Fracture Resistance of Teeth Restored with Class II Bonded Composite Resin

Eakle, W. Stephan

doi:10.1177/00220345860650021201

Cited by 98 publications

(87 citation statements)

References 14 publications

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“…This means that the reinforcing effect of resin composite may be diminished under clinical conditions. 22 In group 6, significant differences were observed compared to groups 1, 3, 4 and 5 and insignificant differences were noted compared with group 2 (p>0.05). For this reason, it could be suggested that, if, during cavity preparation in endodontically-treated maxillary premolars, the remaining marginal ridge was 0.5 mm, it should be retained.…”

Section: Troppe and Tronstadmentioning

confidence: 75%

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The Effect of Marginal Ridge Thickness on the Fracture Resistance of Endodontically-treated, Composite Restored Maxillary Premolars

Shahrbaf

Mirzakouchaki²,

Oskoui³

et al. 2007

Operative Dentistry

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This study evaluated the effect of varying thicknesses of marginal ridge on the fracture resistance of endodontically-treated maxillary premolars restored with composite.Ninety non-carious maxillary premolars, extracted for orthodontic reasons, were selected for this experimental in vitro study. The teeth were randomly assigned to six groups (n=15). Group 1 received no preparation. In groups 2 through 6, the premolars were root filled and DO preparations were created, while MOD preparations were also created for group 2. The condition of the boxes was: the gingival seat was 1.5 mm above the CEJ and the buccolingual dimensions were 3.5 mm in gingival and 3 mm in occlusal. In groups 3 through 6, the dimensions of the mesial marginal ridge were measured using a digital caliper as follows: 2 mm, 1.5 mm, 1 mm and 0.5 mm, respectively. All samples in groups 2 through 6 were restored with a dentin bonding system (DBS: Single Bond, 3M) and resin composite (Z 250, 3M). Subsequently, premolars from all six groups were subjected to a thermocycling regimen of 500 cycles between 5°C and 55°C water baths. Dwell time was 30 seconds, with a 10-second transfer time between baths.The premolars were submitted to axial compression up to failure at a 45° angle to the palatal Preserving the marginal ridge of endodontically-treated composite restored maxillary premolars can act as a strengthening factor and improve fracture resistance. The mean load necessary to fracture the samples was recorded in newtons (N), and data were subjected to analysis of variance (ANOVA) and LSD post-hoc test.According to these results, the mean loads necessary to fracture the samples in each group were (in N): group 1: 732 ± 239, group 2: 489 ± 149, group 3: 723 ± 147, group 4: 696 ± 118, group 5: 654 ± 183 and group 6: 506 ± 192).Differences between group 1 and groups 2 and 6, and also differences between groups 3, 4 and 5 compared with group 2 and 6 were statistically significant (p<0.05).

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Section: Troppe and Tronstadmentioning

confidence: 75%

“…26 On the other hand, in the mouth, repeated loading could lead to fatigue failure, 22 consequently, interpretation of the results should be done cautiously.…”

Section: Troppe and Tronstadmentioning

confidence: 99%

The Effect of Marginal Ridge Thickness on the Fracture Resistance of Endodontically-treated, Composite Restored Maxillary Premolars

Shahrbaf

Mirzakouchaki²,

Oskoui³

et al. 2007

Operative Dentistry

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“…Previous studies have shown the diffi culty of obtaining uniform fracture strengths for human teeth because of natural variations in tooth morphology 13,14) . Emulating the experimental protocols of Karapinar Kazandag et al 5) and Ulusoy et al 10) , optimum care was taken in this study to standardize the experimental teeth according to their tooth sizes and dimensions and working length measurements.…”

Section: Standardization Of Experimental Teeth and Experimental Methomentioning

confidence: 99%

Resistance to fracture of roots filled with different sealers

et al. 2012

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INTRODUCTIONRoot-fi lled teeth are more susceptible to fracture than vital teeth. Ironically, these teeth which were already compromised before root canal treatment are further weakened by the process. A few reasons contribute to the vulnerability of root-fi lled teeth, chief of which is root dentin dehydration after the endodontic procedures 1) . Other reasons that predispose root-fi lled teeth to fracture include brittleness of root-fi lled teeth because of loss of tooth structure 2,3) , excessive pressure during fi lling procedures 1,4) , and excessive widening of root canals 5) . After root canal treatment, the standard fi lling material is gutta percha. To obtain a hermetic seal, gutta percha is typically used in conjunction with root canal sealers because gutta percha is incapable of bonding to root canal walls. Root canal sealers not only fi ll the voids between gutta percha points, they also fi ll the voids between gutta percha and root canal walls 6) . Bondable root canal sealers purportedly improve the seal and fracture resistance of endodontically treated roots 7,8) . To date, confl icting results were reported from different research studies. On the one hand, one study 9) found no signifi cant differences in fracture resistance between roots fi lled with a bondable root canal fi lling system, Epiphany, and those fi lled with gutta percha and an epoxy resin-based sealer, AH 26. On the other hand, a study 10) found that the fracture resistance of roots fi lled with gutta percha and AH 26 was superior to that of roots fi lled with the Epiphany system.Recently, a new root canal sealer, iRoot SP (Innovative BioCreamix Inc, Vancouver, Canada), was introduced to the market. According to the manufacturer, iRoot SP is a convenient, pre-mixed, ready-to-use injectable white hydraulic cement paste developed for permanent root canal fi lling and sealing applications. Based on a calcium silicate composition, iRoot SP is an insoluble, radiopaque, and aluminum-free material which requires the presence of water to set and harden.Another recently introduced root canal sealer is MTA Fillapex (Angelus Solucxoes Odontologicas, Londrina, Brazil). Based on an MTA (mineral trioxide aggregate) composition, other ingredients of MTA Fillapex include resins and silica (Table 1). According to the manufacturer, it has high radiopacity, low solubility in contact with tissue fl uids, low expansion during setting, and excellent viscosity for insertion. It does not stain the tooth and promotes deposition of hard tissue at the root apex and perforation sites.The purpose of the study was to compare the fracture resistance of roots fi lled with gutta percha and sealed with one of these three root canal sealers: an epoxy-based root canal sealer AH Plus (Dentsply DeTrey, Konstanz, Germany), a calcium silicate-based root canal sealer iRoot SP, and an MTA-based root canal sealer MTA Fillapex. The null hypothesis was that root canal sealers would not infl uence the fracture resistance of root-fi lled teeth. MATERIALS AND METHODS Root canal p...

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“…Adhesive restoration for endodontically treated teeth offers many advantages over the use of traditional, nonadhesive materials. For instance bonded resins permit transmission of functional stresses across the bonded interface to the tooth, with the potential to reinforce weakened tooth structure 24) . Using adhesive materials properly can reduce microleakage of interface between these materials and tooth structure.…”

Section: 국문초록mentioning

confidence: 99%