Evaluation of the fracture resistance of root filled thin walled teeth restored with different post systems

Abstract

Background: Restoration of the teeth with extensive root canals with different post systems is a challenge for clinicians. Evaluation of these systems is important for clinical success. The aim of this study was to compare the fracture resistance and fracture mode of endodontically treated thin-walled teeth which restored with different post systems. Methods: Eighty extracted and endodontically treated maxillary canines were divided into 4 groups (n = 20) and the thickness of the radicular dentin walls was reduced by using diamond burs. Each root was embedded in an autopolymerizing resin with a 0.25 mm layer of vinyl polysiloxane material to simulate the periodontal ligament. The subgroups were restored with one of the following post systems: only composite resin (Group 1), cast post (Group 2), glass-fiber post (Group 3), and I-TFC post (Group 4). The samples were subjected to a gradually increasing force (0,5 mm/min). The force required to fracture was recorded, and the data were analyzed with ANOVA, Tukey test's and Chi–Square test (p < 0.05). Results: The highest fracture resistance was recorded for Group 2, followed by the Group 3, Group 4, and Group 1. Differences in the fracture resistance of teeth were significant among the groups (p < 0.05). The fracture resistance of Group 4 was significantly different than the other tested post systems (p < 0.05). Conclusions: The lowest fracture resistance was recorded for Group 1, but among all post systems, Group 4 had the lowest fracture resistance. The fracture mode of the fiber posts (Radix and I-TFC posts) would permit repair of the tooth. Keywords: Fracture resistance, Post-core systems, Thin-walled teeth