Comparison of the effect of three different post systems on root fracture

Abstract

Aim: The aim of this in vitro study was to compare the effect of three different post systems cemented with different systems on root fracture. Materials and Methods: Seventy-five extracted human maxillary canines with single and straight roots were used in this study. After the crowns were removed, root canals were prepared with Reciproc R50 files. Smear layer of roots were removed using 17% Ethylenediaminetetraacetic acid (EDTA) followed by 5.25% NaOCl and distilled water. All the root canals were filled with cold lateral compaction technique using AH Plus root canal sealer and gutta-percha. Samples were stored at 37°C and 100% humidity for 1 week and then post space was prepared using fiber post drills. The roots were then randomly divided into five groups according to the luting cements and post systems: negative control, positive control, glass fiber post [Unicore® (Ultradent, Salt Lake City UT, USA)] + composite core [Grandio SO (Voco GmbH, Cuxhave, Germany)], glass fiber post [Unicore® ] + Rebilda® post-core system, individual cast post core. A load was applied on the crowns of all teeth at 135° to their long axis until fracture occurred. Data were analyzed using one-way analysis of variance (ANOVA) and post-hoc Tukey tests. Results: There was statistically significant difference between the groups. According to the post-hoc Tukey test, cast post core (1949.35 + 316 N) showed statistically significantly higher fracture resistance than all the groups except Unicore® + Rebilda® post-core systems (1722.48 + 144.0 N). Conclusion: Fiber post core system which is an alternative to cast post core systems increased the fracture resistance of the canines with root canal treatment. While irrepairable catastrophic fractures might be seen in cast post-core systems, separations between composite resin core, and root interfaces might be seen in teeth restored with fiber post-core systems.