A Comparative Analysis of Fracture Resistance and Mode of Failure of Endodontically Treated Teeth Restored Using Different Fiber Posts: An In Vitro Study.

TLDR: EverStick/E-glass fiber posts showed significantly higher fracture resistance than the other fiber posts and can be suggested for clinical use.

Abstract: AIM To evaluate the fracture resistance under static loading of endodontically treated teeth (maxillary central incisors) restored with carbon fiber posts, glass fiber posts, and everStick posts. The objectives of this study were to check the fracture resistance of the everStick post and compare it with glass fiber posts and carbon fiber posts and evaluated their modes of failure. MATERIALS AND METHODS An estimated 80 freshly extracted human maxillary central incisors were collected for this study. The coronal portions of 60 teeth were sectioned 4 mm incisal to the cemento-enamel junction (CEJ) and 20 teeth were left intact to be used as controls. All the samples were embedded vertically in acrylic resin blocks and the groups were divided as follows. I-control group, II-carbon fiber group, III-glass fiber group, and IV-everStick (E-glass) group. Root canal treatment was completed in all the 80 teeth of 4 groups. Control group teeth were restored with a composite. In all other teeth, post and core placement was carried out. All specimens were mounted on a test block and subjected to static loading until fracture and the mode of fracture was recorded. Statistical analysis was carried out using ANOVA to calculate the mean values of all groups. An intergroup comparison was carried out using Tukey's post hoc test. RESULTS The study showed that group I showed the highest fracture resistance followed by group IV, which is everStick post group under static loading. There was a significant difference among test groups. The main mode of fracture was repairable as there was debonding of the core in all the fiber posts. CONCLUSION Teeth of the control group showed highest fracture resistance and teeth restored with everStick posts showed higher fracture resistance than those restored with glass fiber or carbon fiber posts under static loading (p < 0.05). The principal mode of fracture was debonding of core and remaining root. Teeth restored without application of a post showed the highest fracture resistance than all other groups. CLINICAL SIGNIFICANCE EverStick/E-glass fiber posts showed significantly higher fracture resistance than the other fiber posts and can be suggested for clinical use. How to cite this article: Doshi P, Kanaparthy A, Kanaparthy R, et al. A Comparative Analysis of Fracture Resistance and Mode of Failure of Endodontically Treated Teeth Restored Using Different Fiber Posts: An In Vitro Study. J Contemp Dent Pract 2019;20(10):1195-1199.