Glass Fiber Posts Research Articles

Fracture resistance and behavior of endodontically treated maxillary premolars with varying ferrule heights and post numbers: A laboratory study.

To investigate how varying ferrule heights and the number of glass fiber posts affect fracture resistance and behavior of endodontically treated maxillary first premolars with substantial loss of tooth structure. Twenty-four extracted endodontically treated human maxillary first premolars were divided into three groups (n=8) based on ferrule height and post number. The groups were as follows: premolars of 2mm ferrule height that were restored with single posts (control group), premolars of 0.5mm ferrule height that were restored with single posts in palatal canals (single-post group), and premolars of 0.5mm ferrule height that were restored with double posts in palatal and buccal canals (double-post group). All groups were then restored with composite core and metal-ceramic crowns cemented with zinc phosphate cement. All specimens were subjected to 10,000 thermal cycles at temperatures of 5°C and 55°C, as well as 1.2 million cyclic loadings of 49N load at 1.2Hz using a chewing simulator. The specimens were loaded to fracture in a universal testing machine and fracture behavior was examined under stereomicroscope and divided into restorable and unrestorable fracture modes. Fracture loads and modes were analyzed by one-way ANOVA, Tukey's post hoc test, and Fisher's exact probability test (p≤0.05). The control group showed the highest mean fracture load (1127±172) of all groups (p<0.001). The specimens in the single-post group showed numerically higher mean fracture load (522±171) but with no significant difference compared to the ones in the double-post group (518±157; p>0.967). In the control group, 75% of specimens showed unrestorable fractures compared to 50% and 12.5% in single-post and double-post groups. The specimens in the control group had similar unrestorable fractures, starting from the coronal part and extending obliquely to the cervical third of the root below resin level. Two specimens in the control group showed unrestorable fractures in the middle third of the root. No middle-third root fractures were observed in single-post and double-post groups, and unrestorable fractures in both groups were similar to those of the control group. The single-post group had two specimens with core-post crown complex restorable fractures, while the control and double-post groups had one specimen each. The remaining specimens showed cervical-third root restorable fractures above resin level. The ferrule height significantly influences the fracture resistance of endodontically treated premolars compared to the number of placed posts. Nonetheless, more restorable fractures are seen in endodontically treated premolars restored with double posts than single posts regardless of ferrule height.

Enhancing Tensile Bond Strength of Glass Fiber Posts Using Chitosan as a Coupling Agent: A Novel Approach for Improved Dental Restorations

Objectives: This study was designed to assess the effectiveness of chitosan as a coupling agent for improving the tensile bond strength of fiber posts. Methods: A total of 91 single-rooted mandibular teeth were root canal-filled. Post spaces were created and categorized into seven groups: Group A (Control), Group B (Silane), Group C (Chitosan), Group D (37% Phosphoric acid + Silane), Group E (37% Phosphoric acid + Chitosan), Group F (10% Hydrogen Peroxide + Silane), and Group G (10% Hydrogen Peroxide + Chitosan). Posts were cemented and tensile bond strength was measured, while the morphological structure of the fiber posts was analyzed using Scanning Electron Microscopy. One-way (ANOVA) and Tukey’s multiple comparison tests were performed at a level of significance of 5%. The percentages of fracture patterns among the groups were compared. Results: 10% Hydrogen peroxide + Chitosan exhibited the significantly highest tensile bond strength (p &lt; 0.001). Adhesive failures were more frequent in Groups A, B, C, and D, whereas cohesive failures within the resin cement were predominant in Groups E, F, and G. Conclusions: The protocol of using 10% hydrogen peroxide followed by a chitosan coupling agent significantly improved tensile bond strengths for glass fiber posts, which highlights the potential of using chitosan as a natural biopolymer and an alternative to synthetic coupling agents to develop more effective bonding strategies for dental restorations.

Performance of Fiberglass Posts Versus Fiber- Reinforced Resin Composites in Endodontically Treated Anterior Teeth Without Ferrule: A Systematic Review.

To perform a systematic review of in vitro studies examining endodontically treated anterior teeth restored with fiberglass posts versus composite posts reinforced with: polyethylene fibers (Ribbond), fiber-reinforced resin (everStick) and composite resin (everX). The search was performed using PubMed, Scopus, Web of Science and LILACS. The studies were selected by two independent reviewers. To assess the risk of bias of each study, the QUIN tool was used. We analyzed the data using a narrative synthesis. Five articles were retained for final analysis. The risk of bias was moderate to high. Most studies reported non-catastrophic failures. With 72 non-catastrophic failures for the glass fiber group and 60 for the fiber-reinforced resins. Catastrophic failures were more prevalent in fiber-reinforced composite, especially in the Ribbond-treated group. Within the limitations of this study, the use of fiberreinforced composites as custom intracanal posts is still questionable, with controversial results. It is not possible to establish the superiority of one approach over the other in endodontically treated anterior teeth without ferrule. It was not possible to identify a superior performance among the approaches analyzed for the restoration of endodontically treated anterior teeth without ferrule.

A Comparative Evaluation of Fracture Resistance of Three Post Systems and Their Mode of Failure: An In-Vitro Study

ABSTRACT Aim: To analyze the fracture resistance of three post systems and their mechanism of failure. Materials and Procedures: Forty-five newly excised human mandibular single-rooted pre-molar, for periodontal or orthodontic reasons, were used. The teeth were separated into three groups (n = 15) based on the post system utilized. Group A had teeth restored with custom cast post; Group B had prefabricated glass fiber posts (Angelus post); and Group C with edelweiss composite post (Edelweiss Post). Results: The custom cast posts provided the highest fracture resistance but exhibited more unfavorable fractures. The edelweiss posts exhibited the least fracture resistance. Conclusion: Further investigations should be targeted at elucidating the force dynamics of this newer post system.

FIBERGLASS PINS VS. METAL PINS, ADVANTAGES AND DISADVANTAGES: A literature review

Both metal and fiberglass posts are intraradicular components used to aid in the oral rehabilitation of patients who have suffered major coronary destruction. Each post has its own indication, presenting advantages and disadvantages that need to be taken into account when indicating each treatment plan for patients. This work aims to present metal posts and fiberglass posts, exposing their advantages and disadvantages, and can serve as an information source for both dental students and professionals who have already graduated. Scientific articles related to the proposed theme, available in the online databases BVSalud, PUBMed, Lilacs, Scielo and Google Scholar, presented in Portuguese and/or English and published between 2020 and 2024, were used to compose the bibliographic basis of this work. It is concluded that both metal posts and fiberglass posts are efficient within their indications.

Fibre post removal using ultrasonic tips: A comparative invitro study using different protocols.

This study evaluated the glass fibre post (GFP) removal using three different protocols with ultrasonic tips. Thirty-six extracted single-rooted teeth were endodontically treated and cemented with a 10-mm GFP. Three protocols were used for GFP removal: 20 s activated with cooling, 20 s activated without cooling and 40 s activated without cooling. The removal time and temperature increase on the external root surface were recorded. The amount of residual material and the volume of dentin loss were assessed using micro-computed tomography. Data were analysed using ANOVA with a 5% significance level. The removal time and the amount of residual material were not affected by the protocol. There was no difference in temperature increase between the 20-s groups. The 40s activated without cooling produced the highest temperatures, especially in the apical region, and greater dentin loss. It is not advisable to use the ultrasonic insert continuously for more than 20 s.

Investigation of the Effect of Indirect Ultrasonic Force and Different Cements on the Bond Strength of Glass Fiber Posts in Teeth with Different Post Space Preparation Methods

(1) Background: The main aim of this study was to investigate the effects of different cements (Panavia V5, RelyX U200) and placement techniques (indirect ultrasonic vibration and manual method) on the bond strength of glass fiber posts in teeth with different post space preparation methods and to evaluate the failure types. (2) Methods: A total of 120 human upper central teeth were collected for the study. One week after root canal treatment, 10 mm long post space preparation was performed using post drills. Post spaces were irrigated in three different ways, namely NaOCl, NaOCl + EDTA solutions, and passive ultrasonic irrigation of NaOCl and EDTA solutions. Glass fiber posts were divided into two groups for resin cement systems, namely RelyX U200 (3M ESPE) or Panavia V5 (Kuraray Medical). Two different methods, namely the indirect ultrasonic vibration and the manual method, were applied for post placement. Then, 1.2 mm sections were taken from the middle and coronal regions of the inserted fiber posts for a push-out test. (3) Results: the Irrigation × Cement (p = 0.002), Cement × Section (p = 0.043) and Placement × Section (p = 0.049) pairwise interactions were statistically significant. (4) Conclusions: in our study, the effects of different post cavity preparations, different cement types, and different placement techniques on the bond strength of the fiber post were observed.

Post-Space Disinfectants With Sodium Hypochlorite and Methylene Blue Loaded in Silver and Quartz Nanoparticles Activated by Photodynamic Therapy. A SEM Analysis.

Post-space disinfectants methylene blue loaded with silver (Ag) and Quartz nanoparticles (NPs) and MB alone activated by photodynamic therapy (PDT) on the survival of Enterococcus faecalis, smear layer (SL) removal efficacy, and extrusion bond strength (EBS) of fiber posts to canal dentin. Hundred mandibular premolars underwent root canal treatment using the rotary ProTaper system. The canals were obturated and post-space was prepared up to a length of 8 mm, maintaining a 5 mm seal. To assess antibacterial efficacy E. faecalis were inoculated in the canal (n = 20). The samples were then randomly allocated into four groups according to the canal disinfectant used to sterilize the canals. Group 1: 2.5% NaOCl+17% EDTA, Group 2: MB-PDT, Group 3: MB@QP-PDT, and Group 4: MB@AgNP-PDT (n = 25). SEM analysis was conducted on five samples from each disinfectant group to assess the removal of the SL. Survival rates were calculated (n = 5 from each group). Glass fiber post (GFP) was cemented to the root dentin of the remaining samples followed by artificial aging. Sectioning of the specimens was performed in all three-thirds of the canals. PBS was assessed followed by failure evaluation. ANOVA and Tukey post hoc test were used to compare the E. faecalis survival rate and PBS of fiber post among different investigated groups. Group 4 (MB@AgNP-PDT) treated canals exhibited the minimum survival rate (0.30 ± 0.04 CFU/mL) of E. faecalis and maximum PBS. However, the highest survival rate and minimum bond strength of GFP were observed in Group 1 (NaOCl+17% EDTA) and Group 2 (MB-PDT) treated teeth respectively. The highest SL removal was recorded in the coronal section of the samples of Group-4 disinfected with MB@AgNP-PDT. The lowest removal of SL was recorded in Group 2 samples sterilized with MB-PDT at apical one-third. Silver nanoparticles when utilized as nano-carriers to enhance the efficiency of MB activated by PDT, have been shown to exhibit the highest antimicrobial potency, improved capacity for SL removal and improved PBS.

PROBLEMS OF CHOOSING A METHOD OF DENTAL TREATMENT OF TEETH AFTER ENDODONTIC INTERVENTION

The optimal way to restore the anatomical structure of teeth after endodontic intervention is a controversial topic. Teeth after endodontic intervention have different properties compared to intact living teeth. Changes in these properties are associated with volumetric loss of hard tissues, caries, final preparation of the cavity taking into account access to endodontic treatment. Choosing the optimal method of dental treatment of teeth requires compliance with many factors, such as: prevention of infection penetration into root canals, restoration of tooth contacts, restoration of chewing functions, protection against further carious and non-carious destruction, restoration of tooth aesthetics. Dentists are now more than ever aware of the interdependence of the endodontic and restorative aspects of dental treatment and how much this will affect achieving the best long-term outcome. Controversies of the clinical relevance of endodontic and restorative treatment choice issues are mostly unanswered based on clinical data and scientific evidence. The modern approach to tooth restoration after endodontic intervention is an important topic. To improve clinical outcomes, it is important to determine the effectiveness of treatment, the importance of preserving tooth structure, the choice of treatment method with restorative materials, and the integration of digital dentistry to improve diagnosis and treatment principles. Research rationale. The purpose of this study is to find and use literature data on the effectiveness of modern methods of dental treatment after endodontic intervention in Ukraine. Materials and methods. Scientific data from a review and systematic analysis of the literature were used. Materials were searched using the Google Scholar, PubMed, Google Scholar databases and open sources of the World Health Organization, the Ministry of Health of Ukraine and other government web portals of Ukraine. Results, Discussion. After conducting a literature analysis to compare the effectiveness of using cast metal inserts and fiberglass posts, we can come to the conclusions that retrospective studies on the relationship between successful restorations and such factors as the type of tooth, the volume of residual hard tissues, the number of occlusal contacts, the type of the final restoration and the position of the tooth in the dental arch are the main criteria for choosing a treatment method. A controversial choice is that metal abutments are associated with a higher risk of root fracture, their manufacture requires laboratory techniques, while the use of fiberglass posts is associated with a higher risk of decementation, and overloading of fiberglass posts leads to their fractures. Conclusions. Decision-making and the choice of methods of dental treatment after endodontic intervention remain difficult. However, the interdependence of endodontic treatment and restoration of the crown part of the tooth is clearly established. Physicians must consider both aspects of treatment equally to ensure the best possible outcomes for their patients. The use of digital scanning enables an accurate volumetric assessment of the residual hard tissues of the tooth, which can be used to provide tangible qualitative results of the analysis and decision-making with the choice of treatment method. The choice of treatment method is not defined in a single protocol and requires further careful study with new experimental developments, based on the latest technologies of world leaders in dentistry.

Influence of Natural Dentin Biomodification Agent on Push-Out Bond Strength and Nanoleakage of Self-Adhesive Resin Cement Luting of Glass-Fiber Posts.

To evaluate the plant-derived compound lignin (LIG) as a pretreatment of intraradicular dentin in combination with EDTA on push-out bond strength (PBS) and nanoleakage of the glass fiber posts (GFPs) cemented using adhesive resin cement. Twenty-eight human incisor roots were prepared for GFP cementation and divided based on dentin pretreatment: (1) CONTROL: no pretreatment, (2) EDTA: 17% EDTA for 3 min, (3) EDTA-LIG: 17% EDTA and 2% lignin for 3 min, (4) EDTA-PAC: 17% EDTA and 2% lignin for 3 min. The GFPs were cemented using the self-adhesive resin cement Multilink Speed. The roots (n = 7) were sectioned into 1 mm-thick discs and subjected to PBS testing after 1 week or 6 months. Nanoleakage was analyzed by SEM. Statistical analysis was performed using two-factor ANOVA and Tukey's test (p < 0.05). Higher PBS was identified for the CONTROL group (p < 0.001). After 6 months, the EDTA-LIG maintained the bond strength with a predominance of mixed failures, while the EDTA-PAC, EDTA, and CONTROL groups showed reduction of bond strength, with a predominance of adhesive failures along with severe silver infiltration in the interface. LIG associated with EDTA as a pretreatment for intraradicular dentin shows significant potential for attaining stable bond strength and interfacial integrity of self-adhesive resin cement to intraradicular dentin.

In Vitro Fracture Strength of Primary Canine Teeth Reinforced With Prefabricated and Customized Fiber-Reinforced Post Systems.

The demand for esthetics has increased in today's worldand most parents prefer to preserve their children's primary anterior teeth until their natural exfoliation. However, an intracanal post is required to provide retention for reconstruction of severely damaged anterior teeth due to caries or trauma. Various materials and methods may be used for the fabrication of intracanal posts. This study assessed the fracture strength and fracture mode of primary canine teeth reconstructed with prefabricated and customized polyethylene and glass fiber posts. This in vitro study evaluated 60 extracted primary canine teeth in four groups (n = 15). After pulpectomy and post space preparation with 4 mm depth, composite resin post, prefabricated glass fiber post (Whitepost), customized glass fiber post (Interlig), or customized polyethylene fiber post (Ribbond) were placed in the root canals to provide retention, and the tooth crown was restored with bulk-fill composite resin. The fracture strength was then measured in a universal testing machine. The fracture mode was also evaluated visually. The mean fracture strength was 22.45 ± 5.06, 33.10 ± 8.5, 30.20 ± 7.33, and 32.61 ± 5.73 N/mm2 in the composite resin post, Whitepost, Interlig, and Ribbond groups, respectively. The fracture strength was significantly lower in the composite group than in the remaining three groups (p = 0.000). No other significant differences were found (p > 0.05).Also, no significant difference was observed among the study groups in the fracture mode (p = 0.241). The composite resin post yielded a significantly lower fracture strength than the prefabricated and customized glass and polyethylene fiber posts, but the fracture mode was not significantly different among the four groups.

Microhardness and Pushout Bond Strength of Glass Fiber Post-to-Canal Dentin Irrigated with Boric Acid, Nd: YAP, AgNPs, and Curcumin Activated with Microbubble Emulsion. A SEM, EDX Analysis

This study aimed to assess the microhardness (MH) and push-out bond strength (PBS) of fiber post-to-canal dentin when boric acid (BA), Nd: YAP, silver nanoparticles (AgNPs), and microbubble emulsion (MBE) with curcumin were used as irrigants. Canal therapy was performed and the post space was prepared. Prior to glass fiber post (GFP) insertion, the post space was irrigated using 2.5% NaOCl+17% EDTA, 10% BA+EDTA, Nd: YAP laser+EDTA, AgNP+EDTA, and MBE (curcumin)+EDTA. Following disinfection, microhardness was evaluated. GFP was then inserted and PBS was assessed at the coronal, middle, and apical levels, along with the examination of debonded surfaces via stereomicroscope. The data were analyzed using ANOVA and a Post Hoc Tukey HSD test. The results showed that MH was highest in the group treated with AgNP+EDTA and lowest in the group treated with 10% BA+EDTA. Within the cervical region, the Nd: YAP laser+EDTA group showed the lowest PBS, while the highest PBS was observed in the group treated with MBE (curcumin)+EDTA. In the middle region, the GFP bonded to canal dentin disinfected with 2.5% NaOCl+EDTA was comparable to that treated with Nd: YAP laser+EDTA. In the apical region, the PBS of GFP was highest in the canal disinfected with MBE (curcumin)+EDTA. The study concluded that silver nanoparticles+EDTA and curcumin photosensitizer via microbubble emulsion+EDTA have the potential to be used as alternatives to conventional methods for improving the adhesion of glass fiber post-to-canal dentin, along with enhancing microhardness.

Evaluation of the Adhesive Strength of Different Types of Fiberglass Posts in Flared and Unflared Canal Roots

Evaluation of the Adhesive Strength of Different Types of Fiberglass Posts in Flared and Unflared Canal Roots

Removal of fiber post under the guidance of digital guide plate and one-piece glass fiber posts-and-cores repair: a clinical report.

This study explores the potential application of computer aided design (CAD)/computer aided manufac-turing (CAM) for one-piece glass fiber posts and cores in restoring tooth defects post-removal of a broken fiber post using a digital guide plate. This paper reports a fractured left upper incisor fiber post removed using a customized needle and digital guide plate. Following root canal retreatment, CAD/CAM integrated fiber post-core and zirconia full crown restoration were completed. The occlusion testing was conducted using the T-Scan Ⅲ system. This study offers insights for managing secondary repair after fiber post fractures.

Evaluation of stress distributions in endodontically treated anterior incisors under occlusal and trauma-induced forces following various restoration treatments: A finite element analysis.

The aim of this study was to calculate the stress distribution of fiberglass post associated with resin composite crown restoration and fiberglass posts with zirconia restorations in mature and immature endodontically treated central maxillary incisor under various loading conditions. The study created six different study models in a virtual environment: healthy mature maxillary central teeth, intact immature maxillary central teeth, mature maxillary central teeth with fiberglass post associated with resin composite crown restoration, immature maxillary central teeth with fiberglass post associated with resin composite crown restoration, mature maxillary central teeth with fiberglass posts and zirconia restoration, and immature maxillary central teeth with fiberglass posts and zirconia restoration. Loading conditions simulating mastication, trauma, and bruxism were applied to each of the models at different angles and amounts. The von Mises and the maximum and minimum principal stress values in tooth structures (dentin) and support structures (bone, PDL) and materials were observed using finite element stress analysis. The highest stress values in the tissue and the restoration structure were observed for masticating force and crowns rehabilitated with zirconia restorations. None of the compared loading conditions and restorations showed destructive stress values on periodontal ligament or bone. The mature and immature endodontically treated central maxillary incisors can be better rehabilitated using fiberglass post associated with resin composite crown restoration and may be preferred to zirconia restorations in order to reduce the stresses on the surrounding tissues and teeth. However, further clinical studies are needed to fully explore this topic.

Comparative evaluation of fracture resistance and push-out bond strength of glass fiber post with composite core and single-unit post and core system luted with two different resin cements: An in vitro study

ABSTRACT Aim: The aim of the study was to compare the fracture resistance and push-out bond strength of glass fiber post (GFP) with composite core and single unit post and core system luted with two different resin cements. Methods: Sixty-four mandibular premolars were chosen as the sample for the study. Sample preparation was done, and specimens were randomly divided into two groups (n = 32) each according to the type of post used: Group I – RelyX GFP, Group II – Edelweiss post and core. They were further subdivided in two subgroups based on luting cements: subgroup A: RelyX U200 Adhesive Resin cement and subgroup B: SoloCem resin cement. Fracture resistance was measured in half of the prepared specimens by subjecting a load of 1 mm/min. The load was subjected along the long axis of the tooth at an angle of 45° until failure occurred using the universal testing machine. Half of the samples were divided into three horizontal thirds, i.e., coronal, middle, and apical, and push-out bond strength was evaluated at a rate of 0.5 mm/min. The scores were subjected to statistical analysis using independent t-test and SPSS Version 22.0. Results: Group I showed nonsignificantly better fracture resistance than Group II irrespective of type of luting agent used. Subgroup B showed nonsignificantly higher fracture resistance than subgroup A irrespective of the post used. Subgroup B was nonsignificant better push-out bond strength than Subgroup A (P &lt; 0.05). Push-out bond strength of Group II was significantly better than Group I irrespective of the luting agent. Conclusion: Fiber post showed nonsignificantly better fracture resistance than Edelweiss post and core system. SoloCem showed nonsignificantly better fracture resistance and push-out bond strength with Edelweiss than RelyX U200.

Ultrasonic activation of adhesive systems increases bond strength and intratubular penetration of resin cement in root dentin subjected to radiation therapy.

This study aimed to evaluate the effect of ultrasonic activation of etch-and-rinse and self-etch adhesive systems on the bond strength of resin cement to irradiated root dentin. Eighty human maxillary anterior teeth were distributed into 8 groups (n = 10), according to the type of adhesive system used (etch-and-rinse and self-etch), the ultrasonic activation of the adhesive systems, and the dentin condition (irradiated or non-irradiated - 70Gy). Endodontic treatment was performed followed by fiberglass post-space preparation. After fiberglass posts' luting, the roots were transversely sectioned on dentin discs and submitted to the push-out bond strength test (0.5mm/min). The fractured specimens were analyzed under a stereomicroscope and Scanning Electron Microscope (SEM) for failure mode classification. One of the dentin discs was analyzed under SEM to evaluate the characteristics of the adhesive interface. Irradiated specimens had lower bond strength than non-irradiated specimens (P < 0.0001). Ultrasonic activation of both adhesive systems increased the bond strength of the resin cement to irradiated dentin (P < 0.0001). Radiotherapy significantly affected the failure mode in the middle (P = 0.024) and apical thirds (P = 0.032) (adhesive failure). Non-irradiated specimens had a more homogeneous adhesive interface. When ultrasonically activated, both adhesive systems showed a greater number of resinous tags, regardless of the dentin condition. Ultrasonic activation of adhesive systems is a feasible strategy to enhance fiberglass posts retention in oncological patients.

Contemporary Concepts of Adhesive Cementation of Glass-Fiber Posts: A Narrative Review.

(1) Background: Cementation of glass fiber posts to root canals has been associated with various failures, especially debonding. This narrative review aims to present the contemporary concepts concerning the adhesive cementation of glass fiber post and to discuss the optimal management of these factors. (2) Methods: Electronic search was performed in MEDLINE/Pub Med and Google Scholar using selected keywords examining the parameters post length, surface treatment of glass fiber posts, post space preparation and dentin pretreatment, resin cement selection, adhesive systems and hybrid layer formation, and clinical techniques. (3) Results: The search led to the selection of 44 articles. Epoxy resin-based endodontic sealers are recommended and the use of temporary cement in the root canal should be avoided. The minimum length of a glass fiber post adhesively cemented to a root canal is 5 mm. Irrigating the root canals with chlorhexidine, MTAD, or EDTA (alone or in combination with NaOCl) after post space preparation seems to enhance the bond strength. Silane application on the surface of the post seems to be beneficial. Concerning resin cements and adhesive systems, the results were rather inconclusive. Finally, resin cement should be applied inside the root canal with an elongation tip and photoactivation should be delayed. (4) Conclusions: Contemporary concepts of adhesive cementation of glass fiber posts can indeed improve the bond between glass fiber posts, resin cement, and root canal dentin, however, evidence coming from long-term randomized prospective clinical trials is needed in order to obtain safer conclusions.

The effect of ferrule and core material on fracture resistance of endodontically treated anterior teeth restored with ceramic crowns after artificial aging

ObjectivesTo assess the influence of ferrule and core type on the fracture strength of endodontically treated anterior teeth (ETAT) and identify the failure mode type and distribution across different core types and ferrule conditions. MethodsSixty extracted human central incisors were endodontically treated, decoronated and divided into two main groups (F=with ferrule, NF=no ferrule). Each main group was further subdivided into three subgroups according to the core material used: direct composite cores (DC), Ribbond fibre-reinforced composite cores (RIB-DC), and glass fibre post (GFP) with direct composite cores (GFP-DC). All specimens received E.max crowns and underwent thermal cycling and cyclic loading. Subsequently, the fracture resistance was tested with static loads applied to the crown restoration. Two-Way ANOVA and Chi square tests identified significant differences among the groups (p < 0.05). ResultsThe means and standard deviations (SD) of fracture loads in Newtons (N) for specimens in the F subgroups were RIB-DC: 465.0 (104.20), GFP-DC: 367.6 (79.59), DC: 275.8 (68.48), and in NF subgroups were RIB-DC: 110.8 (24.33), GFP-DC: 95.6 (25.47), DC: 67.4 (7.46). Specimens with ferrule yielded significantly higher fracture loads than those without ferrule (p = 0.0054). In the F groups, fracture loads of specimens with RIB-DC cores were significantly higher than those with GFP-DC (p = 0.0019) and those with DC (p = 0.0001). Moreover, fracture loads for the GFP-DC were significantly higher than those for the DC (p = 0.0026). The GFP-DC specimens showed the highest incidence of catastrophic failures (p = 0.0420). ConclusionsUsing fibre-reinforced composite (FRC) cores significantly increased fracture resistance in ETAT with ferrule. The failure modes repairable and possibly repairable were dominant in most specimens. Clinical significanceWhen restoring ETAT with insufficient coronal tooth structure, preserving 2 mm of tooth structure ferrule and preparing cores with FRC can increase fracture resistance and reduce the incidence of non-repairable catastrophic fractures of teeth.

UNVEILING THE POST AND CORE WONDERS IN PRIMARY TEETH-A SERIES OF CASE REPORT

Pediatric dentists face significant challenges when dealing with the aesthetic concerns of severely damaged primary anterior teeth due to early childhood caries, which is the most common chronic disease among preschool children. The cases presented here involves children under 4 years of age with severely decayed maxillary anterior teeth. Following pulp therapy treatment, various posts including modified omega posts, glass fiber posts, and prefabricated post and core systems were used to reinforce the primary maxillary incisors, followed by composite restoration to rebuild the teeth. This technique provides a straightforward and efficient approach of restoring severely decayed primary anterior teeth, restoring their shape, function, and aesthetics effectively.