![]() | Only 14 pages are availabe for public view |
Abstract Endodontically treated teeth are known to present a higher risk of biomechanical failure than vital teeth owing to loss of tooth structure, decrease moisture content and subsequent brittleness. Therefore, researchers and clinicians recommended use of post and core system to reconstruct badly mutilated teeth. This study was designed to evaluate the effect of intraradicular restorative techniques on the strain and fracture resistance of flared endodontically treated teeth. A total of Thirty-five freshly extracted mandibular premolars, free of cracks, fracture or caries and with approximate dimensional similarity were used in this study. Teeth were endodontically treated and obturated with gutta-percha and eugenol free sealer. Then, teeth were decoronated horizontally 2mm above the apical point of the proximal cement-enamel junction. All samples were milled into standardized preparation dimensions. Finally, root canal spaces for all teeth were performed with standardized degree of flare using high & low speed diamond burs. Teeth were divided into five groups each of seven samples according to the type of intraradicular restoration as follows: Group I. (control group) teeth where their roots were restored with glass fiber posts with no over flaring. Group (II - IV) roots were over flared using high and low speed diamond burs Group II root restored with glass fiber posts, relined with composite resin using direct technique. Group III roots restored with glass fiber posts associated with accessory posts using direct technique. Group IV roots restored with glass fiber posts, relined with composite resin using indirect technique. Group V. roots restored with glass fiber posts associated with resin and accessory posts using indirect technique. Core build up was done using composite resin, and all specimens were prepared to receive full veneer metal crowns. Root dentin strain was measured with strain gauges where strain values were obtained on root buccal surface. Following that, samples were subjected to fracture resistance test using the universal testing machine. The results showed that no significant difference in strain measurement were found between the groups, while the fracture resistance test showed that teeth restored with accessory glass fiber posts had the highest mean value followed by control group whilst the fiber post relined with composite resin had the lowest value. Within the limitations of this study the following conclusions could be drawn; 1. Neither the type of intraradicular restoration nor the technique whether direct or indirect had an effect on strain at 150N. 2. Glass fiber post relined with composite resin using direct technique decreased strain at fracture load. 3. Using glass fiber post with accessory posts had effectively improved the fracture resistance of endodontically treated teeth with flared canals. |