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The Effect of Remaining Coronal Tissue Height on the Fracture Strength of Over-Flared Endodontically Treated Central
Mahsa Farshbaf-Antik1, Mahdi Abed-Kahnamouei1, Parnian Alizadeh-Oskoee1,2
1Department of Operative Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Objectives:
This study aimed to examine the effect of remaining coronal tissue height on the fracture strength of over-flared endodontically treated central incisors restored with multiple prefabricated fiberglass posts using the multipost approach.
Materials And Methods:
A total of 40 human central maxillary incisors were examined in this study. The samples were assigned to five groups (n = 8) based on the height of the remaining coronal tissue: with no remaining coronal tissue, 1-mm coronal tissue height (CTH1), 2-mm coronal tissue height, 3-mm coronal tissue height (CTH3), and one intact tooth (IT) group. Following endodontic treatment of an over-flared canal, the postspace depth was 10 mm, and the residual dentin thickness was 1 mm. Two prefabricated fiberglass posts were cemented into the root canal, adopting a multipost approach. The static load was applied at 0.5 mm/min and 135° concerning the tooth's longitudinal axis until a fracture occurred. One-way analysis of variance and the post hoc Tukey's test were performed to analyze the data at a significance level of p < 0.05.
Results:
The maximum fracture strength was recorded for IT (control group), while the minimum fracture strength was found for teeth with a coronal tissue height of 1 mm. The differences between IT group and other groups (p < 0.05), as well as the differences between the group with CTH3 and groups without coronal tissue and CTH1, were significant.
Conclusion:
In sum, an increase in the height of the remaining coronal tissue (≥3 mm) significantly increased the fracture strength of over-flared endodontically treated central incisors after restoration with prefabricated fiberglass posts by adopting a multipost approach.
