Effect of luting agents and reconstruction techniques on the fracture resistance of pre-fabricated post systems

J Oral Rehabil. 2005 Jun;32(6):433-40. doi: 10.1111/j.1365-2842.2005.01438.x.

Abstract

Fracture resistance and fracture modes of endodontically treated maxillary central incisors restored with different post-and-core systems covered with all-ceramic copings were evaluated. Ten samples were prepared for each group. Groups 1, 2 and 3 consisted of tooth-coloured post-and-core, zirconia post (Cosmopost) with a composite core (Tetric Ceram), zirconia post (Cosmopost) with a custom made ceramic core (Cosmo Ingot), glass fibre-reinforced post (FRC Postec) with a composite core (Tetric Ceram), respectively. Group 4 consisted of a titanium post (ERpost) with a composite core (Tetric Ceram). The control group (group 5) consisted of root-filled incisors without posts. Tooth-coloured posts were cemented in the roots using Variolink-2, while titanium posts were cemented in the roots using Harvard cement. The all-ceramic copings were cemented using Variolink-2. Static load was applied to 2 mm below the incisal edge on the palatinal surface of each sample until they were fractured. Fracture data were obtained and statistically analysed with One-way anova and a Tukey's test. The results of the means and standard deviations of the fracture resistance during static loading were: 497.5 +/- 61.94 (1), 474.61 +/- 96.84 (2), 494.61 +/- 104.67 (3), 581.34 +/- 105.36 (4), 420.42 +/- 127.48 (5). There were statistically significant differences between groups 4 and 5. Glass fibre-reinforced posts and composite cores (group 3) showed the most catastrophic failure. Consequently, zirconia ceramic posts can be used in clinical practice.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Analysis of Variance
  • Composite Resins
  • Crowns
  • Dental Cements*
  • Dental Porcelain
  • Dental Restoration Failure*
  • Dental Stress Analysis
  • Glass
  • Humans
  • Incisor
  • Materials Testing
  • Post and Core Technique*
  • Titanium
  • Tooth Fractures / prevention & control*
  • Tooth, Nonvital*
  • Zirconium

Substances

  • Composite Resins
  • Dental Cements
  • fiberglass
  • Dental Porcelain
  • Zirconium
  • Titanium