Dutta Aparajita, Nadig Roopa R, Gowda Yashwanth
Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India.
J Conserv Dent. 2020 May-Jun;23(3):233-239. doi: 10.4103/JCD.JCD_366_20. Epub 2020 Dec 4.
This study was aimed to evaluate the fracture resistance of proclined endodontically treated teeth with different post and core systems.
Experimental study.
Eighty extracted maxillary central incisors were selected and decoronated keeping 2 mm of crown ferrule and were endodontically treated. Postspace was prepared retaining 5 mm apical gp using peeso 3. Samples were divided into two groups. In Group 1, Wax pattern fabricated to accommodate different core angulations to be casted with Ni-Cr alloy. In Group 2, ever stick posts were angulated and cemented followed by porcelain fused to metal crown cementation for both the groups. Samples were thermocycled and subjected to the universal testing machine.
One-way ANOVA and Tukey's test were used to compare the mean fracture resistance between different angulations in cast post and ever stick posts. Student's paired -test was used to compare the mean fracture resistance between cast post and everstick posts for each angulations. value was set at < 0.05.
The fracture resistance was the highest at 20° and lowest at 30° core angulations in both the groups.
Changing core angulation up to 20° can be carried out safely using any of the post systems tested in the study. Core angulations >20°, should be used with caution, especially in patients with abnormal parafunctional habits and occlusal trauma.
本研究旨在评估不同桩核系统对前倾根管治疗牙的抗折性能。
实验研究。
选取80颗拔除的上颌中切牙,去除冠部,保留2mm的冠套,进行根管治疗。使用Peeso 3号钻制备桩道,根尖保留5mm牙胶尖。样本分为两组。第1组,制作蜡型以适应不同的核角度,用镍铬合金铸造。第2组,将ever stick桩成角并粘结,然后两组均进行金属烤瓷冠粘结。样本进行热循环处理后,置于万能试验机上测试。
采用单因素方差分析和Tukey检验比较铸造桩和ever stick桩不同角度之间的平均抗折性能。采用学生配对检验比较各角度铸造桩和ever stick桩之间的平均抗折性能。设定P值<0.05。
两组中,核角度为20°时抗折性能最高,30°时最低。
使用本研究中测试的任何一种桩系统,核角度改变至20°时可安全进行。核角度>20°时应谨慎使用,尤其是对于有异常副功能习惯和咬合创伤的患者。