The impact of print orientation on the fracture resistance and failure patterns of additively manufactured cobalt-chromium post and cores

Purpose

The aim of this study was to evaluate the impact of the print orientation of direct metal laser sintering (DMLS) posts and cores on the fracture resistance and failure patterns of endodontically treated mandibular premolar teeth.

Materials and Methods

Sixty intact human mandibular premolars were endodontically treated. The teeth were then randomly divided into four groups (n = 15). Cobalt-chromium (Co-Cr) metal posts were fabricated by traditional casting (Group C), and DMLS method in 0-, 45-, and 90-degree print orientations (Group DMLS 0, Group DMLS 45, and Group DMLS 90). The posts and cores were cemented with composite resin cement and subjected to compression test at a crosshead speed of 1 mm/min. Data was analyzed by using one-way analysis of variance ANOVA and multiple comparison post hoc Tukey tests (α = 0.05). Specimens were viewed under a stereo microscope with x20 magnification to evaluate the fracture types.

Results

No significant differences were found among the groups tested in terms of fracture resistance (p > 0.05). Group C and Group DMLS 0 group exhibited similar fracture patterns.

Conclusions

It is possible to produce post and core restorations with the DMLS technique and use them clinically.  Print orientation did not influence the fracture resistance. However, fracture patterns were different. Group C outperformed all DMLS groups in terms of fracture patterns.