scholarly journals Assessing Fracture Resistance of Restored Premolars with Novel Composite Materials: An In Vitro Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Zahraa Abdulaali Al-Ibraheemi ◽  
Huda Abbas Abdullah ◽  
Nada Abdlameer Jawad ◽  
Julfikar Haider

During restorative treatment, premolars restored with resin filling materials using the conventional incremental-fill technique take longer restoration time and undermine the integrity of the tooth. The aim of this study was to assess fracture resistance of premolars restored by various types of novel bulk-fill composite resin materials. Forty-eight (n = 48) freshly extracted sound maxillary first premolars were used in this in vitro study. The teeth were divided into six groups, each having 8 specimens. Group A (positive control) was allocated for the intact teeth. For specimens in Groups B to F, a large cavity (Class-II MOD) was prepared with a standardized dimension of cavity (3 mm depth on the pulpal floor, 4 mm at the gingival seat, and 3 mm cavity width). Group B represented prepared teeth without any restoration. Group C, Group D, Group E, and Group F were restored with Tetric EvoCeram® incremental-fill (conventional), Beautifil bulk-fill, Filtek posterior bulk-fill, and SonicFill 2 bulk-fill restorative materials, respectively. All samples were finished and polished with an enhanced finishing kit and stored in distilled water for a month before the fracture resistance testing. All the samples were exposed to the axial loading (the speed of crosshead was 1 mm/min) in a computer-controlled universal testing machine (LARYEE, China) via a steel bar (6 mm in diameter) and the maximum applied force in Newton was recorded as the fracture resistance. One-way analysis of variance (SPSS 21) was used to compare the fracture resistance within the groups, and Tukey’s post hoc test was used to determine the difference between the groups. The lowest value of fracture resistance was recorded for Group B, and the highest value was recorded for Group A followed by the values of Group D, Group C, Group F, and Group E. One-way ANOVA revealed a statistically significant difference between the groups ( P < 0.05 ). Nonsignificant difference was found between the premolars restored by bulk-fill and conventional composites. Among the bulk-fill restored specimens, Beautifil restorative demonstrated significantly higher fracture resistance in comparison with the other two bulk-fill restored specimen groups (SonicFill 2 and Filtek). Bulk-fill composite such as Beautifil could be an alternative option to conventional incremental-fill composite for premolar restoration.

2012 ◽  
Vol 624 ◽  
pp. 98-102
Author(s):  
Yao Kun Zhang ◽  
Long Quan Shao ◽  
Ruo Yu Liu ◽  
Lin Lin Wang ◽  
Jun Ai ◽  
...  

The aim of this invitro study was to evaluate the fracture resistance of endodontically treated canines restored with one-piece milled zirconia post and core in the varying ferrule modes. Fifty recently extracted human maxillary canines were endodontically treated and randomly divided into 5 groups of 10 specimens each. According to the defect degree of ferrule, intact ferrule was classified as group A and served as control, 2 mm ferrule height without buccal ferrule was classified as group B, 2 mm ferrule height without mesial and buccal ferrule was classified as group C, 2 mm ferrule height without mesial, buccal and lingual ferrule was classified as group D, no ferrule preparation was classified as group E. All of the teeth were restored with one-piece milled zirconia post and core, and zirconia crowns. The teeth were prepared to standardized specifications. The restored teeth were loaded to fracture at a 135° angle to their long axis, at a cross-head speed 0.5 mm/min, and the load (N) at failure was recorded. Statistical analysis was performed by SNK pairwise multiple comparisons (α=0.05). The mean fracture resistance of five groups as follows: 1019.30±139.01N for group A, 861.20±105.67N for group B, 833.70±100.56N for group C, 733.20±96.91N for group D, 698.00±99.90N for group E. The fracture resistance of restored teeth between group B and group C, group D and group E had no statistically significant difference(P>0.05). The fracture resistance of the rest pairwise group comparisons had statistically significant difference(P<0.05). Increasing the absence degree of ferrule, it was found that the fracture resistance decrease. The buccal and lingual ferrule were more important than mesial ferrule for enhanced fracture resistance. This in vitro study supports evidence that reserving the buccal and lingual ferrule is a key point to increase the fracture resistance of canines restored with one-piece milled zirconia post and core.


2017 ◽  
Vol 21 (1) ◽  
pp. 44-49
Author(s):  
Sasho Jovanovski ◽  
Julie Popovski ◽  
Alesh Dakskobler ◽  
Ljubo Marion ◽  
Peter Jevnikar

SummaryBackground: Prefabricated zirconia posts can contribute to increasing the fracture resistance of the endodontically treated teeth. Purpose. This in vitro study compared the fracture resistance of endodontically treated central maxillary incisors prepared with 2 mm ferrule length to the ones without ferrule.Material and methods: Twenty-four caries-free maxillary central incisors were divided into 2 groups of 12. In group A circumferential external dentin shoulders were prepared for 2 mm external dentin ferrule length. There was no ferrule preparation in Group B. Zirconia VALLPOST BO-S (Ø 1,6 mm), Ljubljana, Slovenia were used with retention forms in the coronary part. Core build-up was made of pressed ceramics (IPS e.max Press, Ivoclar, Liechtenstein). Crowns were manufactured from the same ceramic material (IPS e.max Press, Ivoclar). After root canal treatment and post space preparation, all posts were cemented with an adhesive resin cement (Multilink Automix, Ivoclar). The specimens were embedded in acrylic resin blocks (ProBase Polymer/Monomer, Ivoclar) and loaded at an angle of 45° to the long axis in an Instron Testing Machine 4301 (Instron Corp., USA) at a crosshead speed of 1 mm/min until fracture. Fracture patterns and loads were recorded. A significance level of p<0.05 was used for all comparisons. Two-way analysis of variance was used for statistical analysis. Failure patterns were analyzed with the optical microscope Stereo Discovery V.8 (Carl Zeiss, Germany) and compared using the chi-square nonparametric test.Results: The mean values (±SD) of fracture loads (N) for the Groups A and B were 664.63N (±49.14) and 519.36N (±71.65) recpectively. Significantly lower failure loads were recorded for the specimens in the group B. Failure patterns within the groups revealed non-catastrophic failure in 70% of the specimens for group A and 85% for group B.Conclusions: Within the limitations of this in vitro study, it can be concluded that zirconia VALLPOST BO-S (Ø 1,6 mm) with press-ceramic cores and crowns, can be used for restoration of endodontically treated teeth. The teeth prepared with 2 mm external dentin ferrule length were found to be more fracture resistant than teeth without ferrule.


2017 ◽  
Vol 05 (01) ◽  
pp. 039-046 ◽  
Author(s):  
Monica Sharma ◽  
Ajay Bansal ◽  
Sunny Panthi ◽  
Shefali Malik ◽  
Atulya Sharma

Abstract Purpose: The purpose of this in vitro study was to evaluate marginal fit of cobalt- chromium (Co-Cr) copings fabricated by direct metal laser sintering system (DMLS) and conventional lost-wax technique (LW). Materials and method: Forty tooth preparations were carried out over extracted mandibular molars. They were divided into two groups A and B of 20 each. For group A Co-Cr copings were fabricated by direct metal laser sintering (DMLS) and for group B by lost wax technique (LW). Glass –ionomer cement (GIC) was used to tack the copings over their preparations. Marginal fit was then evaluated directly under the stereomicroscope. Results: The mean marginal gap of group A was 27.9 ± 2.4 μm and group B was 40.4 ±6 μm. Statistical analysis using t - test showed highly significant difference (P>.05) between the marginal mean of the DMLS (group A) compared to LW (group B). Conclusion: The DMLS copings demonstrated superior marginal fit compared to that of conventional Co-Cr casted copings.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Basawaraj Biradar ◽  
Sudharani Biradar ◽  
Arvind MS

Objectives. The objective of this in vitro study was to investigate whether weight gain or loss in the three different composites occurs due to water absorption when they are stored in water.Methods. The composite restorative materials selected for this study included a microfine hybrid (Synergy) and two nanofilled composite restorative materials (Ceram X and Filtek Supreme Ultra). Twenty specimens of each material were fabricated of each composite material. Group A: Filtek Supreme Ultra, Group B: Synergy, Group C: Ceram X. Then all the specimens were stored in 10 ml Distilled water containing test tubes and placed in incubator at 37°C for six weeks. The weight changes of these specimens were measured daily for the first week and later once a week for next five weeks by using an electrical analytical balance.Results.The data was analyzed by one-way analysis of variance and Student'sttest. All groups showed maximum amount of water absorption in the first week than gradual decrease in the water absorption from the second to the sixth week, as compared to the first week and there is no statistically significant difference between the groups tested.Conclusion. All the composite restorative material absorbs some amount of water. The water absorption of the composite may decrease the physical and mechanical properties of the composites; hence it is necessary to consider the type of the material before starting the treatment.


2002 ◽  
Vol 26 (4) ◽  
pp. 371-375 ◽  
Author(s):  
Ana Beatriz Alonso Chevitarese ◽  
Orlando Chevitarese ◽  
Ivete Pomarico Ribeiro de Souza ◽  
Roberto Braga de Carvalho Vianna

The aim of this study was to evaluate the influence of prophylaxis on the sealants microleakage in 30 premolars divided into: Group A, Group B and Group C. The teeth were analyzed using the optical microscope (OM) and at scanning electron microscope (SEM). There was a statitical significant difference among the groups regarding the presence of microleakage, but not with the presence of tags.


2018 ◽  
Vol 8 (1) ◽  
pp. 33-36
Author(s):  
Shaista N Ansari ◽  
Dhananjay Rathod ◽  
G P Rathod ◽  
Gazal Bisht

Objective: To assess in vitro changes in the shade of clear elastomeric modules from different manufacturers influenced by exogeneous pigmentation contained in everyday dietary substances.Materials & Method: The specimen comprised of clear elastomeric modules (Group A: Libral, Group B: TP Orthodontics) which were immersed in dietary substances: ketchup, coffee, tea, pepsi & methylene blue. Their hue, saturation and intensity were figured after 72 hours by methods of Adobe photoshop CS3 to mirror the module recoloring seriousness.Result: Significant difference was found between two types of modules analyzed in this study. Ketchup and methylene blue demonstrated higher staining potential compared to other staining media. Besides, there was no significant difference in staining contrast between tea and Pepsi.Conclusion: Ketchup and methylene blue are strong staining media, ought to be avoided by the patients opting for aesthetic orthodontic appliances. Elastomeric modules manufactured by different companies have differing staining potential. 


2014 ◽  
Vol 633 ◽  
pp. 286-289
Author(s):  
Li Xian Zhang ◽  
Yu Xiao Liu ◽  
Ya Li Liu ◽  
Qiong Rong

Objective: To evaluate the fracture resistance of endodontically treated teeth reinforced with cast titanium posts and prefabricated glass-fiber posts with different diameters. Materials and Methods: 50 recently extracted human maxillary central incisors were endodontically treated and randomly divided into 5 groups of 10 specimens each: Group A: 1.35mm diameter of cast titanium post; Group B: 1.5mm diameter of cast titanium post; Group C: 1.375mm diameter of prefabricated fiber post; Group D: 1.5mm diameter of prefabricated fiber post; Group E: resin restoration. All specimens were subjected to fracture resistance testing in a universal testing machine, statistical analysis was performed and the fracture modes were analyzed. Results: The mean fracture resistance of five groups as follows: 404.22±73.92N for group A, 488.17±78.68N for group B, 280.32±45.23N for group C, 317.53±50.87N for group D, 222.76±38.67N for group E. The fracture resistance of restored teeth between group C and group D had no significant difference (P>0.05). The fracture resistance of the rest pairwise group comparisons had significant difference (P<0.05). Most of cast post samples fractured at the root middle or apical portion, while most of the fiber post samples fractured at the root cervical or post fracture, which could be retreated. Conclusion: Human maxillary central incisors restored with cast posts could bear higher fracture load and fiber post could protect the root from fracture preferably.


2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
İhsan Yikilgan ◽  
Nagihan Guven ◽  
Cemile Kedıcı Alp ◽  
Emre Tokar ◽  
Ozgur Topuz ◽  
...  

The purpose of this study was to evaluate the effects of different palatal applications on fracture strength of the fractured anterior tooth. Sixty caries-free human maxillary incisors were used. Endodontic treatments of the teeth were performed. Then, the teeth were divided randomly into five groups (n=12). Crowns of all teeth in groups A–D were cut with diamond discs at a fixed distance of 3 mm from the incisal margin in a plane normal to the buccal surface. In all groups, coronal fragments were reattached to the remaining teeth by bonding with hybrid composite resin. After then, the teeth were restored to the following; group A, bonding and palatal laminate; group B, bonding and creation of a vertical groove; group C, bonding and creation of two slot grooves; group D, bonding only; and group E, intact tooth. It was lesser in group B than in groups C and E (p=0.007andp=0.006, resp.) and lesser in group D than in groups A, C, and E (p=0.002,p<0.001, andp<0.001, resp.). Within the limitations of this in vitro study, it can be concluded that methods employing palatinal laminate and small grooves are clinically feasible for the reattachment of tooth fragments to incisors.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Jozef Mincik ◽  
Daniel Urban ◽  
Silvia Timkova ◽  
Renata Urban

The aim of this study is to compare the effect of various restorative materials on fracture resistance in maxillary premolars. Premolars (n=64) with no restorations or cracks were selected. MOD cavities were prepared considering the buccolingual width to be equal to half of the intercuspal distance. The specimens were randomly divided into 8 groups, 8 specimens each:group Aintact teeth,group Bunfilled cavity,group Ccomposite made by oblique layering technique,group Dcomposite with 2 mm cusp coverage,group Ebulk-filled posterior composite,group Fglass-ionomer,group Gamalgam, andgroup Hcomposite with proximal boxes. The specimens were subjected to an axial compression load with the mean values of fracture resistance in group A: 1289 N, group B: 181.75 N, group C: 445.38 N, group D: 645.88 N, group E: 355.13 N, group F: 352.00 N, group G: 191.38 N, and group H: 572.00 N. There was no significant difference between groups B and G, between C and D, E, and F, and between group D and H. All other measurements were statistically significant. We conclude that composite restoration with cusp coverage is the most ideal nonprosthetic solution for endodontically treated teeth. Cusp coverage increases the fracture resistance compared to the conventional cavity design.


2014 ◽  
Vol 08 (04) ◽  
pp. 445-449
Author(s):  
Bahman Seraj ◽  
Sara Ehsani ◽  
Shirin Taravati ◽  
Sara Ghadimi ◽  
Mostafa Fatemi ◽  
...  

ABSTRACT Objective: The aim of this study was to comparatively assess the fracture resistance of the cementum-extended and conventional composite fillings with or without intracanal composite posts in severely damaged deciduous incisors. Materials and Methods: This in vitro study was performed on 60 extracted deciduous maxillary incisors that were randomly divided into four groups: Group 1: Composite filling (CF); Group 2: Composite filling with composite posts (CF + CP); Group 3: Composite filling extended 0.5 mm to cementum (ceCF); Group 4: Composite filling extended 0.5 mm to cementum with composite posts (ceCF + CP). The fracture resistance was assessed by exerting a progressively increasing load with a cross-head speed of 0.5 mm/min in a Universal Testing Machine. Statistical Analysis: Data were analyzed by SPSS-18 using one-way analysis of variance at ⍱ < 0.05. Results: The mean fracture resistance (MFR) values of the experimental groups were 410.57 ± 139.44 N, 564.44 ± 92.63 N, 507.5 ± 76.37 N and 601.08 ± 96.04 N. A significant difference was found between the MFR of Groups 1 and 2, Groups 1 and 4 and Groups 3 and 4 (P < 0.05). Conclusion: A superior outcome was achieved by intracanal composite posts in both conventional and cementum-extended composite fillings.


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