Fracture resistance of endodontically-treated premolars adhesively restored. 1997

P Ausiello, and A J De Gee, and S Rengo, and C L Davidson
Department of Endodontology and Cariology, School of Dentistry, University of Naples Federico II, Italy.

OBJECTIVE To investigate the cusp fracture resistance of endodontically treated teeth, adhesively restored with various materials. METHODS MOD preparations and endodontic treatment was carried out on extracted sound maxillary premolars. The cavities were restored with the amalgam Valiant in combination with Superbond or Panavia bonding, the resin composites Z100, Herculite XRV or Clearfil RP with their respective bonding systems, Z100 in combination with the glass ionomers Ketac Fil, Fuji II and Vitremer, and Tetric in combination with Compoglass. Fracture resistance was measured by axial loading in an Instron testing machine. RESULTS One of the restorative methods, resin composites in combination with dentin bonding systems in beveled MOD preparations rendered the tooth a cusp fracture resistance which did not differ significantly from that of sound natural teeth. Two other restorative methods, bonded amalgam and a sandwich of glass ionomer cement/resin composite in beveled preparations were significantly weaker in resisting cusp fracture than sound natural teeth, but still significantly stronger than the unrestored tooth with a MOD preparation. It was statistically apparent that several adhesive restorative systems could satisfactorily be used to restore teeth after endodontic therapy.

UI MeSH Term Description Entries
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003723 Dental Amalgam An alloy used in restorative dentistry that contains mercury, silver, tin, copper, and possibly zinc. Amalgam, Dental,Amalgams, Dental,Dental Amalgams
D003793 Dental Restoration, Permanent A restoration designed to remain in service for not less than 20 to 30 years, usually made of gold casting, cohesive gold, or amalgam. (Jablonski, Dictionary of Dentistry, 1992) Dental Fillings, Permanent,Dental Filling, Permanent,Dental Permanent Filling,Dental Permanent Fillings,Dental Restorations, Permanent,Filling, Dental Permanent,Filling, Permanent Dental,Fillings, Dental Permanent,Fillings, Permanent Dental,Permanent Dental Filling,Permanent Dental Fillings,Permanent Dental Restoration,Permanent Dental Restorations,Permanent Filling, Dental,Permanent Fillings, Dental,Restoration, Permanent Dental,Restorations, Permanent Dental
D004198 Disease Susceptibility A constitution or condition of the body which makes the tissues react in special ways to certain extrinsic stimuli and thus tends to make the individual more than usually susceptible to certain diseases. Diathesis,Susceptibility, Disease,Diatheses,Disease Susceptibilities,Susceptibilities, Disease
D005899 Glass Ionomer Cements A polymer obtained by reacting polyacrylic acid with a special anion-leachable glass (alumino-silicate). The resulting cement is more durable and tougher than others in that the materials comprising the polymer backbone do not leach out. Glass Ionomer Cement,Glass Polyalkenoate Cement,Polyalkenoate Cement,Polyalkenoate Cements,Glass Polyalkenoate Cements,Glass-Ionomer Cement,Cement, Glass Ionomer,Cement, Glass Polyalkenoate,Cement, Glass-Ionomer,Cement, Polyalkenoate,Cements, Glass Ionomer,Cements, Glass Polyalkenoate,Cements, Glass-Ionomer,Cements, Polyalkenoate,Glass-Ionomer Cements,Ionomer Cement, Glass,Polyalkenoate Cement, Glass
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
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

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