Bonding of fibre-reinforced composite post to root canal dentin.
OBJECTIVE
The aim of this study was to determine bonding properties of two types of fibre-reinforced composite (FRC) posts cemented into root canals of molars. Serrated titanium posts served as reference.


METHODS
Prefabricated carbon/graphite FRC posts with cross-linked polymer matrix and individually formed glass FRC posts with interpenetrating polymer network (IPN) polymer matrix were compared. The crowns of extracted third molars were removed and post space (diameter: 1.5mm) was drilled, etched and bonded. The posts were treated with dimethacrylate adhesive resin, light-polymerized and cemented with a dual-polymerizing composite resin luting cement. After thermocycling (6000x) the samples were cut into discs of thicknesses: 1, 2 and 4mm (n=12/group). Push-out force was measured by pushing the post from one end. Assessment of failure mode was made under a stereomicroscope (1, adhesive failure between post and cement; 2, cohesive failure of post-system; 3, adhesive failure between cement and dentin).


RESULTS
The push-out force increased with increased height of dentin disc in all groups (ANOVA, p<0.001). In the 4mm thick dentin discs the individually formed glass FRC posts showed highest push-out force and the difference to that of the titanium posts was significant (ANOVA, p<0.001). The other differences were not statistically significant. None of the individually formed glass FRC posts showed adhesive failures between the post and the cement.


CONCLUSIONS
Contrary to the other posts, there were no adhesive (post-cement) failures with the individually formed glass FRC posts, suggesting better interfacial adhesion of cement to these posts.
Bell
Anna-Maria Le
AM
Department of Prosthetic Dentistry and Biomaterials Research, Institute of Dentistry, University of Turku, Lemminkäisenkatu 2, FIN-20520 Turku, Finland. ami.lebell@utu.fi
Lassila
Lippo V J
LV
Kangasniemi
Ilkka
I
Vallittu
Pekka K
PK
D000268:Adhesiveness; D000704:Analysis of Variance; D002244:Carbon; D000077482:Carbon Fiber; D003188:Composite Resins; D001840:Dental Bonding; D017268:Dental Prosthesis Retention; D003786:Dental Pulp Cavity; D003799:Dental Stress Analysis; D003804:Dentin; D005898:Glass; D006801:Humans; D008422:Materials Testing; D008963:Molar; D011176:Post and Core Technique; D019279:Resin Cements
D000077482:Carbon Fiber; C418025:Compolute; D003188:Composite Resins; D019279:Resin Cements; C009753:fiberglass; D002244:Carbon