Measuring the hardness via nanoindentation of a fiber-reinforced dental composite in the root canal
Pilot study
Abstract
Introduction: Using short fiber-reinforced composite (SFRC) materials, individualized root posts can be fabricated to reinforce
root canal treated teeth (Bioblock technique). The question regarding this technique is the efficiency of SFRC polymerization
in different depths of the root canals. Additionally, whether the polymerization of SFRC could be improved
with light transmission methods remains a question to be answered.
Materials and methods: 20 plastic teeth (4 groups, n = 5/group) simulating root canal treatments were used for this
research, which). All teeth were restored with SFRC material, starting from 6 mm deep in the root canal till the orifice.
In group 1 and 3, the root canal was filled with SFRC material in layers, while in groups 2 and 4, it was filled in a bulkfill
manner. In group 1 and 3, the SFRC material was light cured through a fiberglass post, whereas in group 2 and 4,
a modified light source was utilized. After embedding and sectioning the samples hardness of the SFRC material at
2 mm intervals in the root canal were measured (1st, 2nd and 3rd layer, from apical to coronal direction).
Results: For the 1st layer, light curing through the fiberglass post (group 3) resulted in significantly higher hardness
compared to the modified light conductor (group 4) in the bulk-fill application method. In the 2nd layer, both group 1 and
3 showed significantly higher hardness compared to group 4.
Conclusion: Illumination through a fiberglass post provides outstanding hardness for SFRC material in bulk-fill application
in the apical and middle layers.
References
Khaled AL-Omiri M, Mahmoud AA, Rayyan MR, Abu-Hammad O: Fracture Resistance of Teeth Restored with Post-Retained Restorations. An Overview. Journal of Endodontics 2010; 36, 1439–1449. https://doi.org/10.1016/j.joen.2010.06.005
Dietschi D, Duc O, Krejci I, Sadan A: Biomechanical Considerations for the Restoration of Endodontically Treated Teeth: A Systematic Review of the Literature. Part 1. Composition and Micro- and Macrostructure Alterations. Quintessence Int 2007; 38, 733–743.
Scotti N, Scansetti M, Rota R, Pera F, Pasqualini D, Berutti E: The Effect of the Post Length and Cusp Coverage on the Cycling and Static Load of Endodontically Treated Maxillary Premolars. Clin Oral Invest 2011; 15, 923–929. https://doi.org/10.1007/s00784-010-0466-y
Seow LL, Toh CG, Wilson NHF: Strain Measurements and Fracture Resistance of Endodontically Treated Premolars Restored with All-Ceramic Restorations. Journal of Dentistry 2015; 43, 126–132. https://doi.org/10.1016/j.jdent.2014.10.001
Zicari F, Van Meerbeek B, Scotti R, Naert I: Effect of Fibre Post Length and Adhesive Strategy on Fracture Resistance of Endodontically Treated Teeth after Fatigue Loading. Journal of Dentistry 2012; 40, 312–321. https://doi.org/10.1016/j.jdent.2012.01.006
Trope M, Maltz DO, Tronstad L: Resistance to Fracture of Restored Endodontically Treated Teeth.
Dental Traumatology 1985; 1, 108–111. https://doi.org/10.1111/j.1600-9657.1985.tb00571.x
Le Bell-Rönnlöf A-M, Lassila LVJ, Kangasniemi I, Vallittu PK: Load-Bearing Capacity of Human Incisor Restored with Various Fiber-Reinforced Composite Posts. Dental Materials 2011; 27, e107–e115. https://doi.org/10.1016/j.dental.2011.02.009
Vallittu PK: Are We Misusing Fiber Posts? Guest Editorial. Dental Materials 2016; 32, 125–126. https://doi.org/10.1016/j.dental.2015.11.001
De Souza N, Marcondes M, Da Silva D, Borges G, Júnior LB, Spohr A: Relined Fiberglass Post: Effect of Luting Length, Resin Cement, and Cyclic Loading on the Bond to Weakened Root Dentin. Operative Dentistry 2016; 41, e174–e182. https://doi.org/10.2341/15-233-L
Faria-e-Silva AL, Pedrosa-Filho CDF, Menezes MDS, Silveira DMD, Martins LRM: Effect of Relining on Fiber Post
Retention to Root Canal. J Appl Oral Sci 2009; 17, 600–604. https://doi.org/10.1590/S1678-77572009000600012
Fráter M, Sáry T, Garoushi S: Bioblock Technique to Treat Severe Internal Resorption with Subsequent Periapical Pathology: A Case Report. Restor Dent Endod 2020; 45, e43. https://doi.org/10.5395/rde.2020.45.e43
Fráter M, Lassila L, Braunitzer G, Vallittu PK, Garoushi S: Fracture Resistance and Marginal Gap Formation of Post-Core Restorations: Influence of Different Fiber-Reinforced Composites. Clin Oral Invest 2020; 24, 265–227. https://doi.org/10.1007/s00784-019-02902-3
Forster A, Sáry T, Braunitzer G, Fráter M: In Vitro Fracture Resistance of Endodontically Treated Premolar Teeth Restored with a Direct Layered Fiber-Reinforced Composite Post and Core. Journal of Adhesion Science and Technology 2017; 31, 1454–1466. https://doi.org/10.1080/01694243.2016.1259758
Lassila L, Keulemans F, Säilynoja E, Vallittu PK, Garoushi S: Mechanical Properties and Fracture Behavior of
Flowable Fiber Reinforced Composite Restorations. Dental Materials 2018; 34, 598–606. https://doi.org/10.1016/j.dental.2018.01.002
Oliver WC, Pharr GM: An Improved Technique for Determining Hardness and Elastic Modulus Using Load and
Displacement Sensing Indentation Experiments. J Mater Res 1992; 7, 1564–1583. https://doi.org/10.1557/JMR.1992.1564
Fráter M, Sáry T, Molnár J, Braunitzer G, Lassila L, Vallittu PK, Garoushi S: Fatigue Performance of Endodontically Treated Premolars Restored with Direct and Indirect Cuspal Coverage Restorations Utilizing Fiber-Reinforced Cores. Clin Oral Invest 2022; 26, 3501–3513. https://doi.org/10.1007/s00784-021-04319-3
Fráter M, Sáry T, Néma V, Braunitzer G, Vallittu P, Lassila L, Garoushi S: Fatigue Failure Load of Immature Anterior Teeth: Influence of Different Fiber Post-Core Systems. Odontology 2021; 109, 222–230. https://doi.org/10.1007/s10266-020-00522-y
Fráter M, Sáry T, Jókai B, Braunitzer G, Säilynoja E, Vallittu PK, Lassila L, Garoushi S: Fatigue Behavior of Endodontically Treated Premolars Restored with Different Fiber-Reinforced Designs. Dental Materials 2021; 37, 391–402. https://doi.org/10.1016/j.dental.2020.11.026
Garoushi S, Säilynoja E, Vallittu PK, Lassila L: Physical Properties and Depth of Cure of a New Short Fiber Reinforced Composite. Dental Materials 2013; 29, 835–841. https://doi.org/10.1016/j.dental.2013.04.016
Copyright (c) 2024 Authors
This work is licensed under a Creative Commons Attribution 4.0 International License.