The use of endodontically treated and/or fiber post-retained teeth as abutments for fixed partial dentures. 2012

Serhan Akman, and Melek Akman, and Gürcan Eskitaşcıoğlu, and Sema Belli
Department of Prosthodontics, Faculty of Dentistry, Selcuk University, Konya, Turkey. sakman07@hotmail.com

The purpose of this in vitro study was to evaluate the effect of endodontic treatment with or without fiber-post restorations on the fracture strength of abutment teeth under fixed partial dentures (FPDs). Seventy extracted premolar and canine teeth were used. Groups of fiber-post-retained and root-filled teeth were endodontically treated. The teeth were embedded in an acrylic resin perpendicular to the horizontal plane to create fixed partial dentures. The following groups were created using different abutments: (1) sound (S) canine/S premolar, (2) S canine/endodontically treated (ET) premolar, (3) ET canine/S premolar, (4) ET canine/ET premolar, (5) S canine/fiber-post-restored (FPR) premolar, (6) FPR canine/S premolar, and (7) FPR canine/FPR premolar. Each tooth was prepared for a complete-coverage full-metal crown. Impressions were taken; metal frameworks were fabricated and cemented. The samples were exposed to 5,000 cycles of thermomechanical fatigue and loaded compressively until fracture (2 mm/min). The data were statistically analyzed using (Kruskal-Wallis test, α = 0.05). No significant difference was found among the mean fracture strengths of the groups (p = 0.696). There were distinct differences in failure patterns. All of the fracture types were horizontal, and neither vertical nor non-restorable root fractures were recorded. Premolars seemed to be a critical abutment compared to canines when they were sound under FPDs. The percentage of cervical fractures was high in endodontically treated teeth when compared to post-retained groups. In case of post-debonding, the abutment fracture did not occur. When root-filled teeth are used as abutments for FPDs, fiber-post restorations or the creation of abutments from similar structures (ET/ET or FPR/FPR) results in improved conservation of root structure under loading when compared to the abutments from different structures (S/ET, ET/S, FPR/S, S/FPR).

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
D003830 Denture, Partial, Fixed A partial denture attached to prepared natural teeth, roots, or implants by cementation. Fixed Bridge,Fixed Partial Denture,Pontic,Bridge, Fixed,Bridges, Fixed,Denture, Fixed Partial,Dentures, Fixed Partial,Fixed Bridges,Fixed Partial Dentures,Partial Denture, Fixed,Partial Dentures, Fixed,Pontics
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000044 Dental Abutments Natural teeth or teeth roots used as anchorage for a fixed or removable denture or other prosthesis (such as an implant) serving the same purpose. Abutments, Dental,Abutment, Dental,Dental Abutment
D014082 Tooth Fractures Break or rupture of a tooth or tooth root. Fracture, Tooth,Fractures, Tooth,Tooth Fracture
D017267 Dental Prosthesis Design The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal. Dental Prosthesis Designs,Design, Dental Prosthesis,Designs, Dental Prosthesis,Prosthesis Design, Dental,Prosthesis Designs, Dental
D019232 Dental Restoration Failure Inability or inadequacy of a dental restoration or prosthesis to perform as expected. Dental Prosthesis Failure,Dental Prosthesis Failures,Dental Restoration Failures,Failure, Dental Prosthesis,Failure, Dental Restoration,Failures, Dental Prosthesis,Failures, Dental Restoration,Prosthesis Failure, Dental,Prosthesis Failures, Dental,Restoration Failure, Dental,Restoration Failures, Dental
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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