Effect of post-retained composite restorations and amount of coronal residual structure on the fracture resistance of endodontically-treated teeth

Am J Dent. 2007 Aug;20(4):269-74.

Abstract

Purpose: To compare the fracture resistance and failure patterns of endodontically-treated teeth with a progressively reduced number of residual walls restored using resin composites, with or without translucent glass fiber posts.

Methods: Ninety extracted human single-rooted maxillary premolars were used. After endodontic treatment, the following groups were created: Group 1 (control group): endodontically-treated single-rooted maxillary premolars with four residual walls; Group 2: three residual walls; Group 3: two residual walls; Group 4: one residual wall, and Group 5: no residual wall. Groups 2-5 were each divided into two subgroups: subgroups "a" were restored with resin composites, while subgroups "b" were restored with translucent glass fiber posts and resin composites. Static fracture resistance tests and statistical analyses (P= 0.05) were performed.

Results: The mean failure loads (N) were 502.4+/-152.5 (Group 1), 416.4+/-122.2 (Group 2a), 423.0+/-103.3 (Group 2b) 422.1+/-138.9 (Group 3a) 513.2+/-121.7 (Group 3b), 488.7+/-153.7 (Group 4a) 573.4+/-169.2 (Group 4b), 856.7+/-112.2 (Group 5a) and 649.5+/-163.5 (Group 5b), respectively. The samples restored with fiber posts exhibited predominantly restorable fractures. The number of residual cavity walls influenced the mechanical resistance of endodontically-treated teeth.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acrylic Resins / chemistry*
  • Analysis of Variance
  • Composite Resins / chemistry*
  • Dental Restoration Failure*
  • Humans
  • Polyurethanes / chemistry*
  • Post and Core Technique*
  • Statistics, Nonparametric
  • Tooth Fractures*
  • Tooth Preparation / methods
  • Tooth, Nonvital / complications*

Substances

  • Acrylic Resins
  • Composite Dental Resin
  • Composite Resins
  • Polyurethanes