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VOLUME 20 , ISSUE 9 ( September, 2019 ) > List of Articles

ORIGINAL RESEARCH

Influence of Adaptation and Adhesion on the Retention of Computer-aided Design/Computer-aided Manufacturing Glass Fiber Posts to Root Canal

Khaled Azzam

Keywords : Adhesion, Computer-aided design/computer-aided manufacturing fiber post, Friction, Pushout strength, Self-adhesive cement

Citation Information : Azzam K. Influence of Adaptation and Adhesion on the Retention of Computer-aided Design/Computer-aided Manufacturing Glass Fiber Posts to Root Canal. J Contemp Dent Pract 2019; 20 (9):1003-1008.

DOI: 10.5005/jp-journals-10024-2654

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: The study aimed to assess the effect of friction and adhesion on the pushout bond strength of CAD/CAM fiber-reinforced composite (FRC) post and cores in comparison to prefabricated fiber posts. Materials and methods: Thirty extracted single-rooted premolars were divided into three groups (N = 10): CP: CAD/CAM FRC posts (Trilor, Bioloren) cemented with self-adhesive resin cement (Rely X U200, 3M) as control group. CPL: CAD/CAM FRC composite posts cemented with the same self-adhesive resin cement after lubricating the root canal with petroleum jelly (Vaseline, Unilever) to prevent adhesion. RXP: prefabricated posts cemented with self-adhesive resin cement. Specimens were subjected to thermal cycling and then to pushout tests. The mode of failure was observed using a stereomicroscope. Results were analyzed by two-way ANOVA followed by a Tukey's post hoc test for comparison, p = 0.05. Results: Push-out bond strength was significantly lower in the RXP group (8.54 ± 3.35 MPa) in comparison to CP (12.10 ± 1.38 MPa), while no significant differences were concluded between the other groups. Failure was mostly adhesive for CPL and RXP and adhesive and mixed for CP. Conclusion: Custom made CAD/CAM posts have a positive effect on the retention of FRC posts to root canal walls while adhesion between self-adhesive cement and root dentin did not influence significantly the pushout bond strength of CAD/CAM posts to root canal. Clinical significance: The friction of well-adapted CAD/CAM fiber post and cores plays a predominant role in the success of post restorations of endodontically treated teeth.


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