Comparison of dentinal crack incidence and of post removal time resulting from post removal by ultrasonic or mechanical force.
The purpose of this study was to compare the frequency of canal and intradentin cracks after intraradicular post removal using ultrasonic instrumentation or the Gonan post removal system. Sixty cadaver teeth were divided into 4 groups of 15 teeth each: group 1, ultrasonic removal; group 2, Gonan post removal system; group 3, cemented posts not removed; and group 4, no posts. Groups 1 and 2 were contralateral matched pairs. Para Posts were placed in groups 1, 2, and 3 to 7 mm apical to the cementoenamel junction and luted with ZnPO4 cement. The time required for post removal in groups 1 and 2 was recorded. The teeth were extracted, sectioned, and examined. Canal and intradentin cracks were mapped, and their frequency was recorded at each level. There were statistically more cracks present in the ultrasonic group than the no post group. There were no other differences that reached statistical significance. It took significantly longer for post removal using the ultrasonic tip versus the Gonan system.
Altshul
J H
JH
Department of Endodontology, Oregon Health Sciences University, School of Dentistry, Portland 97201, USA.
Marshall
G
G
Morgan
L A
LA
Baumgartner
J C
JC
D002102:Cadaver; D003387:Cracked Tooth Syndrome / Q000453:epidemiology* / Q000209:etiology*; D003804:Dentin / Q000293:injuries*; D006801:Humans; D066298:In Vitro Techniques; D015994:Incidence; D011176:Post and Core Technique / Q000295:instrumentation; D011897:Random Allocation; D013997:Time Factors; D014092:Tooth Root / Q000293:injuries*; D014464:Ultrasonic Therapy / Q000009:adverse effects* / Q000295:instrumentation