Padmanabhan Prabeesh
Department of Conservative Dentistry, M. R. Ambedkar Dental College, Bangalore, India.
J Conserv Dent. 2010 Jul;13(3):124-8. doi: 10.4103/0972-0707.71642.
To compare the fracture resistance and primary mode of failure of three different pre- fabricated posts like stainless steel, carbon fiber and ceramic posts in endodontically treated crowned permanent maxillary central incisors.
Root canal treatment was performed on all 30 maxillary central incisors. Post space was prepared and samples were divided into three groups of 10 each. The teeth were inserted with pre-fabricated stainless steel, carbon fiber and ceramic post and cemented using adhesive resins, core fabricated and crowns placed. Mode of failure was carried out by immersing the teeth in black ink for 12 h and then sectioning them mesio-distally. Fracture above the embedded resin was considered favorable and fracture below the resin level was considered unfavorable.
Fracture strength was measured using a universal testing machine. Data were evaluated statistically using the Kruskal Wallis test and the Mann Whitney "U"-test. Mode of failure was evaluated statistically using the chi-square test.
There was a statistically significant difference showing that the stainless steel post had a better fracture resistance when compared with the other two posts and the carbon fiber showed a statistically more favorable fracture when compared with the other two posts.
Within the limitations of this study, it can be concluded that the pre-fabricated stainless steel post exhibited a significantly higher fracture resistance at failure when compared with the carbon fiber post and the ceramic post. The mode of failure of the carbon fiber post was more favorable to the remaining tooth structure when compared with the pre-fabricated stainless steel post and the ceramic post.
比较三种不同的预成桩,即不锈钢桩、碳纤维桩和陶瓷桩,在根管治疗后的上颌恒中切牙桩冠修复中的抗折性能和主要失效模式。
对30颗上颌中切牙进行根管治疗。制备桩道,样本分为三组,每组10颗牙。分别插入预成的不锈钢桩、碳纤维桩和陶瓷桩,并用粘结树脂粘结,制作桩核并安装全冠。通过将牙齿浸泡在黑色墨水中12小时,然后沿近远中方向切片来观察失效模式。桩体在粘结树脂上方折断被认为是有利的,而在树脂水平以下折断则被认为是不利的。
使用万能试验机测量抗折强度。数据采用Kruskal Wallis检验和Mann Whitney “U”检验进行统计学评估。失效模式采用卡方检验进行统计学评估。
统计学上有显著差异,表明不锈钢桩与其他两种桩相比具有更好的抗折性能,并且碳纤维桩与其他两种桩相比在折断方面在统计学上更有利。
在本研究的局限性内,可以得出结论,与碳纤维桩和陶瓷桩相比,预成不锈钢桩在失效时表现出显著更高的抗折性能。与预成不锈钢桩和陶瓷桩相比,碳纤维桩的失效模式对剩余牙体结构更有利。