Comparison of fracture resistance of endodontically treated teeth restored with different aesthetic post and core systems under all ceramic restoration luted with two types of cements

Indian J Dent Res. 2023 Jan-Mar;34(1):60-64. doi: 10.4103/ijdr.ijdr_768_21.

Abstract

Context: Fracture of endodontically treated teeth is a grave sequela that a clinician should seriously ponder. Suitable selection of restorative materials is a requisite for long-term clinical success.

Aims: To compare the fracture resistance of endodontically treated teeth restored with three different posts luted using two different cements under all ceramic crowns.

Settings and design: This in vitro study was conducted in the Department of Prosthodontics, Government Dental College, Kottayam, Kerala, India.

Methods and material: Thirty endodontically treated single-rooted mandibular premolars in which post spaces were prepared and divided into three different groups. Group 1 (n = 10): zirconia post group. Group 2 (n = 10): quartz fibre post group. Group 3 (n = 10): glass fibre post group. Each group is sub-divided into two based on the luting system: resin-modified glass ionomer cement (RMGIC) or dual-cure resin cement (DCRC). The fracture resistance testing was performed in a universal testing machine with a crosshead speed of 0.5 mm/min.

Statistical analysis used: The mean fracture resistance were analysed using independent sample Student t-test and one-way ANOVA.

Results: : Within the zirconia post group, the mean fracture resistance was higher in DCRC sub-group compared to the RMGIC sub-group and the difference was statistically significant (p = 0.017). The difference in fracture resistance between three different post systems was not found to be statistically significant with respect to both the luting systems.

Conclusions: It was observed that when zirconia post is used, the mean fracture resistance was higher in dual-cure resin group compared to the resin-modified GIC group.

Keywords: Failure mode; fracture resistance; glass fibre posts; quartz fibre posts; zirconia post.

MeSH terms

  • Ceramics / therapeutic use
  • Composite Resins
  • Crowns
  • Dental Restoration Failure
  • Dental Stress Analysis
  • Esthetics, Dental
  • Glass Ionomer Cements / therapeutic use
  • Humans
  • Post and Core Technique*
  • Resin Cements
  • Tooth Fractures* / prevention & control
  • Tooth, Nonvital* / therapy

Substances

  • zirconium oxide
  • Resin Cements
  • Glass Ionomer Cements
  • Composite Resins