Marchi G M, Mitsui F H O, Cavalcanti A N
Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas Piracicaba, SP, Brazil.
Int Endod J. 2008 Nov;41(11):969-76. doi: 10.1111/j.1365-2591.2008.01459.x.
To evaluate the influence of remaining dentine thickness around post and core systems and the thermo-mechanical stresses on fracture resistance of bovine roots.
This study involved 288 bovine incisor roots with standardized dimensions. Roots were randomly distributed into 24 groups (n = 12) according to root conditions [intact, semi-weakened, or weakened] and post and core systems [custom cast core, composite resin core, prefabricated metallic post, or prefabricated carbon fibre post], submitted or not to thermomechanical aging [5000 thermal cycles and 100 000 mechanical cycles at a 135-degree angle to the long axis of the root]. Specimens were submitted to a tangential compressive load (135 degrees angle) at a crosshead speed of 0.5 mm min(-1) until failure. Fracture resistance data were analyzed using 3-way anova and Tukey test: alpha = 5%.
Roots restored with composite resin cores demonstrated no resistance to mechanical aging. No statistically significant difference was observed between aged and nonaged specimens involving all post-systems. Roots restored with custom cast cores had the highest fracture strength, followed by prefabricated metallic posts and carbon fibre posts, regardless of root conditions and thermomechanical aging. The remaining dentine thickness affected significantly roots restored with custom cast cores; weakened roots had a lower fracture resistance.
Although custom cast cores had a higher fracture resistance when compared to the other techniques, the results were highly dependent on remaining dentine thickness. Prefabricated posts performed in a similar manner in intact, semi-weakened and weakened roots reinforced with composite resin.
评估桩核系统周围剩余牙本质厚度及热机械应力对牛牙根抗折性的影响。
本研究纳入288颗具有标准化尺寸的牛切牙根。根据牙根状况[完整、半削弱或削弱]和桩核系统[定制铸造桩核、复合树脂桩核、预成金属桩或预成碳纤维桩]将牙根随机分为24组(每组n = 12),并对其进行或不进行热机械老化处理[5000次热循环和10万次与牙根长轴呈135度角的机械循环]。以0.5 mm/min(-1)的十字头速度对样本施加切向压缩载荷(135度角)直至破坏。使用三因素方差分析和Tukey检验分析抗折性数据:α = 5%。
复合树脂桩核修复的牙根对机械老化无抵抗力。在所有桩系统中,老化样本和未老化样本之间未观察到统计学上的显著差异。无论牙根状况和热机械老化如何,定制铸造桩核修复的牙根具有最高的抗折强度,其次是预成金属桩和碳纤维桩。剩余牙本质厚度对定制铸造桩核修复的牙根有显著影响;削弱的牙根抗折性较低。
尽管与其他技术相比,定制铸造桩核具有更高的抗折性,但其结果高度依赖于剩余牙本质厚度。在完整、半削弱和用复合树脂增强的削弱牙根中,预成桩的表现相似。