Resistance to fracture of crowned endodontically treated premolars restored with ceramic and metal post systems. 2007

Joseph Nissan, and Alex Parson, and Eitan Barnea, and Arie Shifman, and David Assif
Department of Prosthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. nissandr@post.tau.ac.il <nissandr@post.tau.ac.il>

OBJECTIVE The objective of this study was to assess the resistance to fracture of crowned endodontically treated premolars with varying ceramic and metal post systems under simulated occlusal load. METHODS The study consisted of 60 extracted intact premolars with similar root diameter and length. Teeth were divided equally into 4 groups (n = 15) and prepared for posts and cast crowns as follows: group 1 = preformed metal post, composite core, and cast crown; group 2 = cast post and core and cast crown; group 3 = zirconia post, composite core, and cast crown; and group 4 = zirconia post and heat-pressed ceramic core and cast crown. All prepared teeth had 2 mm of sound dentin on which the cast crowns were cemented. A continuous load (kg) was applied by an Instron testing machine to the buccal cusp at a 30-degree angle to the long axis of each tooth at a crosshead speed of 2 mm/min until failure. One-way analysis of variance with Scheffe test was used to statistically compare the differences between groups. RESULTS Mean failure loads (in newtons) for the 4 test groups were as follows: 1,103.3 (group 1), 1,234.5 (group 2), 826.6 (group 3), and 870.6 (group 4). No significant difference in failure load values was found among all tested groups (F[3,59] = 2.05; P >.05). The primary mode of failure (85%) in all groups was an oblique radicular fracture, either apical to the post or at the post level. Horizontal fracture (15% to 20%) of the root and post was found in groups 3 and 4. CONCLUSIONS Within the limitations of this study, varying ceramic and metal post systems did not affect the failure resistance of teeth restored with full-coverage cast metal crowns, under simulated occlusal load.

UI MeSH Term Description Entries
D011176 Post and Core Technique Use of a metal casting, usually with a post in the pulp or root canal, designed to support and retain an artificial crown. Dental Dowels,Dental Dowel,Dowel, Dental,Dowels, Dental,Post Technic,Post Technique,Post and Core Technic,Post-Core Technic,Post Technics,Post Techniques,Post-Core Technics,Technic, Post,Technic, Post-Core,Technics, Post,Technics, Post-Core,Technique, Post,Techniques, Post
D003442 Crowns A prosthetic restoration that reproduces the entire surface anatomy of the visible natural crown of a tooth. It may be partial (covering three or more surfaces of a tooth) or complete (covering all surfaces). It is made of gold or other metal, porcelain, or resin. Dental Crowns,Crown, Dental,Crowns, Dental,Dental Crown,Crown
D003764 Dental Materials Materials used in the production of dental bases, restorations, impressions, prostheses, etc. Dental Material,Material, Dental,Materials, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001641 Bicuspid One of the eight permanent teeth, two on either side in each jaw, between the canines (CUSPID) and the molars (MOLAR), serving for grinding and crushing food. The upper have two cusps (bicuspid) but the lower have one to three. (Jablonski, Dictionary of Dentistry, 1992, p822) Premolar,Bicuspids,Premolars
D014082 Tooth Fractures Break or rupture of a tooth or tooth root. Fracture, Tooth,Fractures, Tooth,Tooth Fracture
D015040 Zirconium A rather rare metallic element with atomic number 40, atomic weight 91.224, and symbol Zr.
D019553 Tooth, Nonvital A tooth from which the dental pulp has been removed or is necrotic. (Boucher, Clinical Dental Terminology, 4th ed) Tooth, Devitalized,Tooth, Endodontically-Treated,Tooth, Pulpless,Teeth, Devitalized,Teeth, Endodontically-Treated,Teeth, Nonvital,Teeth, Pulpless,Devitalized Teeth,Devitalized Tooth,Endodontically-Treated Teeth,Endodontically-Treated Tooth,Nonvital Teeth,Nonvital Tooth,Pulpless Teeth,Pulpless Tooth,Teeth, Endodontically Treated,Tooth, Endodontically Treated

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