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Fracture resistance among post and core systems: An in vitro study.
Kamil Shahnawaz1, Swati Sagar1, Kartik Salarias2
1Department of Dentistry, Darbhanga Medical College & Hospital, Laheriasarai, Darbhanga, Bihar-846003, India.
Fiber posts offer superior fracture resistance and promote repairable root fractures in endodontically treated teeth compared to metal posts. This research supports fiber posts for better long-term tooth preservation.
Area of Science:
- Dental Materials Science
- Biomechanical Engineering
- Restorative Dentistry
Background:
- Endodontically treated teeth have compromised structural integrity, increasing fracture risk.
- Post-and-core systems are used to restore these teeth, but their impact on fracture resistance varies.
- Understanding failure modes is crucial for selecting optimal restorative materials.
Purpose of the Study:
- To compare the fracture resistance and failure patterns of cast metal, prefabricated metal, and fiber post-and-core systems.
- To evaluate the biomechanical performance of different post materials under standardized loading.
- To provide evidence for superior restorative options for endodontically treated teeth.
Main Methods:
- Thirty endodontically treated mandibular premolars were restored with either cast metal, prefabricated metal, or fiber posts.
- Restored teeth were subjected to oblique compressive loading at 135°C until failure.
- Fracture resistance (N) and failure patterns (favorable vs. unfavorable) were recorded and analyzed.
Main Results:
- Fiber posts demonstrated significantly higher fracture resistance (615 ± 50 N) compared to metal posts.
- Fiber post restorations predominantly resulted in favorable, repairable root fractures (80%).
- Metal posts exhibited lower fracture resistance and predominantly unfavorable, non-repairable root fractures (p < 0.001).
Conclusions:
- Fiber post-and-core systems provide superior biomechanical support and fracture resistance for endodontically treated teeth.
- Fiber posts promote favorable fracture patterns, enhancing the potential for tooth repair.
- This study provides controlled evidence supporting the use of fiber posts as a preferred restorative option to preserve root integrity.
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