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Biomechanical behavior of teeth without remaining coronal structure restored with different post designs and
Angélica Maroli1, Kaue Andreas Lotice Hoelcher1, Vagner Flavio Reginato2
1School of Dentistry, Meridional Faculty - IMED, Passo Fundo, RS, Brazil.
Summary
Restoring teeth without crowns using various posts shows that all post types improve survival under stress. However, cast post and core (CPC) and conical glass-fiber posts (C-FP) offer higher fracture strength but risk irreparable fractures.
Area of Science:
- Dental materials science
- Biomaterials engineering
- Restorative dentistry
Background:
- Teeth lacking coronal structure require post and core restorations for support.
- Evaluating the biomechanical performance of different post materials is crucial for clinical success.
- Understanding stress distribution is key to preventing catastrophic tooth failure.
Purpose of the Study:
- To assess the biomechanical behavior of endodontically treated teeth restored with different post systems.
- To compare the survival rate, fracture strength, and failure patterns of various post materials and configurations.
- To analyze stress distribution within the restored tooth structure using finite element analysis.
Main Methods:
- Fifty bovine teeth were restored with cast post and core (CPC), prefabricated metallic post (PFM), parallel glass-fiber post (P-FP), conical glass-fiber post (C-FP), or composite core (CC).
- Teeth underwent thermomechanical challenging (TC) to evaluate survival rate.
- Fracture strength (FS) and failure pattern (FP) were assessed.
- Finite element models were created to analyze stress distribution under a 100N load.
Main Results:
- All post-restored teeth survived TC, whereas the no-post composite core (CC) group experienced 30% failures.
- Cast post and core (CPC) and conical glass-fiber post (C-FP) exhibited the highest fracture strength.
- Prefabricated metallic post (PFM) and CPC groups showed a higher incidence of irreparable fractures (70% and 60%, respectively).
- Finite element analysis indicated maximum stress concentration in the canal for metallic posts and at the crown contact point for glass-fiber posts and CC.
- CPC restorations resulted in higher cervical dentin stress (modified von Mises), but within safe limits.
Conclusions:
- Post restorations significantly enhance tooth survival compared to no post.
- While CPC and C-FP offer superior fracture strength, careful consideration of potential irreparable fractures is necessary.
- Glass-fiber posts and composite cores may distribute stress more favorably at the coronal level.
- CPC restorations demonstrate good stress distribution at the dentin interface, though with increased cervical stress.
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