1,720,991 research outputs found
Push-out bond strength of fiber posts cemented using new universal adhesives on etched and nonetched intraradicular dentin
Aim: The aim of this study was to assess if the curing mode and the etching mode could affect the push-out bond strength of different post cementation systems using two universal adhesives. Materials and methods: A total of 100 single-rooted teeth were divided into Prime & Bond Elect (PBE), Prime & Bond Active (PBA), and Prime & Bond XP (PBXP) as a control. The PBE, PBA, and PBXP were used in the self-etch (SE) and etch and rinse (E&R) mode. Post cementation was performed using Core X flow used in dark-cure and in light-cure. Data were analyzed using the one-way ANOVA test and post hoc Bonferroni and Dunnet tests. The Student's t test was performed to find significance between two independent groups. Results: Bond strength was significantly influenced by the adhesive strategies. The PBE and PBA obtained higher values when used in the SE mode (p < 0.001). Light-cured groups obtained significantly higher values (p < 0.001) compared to dark-cured groups. The post space region also had a significant effect on the bond strength; the apical third recorded lower values in all groups (p < 0.001). Conclusion: The PBA and PBE universal adhesives obtained higher PBS values when used in the SE mode and followed by the light-curing of resin cement. Clinical significance: Universal adhesives represent a good alternative to the conventional total-etch adhesive system for fiber post cementation. Since they perform better in SE, they would be recommendable in clinical practice, as they can be used with a simplified technique. © 2020 The Author(s)
Effect of fiber post and resin core restorations on fracture resistance and pattern of endodontically treated mandibular molars.
Adhesion between prefabricated fiber-reinforced posts and different composite resin cores: a microtensile bond strength evaluation
Purpose: The aim of this study was to evaluate the bond strengths between various resin composites used as core materials (Multicore Flow, Ivoclar-Vivadent; Tetric Flow, Ivoclar-Vivadent; Filtek Flow, 3M-ESPE; Tetric Ceram, Ivoclar-Vivadent; Filtek Z250, 3M-ESPE), and an FRC post (FRC Postec Plus, Ivoclar-Vivadent) by means of the microtensile nontrimming technique.
Materials and Methods: Five experimental groups were used. For the microtensile nontrimming technique, 45 to 50 beam-shaped specimens per group were obtained from cylinders of core material, which had been built up around the post by progressively adding small increments of composite resin. Each specimen was loaded in tension until failure at either one of the two post/core interfaces present in each stick. The differences in interfacial bond strength among the groups were tested for statistical significance with the one-way ANOVA test, followed by the Dunnett test for post-hoc comparisons.
Results: The measured bond strengths in MPa were 17.29 +/- 6.02 for FRC+MultiCore Flow, 16.37 +/- 6.92 for FRC+Tetric Flow, 13.14 +/- 5.35 for FRC + Filtek Flow, 12.38 +/- 4.34 for FRC + Tetric Ceram, and 10.75 +/- 5.43 for FRC + Filtek Z250. The statistical analysis revealed that MultiCore Flow achieved significantly higher bond strengths than Filtek Flow (p = 0.03), Tetric Ceram (p < 0.001), and Filtek Z250 (p < 0.001). The bond strength of Tetric Flow was significantly higher than that of Filtek Z250 (p = 0.003).
Conclusion: For core buildup on a fiber post, dual-cure composites appear to be preferable to light-curing composites
Quantitative and qualitative elemental analysis of different nickel-titanium rotary instruments by using scanning electron microscopy and energy dispersive spectroscopy
This study was designed to determine if the alloy composition shares an influence with the geometric design on the physical behavior of nickel-titanium rotary endodontic instruments. ProTaper, HERO, and K3 files were selected. After sterilized and cleaning with alcohol, surface analysis was performed using energy dispersive spectroscopy. Measurements were performed on the active part and on the shank. SEM images of fractured instruments were also obtained and assessed. All three types of instruments were composed mainly of Nickel (54.3%, SD +/- 0.8) and Titanium (45.2%, SD +/- 0.9). SEM images revealed similar aspect with the presence of Kirkendall voids regularly distributed in the alloy. The results indicate that the difference in properties and behavior of these three endodontic rotary shaping instruments is solely related to the respective geometric characteristics of the instrument design
Fracture resistance and failure patterns of endodontically treated mandibular molars with and without glass fiber post in combination with a zirconia-ceramic crown
OBJECTIVE:
The aim of this study was to investigate the influence of a fiber post on the fracture mechanics of zirconia crowns inserted over endodontically treated teeth with different extent of coronal damage.
METHODS:
Endodontically treated human molars with three types of coronal damage received fiber posts before cementation of zirconia-veneered crowns. Controls received composite resin cores without fiber posts. The specimens were loaded to failure and fractographically examined using a scanning electron microscope (SEM).
RESULTS:
Statistical analysis revealed that specimens with fiber posts demonstrated significantly higher failure loads and favorable fracture pattern compared to the controls. At fractographic analysis, specimens with fiber posts demonstrated delamination of the veneer ceramic from intact zirconia under structure. Meanwhile, the specimens that were restored without a fiber post demonstrated micro-cracking of the composite core build-up resulting in loss of the support under the zirconia crowns which was responsible for the initiation of radial crack and catastrophic damage.
CONCLUSIONS:
Within the limitation of this study, the insertion of fiber post improved the support under zirconia crowns which resulted in higher fracture loads and favorable failure type compared to composite core build-up
Effect of clinical use on the cyclic fatigue resistance of ProTaper nickel-titanium rotary instruments
The resistance of ProTaper (Dentsply Maillefer, Ballaigues, Switzerland) nickel-titanium rotary instruments to cyclic fatigue was examined after their initial use in straight or curved canals in vivo. These instruments were rotated freely inside a steel phantom until separation. The number of rotations before failure and the lengths of the separated fragments were compared with data derived from new instruments under the same experimental setup (n = 20). With the exception of F1 and F3, instruments previously used in curved canals were more susceptible to cyclic fatigue than those previously used in straight canals (p < 0.05). Separation occurred predominantly at the D10 to D12 level. For the F series, a negative correlation (p < 0.05) was observed between the number of rotations before failure and the file diameters at their separation levels. ProTaper F3 instruments are highly susceptible to cyclic fatigue failure and should be reused with caution irrespective of whether they are initially used for shaping straight or curved canals
Effectiveness of irrigation strategies on the removal of the smear layer from root canal dentin
The aim of this study was to evaluate the removal of the smear layer by some commonly used (needle-and-syringe irrigation, sonic activation, ultrasonically activated irrigation) and new root canal irrigation strategies (negative pressure irrigation and polymer rotary file) using a novel approach by comparing pre- and post-experimental images. Prepared root canals (n = 50) were subjected to a split tooth model and divided into 5 groups (n = 10): (1) needle-and-syringe irrigation (control); (2) sonic activation (SA); (3) negative pressure irrigation with continuous warm activated irrigation and evacuation (CWA); (4) polymer finishing file (FF); (5) ultrasonically activated irrigation (UAI). Smear layer scores and percentage of open dentinal tubules (%ODT) were evaluated by 2 examiners before and after irrigation procedures, from the middle and apical thirds of the root canal, on scanning electron microscopic images. Data were analysed using Kruskal–Wallis and post hoc tests at P = 0.05. Needle-and-syringe irrigation (control) showed no significant difference (both smear score and %ODT) compared to the pre-experimental value (P > 0.05). All other groups showed lower smear scores and higher %ODT, compared to the control (P < 0.05). The lowest smear score and highest %ODT were observed in the CWA group, which was significantly different from all other groups (P < 0.05). SA group showed significantly higher smear scores and lower %ODT than FF or UAI (P < 0.05). CWA showed superior removal of smear layer in the middle and apical thirds of the root canal compared to the other irrigation strategies
Effect of different onlay systems on fracture resistance and failure pattern of endodontically treated mandibular molars restored with and without glass fiber posts
PURPOSE:
To investigate the relationship between post and core build-up materials on the fracture resistance of endodontically treated teeth restored with different onlay restorations.
METHODS:
60 mandibular molars were endodontically treated and divided into three experimental groups that received one of the following onlay restorations: gold onlays, glass ceramic onlays (Empress I), or resin composite onlays (Gradia). Half of the specimens in each group received a fiber post (n=10). Two controls groups (n=10) were included: one group composed of sound mandibular molars, and the second group was composed of endodontically treated unrestored molars. Fracture tests were carried out by applying axial load using a universal loading machine until fracture. All fractured specimens were fractographically examined using a scanning electron microscope (SEM). Data were analyzed using two-way ANOVA and Tukey multiple comparison tests (alpha=0.05).
RESULTS:
Statistical analysis showed that restoration of endodontically treated teeth with gold onlays improved fracture resistance when compared to glass ceramic or resin composite onlays. The presence of a fiber post significantly improved (P<0.045) fracture resistance of gold onlays from 2271 to 2874N while it did not influence the performance of the other two groups. Fractographic analyses revealed that the presence of fiber post resulted in more restorable fractures due to better stress distribution of the applied load. All onlay systems resulted in significant improvement of the fracture resistance compared to unrestored teeth (711N) but neither of them resulted in restoring the fracture resistance to match that of sound teeth (3212 N)
Resistenza a fatica ciclica, frattografia e spettroscopia a dispersione di energia di un nuovo strumento endodontico in Nichel-Titanio
- …
