Mankar S, Kumar N S Mohan, Karunakaran J V, Kumar S Senthil
Department of Conservative and Endodontics, JKK Natrajah Dental College and Hospital, Komarapalayam, Tamil Nadu, India.
J Pharm Bioallied Sci. 2012 Aug;4(Suppl 2):S197-202. doi: 10.4103/0975-7406.100200.
Influence of luting agent, design of tooth preparation for cast posts on tooth resistance to fracture.
To evaluate fracture resistance of teeth restored with cast posts and cores with or without cervical ferrule and cemented with zinc phosphate, glass ionomer, or resin cement.
Sixty single-rooted maxillary first premolars of similar sizes were selected. Biomechanical preparation and post space preparation for cast post was done for all samples and then they were divided into two groups (n=30). Cervical ferrule preparation was done for Group A, and Group B was prepared without any cervical ferrule. Both groups were further divided into three subgroups (1, 2, and 3; n=10) Cast posts for subgroups 1, 2, and 3 were cemented with zinc phosphate, glass ionomer, and resin cement, respectively. A shearing load was applied to indented buccal cusp of specimens at an angle of 45° in universal testing machine at a cross-head speed of 1 mm/min until fracture.
Specimens with ferrule (Group A) had significantly higher shear bond strength values (mean 1503.37 N) than specimens without ferrule (Group B) (mean 1052.09 N).
Inclusion of ferrule in tooth preparations for posts increased the fracture resistance regardless of the luting agent.
粘结剂、铸造桩牙体预备设计对牙齿抗折性的影响。
评估使用或不使用颈缘箍带、并用磷酸锌水门汀、玻璃离子水门汀或树脂水门汀粘结的铸造桩核修复牙齿的抗折性。
选取60颗大小相似的上颌单根第一前磨牙。对所有样本进行生物力学预备和铸造桩的桩道预备,然后将它们分为两组(n = 30)。对A组进行颈缘箍带预备,B组不进行任何颈缘箍带预备。两组再进一步分为三个亚组(1、2和3;n = 10)。亚组1、2和3的铸造桩分别用磷酸锌水门汀、玻璃离子水门汀和树脂水门汀粘结。在万能试验机上,以1 mm/min的十字头速度,对样本的颊尖施加45°角的剪切载荷,直至骨折。
有箍带的样本(A组)的剪切粘结强度值(平均1503.37 N)显著高于无箍带的样本(B组)(平均1052.09 N)。
无论粘结剂如何,在桩修复的牙体预备中加入箍带均可提高抗折性。