Direct postendodontic restoration of teeth with the use of core resins and fiber posts morphological aspects. (In Vitro study)
https://doi.org/10.36377/1683-2981-2022-20-1-20-27
Abstract
Relevance. It is known that endodontically treated teeth have a lower survival rate compared to vital teeth. This is due both to changes in the hard tissues of the tooth, and to the use of inadequate technologies for their restoration. Therefore, the methods of restoration of such teeth are very relevant. But their application should be conditioned by their scientific substantiation using fundamental research methods, which determined the relevance of this study.
Material and methods. The study of the structural and functional characteristics of the restoration was carried out by scanning electron microscopy in the area of the restoration border, the border of the material-pin insert, the ledge area and the surface of the restoration material. For this purpose, 60 periodontal removed teeth with an IROPZ index of 0.8 or more were used, of which 120 restoration samples were made from the standard form of the composite and 120 restorations from the core-composite using a fiber-optic pin in both groups.
Results and discussion. In the course of the study, it was found that the data obtained in the study of the morphology of the restoration in group No. 1 indicate insufficient adaptive properties of the traditional form of the composite (porosity, cohesive fractures, violation of the marginal fit); The results of SEM testify to the advantages of the core-composite, which has a homogeneous, micro-rough, adhesive surface free from technical impurities, suitable for the use of all currently used methods of fixing an orthopedic structure.
About the Authors
B. R. ShumilovichRussian Federation
Bogdan R. Shumilovich – professor, Doctor of Medical Sciences, Head of Postgraduate Dentistry Department.
10, Studencheskaya st., Voronezh, 394036
Competing Interests:
The authors declare no conflict of interests
S. G. Ivanov
Russian Federation
Sergei G. Ivanov – Postgraduate student of Postgraduate Dentistry Department.
10, Studencheskaya st., Voronezh, 394036
Competing Interests:
The authors declare no conflict of interests
D. A. Ermilov
Russian Federation
Dmitriy A. Ermilov – Postgraduate student of Postgraduate Dentistry Department.
10, Studencheskaya st., Voronezh, 394036
Competing Interests:
The authors declare no conflict of interests
E. A. Akhtanin
Russian Federation
Evgeniy A .Akhtanin – Postgraduate student of Conservative Dentistry Department.
10, Studencheskaya st., Voronezh, 394036
Competing Interests:
The authors declare no conflict of interests
S. I. Kozadaev
Russian Federation
Sergey I. Kozadaev – Postgraduate student of Conservative Dentistry Department.
10, Studencheskaya st., Voronezh, 394036
Competing Interests:
The authors declare no conflict of interests
А. Yu. Yurchenko
Russian Federation
Anastasia Yu. Yurchenko – Postgraduate student of Conservative Dentistry Department.
10, Studencheskaya st., Voronezh, 394036
Competing Interests:
The authors declare no conflict of interests
References
1. Parhamovich SN. Dental pins: classification and algorithm for clinical use. Modern dentistry. 2011; 1:47-50.
2. Abramova NE. Dental materials science. Composites.; Publishing house GBOU VPO SZGMU them. I.I. Mechnikov: Sankt-Petersburg, 2013.
3. Terry D. Principles of direct modeling of a pin structure based on a fiber-reinforced composite material. KerrFocus. 2004:13-19.
4. Frydman G, Levatovsky S, Pilo R. Fiber reinforced composite posts: literature review. Refuat Hapeh Vehashinayim. Jul.2013; Vol.30(3):6-14.
5. Rubnikovich SP. Rationale for the choice of pin design, taking into account the thickness of the walls of the tooth root. Dental journal. 2002; 1:22-27.
6. Naumovich SA. Pin structures and systems for orthopedic treatment of dental crown defects; BSMU publishing house: Minsk, 2010
7. Bateman G, Ricketts DNJ, Saunders WP. Fiber-based post systems: a review. British Dental Journal. 2013; 195:43-48.
8. Trushkowsky RD. Restoration of endodontically treated teeth: Criteria and technique considerations. Quintessence Int. 2014; Vol.45(7):557-567.
9. Biocompatible shape memory materials and new technologies in dentistry, edited by Professor Gunther VE: Tomsk, 2013.
10. Fouad KW. Restoring of endodontically treated tooth. Concepts and techniques. The Saudi Dental Journal. Aug. 2014; Vol.16(2):61-69.
11. Juloski J. Ferrule effect: a literature review. J. Endod. Jan. 2012; Vol.38(1):11-19.
12. Peroz I. Restoring endodontically treated teeth with posts and cores – a review. J. Dent. May 2014; Vol.42 (5):582-587.
13. Krushinina TV. Features of the use of fiberglass pins for the restoration of the crown part of multi-rooted teeth before prosthetics. Dental journal. 2009; 3:237-240.
14. Dvornikova TC, Kirsanova NV. Composite restoration and its fiber reinforcement on the example of Estelite and everStick materials, 2nd ed.; Sankt-Petersburg, 2010.
15. Adanir N, Belli S. Еvaluation of different post lengths: effect on fracture resistance of a glass fiber post system. Eur. J. Dent. 2018; 2:23-28.
16. Adanir N, Belli S. Еvaluation of different post lengths: effect on fracture resistance of a glass fiber post system. Eur. J. Dent. 2018; 2:23-28.
17. Sarkis-Onofre R. Cast metal vs. glass fiber posts: a randomized controlled trial with up to 3 years of follow up. J. Dent. May 2014; Vol.42(5):582-587.
18. Trofimova EK. Relyx fiber post in post-endodontic tooth rehabilitation. Dental journal. 2008; 4:341-345.
19. Dikbas I, Tanalp J. An overview of clinical studies on fiber post systems. Scientific World Journal. Oct. 2013; Vol.23:171-380.
20. Mankoo T. Discussion: the ideal restoration of endodontically treated teeth: structural and esthetic considerations. Eur. J. Esthet. Dent. 2013; Vol.8(2):269-277.
21. Batyukov NM, Ivanova GG, Kasumova MK, Mchelidze TSh, Tikhonov EP. System analysis of dental hard tissues based on optical and electrical probing signals (part I-III). Institute of Stomatologia. 2017; 1(34):102-105.
22. Krushinina TV. The study of adhesion in the system dentin fixing material-glass fiber post using scanning electron microscopy. Dental journal. 2010; 1:35-39.
Review
For citations:
Shumilovich B.R., Ivanov S.G., Ermilov D.A., Akhtanin E.A., Kozadaev S.I., Yurchenko А.Yu. Direct postendodontic restoration of teeth with the use of core resins and fiber posts morphological aspects. (In Vitro study). Endodontics Today. 2022;20(1):20-27. (In Russ.) https://doi.org/10.36377/1683-2981-2022-20-1-20-27