The load capacity of maxillary central incisor with simulated flared root canal restored with different fiber-reinforced composite post and cementation protocols

PeerJ. 2023 Nov 17:11:e16469. doi: 10.7717/peerj.16469. eCollection 2023.

Abstract

Background: This study aimed to evaluate the load capacity of maxillary central incisors with simulated flared root canal restored with different fiber-reinforced composite (FRC) post cemented with either self-adhesive or self-etch resin cement and its mode of fracture.

Methods: Sixty-five extracted maxillary incisors were decoronated, its canal was artificially flared and randomly categorized into group tFRC (tapered FRC post) (n = 22), mFRC (multi-FRC post) (n = 21), and DIS-FRC (direct individually shaped-FRC (DIS-FRC) post) (n = 22), which were further subdivided based on cementation resin. The posts were cemented and a standardized resin core was constructed. After thermocycling, the samples were loaded statically and the maximum load was recorded.

Results: The load capacity of the maxillary central incisor was influenced by the different FRC post system and not the resin cement (p = 0.289), and no significant interaction was found between them. Group mFRC (522.9N) yielded a significantly higher load capacity compared to DIS-FRC (421.1N). Overall, a 55% favorable fracture pattern was observed, and this was not statistically significant.

Conclusion: Within the limitation of the study, it can be concluded that prefabricated FRC posts outperform DIS-FRC posts in terms of the load capacity of a maxillary central incisor with a simulated flared root canal. The cementation methods whether a self-adhesive or self-etch resin cement, was not demonstrated to influence the load capacity of a maxillary central incisor with a flared root canal. There were no significant differences between the favorable and non-favorable fracture when FRC post systems were used to restored a maxillary central incisor with a flared root canal.

Keywords: Fiber post; Post and core technique; Resin cements; Scanning electron microscopies.

MeSH terms

  • Cementation / methods
  • Composite Resins / therapeutic use
  • Dental Pulp Cavity / surgery
  • Fractures, Bone*
  • Humans
  • Incisor / surgery
  • Post and Core Technique*
  • Resin Cements / therapeutic use
  • Resins, Plant
  • Stress, Mechanical
  • Tooth Fractures*
  • Tooth, Nonvital*

Substances

  • Resin Cements
  • Composite Resins
  • Resins, Plant

Grants and funding

This work was supported by the Ministry of Higher Education Malaysia for Fundamental Research Grant Scheme with Project Code: FRGS/1/2021/SKK0/USM/02/31 and awarded to Zaihan Ariffin. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.