Objective: This clinical case report addresses the step-by-step of the application of a core-and-post system that uses a single resin composite material to fiber post cementation and core build-up in a maxillary left central incisor.Clinical considerations: The literature reports several materials and methods for the restoration of endodontically treated teeth with coronal destruction that require an intra-radicular fiber post for the core build-up. The present case report describes a core-and-post or "monoblock" technique. A dual resin composite (Core-X Flow;Dentsply DeTrey) highly filled material and cement was used for luting the fiber post (Blue X-Post) and build-up the core structure in an easy application. Conclusions:The "core-and-post" technique that uses a single material system protocol minimizes the material interfaces, steps of procedures, and chair-time in comparison to conventional techniques.Clinical Significance: The use of different materials for post cementation and core build-up requires more steps, which increases the chair-time and number of interfaces among the materials. Since the "monoblock" technique uses only one material, it can streamline the clinical procedures, thus, saving time and materials. Moreover, techniques based on core-and-post systems are easily applied, versatile, and esthetics, and can be applicable to posterior and anterior teeth.
Objective This study aimed to evaluate the fracture strength and failure modes of different core techniques in teeth with simulated coronal destruction. Materials and methods Forty teeth were endodontically prepared and the specimens were divided into four experimental groups (n = 10) according to the core composition: Filtek One Bulk Fill‐FOBF, Filtek Z350 XT‐FZ350 (standard group), Filtek Bulk Fill Flow‐FBFF, and LuxaCore Z‐LCZ. CAD/CAM Monolithic zirconia crowns were obtained and cemented with RelyX U200. After storage in distilled water at 37°C for 48 h, the specimens were subjected to thermal cycling and to compressive strength mechanical tests. Statistical analyses (α = 0.05) were performed by non‐parametric Kruskal–Wallis, Dunn post hoc, and Fisher's exact tests. Results No significant differences (p > 0.05) were observed among FOBF, FZ350, and FBFF (mean ranks = 20.30, 12.20, and 23.20, respectively). LCZ (mean rank = 26.30) produced results similar to those of FOBF and FBFF (p > 0.05) and higher than those of FZ350 (p = 0.042). The most frequent type of failure was irreparable, regardless of the experimental condition. The lowest percentages of reparable fractures were produced by FOBF group (10%). Conclusions The use of bulk fill materials, including the “core‐and‐post” LCZ dual‐cure resin composite, did not impair the fracture strength of endodontically treated teeth with coronal destruction. Clinical significance Resin composite bulk fill materials that can be used as a core‐and‐post cementation in an only stage are interesting, since they enable clinicians to work with one only material, and avoid several materials interfaces, technical sensitivity, and longer chair‐time due to multistep procedures.
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