This in vitro study compared the retention and photoelastic stress patterns from two loading conditions, vertical (133.2 N, 30 pounds) and oblique at a 26 degrees angle (133.2 N, 30 pounds) for two prefabricated post systems. The post studied were: (1) Flexi-Post (a split-shank threaded post) and (2) C-Post (a carbon fibre bound in an epoxy resin, passive double taper tier post). Two groups with 10 specimens per group were subjected to retentive forces with a universal testing machine (MTS 810 Material Testing Machine). In addition, two photoelastic test blocks were prepared with simulated root canals for each post studied. After cementation the photoelastic blocks were photographed before vertical and oblique loading and after loading. One-way analysis of variance (ANOVA) for retention data revealed a highly significant difference (P<0.0001) between groups. The Flexi-Post had a statistically higher mean retention force of 1180.6 N (265.9 pounds), while the C-Post had a mean of 171.8 N (38.7 pounds). Photoelastic analysis indicated minimal stresses for both the Flexi-Post and C-Post in the unloaded state. The C-Post showed asymmetrical apically stress patterns, while loaded in both states. The multi-tiered system of the Flexi-Post clearly distributes stress symmetrically, while the C-Post distributes stresses asymmetrically. The symmetric, even stresses and statistically higher retentive strength for Flexi-Post are more favourable than the asymmetric, uneven stresses and relatively low retentive strength for the C-Post.
This pilot study concerned the cyclic fatigue of five different endodontic post systems (AccessPost(R), Flexi-Flange(R), Flexi-Post(R), ParaPost(R), and Vlock(R)) with four different core materials (Tytin(R) Silver amalgam, Ti-Core(R), Ketac-Silver(R) and G-C Miracle Mix(R)). In vitro cyclic fatigue was performed using a fatigue machine that simulates masticatory fatigue forces. An instantaneous force of 5 lb was applied to each post and core combination for a test configuration of 4 000 000 repetitions or until failure occurred. The type of failure and number of repetitions at failure was recorded for each sample tested. Two-way ANOVA was used to compare groups. All posts/core samples with Ti-Core and Tytin Silver amalgam completed the test configuration of 4 000 000 cycles without failures. All posts/core samples with Ketac-Silver failed before the 4 000 000 test cycle configuration, all as a result of core failures. All posts/core samples with G-C Miracle Mix failed in a similar way. The Newman-Keuls multiple comparison test illustrated that Ti-Core and Tytin Silver amalgam were similar to each other and were superior to both G-C Miracle Mix and Ketac-Silver. Similar fatigue test results are found in the literature.
This pilot study compared stress distribution using photoelastic blocks for both vertical loading and oblique loading (26 degrees angle) for four groups of post systems (Flexi-Post, Flexi-Flange, ParaPost and AccessPost dowels). For each group, three test blocks of photoelastic material were prepared with simulated endodontic canals, and the specimens were then photographed. Minimal stresses were observed for all the posts after cementation in the unloaded state. Stress distribution for the Flexi-Post, Flexi-Flange and AccessPost were favourable under vertical loading at 134 N and oblique loadings of 89 N and 134 N. Stress patterns were symmetric over the entire length of these posts. Stress distribution for the ParaPost under vertical loading at 134 N generated stress patterns that were asymmetric with concentration of stresses apically compared to coronally. Stress distribution for the ParaPost during oblique loadings of 89 N and 134 N were asymmetric with stress concentrated apically as compared to coronally. Stress distribution for the Flexi-Post, Flexi-Flange and AccessPost were all favourable under loading conditions studied.
A case report of a prefabricated cast post system, Flexi-Cast, is presented. This tech-nique provides maximium retention of the post in the root and crown to a core by incorporation of a prefabricated split-shank threaded post with an attachment sleeve. Clinically this appears to be a simple predictable technique for the fabrication of a crown/core as a single unit.any approaches for the fabrication of a crown,
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