Fatigue behavior of endodontically treated premolars restored with different fiber-reinforced designs |
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Authors: | Márk Fráter Tekla Sáry Blanka Jókai Gábor Braunitzer Eija Säilynoja Pekka K Vallittu Lippo Lassila Sufyan Garoushi |
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Institution: | 1. Department of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, Szeged, Hungary;2. dicomLAB Dental Ltd., Szeged, Hungary;3. Department of Biomaterials Science and Turku Clinical Biomaterials Center –TCBC, Institute of Dentistry, University of Turku, Turku, Finland;4. Research Development and Production Department, Stick Tech Ltd – Member of GC Group, Turku, Finland;5. City of Turku, Welfare Division, Turku, Finland |
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Abstract: | ObjectivesThe aim was to investigate the fatigue survival and marginal-gap inside the root-canal of endodontically treated (ET) premolars reinforced by various fiber-reinforced post-core composites (FRCs). Moreover, composite-curing at different depths in the canal was evaluated.Methods170 intact upper-premolars were collected and randomly divided into ten groups (n = 15). One group served as control (intact-teeth). After endodontic procedure standard MO cavities were prepared and restored with different post-core fiber-reinforced materials and designs. Three-group (A1-A3) were restored with either packable and flowable short fiber-reinforced composite (SFRC) core or conventional composite-core. Two-group (B1-B2) were restored with SFRCs as short post (3 mm) and core. Four-group (C1-C4) were restored with SFRCs as post (6 mm) and core with or without unidirectional FRC posts (individually-made or conventional). After completing the restorations, teeth from Group C1-C4 (n = 5/group) were sectioned and stained. Specimens were viewed under a stereo-microscope and the percentage of microgaps within the root-canal was calculated. Fatigue-survival was measured using a cyclic-loading machine in the rest of the specimens.ResultsApplication of flowable SFRC as luting-core material with individually-made FRC post (Group C3) did not differ from intact-teeth regarding fatigue-survival (p > 0.05). The rest of the groups produced significantly lower survival (p < 0.05) compared to intact-teeth. Post/core restorations made from packable SFRC (Group C1) had a lower microgap (19.1%) at the examined interphase in the root-canal than other groups.SignificanceThe restoration of ET premolars with the use of individually-made FRC post and SFRC as luting-core material showed promising achievement regarding fatigue-resistance and survival. |
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Keywords: | Premolar teeth Endodontically treated teeth Short fiber-reinforced composite Fatigue survival Bioblock technique |
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