Comparison of Fracture Resistance of Primary Incisors Restored with Different Intracanal-Reinforcement Materials

Fouad Salama; Faika Abdelmegid; Mohammed Alhussain; Hasan Muaddi; Nassr AlMaflehi; Latifa Alhowaish

doi:10.2147/CCIDE.S335333

Comparison of Fracture Resistance of Primary Incisors Restored with Different Intracanal-Reinforcement Materials

Clin Cosmet Investig Dent. 2021 Dec 3:13:507-512. doi: 10.2147/CCIDE.S335333. eCollection 2021.

Authors

Fouad Salama¹, Faika Abdelmegid², Mohammed Alhussain³, Hasan Muaddi³, Nassr AlMaflehi⁴, Latifa Alhowaish¹

Affiliations

¹ Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
² Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.
³ College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.
⁴ Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Abstract

Aim: To evaluate the effects of placing short posts made of different restorative materials on the fracture resistance of root canals in primary incisors of primary teeth.

Materials and methods: The root canals of 40 extracted primary incisors were prepared and filled with Vitapex and randomly divided into five groups of 8 each. In Groups 1-4, a post space was created and filled with different restorative materials (Tetric^® N-Ceram Bulk Fill, AeliteFlo, Filtek Z250 XT, and GC Fuji II LC^® capsule), while Group 5 was kept filled with Vitapex as a control. Fracture resistance was measured using a universal testing machine at a 0.5-mm/min crosshead speed. The results were statistically analyzed and compared.

Results: The highest fracture resistance was recorded for GC Fuji II LC capsules [439.82 N] and control [423.37 N], while the lowest fracture resistance was recorded for Tetric^® N Ceram Bulk Fill (239.91 N). A multiple comparison test showed that the Tetric^® N-Ceram Bulk Fill had a significantly lower average value than AeliteFlo (P = 0.030), as well as a significantly lower average value than GC Fuji II LC^® capsule (P = 0.001), and a significantly lower average value than the control group (P = 0.002). Multiple comparison tests showed no significant difference between Tetric^® N-Ceram Bulk Fill and Filtek Z250 XT (P = 0.39).

Conclusion: The fracture resistance of primary incisor root canals differs according to the material used for the intracanal posts. Three-millimeter intracanal posts in the primary incisors showed the highest fracture resistance for the teeth restored with GC Fuji II LC capsules and the control.

Keywords: fracture resistance; intracanal posts; primary incisors; resin composite.