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Adhesive post-endodontic restorations with fiber posts: push-out tests and SEM observations
Luca Boschian Pest1, Giovanni Cavalli, Pio Bertani
1Department of Restorative Dentistry, University of Milan, Milan, Italy. luca.boschian@galactica.it
Summary
Composite resins demonstrate superior bond strength to root dentin and fiber posts compared to resin cements. This finding is crucial for reinforcing endodontically treated teeth and preventing fractures.
Area of Science:
- Dental Materials Science
- Biomaterials Engineering
- Restorative Dentistry
Background:
- Restoration of endodontically treated teeth often utilizes materials mimicking dentin's modulus of elasticity (18.6 GPa).
- Fiber posts, resin cements, and composite resins share this elastic property.
- Evaluating the interfacial integrity of these restorative systems is critical for clinical success.
Purpose of the Study:
- To assess the bond strength between luting materials, root dentin, and fiber posts.
- To investigate the interfacial integration of these components using scanning electron microscopy (SEM).
- To compare the performance of composite resins versus resin cements in this context.
Main Methods:
- Push-out tests were employed to evaluate bond strength at the luting agent-dentin and luting agent-post interfaces.
- Extracted, endodontically treated teeth and plastic plates served as substrates.
- Scanning electron microscopy (SEM) was utilized for microstructural analysis of component integration.
Main Results:
- Chemical affinity between luting materials and fiber posts significantly influences bond strength.
- In vitro bond strength tests indicated superior performance of composite resins over resin cements.
- SEM observations corroborated the enhanced integration associated with composite resin usage.
Conclusions:
- Composite resins exhibit better in vitro bond strength and integration with fiber posts and root dentin compared to resin cements.
- The chemical affinity between restorative components is a key determinant of bond strength.
- Clinical application of these materials may enhance tooth structure integrity, reducing fracture and debonding risks.