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Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule.
Oper Dent. 2016 Jan-Feb; 41(1):64-75.OD

Abstract

OBJECTIVE

The aim of this study was to investigate the restoration of highly damaged, broken-down endodontically treated molars without the ferrule effect using glass ceramic crowns on different dual-cure composite resin core buildups.

METHODS AND MATERIALS

Thirty (N=30, n=15) decoronated, endodontically treated teeth (no ferrule) were restored without a ferrule with a direct buildup using the dual-curing composite Multicore HB (group MHB) or the dual-curing composite core buildup Multicore Flow in combination with glass-fiber-reinforced composite post (FRC post; group MFP). All teeth were prepared to receive bonded glass ceramic crowns (Empress CAD luted with Variolink II) and were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the palatal cusp at an angle of 30 degrees and a frequency of 5 Hz, beginning with a load of 200 N (×5000 cycles), followed by stages of 400, 600, 800, 1000, 1200, and 1400 N at a maximum of 30,000 cycles each. Specimens were loaded until failure or to a maximum of 185,000 cycles. Groups were compared using the life table survival analysis (log rank test at p=0.05). Average fracture loads and number of survived cycles were compared with one-way analysis of variance (Scheffé post hoc at p=0.05). Previously published data from the same authors about core buildups made of high-performance polymers (group HPP, n=15) and light-curing composite resin without FRC posts (group TEC, n=15) and with FRC posts (group TECP, n=15) using the same experimental setup were included for comparison.

RESULTS

None of the tested specimen withstood all 185,000 load cycles. There was no significant difference in mean fracture load (p=0.376), survived cycles (p=0.422), and survival (p=0.613) between MHB (facture load 859.4 N±194.92) and MFP (796.13 N±156.34). Group HPP from a previous study appeared to have significantly higher performance than all other groups except MHB. All groups with posts were affected by an initial failure phenomenon (wide gap at the margin between the buildup/crown assembly and the root).

CONCLUSIONS

HPP and MHB enhanced the performance of all-ceramic leucite-reinforced glass ceramic crowns, and insertion of a fiber-reinforced composite post was not influential when using other materials.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26562093

Citation

Magne, P, et al. "Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule." Operative Dentistry, vol. 41, no. 1, 2016, pp. 64-75.
Magne P, Goldberg J, Edelhoff D, et al. Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule. Oper Dent. 2016;41(1):64-75.
Magne, P., Goldberg, J., Edelhoff, D., & Güth, J. F. (2016). Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule. Operative Dentistry, 41(1), 64-75. https://doi.org/10.2341/14-258-L
Magne P, et al. Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule. Oper Dent. 2016 Jan-Feb;41(1):64-75. PubMed PMID: 26562093.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Composite Resin Core Buildups With and Without Post for the Restoration of Endodontically Treated Molars Without Ferrule. AU - Magne,P, AU - Goldberg,J, AU - Edelhoff,D, AU - Güth,J-F, Y1 - 2015/11/12/ PY - 2015/11/13/entrez PY - 2015/11/13/pubmed PY - 2019/11/27/medline SP - 64 EP - 75 JF - Operative dentistry JO - Oper Dent VL - 41 IS - 1 N2 - OBJECTIVE: The aim of this study was to investigate the restoration of highly damaged, broken-down endodontically treated molars without the ferrule effect using glass ceramic crowns on different dual-cure composite resin core buildups. METHODS AND MATERIALS: Thirty (N=30, n=15) decoronated, endodontically treated teeth (no ferrule) were restored without a ferrule with a direct buildup using the dual-curing composite Multicore HB (group MHB) or the dual-curing composite core buildup Multicore Flow in combination with glass-fiber-reinforced composite post (FRC post; group MFP). All teeth were prepared to receive bonded glass ceramic crowns (Empress CAD luted with Variolink II) and were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the palatal cusp at an angle of 30 degrees and a frequency of 5 Hz, beginning with a load of 200 N (×5000 cycles), followed by stages of 400, 600, 800, 1000, 1200, and 1400 N at a maximum of 30,000 cycles each. Specimens were loaded until failure or to a maximum of 185,000 cycles. Groups were compared using the life table survival analysis (log rank test at p=0.05). Average fracture loads and number of survived cycles were compared with one-way analysis of variance (Scheffé post hoc at p=0.05). Previously published data from the same authors about core buildups made of high-performance polymers (group HPP, n=15) and light-curing composite resin without FRC posts (group TEC, n=15) and with FRC posts (group TECP, n=15) using the same experimental setup were included for comparison. RESULTS: None of the tested specimen withstood all 185,000 load cycles. There was no significant difference in mean fracture load (p=0.376), survived cycles (p=0.422), and survival (p=0.613) between MHB (facture load 859.4 N±194.92) and MFP (796.13 N±156.34). Group HPP from a previous study appeared to have significantly higher performance than all other groups except MHB. All groups with posts were affected by an initial failure phenomenon (wide gap at the margin between the buildup/crown assembly and the root). CONCLUSIONS: HPP and MHB enhanced the performance of all-ceramic leucite-reinforced glass ceramic crowns, and insertion of a fiber-reinforced composite post was not influential when using other materials. SN - 1559-2863 UR - https://www.unboundmedicine.com/medline/citation/26562093/Composite_Resin_Core_Buildups_With_and_Without_Post_for_the_Restoration_of_Endodontically_Treated_Molars_Without_Ferrule_ L2 - https://meridian.allenpress.com/operative-dentistry/article-lookup/doi/10.2341/14-258-L DB - PRIME DP - Unbound Medicine ER -