Mattison G D
J Prosthet Dent. 1982 Oct;48(4):407-11. doi: 10.1016/0022-3913(82)90075-0.
Two-dimensional photoelasticity was used to compare stresses generated upon loading of cast gold endodontic posts of two different diameters. Ten models were used, five for each diameter size tested. The models were constructed to simulate maxillary central incisors. Drill bits were used to prepare the root canal, and after root canal preparation was completed the post preparations were constructed using the Parapost system. The gold posts, made of type III gold, were cast using the Beauty Cast technique. A composite core was then placed on each of the posts to be tested. These models were positioned in a circular polariscope and vertical loads of 30 and 60 pounds were applied to each of the models, with the fringe patterns photographed immediately after each load was applied. The stresses were evaluated by determining the maximum fringe order in the simulated root and periodontium of the model. The results of this study suggest that (1) the diameter of a post with a core affects the magnitude of stress, (2) stress generally increases as post diameter increases, and (3) stress increases as the vertical load increases. It seems advisable to restrict the diameter of the post used in providing support for restorations, particularly when large occlusal for forces are exerted by the patient. The use of smaller diameter posts reduces the stresses exerted upon the dentin of the tooth and the tooth supporting structures, limits the amount of tooth material removed during preparation and, possibly, aids operative procedures by limiting the amount of tooth preparation.
采用二维光弹性法比较两种不同直径的铸造金根管桩加载时产生的应力。使用了10个模型,每种测试直径各5个。这些模型被构建为模拟上颌中切牙。使用钻头预备根管,根管预备完成后,使用Parapost系统构建桩预备体。由Ⅲ型金制成的金桩采用美容铸造技术铸造。然后在每个待测桩上放置复合核。将这些模型放置在圆偏振光镜中,对每个模型施加30磅和60磅的垂直载荷,每次加载后立即拍摄条纹图案。通过确定模型模拟牙根和牙周膜中的最大条纹级数来评估应力。本研究结果表明:(1)带核桩的直径影响应力大小;(2)应力通常随桩直径的增加而增加;(3)应力随垂直载荷的增加而增加。在为修复体提供支持时,限制所使用桩的直径似乎是可取的,尤其是当患者施加较大的咬合力量时。使用较小直径的桩可减少施加在牙齿牙本质和牙齿支持结构上的应力,限制预备过程中去除的牙齿材料量,并且可能通过限制牙齿预备量辅助手术操作。