Beltrão Maria Cecilia Gomes, Spohr Ana Maria, Oshima Hugo Mitsuo Silva, Mota Eduardo Gonçalves, Burnett Luiz Henrique
Department of Restorative Dentistry, Pontificia Universidade Católica do Rio Grande do Sul, Av. Ipiranga 6681, prédio 6, Faculdade de Odontologia, 90619-900-Porto Alegre, Rio Grande do Sul, Brazil.
Am J Dent. 2009 Feb;22(1):9-13.
To assess the effect of a horizontally transfixed fiber glass post placed between buccal and palatal surfaces, on the fracture strength of endodontically treated molar teeth with MOD cavities, either restored with resin-based composite, or not.
75 sound maxillary human third molars were extracted, embedded in acrylic resin blocks and randomly assigned to five groups (n=15). Group A (sound teeth), (control) and Groups B, C, D and E, which were subjected to the following procedures after endodontic treatment: GB--(MOD+Endo), GC--(MOD+Endo+Post), GD--MOD and composite restoration (MOD+Endo+CR), GE--(MOD+Endo+Post+CR). The specimens were stored in distilled water at 37 degrees C for 24 hours. Later, a compressive force was applied by means of a universal testing machine at 1 mm/minute speed, parallel to the long axis of the teeth until fracture occurred.
The means of the results (N) followed by the same letter represent no statistical difference by ANOVA and Tukey (P<0.05): GA = 4289.8 (+/- 1128.9)a, GB = 549.6 (+/- 120.7)b, GC = 1474.8 (+/- 338.1)c, GD = 1224.7 (+/- 236.0)c, GE = 2645.4 (+/- 675.1)d. In the analysis of qualitative variables, there was a tendency to cusp fracture in all groups except for Group C. The fiber glass post transfixed horizontally in a MOD cavity significantly increased the fracture resistance of the teeth restored with resin composite.
评估置于颊面与腭面之间的水平贯穿玻璃纤维桩,对患有MOD洞型的根管治疗后磨牙,无论是否用树脂基复合材料修复,其抗折强度的影响。
拔除75颗健康的上颌人类第三磨牙,嵌入丙烯酸树脂块中,并随机分为五组(n = 15)。A组(健康牙齿)为对照组,B、C、D和E组在根管治疗后进行以下操作:GB组--(MOD + 根管治疗),GC组--(MOD + 根管治疗 + 桩),GD组--MOD洞型并用复合材料修复(MOD + 根管治疗 + 复合树脂修复),GE组--(MOD + 根管治疗 + 桩 + 复合树脂修复)。将标本在37℃蒸馏水中保存24小时。之后,通过万能试验机以1毫米/分钟的速度,平行于牙齿长轴施加压缩力,直至发生骨折。
结果均值(N)后接相同字母表示经方差分析和Tukey检验无统计学差异(P < 0.05):GA = 4289.8(±1128.9)a,GB = 549.6(±120.7)b,GC = 1474.8(±338.1)c,GD = 1224.7(±236.0)c,GE = 2645.4(±675.1)d。在定性变量分析中,除C组外,所有组均有牙尖折断的倾向。水平贯穿于MOD洞型的玻璃纤维桩显著提高了用树脂复合材料修复的牙齿的抗折性。