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Fracture resistance of endodontically treated teeth restored with different intraradicular posts with different lengths

Abstract

AIM: This study compared the resistance to fracture of endodontically treated teeth restored with different intraradicular posts with different lengths and full coverage metallic crowns. METHODS: Sixty extracted human canine teeth were randomly divided into 6 groups. Groups CP5, CP75 and CP10 were restored using custom cast post and core (CP) and groups PF5, PF75 and PF10 were restored with provisional pre-fabricated tin post (PF) and composite resin core at 5 mm, 7.5 mm and 10 mm of intraradicular length, respectively. The specimens were submitted to dynamic cyclic loading and those that resisted to this load were submitted to load compression using a universal testing machine. Compressive load was applied at a 45-degree angle to the long axis of the tooth until failure. RESULTS: Kruskal-Wallis one-way analysis of variance by ranks showed statistically significant differences among the groups (p<0.0001). However, when the means were compared using the Tukey's test, significant differences were noted between groups CP5 and CP10 and between groups CP10 and PF5. All groups presented root fractures and post displacements during mechanical cycling. All teeth in groups CP5 and PF5 failed the dynamic cycling test. CONCLUSIONS: This study showed that increasing intraradicular post length also increases resistance to fracture of endodontically treated teeth. On the other hand, most endodontically treated teeth restored with pre-fabricated tin posts (provisional posts) failed in the dynamic cycling test.

post and core technique; prosthesis failure; mechanical stress


  • 1
    Pereira JR, Valle AL, Juvêncio TM, Fernandes TMF, Ghizoni JS, Só MVR. Effect of post length on endodontically-treated teeth: fracture resistance. Braz J Oral Sci. 2010; 9: 176-80.
  • 2
    Pereira JR, Valle AL, Shiratori FK, Ghizoni JS. Effect of post length on endodontically-treated teeth: analysis of tensile strength. Braz J Oral Sci. 2011; 10: 277-81.
  • 3
    Pereira JR, de Ornelas F, Conti PC, do Valle AL. Effect of a crown ferrule on the resistance of endodontically treated teeth restored with prefabricated posts. J Prosthet Dent. 2006; 95: 50-4.
  • 4
    Pereira JR, Mendonça Neto T, Porto V de C, Pegoraro LF, Valle AL. Influence of the remaining coronal structure on the resistance of teeth with intraradicular retainer. Braz Dent J. 2005; 16: 197-201.
  • 5
    Pereira JR, Valle AL, Shiratori FK, Ghizoni JS, Melo MP. Influence of intraradicular post and crown ferrule on the fracture strength of endodontically treated teeth. Braz Dent J. 2009; 20: 297-302.
  • 6
    Zogheib LV, Pereira JR, Valle AL, Oliveira JA, Pegoraro LF. Fracture resistance of weakened roots restored with composite resin and glass fiber post. Braz Dent J. 2008; 19: 329-33.
  • 7
    Oliveira JA, Pereira JR, Valle AL, Zogheib LV. Fracture resistance of endodontically treated teeth with different heights of crown ferrule restored with prefabricated carbon fiber post and composite resin core by intermittent loading. Oral Surg Oral Med Oral Path Oral Radiol Endod. 2008; 106: 52-7.
  • 8
    Faria AC, Rodrigues RC, de Almeida Antunes RP, de Mattos Mda G, Ribeiro RF. Endodontically treated teeth: characteristics and considerations to restore them. J Prosthodont Res. 2011; 55: 69-74.
  • 9
    Zarow M, Devoto W, Saracinelli M. Reconstruction of endodontically treated posterior teeth-with or without post? Guidelines for the dental practitioner. Eur J Esthet Dent. 2009; 4: 312-27.
  • 10
    Fraga RC, Chaves GSB, Mello JF, Siqueira JR. Fracture resistance of endodontically treated roots after restoration. J Oral Rehabil. 1998; 25: 809-13.
  • 11
    Fernandes AS, Shetty S, Coutinho I. Factors determining post selection: A literature review. J Prosthet Dent. 2003; 90: 556-62.
  • 12
    Abdalla AL, Alhadainy HA. 2-years clinical evaluation of class I posterior composites. Am J Dent. 1996; 9: 150-2.
  • 13
    Goracci C, Ferrari M. Current perspectives on post systems: a literature review. Aust Dent J. 2011; 56: 77-83.
  • 14
    Bowen RL, Cobb EN. A method for bonding to dentin and enamel. J Am Dent Assoc. 1983; 107: 1070-6.
  • 15
    Leary JM, Aquilino, SA, Svare CW. An evaluation of post length within the elastic limits of dentin. J Prosthet Dent. 1987; 57: 277-81.
  • 16
    Holmes DC, Arnold AM, Leary JM. Influence of post dimensions on stress distribution in dentin. J Prosthet Dent. 1996; 75: 140-7.
  • 17
    Burns DA, Krause WR, Douglas HB, Burns DR. Stress distribution surrounding endodontic posts. J Prosthet Dent. 1990; 64: 412-8.
  • 18
    Isidor F, Brondum K, Ravnholt G. The influence of post length and crown ferrule on the resistance to cyclic loading of bovine teeth prefabricated titanium post. Int J Prosthodont. 1999; 12: 79-82.
  • 19
    Kvist T, Rydin E, Reit C, The relative frequency of periapical lesions in teeth with root canal-retained posts. J Endodont. 1989; 15: 578-80.

Publication Dates

  • Publication in this collection
    04 June 2013
  • Date of issue
    Mar 2013

History

  • Received
    25 Aug 2012
  • Accepted
    17 Jan 2013
Faculdade de Odontologia de Piracicaba - UNICAMP Avenida Limeira, 901, cep: 13414-903, Piracicaba - São Paulo / Brasil, Tel: +55 (19) 2106-5200 - Piracicaba - SP - Brazil
E-mail: brjorals@unicamp.br