Oval Posts Research Articles

Fracture resistance of teeth with oval canal morphology restored using oval and circular posts.

The study aimed to evaluate the effects of different post morphologies and placement lengths on the fracture resistance of teeth with oval canal morphology that had been restored with crowns. Extracted mandibular premolars with similar dimensions were decoronated. After the root canal treatment, the teeth were mounted on acrylic blocks. Samples were randomly divided into four groups (n = 10 each). In groups C-10 and C-5, 10-mm- and 5-mm-long circular post spaces were created. In groups O-10 and O-5, 10-mm- and 5-mm-long oval post spaces were ultrasonically created. After post cementation, all specimens were restored with composite cores and prepared at height of 6 mm. Thereafter, all teeth were restored with crowns. After thermocycling, all specimens underwent fracture resistance testing. Oval posts and placement at 10-mm depth showed higher fracture resistance than circular posts and placement at 5-mm depth (P < 0.001). Increased post length and use of oval posts enhanced the fracture strength of teeth with oval canal morphology. Based on the results of this study, although the fracture resistance of teeth restored with crowns was enhanced by deep fiber post placement, the use of oval fiber post is recommended in cases where deep placement is impossible. (J Oral Sci 58, 339-345, 2016).

Evaluation of the resin cement thicknesses and push-out bond strengths of circular and oval fiber posts in oval-shapes canals.

PURPOSEThe aim of this study was to evaluate whether the push-out bond strength varies between oval and circular fiber posts, and to examine the effect on the resin cement thicknesses around the posts.MATERIALS AND METHODSEighteen mandibular premolar roots were separated into two groups for oval and circular fiber posts systems. Post spaces were prepared and fiber posts were luted to the post spaces. Roots were cut horizontally to produce 1-mm-thick specimens. Resin cement thicknesses were determined with a metallographic optical microscope and push-out tests were done.RESULTSNo significant differences were observed in terms of push-out bond strength between the oval and circular fiber posts (P>.05) The resin cement thicknesses of the oval posts were greater than those of the circular posts group in the coronal, middle and apical specimens (P<.05).CONCLUSIONIn the light of these results, it can be stated that resin cement thickness does not affect the push-out bond strength.

Fracture Resistance of Endodontically Treated Roots with Oval Canals Restored with Oval and Circular Posts

IntroductionThe aim of the present study was to evaluate the effects of post space preparations with circular and oval post drills and the placement of oval and circular posts on the fracture strength of roots with oval canals. MethodsSeventy mandibular premolars with oval root canals were decoronated. Fourteen teeth were used as a control group (group 1), and the root canals of the remaining teeth were prepared up to size #30. The root canals were filled, and the samples were randomly divided into 4 experimental groups as follows: post space preparation with circular-shaped drills (group 2), post space preparation with oval-shaped drills (group 3), circular post placement (group 4), and oval post placement (group 5). A fracture strength test was performed on each specimen, and the data were statistically evaluated using 1-way analysis of variance and Tukey post hoc tests. ResultsThe fracture strengths of the circular posts–placed group were higher than those of the oval post–placed group (P < .001). The post space preparation using oval-shaped drills significantly decreased the fracture strength of the roots compared with the control group (P < .001). ConclusionsWithin the limitations of the present study, oval posts did not provide a higher fracture resistance to endodontically treated roots with oval canals compared with circular posts. Therefore, clinicians should be aware that oval posts are similar to circular posts in terms of enhancing the fracture resistance of roots with oval canals.

Do oval posts improve fracture resistance of teeth with oval root canals?

To determine whether the use of oval posts increases fracture resistance of root canal treated teeth with oval-shaped canals. Extracted mandibular premolars with similar dimensions were decoronated. After root canal treatment, standardized post space preparations were performed to simulate the presence of oval-shaped root canal morphologies. Specimens were randomly assigned to 3 groups (n = 3 × 24). In group SFP (small fiber post), circular posts with a cervical diameter of 1.5 mm were used without additional form-congruent post space preparation. In group LFP (large fiber post), a circular post space preparation was performed to adapt posts with a cervical diameter of 1.9 mm. In group OFP (oval fiber post), oval posts with a long cervical diameter of 1.9 mm and short cervical diameter of 1.3 mm were utilized without additional post space preparation. Posts were cemented with dual-cure resin. All specimens were restored with standardized direct composite crowns. After thermo-mechanical loading in a computer-controlled masticator, all specimens underwent fracture resistance testing. Means and standard deviations were calculated. Data were analyzed using the Kruskal-Wallis test (α = 0.05). The highest mean fracture load was observed in group OFP (273N ± 51), the lowest in group LFP (258N ± 72). Kruskal-Wallis indicated no significant differences in fracture resistance among the three experimental groups. Within the limitations of this laboratory study, oval posts did not reveal increased fracture resistance of root canal-treated premolars with oval-shaped root canals compared with circular posts.

Fibre post adaptation and bond strength in oval canals

To evaluate ex vivo the bond strength and adaptation of fibre posts with oval and circular cross sections luted in oval canals with post spaces prepared using dedicated drills or ultrasonic tips. Forty extracted premolars with oval canals were root filled, then randomly divided into four groups according to the post space preparation device and the shape of the luted fibre post: dedicated drill + round post, dedicated drill + oval post, ultrasonic tip + round post and ultrasonic tip + oval post. Posts were cemented with a self-adhesive cement (RelyX Unicem 2; 3M ESPE). Samples were sectioned in 1-mm-thick slices and observed under a microscope, and the area occupied by the post within the post space area was calculated. Bond strength was then measured using a push-out test, and the failure modes were evaluated with a stereomicroscope at 40× magnification. Fibre post adaptation and push-out test results were evaluated by analysis of variance (P < 0.05). Fibre posts, both round and oval, were better adapted to the apical region of the post space (P = 0.001). In oval canals, the bond strength was significantly higher in coronal regions, when the post space was prepared with a dedicated drill and an oval post was luted (P < 0.0001). Adhesive failures between cement and post were the most frequent type of failure in all groups. Circular and oval posts achieved similar adaptation to oval canals, but the use of ultrasonic tips and round posts resulted in reduced bond strength values.

Micro-computerized tomographic analysis of premolars restored with oval and circular posts

The purpose of the study was to evaluate by micro-computerized tomography (microCT) areas and volumes of post, cement, and voids/bubbles in the post space of oval-shaped premolars restored either with oval or circular posts. Twelve extracted premolars were divided into two groups according to the drill-fiber post system used: (1) GC Fiber Post Drill + circular post GC Fiber Post; (2) Ellipson tip(TM) + oval post Ellipson post(TM). Each tooth was scanned using microCT, and areas and volumes of canal, post space, post, cement, and voids at coronal, medium, and apical level were calculated by using a three-dimensional visualization software. Two-way analyses of variance and Tukey tests were used for statistical analysis (p < 0.05). The area of voids was significantly greater at apical level of oval posts, but no difference was found between the levels among the groups. Regardless of post shape, the volume of voids and of cement was significantly higher at the coronal level. With oval posts, the total volume of cement was twice as much as with circular posts, and the difference was statistically significant. Our results indicate that the volume of voids does not depend on post shape. Moreover, the microCT analysis demonstrated that the volume of cement was greater with oval posts compared to circular posts. The microCT analysis provided interesting information on voids distribution and on the ratio between post shape and cement thickness. These results might address the clinician in the reconstruction of teeth with fiber posts.

Oval Fiber Posts Do Not Improve Adaptation to Oval-shaped Canal Walls

Introduction Oval fiber posts attempt to provide better adaptation to root canals. The hypothesis of this study was that there are no differences in adaptation of oval and circular fiber posts to canal walls. Methods Posts were inserted in 20 canals; 10 were oval, and 10 were circular. The posts were cemented with composite cement. Coronal, middle, and apical sections were observed through a microscope. The space occupied by the post and the maximum distance between it and the canal wall were calculated. The 2 groups were compared with analysis of variance. In all the analyses the level of significance was set at P < .05. Results The proportion of space occupied by the post showed no significant differences ( P > .05). The cement layer was thinner in the apical region in oval posts ( P < .05). Conclusions Oval posts do not adapt better than circular posts to the morphology of oval canals.

Push-out bond strength of circular and oval-shaped fiber posts

This study aimed at evaluating the post-root dentin push-out bond strength of circular and oval posts luted in oval-shaped canals with two different resin cements. Twenty extracted premolars with oval-shaped canals were selected, endodontically instrumented and obturated. The teeth were divided into two groups according to the drill used for post-space preparation and to the post shape (Ellipson oval tip + post and MTwoPF + DT Light-Post). Each group was then subdivided into two subgroups according to the cement (Gradia Core and Corecem Automix). The post-dentin bond strength was evaluated with the thin-slice push-out test. The bonded surface area was calculated for each post shape with an appropriate geometric formula in order to express the retentive strength in megapascal. Push-out strength data were analyzed with the Kruskal-Wallis ANOVA. The results showed that neither the drill-post system nor the cement significantly affected the push-out strength. The means (SD) of the push-out bond strengths in the experimental subgroups were the following: 11.79 MPa (4.77) for Gradia Core/Ellipson tip and post, 13.36 MPa (5.16) for Gradia Core/MtwoPF and DT Light-Post, 11.18 MPa (2.58) for Corecem Automix/Ellipson tip and post, and 10.91 MPa (3.89) for Corecem Automix/MtwoPF and DT Light-Post. In conclusion, circular and oval posts achieved similar retentive strengths in oval canals.

Cement thickness in oval-shaped canals: circular vs. oval posts

Cement thickness in oval-shaped canals: circular vs. oval posts