assessment of retention and resistance failure loads of complete coverage restorations made for anterior maxillary teeth restored with two different cast post and core designs.

BACKGROUND

The purpose of this study was to evaluate the retention and resistance form of complete coverage restorations supported by two different cast post and core designs.

MATERIAL AND METHODS

Forty extracted maxillary central incisors were randomly divided into four groups of 10 specimens each (namely A, B, C and D). All specimens were endodontically treated and a uniform post space of 9mm was created. All prepared teeth had a 360o chamfer ferrule of 2mm in axial height measured 0.5mm coronally from the cementoenamel junction (CEJ) and an axial wall thickness of 1.5 mm. Specimens in groups A and C received cast post and cores with the standardized core design, where the core ended at the coronal part of the ferrule, while specimens in groups B and D received cores that were encircling the ferrule. Cemented complete coverage restorations in groups A and B underwent tensile load stress, while the restorations in groups C and D underwent compressive load stress until failure.

RESULTS

Teeth in group A exhibited a mean failure load of 326.14±83.67 N under tension, while teeth in group B exhibited a mean failure load of 332.79±80.38 N (=0.858). Teeth in group C recorded a mean failure load of 1042.81±205.07 N, and in group D a mean failure load of 875.15±167.64 N (=0.061) under compression was registered.

CONCLUSIONS

The standard cast post and core design with a 2 mm of ferrule height offers superior resistance, although not statistically significant (=0.061), when compared to the core design encircling the axial wall ferrule. Both cast post and core designs offer equal retention. However, different failure modes of decementation were noted. Endodontically treated teeth, Post-and-core technique, Endodontic-post, Decementation, Root fracture, Ferrule effect.