Skip to main content
Top
Published in: Odontology 1/2021

01-01-2021 | Fatigue | Original Article

Fatigue failure load of immature anterior teeth: influence of different fiber post-core systems

Authors: Márk Fráter, Tekla Sáry, Viktória Néma, Gábor Braunitzer, Pekka Vallittu, Lippo Lassila, Sufyan Garoushi

Published in: Odontology | Issue 1/2021

Login to get access

Abstract

The aim was to explore the fracture-behavior, survival and marginal-microgaps within the root-canal of immature anterior teeth restored with different fiber-reinforced post-core composites (FRCs). 180 bovine-incisors were randomly divided into 6 groups (n = 30). One group served as control (group 6). The rest of the teeth were prepared to an internal diameter of 1.6 mm and the apex was sectioned. After application of an MTA-plug, teeth were restored with FRC materials: Group 1: Bioblock technique with short fiber-reinforced composite (SFRC); Group 2: Bioblock technique with flowable SFRC; Group 3: Individually-made FRC post; Group 4: Conventional FRC post; Group 5: dual-cure core build-up composite. After restorations were completed, teeth (n = 5/group) were sectioned and then stained. Specimens were viewed under a stereo microscope and the percentage of microgaps within the root-canal was calculated. Fatigue-survival was measured using a cyclic-loading testing machine in the rest of the specimens. Flowable SFRC application in the root-canal (Group 2) did not differ from intact-teeth regarding fatigue-survival (p > 0.05). The rest of the groups produced significantly lower survival (p < 0.05) compared to intact-teeth. Post/core restorations made from conventional FRC post (Group 4) exhibited a high number of microgaps (38.3%) at the examined interphase in the root-canal. The restoration of immature incisors with the use of flowable SFRC as post-core material displayed promising performance in a matter of fatigue-resistance and survival.
Literature
1.
go back to reference O’Mullane DM. Injured permanent incisor teeth: an epidemiological study. J Irish Dent Assoc. 1972;18:160–73. O’Mullane DM. Injured permanent incisor teeth: an epidemiological study. J Irish Dent Assoc. 1972;18:160–73.
2.
go back to reference Ravn JJ. Dental injuries in copenhagen school children, school years 1967–1972. Community Dent Oral Epidemiol. 1974;2:231–45.PubMedCrossRef Ravn JJ. Dental injuries in copenhagen school children, school years 1967–1972. Community Dent Oral Epidemiol. 1974;2:231–45.PubMedCrossRef
3.
go back to reference Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J Endod. 2007;33(4):480–3.PubMedCrossRef Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J Endod. 2007;33(4):480–3.PubMedCrossRef
4.
go back to reference Andreasen FM, Andreasen JO, Bayer T. Prognosis of root-fractured permanent incisors: prediction of healing modalities. Endod Dent Traumatol. 1989;5:11–22.PubMedCrossRef Andreasen FM, Andreasen JO, Bayer T. Prognosis of root-fractured permanent incisors: prediction of healing modalities. Endod Dent Traumatol. 1989;5:11–22.PubMedCrossRef
5.
go back to reference Andreasen JO, Andreasen FM, Bakland LK, Flores MT. Traumatic dental injuries, a manual 2nd ed, vol. 9. Oxford: Blackwell Munksgaard; 2003. p. 58–60. Andreasen JO, Andreasen FM, Bakland LK, Flores MT. Traumatic dental injuries, a manual 2nd ed, vol. 9. Oxford: Blackwell Munksgaard; 2003. p. 58–60.
6.
go back to reference Witherspoon DE, Small JC, Regan JD, Nunn M. Retrospective analysis of open apex teeth obturated with mineral trioxide aggregate. J Endod. 2008;34:1171–6.PubMedCrossRef Witherspoon DE, Small JC, Regan JD, Nunn M. Retrospective analysis of open apex teeth obturated with mineral trioxide aggregate. J Endod. 2008;34:1171–6.PubMedCrossRef
7.
go back to reference Schmoldt SJ, Kirkpatrick TC, Rutledge RE, Yaccino JM. Reinforcement of simulated immature roots restored with composite resin, mineral trioxide aggregate, gutta-percha, or a fiber post after thermocycling. J Endod. 2011;37(10):1390–3.PubMedCrossRef Schmoldt SJ, Kirkpatrick TC, Rutledge RE, Yaccino JM. Reinforcement of simulated immature roots restored with composite resin, mineral trioxide aggregate, gutta-percha, or a fiber post after thermocycling. J Endod. 2011;37(10):1390–3.PubMedCrossRef
8.
go back to reference Jamshidi D, Homayouni H, Moradi Majd N, Shahabi S, Arvin A, Ranjbar Omidi B. Impact and fracture strength of simulated immature teeth treated with mineral trioxide aggregate apical plug and fiber post versus revascularization. J Endod. 2018;44(12):1878–82.PubMedCrossRef Jamshidi D, Homayouni H, Moradi Majd N, Shahabi S, Arvin A, Ranjbar Omidi B. Impact and fracture strength of simulated immature teeth treated with mineral trioxide aggregate apical plug and fiber post versus revascularization. J Endod. 2018;44(12):1878–82.PubMedCrossRef
9.
go back to reference Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol. 1992;8(2):45–55.PubMedCrossRef Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol. 1992;8(2):45–55.PubMedCrossRef
11.
go back to reference Linsuwanont P, Kulvitit S, Santiwong B. Reinforcement of simulated immature permanent teeth after mineral trioxide aggregate apexification. J Endod. 2018;44(1):163–7.PubMedCrossRef Linsuwanont P, Kulvitit S, Santiwong B. Reinforcement of simulated immature permanent teeth after mineral trioxide aggregate apexification. J Endod. 2018;44(1):163–7.PubMedCrossRef
12.
go back to reference Garoushi S, Vallittu PK, Lassila LV. Continuous and short fiber reinforced composite in root post-core system of severely damaged incisors. Open Dent J. 2009;18(3):36–41.CrossRef Garoushi S, Vallittu PK, Lassila LV. Continuous and short fiber reinforced composite in root post-core system of severely damaged incisors. Open Dent J. 2009;18(3):36–41.CrossRef
15.
go back to reference Lassila L, Keulemans F, Säilynoja E, Vallittu PK, Garoushi S. Mechanical properties and fracture behavior of flowable fiber reinforced composite restorations. Dent Mater. 2018;34(4):598–606.PubMedCrossRef Lassila L, Keulemans F, Säilynoja E, Vallittu PK, Garoushi S. Mechanical properties and fracture behavior of flowable fiber reinforced composite restorations. Dent Mater. 2018;34(4):598–606.PubMedCrossRef
16.
go back to reference Garoushi S, Vallittu P, Lassila L. Mechanical properties and radiopacity of flowable fiber-reinforced composite. Dent Mater J. 2019;38(2):196–202.PubMedCrossRef Garoushi S, Vallittu P, Lassila L. Mechanical properties and radiopacity of flowable fiber-reinforced composite. Dent Mater J. 2019;38(2):196–202.PubMedCrossRef
17.
go back to reference Lassila L, Säilynoja E, Prinssi R, Vallittu P, Garoushi S. Characterization of a new fiber-reinforced flowable composite. Odontology. 2019;107(3):342–52.PubMedPubMedCentralCrossRef Lassila L, Säilynoja E, Prinssi R, Vallittu P, Garoushi S. Characterization of a new fiber-reinforced flowable composite. Odontology. 2019;107(3):342–52.PubMedPubMedCentralCrossRef
18.
go back to reference Scotti N, Coero Borga FA, Alovisi M, Rota R, Pasqualini D, Berutti E. Is fracture resistance of endodontically treated mandibular molars restored with indirect onlay composite restorations influenced by fibre post insertion? J Dent. 2012;40(10):814–20.PubMedCrossRef Scotti N, Coero Borga FA, Alovisi M, Rota R, Pasqualini D, Berutti E. Is fracture resistance of endodontically treated mandibular molars restored with indirect onlay composite restorations influenced by fibre post insertion? J Dent. 2012;40(10):814–20.PubMedCrossRef
19.
go back to reference Le Bell AM, Tanner J, Lassila LV, Kangasniemi I, Vallittu P. Bonding of composite resin luting cement to fiber-reinforced composite root canal posts. J Adhes Dent. 2004;6(4):319–25.PubMed Le Bell AM, Tanner J, Lassila LV, Kangasniemi I, Vallittu P. Bonding of composite resin luting cement to fiber-reinforced composite root canal posts. J Adhes Dent. 2004;6(4):319–25.PubMed
20.
go back to reference Magne P, Lazari PC, Carvalho MA, Johnson T, Del Bel Cury AA. Ferrule-effect dominates over use of a fiber post when restoring endodontically treated incisors: an in vitro study. Oper Dent. 2017;42(4):396–406.PubMedCrossRef Magne P, Lazari PC, Carvalho MA, Johnson T, Del Bel Cury AA. Ferrule-effect dominates over use of a fiber post when restoring endodontically treated incisors: an in vitro study. Oper Dent. 2017;42(4):396–406.PubMedCrossRef
21.
go back to reference Lazari PC, de Carvalho MA, Del Bel Cury AA, Magne P. Survival of extensively damaged endodontically treated incisors restored with different types of posts-and-core foundation restoration material. J Prosthet Dent. 2018;119(5):769–76.PubMedCrossRef Lazari PC, de Carvalho MA, Del Bel Cury AA, Magne P. Survival of extensively damaged endodontically treated incisors restored with different types of posts-and-core foundation restoration material. J Prosthet Dent. 2018;119(5):769–76.PubMedCrossRef
22.
go back to reference Fonseca RB, Haiter-Neto F, Carlo HL, Soares CJ, Sinhoreti MA, Puppin-Rontani RM, Correr-Sobrinho L. Radiodensity and hardness of enamel and dentin of human and bovine teeth, varying bovine teeth age. Arch Oral Biol. 2008;53(11):1023–9.PubMedCrossRef Fonseca RB, Haiter-Neto F, Carlo HL, Soares CJ, Sinhoreti MA, Puppin-Rontani RM, Correr-Sobrinho L. Radiodensity and hardness of enamel and dentin of human and bovine teeth, varying bovine teeth age. Arch Oral Biol. 2008;53(11):1023–9.PubMedCrossRef
23.
go back to reference Reis AF, Giannini M, Kavaguchi A, Soares CJ, Line SR. Comparison of microtensile bond strength to enamel and dentin of human, bovine, and porcine teeth. J Adhes Dent. 2004;6(2):117–21.PubMed Reis AF, Giannini M, Kavaguchi A, Soares CJ, Line SR. Comparison of microtensile bond strength to enamel and dentin of human, bovine, and porcine teeth. J Adhes Dent. 2004;6(2):117–21.PubMed
24.
go back to reference Le Bell-Rönnlöf AM, Lassila LV, Kangasniemi I, Vallittu PK. Load-bearing capacity of human incisor restored with various fiber-reinforced composite posts. Dent Mater. 2011;27(6):e107–15.PubMedCrossRef Le Bell-Rönnlöf AM, Lassila LV, Kangasniemi I, Vallittu PK. Load-bearing capacity of human incisor restored with various fiber-reinforced composite posts. Dent Mater. 2011;27(6):e107–15.PubMedCrossRef
25.
go back to reference Magne P, Carvalho AO, Bruzi G, Anderson RE, Maia HP, Giannini M. Influence of no-ferrule and no-post buildup design on the fatigue resistance of endodontically treated molars restored with resin nanoceramic CAD/CAM crowns. Oper Dent. 2014;39:595–602.PubMedCrossRef Magne P, Carvalho AO, Bruzi G, Anderson RE, Maia HP, Giannini M. Influence of no-ferrule and no-post buildup design on the fatigue resistance of endodontically treated molars restored with resin nanoceramic CAD/CAM crowns. Oper Dent. 2014;39:595–602.PubMedCrossRef
26.
go back to reference Tanalp J, Dikbas I, Malkondu O, Ersev H, Güngör T, Bayırlı G. Comparison of the fracture resistance of simulated immature permanent teeth using various canal filling materials and fiber posts. Dent Traumatol. 2012;28(6):457–64.PubMedCrossRef Tanalp J, Dikbas I, Malkondu O, Ersev H, Güngör T, Bayırlı G. Comparison of the fracture resistance of simulated immature permanent teeth using various canal filling materials and fiber posts. Dent Traumatol. 2012;28(6):457–64.PubMedCrossRef
27.
go back to reference Garoushi S, Gargoum A, Vallittu PK, Lassila L. Short fiber-reinforced composite restorations: a review of the current literature. J Investig Clin Dent. 2018;9(3):e12330.PubMedCrossRef Garoushi S, Gargoum A, Vallittu PK, Lassila L. Short fiber-reinforced composite restorations: a review of the current literature. J Investig Clin Dent. 2018;9(3):e12330.PubMedCrossRef
28.
go back to reference Bijelic-Donova J, Garoushi S, Lassila LV, Keulemans F, Vallittu PK. Mechanical and structural characterization of discontinuous fiber-reinforced dental resin composite. J Dent. 2016;52:70–8.PubMedCrossRef Bijelic-Donova J, Garoushi S, Lassila LV, Keulemans F, Vallittu PK. Mechanical and structural characterization of discontinuous fiber-reinforced dental resin composite. J Dent. 2016;52:70–8.PubMedCrossRef
29.
go back to reference Fráter M, Forster A, Jantyik Á, Braunitzer G, Nagy K, Grandini S. In vitro fracture resistance of premolar teeth restored with fibre-reinforced composite posts using a single or a multi-post technique. Aust Endod J. 2017;43(1):16–22.PubMedCrossRef Fráter M, Forster A, Jantyik Á, Braunitzer G, Nagy K, Grandini S. In vitro fracture resistance of premolar teeth restored with fibre-reinforced composite posts using a single or a multi-post technique. Aust Endod J. 2017;43(1):16–22.PubMedCrossRef
30.
go back to reference Ambica K, Mahendran K, Talwar S, Verma M, Padmini G, Periasamy R. Comparative evaluation of fracture resistance under static and fatigue loading of endodontically treated teeth restored with carbon fiber posts, glass fiber posts, and an experimental dentin post system: an in vitro study. J Endod. 2013;39(1):96–100.PubMedCrossRef Ambica K, Mahendran K, Talwar S, Verma M, Padmini G, Periasamy R. Comparative evaluation of fracture resistance under static and fatigue loading of endodontically treated teeth restored with carbon fiber posts, glass fiber posts, and an experimental dentin post system: an in vitro study. J Endod. 2013;39(1):96–100.PubMedCrossRef
31.
go back to reference Faria-e-Silva AL, Pedrosa-Filho Cde F, Menezes Mde S, Silveira DM, Martins LR. Effect of relining on fiber post retention to root canal. J Appl Oral Sci. 2009;17(6):600–4.PubMedPubMedCentralCrossRef Faria-e-Silva AL, Pedrosa-Filho Cde F, Menezes Mde S, Silveira DM, Martins LR. Effect of relining on fiber post retention to root canal. J Appl Oral Sci. 2009;17(6):600–4.PubMedPubMedCentralCrossRef
32.
go back to reference Grandini S, Goracci C, Monticelli F, Borracchini A, Ferrari M. SEM evaluation of the cement layer thickness after luting two different posts. J Adhes Dent. 2005;7(3):235–40.PubMed Grandini S, Goracci C, Monticelli F, Borracchini A, Ferrari M. SEM evaluation of the cement layer thickness after luting two different posts. J Adhes Dent. 2005;7(3):235–40.PubMed
33.
34.
go back to reference Belli S, Eraslan O, Eskitascioglu G, Karbhari V. Monoblocks in root canals: a finite elemental stress analysis study. Int Endod J. 2011;44(9):817–26.PubMedCrossRef Belli S, Eraslan O, Eskitascioglu G, Karbhari V. Monoblocks in root canals: a finite elemental stress analysis study. Int Endod J. 2011;44(9):817–26.PubMedCrossRef
35.
go back to reference Garoushi S, Säilynoja E, Vallittu PK, Lassila L. Physical properties and depth of cure of a new short fiber reinforced composite. Dent Mater. 2013;29(8):835–41.PubMedCrossRef Garoushi S, Säilynoja E, Vallittu PK, Lassila L. Physical properties and depth of cure of a new short fiber reinforced composite. Dent Mater. 2013;29(8):835–41.PubMedCrossRef
36.
go back to reference Lempel E, Őri Z, Szalma J, Lovász BV, Kiss A, Tóth Á, Kunsági-Máté S. Effect of exposure time and pre-heating on the conversion degree of conventional, bulk-fill, fiber reinforced and polyacid-modified resin composites. Dent Mater. 2019;35(2):217–28.PubMedCrossRef Lempel E, Őri Z, Szalma J, Lovász BV, Kiss A, Tóth Á, Kunsági-Máté S. Effect of exposure time and pre-heating on the conversion degree of conventional, bulk-fill, fiber reinforced and polyacid-modified resin composites. Dent Mater. 2019;35(2):217–28.PubMedCrossRef
37.
go back to reference Li X, Pongprueksa P, Van Meerbeek B, De Munck J. Curing profile of bulk-fill resin-based composites. J Dent. 2015;43(6):664–72.PubMedCrossRef Li X, Pongprueksa P, Van Meerbeek B, De Munck J. Curing profile of bulk-fill resin-based composites. J Dent. 2015;43(6):664–72.PubMedCrossRef
Metadata
Title
Fatigue failure load of immature anterior teeth: influence of different fiber post-core systems
Authors
Márk Fráter
Tekla Sáry
Viktória Néma
Gábor Braunitzer
Pekka Vallittu
Lippo Lassila
Sufyan Garoushi
Publication date
01-01-2021
Publisher
Springer Singapore
Keyword
Fatigue
Published in
Odontology / Issue 1/2021
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI
https://doi.org/10.1007/s10266-020-00522-y

Other articles of this Issue 1/2021

Odontology 1/2021 Go to the issue