INFLUENCE OF INTRA-RADICULAR RESTORATIVE TECHNIQUE IN TEETH WITH FLARED CANALS ON THEIR FRACTURE RESISTANCE (IN VITRO STUDY)

Basel Ismaeel Alhabash And Omaima El-Mahallawi,

ABSTRACT


Introduction: In Flared Canals The Misfit Of Ready-made Glass Fiber Post At Coronal Part Leads To Increased Cement Thickness At This Area With More Liability To Voids Incorporation And De-bonding Risk. Different Methods Have Been Proposed To Solve This Problem, But Still There Is No Definite Data About The Effect Of Each Technique On Mechanical Properties Of Remaining Tooth Structure.

Materials and Methods: A Total Number (n=32) Of Freshly Extracted Central Incisor With Nearly Same Length And Diameter Were Collected And Divided To Four Groups As The Follow: Group1 (control)(n=8) Remain Sound Without Any Preparation Or Endodontic Treatment, Group2,3 And 4 Received Endodontic Treatment And Intra-radicular Flared Preparation With Same Criteria And Restored As The Follow: Group2 (n=8) Restored With Radix Fiber Post, Group3 (n=8) Restored With Relined Radix Fiber Post, Group4 (n=8) Restored With EverStick Fiber Post. Coronal Portion For All Groups Were Then Restored With Nano-hybrid Composite And All Samples Were Then Individually Mounted On Epoxy Resin Blocks And Where Loaded At 135? Of The Long Axis Using A Computer Controlled Testing Machine With A Load Cell Of 5 KN. The Specimens Were Statically Loaded Until Fracture At A Crosshead Speed Of 1 Mm/min With The Steel Rod. Kruskal-Wallis Test Was Used To Study The Different Between Tested Groups. The Significance Level Was Set At P < 0.05.

Results: Intact Teeth (control Group) Showed The Highest Mean Fracture Resistance Value (462.89 � 104.51 N). The Relined Radix Fiber Post Group Showed (392.03 � 105.34 N), Radix Fiber Post Group Showed (303.15 � 95.39 N) And The EverStick Post Showed (369.77 � 107.4 N).The Difference Between The Control And Both Relined Radix And EverStick Post Groups Were Statistically Insignificant (P > 0.05). However, The Differences Between The Radix Post Groups With All Remaining Groups Were Statistically Significant (P < 0.05). Conclusion: 1. Relining Ready-made Glass Fiber Post Or Using Individually Formable Glass Fiber Post In Maxillary Teeth With Flared Canals Increase Their Fracture Resistance. 2. Increased Resin Cement Film Thickness Adversely Affects Fracture Resistance Of Teeth With Flared Canals. 3. The Fracture Value For All Tested Groups Was Higher Than Normal Masticatory Forces In Anterior Region.

Read More »

ADVANCED SEARCH

© Copyright 2019, All Rights Reserved. | Powered by HPH