Resin Composite Core and Fiber Post Improved the Fracture Parameters of Endodontically Treated Maxillary Premolars with Wedge-shaped Cervical Lesions

Abstract

IntroductionThe aim of this study was to evaluate the fracture resistance and fracture patterns of endodontically treated maxillary premolars with wedge-shaped cervical lesions restored with a resin composite core with or without a fiber post under nonaxial loading. MethodsSixty extracted human maxillary premolars with 2 root canals were randomly allocated into 4 groups (n = 15). Forty-five teeth were prepared with a wedge-shaped lesion at the buccal cervical area and root canal treatment. There were 3 restoration groups: no restoration, restoration with a resin composite core, and restoration with a resin composite core and a fiber post. Intact teeth served as the control group. All teeth were subjected to thermocycling and cyclic loading. A 45° compressive load was applied to the palatal plane of the buccal cusp until tooth fracture. The fracture resistance and facture patterns were analyzed using 1-way analysis of variance and the chi-square test (α = 0.05), respectively. ResultsThe no restoration group demonstrated the lowest fracture resistance and was significantly different from the other groups (P < .001). The intact teeth presented the highest fracture resistance, which was not significantly different from the restoration with a resin composite core and a fiber post group (P > .05). The failure patterns were significantly different between groups (P < .001). Most intact teeth fractured coronally to the cementoenamel junction level, whereas most teeth in the other groups fractured at the gingival margin of the cervical lesion. ConclusionsEndodontically treated maxillary premolars with wedge-shaped cervical lesions restored with fiber posts and a resin composite cores had a fracture resistance equivalent to intact teeth. However, their fracture patterns were not improved by the fiber post and a resin composite core.