Effect of Fiber¿Reinforced Composite and Elastic Post on the Fracture Resistance of Premolars with Root Canal Treatment¿An In Vitro Pilot Study

Abstract

Background: To analyze the fracture resistance of endodontically upper premolar teeth restored with glass fiber reinforced posts, glass fiber elastic posts, conventional composite resin (CR) and glass fiber reinforced composite (FRC) resins as restorations. (2) Methods: Seventy premolars were submitted to root canal treatment and restored with the following restorative materials (n = 10): A. FRC posts restored with resin; B. Elastic FRC posts restored with resin; C. FRC posts restored with FRC resin; D. Elastic FRC posts restored with FRC resin; E. Direct restoration with resin; F. Direct restoration with FRC resin; G. Untreated teeth. The teeth were embedded in an epoxy resin model, thermal cycling fatigued in distilled water and mechanical cycling fatigued inducing 80 N load. Loading was applied axially on the center of the occlusal surface with a vertical displacement. The fracture was produced by a universal machine at a crosshead speed of 0.5 mm/s with a 5000 N load cell. The results were analyzed by ANOVA and Tukey¿s test and Weibull characteristic strength and modulus were calculated. (3) Results: The group that obtained the greatest fracture resistance was D (3620 ± 470 N) and the least resistant was group A (2420 ± 1010 N). Statistically significant differences were observed between the groups restored with Elastic FRC posts¿CR versus FRC post¿ CR and only CR (p = 0.043 and p = 0.008). (4) Conclusions: The glass fiber reinforced restorative materials increase the fracture resistance of endodontically treated teeth.