Journal of Dental Medicine

Background and Aim: Considering flexural strength of fiber-reinforced composites (FRC) and also the role of conservative cavities in protecting sound tissue of abutments, the aim of this study was to evaluate the fracture resistance of these bridges by handmade samples in vitro.

Materials and Methods: In this experimental in vitro study, 44 sound newly extracted teeth were used to make 22 fixed inlay bridges including 11 three unit anterior upper inlay bridges substituting clinical model of upper central and 11 three unit posterior lower inlay bridges substituting clinical model of lower first molar. Specimens were prepared with FRC and mounted with artificial PDL in acryl. Cases were exposed to final load by using Universal Testing Machine (Instron 1195) with the speed of 1 mm/min. Statistical analysis was performed by Kolmogorov- Smirnov, independent sample T and Kaplan-Meier tests with p<0.05 as the level of significance.

Results: Based on the statistical tests, the 95% confidence interval of mean was 450-562 N in anterior and  1473- 1761 N in posterior area. Fracture strength was high in the studied groups. Fractures in both groups occurred on composite facing, and the framework remained intact. The highest percentage of fracture in posterior teeth was in the middle of pontic towards the distal connector and in the anterior teeth in the lateral connector, between central pontic and lateral abutment. Using the independent sample T  test a significant statistical difference was observed between two groups (P<0.001). The fracture resistance of anterior samples was lower than the posterior ones.

Conclusion: Based on the results of this study regarding the high fracture resistance in both areas FRC inlay bridges could be recommended for upper anterior and lower posterior teeth in clinical dentistry certainly more studies are needed to ascertain this treatment option.

Background and Aim: A key factor in restoring the endodontically treated teeth is ferrule preparation. When the ferrule is absent, occlusal loads may cause the post or root to fracture. The purpose of this in vitro study was to evaluate the effect of ferrule preparation on fatigue resistance of teeth restored with quartz-fiber posts.

Materials and Methods: Twenty single-rooted lower premolars having similar dimentions were randomly devided into two groups of 10. In control group the teeth were prepared with 3-mm of remaining coronal tooth structure and in test group teeth were prepared with 1-mm of remaining coronal tooth structure. The teeth were endodontically treated. 9-mm long Post holes were prepared, and D.T. light quartz-fiber(RTD,France) posts were cemented with Panavia F2(Kuraray,Japan).Then the core build up was done with Bisco core build up composite(Bisco,USA) and full metal crowns were cemented with Zinc phosphate(Harvard cement, Germany). All specimens were mounted in acrylic resin blocks and intermittently loaded (180 N) at an angulation of 45- degree to the long axis of the teeth at a frequency of 4 loads per second, until failure occurred.

Results: There was significant difference between the loads cycles of two groups studied. (p<0.0001).

Conclusion: The results of this study showed that an increased amount of coronal dentin significantly increases the fracture resistance of teeth restored with quartz-fiber posts.

Background and Aims: Marginal adaptation is important for the long-term success of full-coverage restorations. Preparation design is one of the important factors influencing the marginal integrity. Therefore, the purpose of this study was to compare the effect of radial shoulder and chamfer finish line designs on the marginal adaptation of all-ceramic Cercon restorations.
Materials and Methods: This in vitro study was done using single blind experimental technique. One stainless steel die with 7 mm height and 5 mm diameter was prepared by milling machine. The preparation design consisted of half radial shoulder with 1mm depth and half chamfer with 0.8mm depth. All walls had a convergence angle of 10º. Ten stone dies and ten ZrO2 copings of Cercon (Cercon Smart Ceramics, DeguDent, Hanau, Germany) were made and after cementation were ground at buccolingual direction. Then marginal gap of each sample was measured by scanning electron microscopy. Data were then analyzed using t-test.
Result: The mean marginal gap for radial shoulder was 98.4µ and for chamfer was 39.7µ. The difference was statistically significant (P=0.002).
Conclusion: The marginal gap of chamfer preparation is less than that of radial shoulder.

Background and Aims: Adequate retention of the post is a prerequisite for the clinical success which might be affected by the type of root canal filling material. The aim of this in vitro study was to compare the effects of gutta-percha and Resilon on retention of quartz fiber posts.

Materials and Methods: In this experimental study, 44 maxillary central incisors were sectioned at the CEJ level and prepared endodontically using ProTaper rotary files. The specimens were then randomly assigned into two experimental groups (n=22): group R, the root canals obturated with Resilon and group G, the root canals obturated with gutta-percha. After preparing the post space and insertion of quartz fiber posts, the coronal 10 mm of the root was sectioned perpendicular to the long axis to produce disks of 2.3 mm thickness.Then the specimens were submitted to the push-out test (1mm/min) using a universal testing machine. The data were analyzed using Mann-Whitney U test.

Results: There was a significant difference between the retention of posts in groups R (7.08±5.1) and G (4.8±3.3) (P=0.04).

Conclusion: Quartz fiber posts showed significantly higher retention in teeth obturated with Resilon compared to those obturated with gutta-percha.

  Background and Aims : According to the common application of non-metal prefabricated posts in dentistry and lack of enough information about the stress distribution in the root canal walls by these posts, this study was performed to compare the effect of two simple taper and double taper posts on the stress distribution on root canal walls by photo elastic method .

  Materials and Methods: The design of this study was experimental in photoelastic system. The posts, used in this investigation, were double taper and simple taper fiber posts with 0.9 mm diameter and 20 mm length and epoxy resin. First two photo elastic models with tooth dimensions were fabricated and the posts were placed inside the model. Then the core of the each post was fabricated on the model. Each models were loaded in polariscope and the formed fringe order colored ring were photographed.

  Results: In 100 N, 90 degree angle loading in cervical and apical fringe order showed 2.50 and 1.39 in simple taper posts and 1.39 and 2.35 in double taper post. In 150 N, 30 degree angle loading in cervical and apical fringe order showed 4 and 2.65 in simple taper posts, and 4 and 2.5 in double taper post.

  Conclusion: In the vertical and oblique loads, double taper fiber post showed better stress distribution than that of simple tapered posts.

  Background and Aims : The root fracture resistance of endodontically treated teeth depends on the types of posts. The aim of this study was to compare the effect of two types of bonded non-metallic posts with different elasticity modulus on the fracture resistance of endodontically treated teeth under compressive loads.

  Materials and Methods: In this in vitro experimental study, 20 fresh extracted mandibular premolars were selected and sectioned adjacent to the CEJ and then were endodontically treated. The specimens were randomly divided into two groups (n=10). After post space preparations, the fiber RTD Light posts (R.T.D, France) and zirconia coated fiber posts (ICE light, Danville) were cemented into the root canals. Composite resin (Lumiglass R.T.D, France) cores were built up. Aluminium foil was used to mimic the PDL, and the specimens were embedded in acrylic resin and tested in a Universal Testing Machine. A compressive load was applied at a 90 degree angle until fracture at a crosshead speed of 1mm/min. Data were analyzed using one-way ANOVA and T test .

  Results: The mean fracture resistance of R.T.D group was (1083.11 ± 156.74 (N)) and the mean of ICE light group was (865.18 ± 106.24 (N)). The highest mean fracture resistance was observed in RTD fiberglass and a statistically significant difference was observed between the two groups (P<0.001).

  Conclusion: FRC posts with zirconia coating due to unfavorable fractures of the teeth should be used with caution, and thus, fiber posts are preferred.

  Background and Aims: Tooth crowning often leads to changes in periodontal index through changes in emergence profile zone. The purpose of this study was to compare the effect of metal-ceramic with that of
All-Ceramic restorations on the plaque a accumulation.

  Materials and Methods: In this clinical trial, we used 102 teeth covered with metal-ceramic and all-ceramic restorations. Before and after crowning, plaque index (PI) and gingival indexes (MGl) were measured. Data were analyzed using covariance (ANCOVA) test.

  Results: Measured PI and MGI (Mean±SD) in PFM Group prior to crowning were (1.96±0.38) and (1.45±0.48), respectively. In metal-ceramic restorations group, six months after crowning, measured PI and MGI (Mean±SD) were (1.22±0.49) and (1.82±0.61), respectively. Measured PI and MGI (Mean±SD) in All-Ceramic Group prior to crowning were (1.22±0.52) and (1.25±0.29), respectively. In All-Ceramic, six months after crowning, measured PI and MGI (Mean±SD) were (0.88±0.51) and (1.43±0.50), respectively. ANOVA test showed statistical significance difference between metal-ceramic and All-Ceramic Groups in Indexes (P<0.001).

  Conclusion: Metal-ceramic and All-Ceramic crowns were associated with inflammatory changes in gingival. Metal-ceramic restorations were associated with higher inflammatory indexes compared with All-Ceramic crowns.