-36.
studies). Quintessence Int 2008; 39: 117-129. 24) Porciani PF, Vano M, Radovic I, Goracci C, Grandini S,
9) Scotti S, Malferrari S, Monaco C. Clinical evaluation of quartz García-Godoy F, Ferrari M. Fracture resistance of fiber posts:
fiber posts: a 30 months results. IADR 80th General Session, combinations of several small posts vs. standardized single
San Diego; 2002. [abstract no. 2657]. post. Am J Dent 2008; 21: 373-376.
10) Ferrari M, Vichi A, Mannocci F, Mason PN. Retrospective 25) Plotino G, Grande NM, Bedini R, Pameijer CH, Somma F.
study of clinical performance of fiber posts. Am J Dent 2000; Flexural properties of endodontic posts and human root
13: B15-B18. dentin. Dent Mater 2007; 23: 1129-1135.
11) Gutmann JL. The dentin-root complex: anatomic and biologic 26) Asmussen E, Peutzfeldt A, Heitmann T. Stiffness, elastic
considerations in restoring endodontically treated teeth. J limit, and strength of newer types of endodontic posts. J Dent
Prosthet Dent 1992; 67: 458-467. 1999; 27: 275-278.
12) Coniglio I, Magni E, Cantoro A, Goracci C, Ferrari M. Push- 27) Pontius O, Nathanson D, Giordano R, Schilder H, Hutter JW.
out bond strength of circular and oval-shaped fiber posts. Clin Survival rate and fracture strength of incisors restored with
Oral Investig 2011; 15: 667-672. different post and core systems and endodontically treated
13) Ferrari M, Scotti R. Fiber posts: clinical and research aspects. incisors without coronoradicular reinforcement. J Endod
Milano: Masson Ed, 2002. 2002; 28: 710-715.
14) Cagidiaco MC, Goracci C, Garcia-Godoy F, Ferrari M. Clinical 28) Nothdurft FP, Schmitt T, Rupf S, Pospiech PR. Influence of
studies of fiber posts: a literature review. Int J Prosthodont fatigue testing and cementation mode on the load-bearing
2008; 21: 328-336. capability of bovine incisors restored with crowns and FRC
15) Torbjörner A, Karlsson S, Syverud M, Hensten-Pettersen posts. Dent Mater J 2011; 30: 109-114.
A. Carbon fiber reinforced root canal posts. Mechanical and 29) Radovic I, Mazzitelli C, Chieffi N, Ferrari M. Evaluation of
cytotoxic properties. Eur J Oral Sci 1996; 104: 605-611. the adhesion of fiber posts cemented using different adhesive
16) Ambica K, Mahendran K, Talwar S, Verma M, Padmini G, approaches. Eur J Oral Sci 2008; 116: 557-563.

Potrebbero piacerti anche