Toman Muhittin, Toksavul Suna, Sarikanat Mehmet, Nergiz Ibrahim, Schmage Petra
Department of Prosthetic Dentistry, Faculty of Dentistry, Ege University, Bornova-Izmir, Turkey.
Eur J Prosthodont Restor Dent. 2010 Mar;18(1):23-30.
This in vitro study evaluated the effects of the different endodontic posts and surface conditioning on the fracture resistance and fracture modes of endodontically treated teeth. The experimental groups consisted of zirconia ceramic post with a glasss-ceramic core [A], zirconia ceramic post with a composite core [B], glass fiber composite post (FRC) with a composite core [C], and titanium post with a composite core [D]. All posts in these groups were cemented with self-adhesive resin cement (Rely X Unicem Aplicap) combination with tribochemical silica coating (TSC). Groups E, F, G and H comprised the same post-and-core materials as the first 4 groups but cemented with the same resin cement without TSC. Specimens were subjected to thermal cycling between 5 degrees C and 55 degrees C for a total of 5000 cycles with 30s per cycle. Static load was applied to the palatal surface of each specimen until they were fractured. Statistical analysis was conducted using analysis of variance (ANOVA) followed by post-hoc comparisons (Tukey). The fracture resistance was significantly affected by the post material (P < 0.001) and surface conditioning (P < 0.001; two-way ANOVA). The application of TSC to post surface decreased the fracture resistance of zirconia ceramic post with composite core (p=0.002; Tukey) and glass FRC post with composite core (p=0.029; Tukey). No catastrophic failure was observed for groups B, C, D, E, F and G. Under the testing conditions used, the titanium post/composite core that had been silicoated exhibited the highest fracture resistance.
这项体外研究评估了不同的根管桩及表面处理对根管治疗后牙齿的抗折性及折裂模式的影响。实验组包括带有玻璃陶瓷核的氧化锆陶瓷桩[A组]、带有复合树脂核的氧化锆陶瓷桩[B组]、带有复合树脂核的玻璃纤维复合桩[C组]和带有复合树脂核的钛桩[D组]。这些组中的所有桩均使用自粘树脂水门汀(Rely X Unicem Aplicap)结合摩擦化学硅涂层(TSC)进行粘结。E组、F组、G组和H组包含与前4组相同的桩核材料,但使用相同的树脂水门汀粘结且未使用TSC。将样本在5摄氏度至55摄氏度之间进行热循环,总共5000次循环,每次循环30秒。对每个样本的腭侧表面施加静态载荷直至其断裂。采用方差分析(ANOVA)进行统计分析,随后进行事后比较(Tukey检验)。抗折性受桩材料(P < 0.001)和表面处理(P < 0.001;双向方差分析)的显著影响。在桩表面应用TSC降低了带有复合树脂核的氧化锆陶瓷桩(p = 0.002;Tukey检验)和带有复合树脂核的玻璃纤维复合桩(p = 0.029;Tukey检验)的抗折性。B组、C组、D组、E组、F组和G组未观察到灾难性失败。在所用的测试条件下,经过硅烷化处理的钛桩/复合树脂核表现出最高的抗折性。