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      Effect of surface treatments on the bond strength of CAD/CAM fiberglass posts

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          Abstract

          Background

          There is no ideal protocol for the surface treatment of fiber posts, especially when using a computer-aided design/computer-aided manufacturing (CAD/CAM) experimental fiberglass block. The purpose of this study was to evaluate the bond strength of a CAD/CAM customized glass fiber post and core after applying different surface treatment techniques.

          Material and Methods

          Forty premolars were prepared to receive a customized CAD/CAM glass-fiber post and core obtained from an experimental block of glass fiber and epoxy resin. The specimens were randomly distributed in 4 groups (n=10) according to the post and core surface treatment: ETH - 70% ethanol; HP - 24% hydrogen peroxide for 1 minute; ETH/S - 70% ethanol + silane; HP/S - 24% hydrogen peroxide + silane. The universal adhesive containing silane was applied on the posts and prepared post spaces in all groups. The posts were cemented using dual cure resin cement. The specimens were stored in distilled water at 37°C for 24 h, cut (two slices of 1 mm for each root third - coronal, middle, and apical) and subjected to push-out test (0.5 mm/min). Data was subjected to two-way ANOVA (surface treatment and root third) and Tukey’s test (α=0,05).

          Results

          There was no significant difference of bond strength values among groups, regardless the surface treatment ( p >0.05). There was significant difference on bond strength values for the different root thirds ( p<0.05) (coronal>middle=apical).

          Conclusions

          The different surface treatment and application of additional silane in the CAD/CAM customized glass-fiber post and core does not interfere on bond strength values. The root dentin third interfered on the bond strength, with higher values for the coronal third.

          Key words:Post and core technique, cad/cam, shear strength, hydrogen peroxide.

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          Most cited references25

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          Post-endodontic restorations with adhesively luted fiber-reinforced composite post systems: a review.

          To review the literature on adhesive luting of fiber-reinforced composite posts (FRC) to provide evidence for the clinical procedure of restoring endodontically treated teeth using FRC posts. Data focusing on bonding behavior between root canal dentin, luting agent, and FRC post in vitro as well as in vivo performance of teeth restored with FRC posts were reported. These data were identified by searches of "PubMed", "Scopus", and "Cochrane Library" databases with the terms "post-endodontic restoration", "fiber post", "adhesive luting", "root canal dentin", "clinical study", and "pre-treatment fiber post". Papers published up to September 2007 were selected, and most relevant references were chosen. Cross-referencing of significant papers identified additional relevant articles. FRC posts seem to have become increasingly popular for the restoration of endodontically treated teeth. Compared to metal posts, FRC posts revealed reduced fracture resistance in vitro, along with a usually restorable failure mode. Bonding behavior among FRC post, luting agents, and root canal dentin demonstrated varying results. Bond strengths between FRC posts and resin cements can be enhanced by using various pre-treatment procedures; however, bonding to root canal dentin still seems to be challenging. Most clinical studies investigating survival rates of teeth restored with FRC posts revealed promising results, but risk factors (e.g., the loss of coronal tooth structure) have not been studied intensively. In addition, randomized controlled clinical long term trials are scarce.
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            Dental fiber-post resin base material: a review

            Teeth that have short clinical crown, which are not alone enough to support the definitive restoration can be best treated using the post and core system. The advantages of fiber post over conventional metallic post materials have led to its wide acceptance. In addition to that the combination of aesthetic and mechanical benefits of fiber post has provided it with a rise in the field of dentistry. Also the results obtained from some clinical trials have encouraged the clinicians to use the fiber posts confidently. Fiber posts are manufactured from pre-stretched fibers impregnated within a resin matrix. The fibers could that be of carbon, glass/silica, and quartz, whereas Epoxy and bis-GMA are the most widely used resin bases. But recently studies are also found to be going on for polyimide as possible material for the fiber post resin base as a substitute for the conventional materials.
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              • Abstract: not found
              • Article: not found

              Resistance to fracture of restored endodontically treated teeth.

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                Author and article information

                Journal
                J Clin Exp Dent
                J Clin Exp Dent
                Medicina Oral S.L.
                Journal of Clinical and Experimental Dentistry
                Medicina Oral S.L.
                1989-5488
                1 June 2018
                June 2018
                : 10
                : 6
                : e591-e597
                Affiliations
                [1 ]Graduate Student, Graduate Program in Dentistry, Universidade Positivo, Rua Pedro Viriato Parigot de Souza, 5300, Curitiba, PR, Brazil
                [2 ]Professor, Dental Prosthesis, Federal Institute for Science and Technology of Paraná, Rua João Negrão 1258, Curitiba, PR, Brazil
                [3 ]PhD Professor, Graduate Program in Dentistry, Universidade Positivo, Rua Pedro Viriato Parigot de Souza, 5300, Curitiba, PR, Brazil
                Author notes
                Universidade Positivo Rua Pedro Viriato Parigot de Souza 5300 Curitiba, PR, Brazil 81280-330 , E-mail: gmcnolasco@ 123456gmail.com

                Conflict of interest statement: The authors declare that they have no conflict of interest.

                Article
                54904
                10.4317/jced.54904
                6005091
                29930778
                80d8ae15-0efa-439b-85f9-d739f201c5aa
                Copyright: © 2018 Medicina Oral S.L.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 April 2018
                : 6 April 2018
                Categories
                Research
                Prosthetic Dentistry

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