Post and Core for Telescopic Crown-Retained Dentures-An In Vitro Comparison of Different Materials Using Chewing...

Objectives: Due to extra-axial forces, post and core (PC) treatment has the worst survival probability in abutment teeth for telescopic crown-retained dentures (TCDs). The reason for this is a mismatch regarding the mechanical properties between PC material and dentin or a poor accuracy of fit of PC, resulting in tooth fracture or decementation. However, the inclusion of severely damaged endodontically treated teeth needing PC is often mandatory in order to achieve a stable situation for TCD. Thus, an advancement of PC treatment for TCD is of high clinical interest. Recently it has become possible to fabricate customized PC with favourable mechanical properties by using CAD/CAM technology. Methods: Thus, the aim of this investigation was to compare the performance of these PC types (CAD/CAM PC) to customized cast PC (CPC) and prefabricated fibre-reinforced PC (PFPC) in a TCD set-up using a chewing simulator. Results: The investigation group with CAD/CAM PC showed neither tooth fracture nor decementation, in contrast to the CPC and PFPC groups, in which both types of failure were recorded. Thus, CAD/CAM PC showed significantly better performance than CPC and PFPC. Conclusions: Within the limitations, CAD/CAM PCs are therefore recommendable for PC treatment with TCD.