The effect of post, core, crown type, and ferrule presence on the biomechanical behavior of endodontically treated bovine anterior teeth.
BACKGROUND
Unresolved controversy exists concerning the remaining coronal tooth structure of anterior endodontically treated teeth and the best treatment option for restoring them.


OBJECTIVE
The purpose of this study was to evaluate the effect of post, core, crown type, and ferrule presence on the deformation, fracture resistance, and fracture mode of endodontically treated bovine incisors.


METHODS
One hundred and eighty bovine incisors were selected and divided into 12 treatment groups (n=15). The treatment variations were: with or without ferrule, restored with cast post and core, glass fiber post with composite resin core, or glass fiber post with fiber-reinforced core, and metal- or alumina-reinforced ceramic crown (n=15). The restored incisors were loaded at a 135-degree angle, and the deformation was measured using strain gauges placed on the buccal and proximal root surfaces. Specimens were subsequently loaded to the point of fracture. Strain and fracture resistance results were analyzed by 3-way ANOVA and Tukey HSD tests (α=.05).


RESULTS
Ferrule presence did not significantly influence the buccal strain and fracture resistance for the ceramic crown groups, irrespective of core and crown type. Ferrule presence resulted in lower strains and higher fracture resistance in the metal crown groups, irrespective of core. The cast post and core showed lower strain values than groups with glass fiber posts when restored with metal crowns.


CONCLUSIONS
Core type did not affect the deformation and fracture resistance of endodontically treated incisors restored with alumina-reinforced ceramic crowns. The presence of a ferrule improved the mechanical behavior of teeth restored with metal crowns, irrespective of core type.
Biomechanics Group, Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.
Natércia Rezende
NR
da Silva
Luís Henrique Araújo
LH
Raposo
Antheunis
A
Versluis
Alfredo Júlio
AJ
Fernandes-Neto
Carlos José
CJ
Soares
D000537:Aluminum Oxide; D000818:Animals; D001696:Biomechanical Phenomena; D002417:Cattle; D003188:Composite Resins; D003442:Crowns; D003722:Dental Alloys; D003776:Dental Porcelain; D003793:Dental Restoration, Permanent / Q000379:methods*; D003799:Dental Stress Analysis; D005898:Glass; D007180:Incisor; D011176:Post and Core Technique; D014082:Tooth Fractures / Q000517:prevention & control; D019231:Tooth Preparation, Prosthodontic / Q000379:methods*; D019553:Tooth, Nonvital / Q000503:physiopathology*
D003188:Composite Resins; D003722:Dental Alloys; C009753:fiberglass; D003776:Dental Porcelain; D000537:Aluminum Oxide