The effect of the different restorations on fracture resistance of root-filled premolars

BMC Oral Health. 2018 Nov 29;18(1):196. doi: 10.1186/s12903-018-0663-7.

Abstract

Background: The study investigated the fracture resistance of root-filled maxillary premolars with class II cavities restored by different restorations.

Methods: A total of 55 intact maxillary premolar teeth were included (n = 11). G1 as positive control group, 44 teeth underwent root canal treatment, and MOD cavities were prepared. (G2) no restoration, (G3) direct composite restoration, (G4) direct composite strengthened with buccal to lingual pre-impregnated glass-fibers and (G5) ceramic inlay restoration. After thermocycling, fracture resistance test was performed and fracture type was recorded. Data were analyzed with one-way ANOVA and Chisquare test.

Results: The mean fracture resistance was as follows: G1 had the highest fracture resistance, G2 had the lowest (p < 0.05). There were no significant differences between the fracture resistance values of the groups that underwent different restorations (G3, G4, G5) (p > 0.05). According to fracture type, the groups showed similar results (p > 0.05). A significant level of unrestorable fracture was detected in G5 (ceramic inlay) (p < 0.05).

Conclusions: All of the restoration techniques investigated herein increased the fracture strength of teeth; however, all of these values were lower than the fracture resistance of intact teeth. There were no significant differences between the fracture resistance values of the groups that underwent different restorations.

Keywords: Endodontic treatment; Fracture resistance; Pre-impregnated glass-fibers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental
  • Analysis of Variance
  • Bicuspid
  • Ceramics
  • Composite Resins
  • Dental Caries / therapy*
  • Dental Cavity Preparation
  • Dental Materials*
  • Dental Restoration, Permanent*
  • Dental Stress Analysis
  • Glass
  • Humans
  • In Vitro Techniques
  • Tooth Fractures*
  • Tooth Root

Substances

  • Composite Resins
  • Dental Materials
  • fiberglass