This study evaluated the influence of alveolar bone level on the fracture resistance of root restored with post and core. Forty-eight extracted human mandibular premolars were divided into six groups. Cast posts and cores were cemented（MN8 and MP8）or resin cores were built up with fiber posts and composite resin（FN8, FP8, FN4, and FP4） . Post length was 8 mm（MN8, MP8, FN8, and FP8）or 4 mm（FN4 and FP4） . Specimens were embedded 2 mm（MN8, FN8 and FN4）or 5 mm（MP8, FP8 and FP4）below cement-enamel junction. All specimens were loaded at 45 degrees to the long axis until fracture. With normal bone model, cast post and core（MN8）showed the highest fracture resistance（2262.4 N） . However, in the resorbed bone model, there were no significant differences in fracture resistance between cast post and core and fiber post with composite resin.

Although composite resin core is used with various types of prefabricated posts, it remains unclear which kind of material is most suitable for the post. The aim of this study was to evaluate the influence of prefabricated posts on the stress distribution within the root by finite element analysis. Posts and cores were built up with composite resin and four types of prefabricated posts: two types of glass fiber posts (GFP1, GFP2) with low and high Young's moduli, a titanium post (TIP), and a stainless steel post (SSP). In all models, stress distribution during function was calculated. There were differences in stress concentration at the root around the end of posts. The magnitudes of stress for GFP1, GFP2, TIP, and STP were 8.7, 9.3, 11.7, and 13.9 MPa respectively. Given the results obtained, GFP1 was the most suitable material for post fabrication since this model showed a lower stress value. It would therefore mean a lower possibility of root fracture.

The purpose of this study was to identify crown materials and luting agents that would decrease the stress concentrated at the roots of endodontically treated teeth. To this end, natural tooth model (NT), full cast crown model (gold-silverpalladium alloy; MC), polymer-based restorative material crown model (HCC), and all-ceramic crown model (ACC) were constructed. In each model, methyl methacrylate-based resin cement (MMA) and composite cement (CC) were used as luting agents. The magnitudes of von Mises stress of the roots during function were compared. When the luting agent was changed from MMA to CC, von Mises stress in the cervical area decreased by 37.8 ％ for MC, 27.1 ％ for HCC, and 37.0 ％ for ACC. Within the limitations of this study, the combination of HCC and CC gave rise to the lowest stress concentration at the cervical area.

The aim of the present study was to evaluate the fracture load and fracture mode of thin Ceria-stabilized tetragonal zirconia polycrystals/Al 2 O 3 nanocomposites (Ce-TZP/A) and Yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) crown frameworks. Artificial maxillary second premolars were prepared for metal-ceramic crown and all-ceramic crown restorations and Co-Cr tooth analogs were duplicated. 10 standard (0.5 mm overall thickness) zirconia-ceramic crown frameworks (Y-TZPs) for all-ceramic crown preparation and 10 modified (a 0.3-mm-thick framework increased in thickness by adding a 1.0-mm-thick palatal margin with a height of 2.0 mm) zirconia-ceramic crown frameworks (Y-TZPm, Ce-TZP/Am) for metal-ceramic crown preparation were fabricated. The frameworks were cemented to the Co-Cr tooth analog and loaded vertically until fracture. The fracture load of Y-TZPs (180.0 N) and Ce-TZP/Am (183.7 N) were significantly higher than that of Y-TZPm (133.7 N). There was a significant difference in fracture mode between Y-TZPm and Ce-TZP/Am. Within the limitation of this study, Ce-TZP/Am provide sufficient strength for clinical application.

Cylindroid glass fiber ribbons significantly increased the fracture strength of the composite resin post and cores in the case of the dentin within the thin root canal wall. Based on the results, this study recommends the combined use of glass fiber post and ribbons.

The aim of this study was to compare three types of post and core systems by analyzing the stress magnitude within the root. To this end, two-dimensional photoelastic simulation models of endodontically treated maxillary central incisors were fabricated. Three different types of post and core systems were selected for this study: composite resin post and core, composite resin core in combination with a glass fiber post, and conventional cast metal post and core. The fabricated models were observed in a transmission polariscope with the same loading force (400 N) on 45° palatal direction and the fringe orders registered were thereby analyzed. Results obtained in this study suggested that abutment build-up using composite resin core in combination with a glass fiber post model produced the lowest stress concentration and is hence effective in preventing stress concentration in the case of restored endodontically treated teeth.

This study aimed to investigate the maximum depth imaging and optical properties of the dentin near the pulp by using optical coherence tomography (OCT) and to explore the possibility of measuring the remaining dentin thickness (RDT). Human third molars were used. In experiment 1, the cuspal dentin blocks (0.50-mm to 1.75-mm thickness) were prepared. Each specimen was scanned using OCT. OCT images could be obtained for all specimens with 1.00-mm or less thicknesses. In experiment 2, dentin-pulp complex slices (0.50-mm and 1.00-mm RDT) were prepared. Each specimen was scanned using OCT and micro-computed tomography, and compared. The resulting length change rates of OCT images for the 0.50-mm RDTs were significantly lower than those of the 1.00-mm RDTs. Within the limitations of this study, OCT was effective for measuring the 1.00-mm or less RDT and preventing pulpal injury, while considering the length change rate of OCT image as a variable.

This study was aimed at evaluating the fracture resistance of structurally compromised roots restored with four different post and core systems. Thirty-two bovine roots were uniformly shaped to simulate human mandibular premolar roots. The roots were divided into four groups based on the type of restoration: cemented cast post and core (Group MC), resin composite build-up (Group CR), resin composite and prefabricated glass fiber post build-up (Group FRC), and thick-layer dual-cured resin composite-reinforced smalldiameter tapered cast post and core (Group CRM). After a static loading test, the failure mode and fracture resistance were recorded. Group CRM (719.38±196.73 N) exhibited a significantly high fracture resistance compared with the other groups (Group MC: 429.56±82.43 N; Group CR: 349.56±66.21 N; Group FRC: 398.94±112.71 N; p<0.05). In conclusion, Group CRM exhibited better mechanical properties for structurally compromised roots with no ferrules, although all types of restorations showed non-restorable fracture modes.