Department of Conservative Dentistry Endodontics, SRM Dental College, SRMIST, Chennai, India.
Eur Endod J. 2022 Jun;7(2):161-166. doi: 10.14744/eej.2021.07830.
This in vitro study aimed to evaluate the fracture resistance of endodontically treated premolar teeth restored with flowable short fibre-reinforced resin composite (FSFRRC) at varying depths within the root canals.
Fifty freshly extracted human single-rooted premolars were divided into 5 Groups (n=10), Group I (IN) intact teeth, Group II (P) restored coronally with resin composite only, Group III, IV and V (FSFRRC2, FSFRRC4, FSFRRC6) based on post space preparation to the respective depths of 2, 4 and 6 mm. Root canal treatment was performed for all the samples of Group II, III, IV, V and the teeth were decoronated 2 mm above cementoenamel junction. Following decoronation, post space preparation was done to the depths of 2, 4, and 6 mm (Group III, IV, V). Teeth were restored with FSFRRC (Groups III-V) intra-radicularly and coronally sealed using resin composite. All the teeth were subjected to fracture strength test using Universal testing machine, and mode of failure was analysed. Kruskal-Wallis test followed by Dunn Post-hoc test was conducted for statistical analysis. Statistical significance was set at P<0.05.
All FSFRRC groups showed higher fracture resistance than teeth restored only with resin composite. FSFRRC4 and FSFRRC6 showed significantly (P<0.05) higher fracture resistance than intact teeth and other experimental groups.
Intra-radicular placement of FSFRRC increased the fractured resistance significantly and may serve as a promising alternative to conventional post systems to rehabilitate endodontically treated teeth.
本体外研究旨在评估不同根管内深度用流动型短纤维增强树脂复合材料(FSFRRC)修复的牙髓治疗前磨牙的抗折裂性能。
将 50 颗新鲜拔出的人单根前磨牙分为 5 组(n=10),分别为:完整牙组(I 组,IN)、仅用树脂复合材料冠方修复组(II 组,P)、基于不同深度的后牙根管预备的 FSFRRC2 组、FSFRRC4 组、FSFRRC6 组(III 组、IV 组、V 组)。所有 II 组、III 组、IV 组、V 组的样本均进行根管治疗,牙冠在牙釉牙骨质界上方 2mm 处截断。截断后,对 II 组、III 组、IV 组、V 组的牙齿进行深度为 2mm、4mm 和 6mm 的后牙根管预备。III 组、IV 组、V 组的牙齿用 FSFRRC 进行根管内和冠方修复。所有牙齿均使用万能试验机进行抗折强度测试,并分析失效模式。采用 Kruskal-Wallis 检验和 Dunn 事后检验进行统计学分析。P<0.05 为有统计学意义。
所有 FSFRRC 组的抗折裂性能均高于仅用树脂复合材料修复的牙齿。FSFRRC4 组和 FSFRRC6 组的抗折裂性能明显高于完整牙组和其他实验组(P<0.05)。
FSFRRC 根管内放置可显著提高抗折裂性能,可能是一种有前途的替代传统桩系统修复牙髓治疗后牙齿的方法。