Comparative Evaluation of Fracture Resistance of Teeth Restored with Biological Dentin Post to that of Glass Fiber and Composite Posts

Authors

DOI:

https://doi.org/10.58600/eurjther2643

Keywords:

biological dentin post, composite post, fracture resistance

Abstract

Objective: Although different materials have been used for post-fabrication, none can completely simulate natural dentin. Thus, biological dentin posts (BDP) have been introduced in daily practice as a novel approach. The purpose of this study was to compare the fracture strength of endodontically treated teeth with BDP, glass fiber posts (GFP), and composite posts (CP).

Methods: Forty extracted maxillary central incisors were divided into a control and three study groups (n=10). The coronal portions of the teeth were sectioned perpendicular to the long axis below the cementoenamel junction, and 14 mm roots were obtained. Following root canal filling and post-space preparation, the samples were divided into four groups as follows: Group 1 (control group): neither post-space preparation nor post-core restoration; Group 2: GFP and composite core; Group 3: CP and composite core; and Group 4: BDP and composite core. The samples were subjected to load using a Universal Testing Machine. Results were statistically analyzed with the One-Way ANOVA test.

Results: The control group had the highest fracture resistance (p < 0.05). The fracture resistance of the study groups was similar (p > 0.05). The ratios of re-restorable samples were 40%, 50%, and 30% for groups 2, 3, and 4, respectively.

Conclusion: All post types resulted in similar fracture resistance. BDPs may be preferable because of their low costs.

References

Vâlceanu AS, Stratul SI (2008) Multidisciplinary approach of complicated crown fractures of both superior central incisors: a case report. Dent Traumatol. 24:482-486. https://doi.org/10.1111/j.1600-9657.2008.00572.x

Tait C, Ricketts D, Higgins A (2005) Weakened anterior roots–intraradicular rehabilitation. Br Dent J. 198:609-617. https://doi.org/10.1038/sj.bdj.4812351.

Fernandes AS, Dessai GS (2001) Factors affecting the fracture resistance of post-core reconstructed teeth: a review. Int J Prosth. 14.

Kaizer O, Bonfante G, Pereira Filho L, Cardinal L, Reis K (2008) Utilization of biological posts to reconstruct weakened roots. Rev Gaucha Odontol 56:7-13.

Bonfante G, Kaizer OB, Pegoraro LF, do Valle AL (2007) Fracture strength of teeth with flared root canals restored with glass fibre posts. Int Dent J. 57:153-160. https://doi.org/10.1111/j.1875-595X.2007.tb00118.x

Busato AL, Loguercio AD, Barbosa AN, Sanseverino Mdo C, Macedo RP, Baldissera RA (1998) Biological restorations using tooth fragments. Am J Dent. 11:46-49.

Swarupa C, Sajjan GS, Bhupahupathiraju VL, Anwarullahwarullah A, YV S (2014) Biological dentin post for intra radicular rehabilitation of a fractured anterior tooth. J Clin Diag Res. 8:242. https://doi.org/10.7860/JCDR/2014/7222.4070

Torbjörner A, Fransson B (2004) A literature review on the prosthetic treatment of structurally compromised teeth. Int J Prosth. 17.

de Alcantara CE, Correa-Faria P, Vasconcellos WA, Ramos-Jorge ML (2010) Combined technique with dentin post reinforcement and original fragment reattachment for the esthetic recovery of a fractured anterior tooth: a case report. Dent Traumatol. 26:447-450. https://doi.org/10.1111/j.1600-9657.2010.00902.x

Ramires-Romito AC, Wanderley MT, Oliveira MD, Imparato JC, Correa MS (2000) Biologic restoration of primary anterior teeth. Quintessence Int. 31:405-411.

Correa-Faria P, Alcantara CE, Caldas-Diniz MV, Botelho AM, Tavano KT (2010) "Biological restoration": root canal and coronal reconstruction. J Esthet Restor Dent. 22:168-177. https://doi.org/10.1111/j.1708-8240.2010.00331.x

Kakollu S, Thota MM, Tammineedi S, Basam LC (2020) Rehabilitation of a mutilated maxillary central incisor using autogenous dentin post. J Conserv Dent Endod. 23:107-110. https://doi.org/10.4103/JCD.JCD_89_20

Ambica K, Mahendran K, Talwar S, Verma M, Padmini G, Periasamy R (2013) Comparative evaluation of fracture resistance under static and fatigue loading of endodontically treated teeth restored with carbon fiber posts, glass fiber posts, and an experimental dentin post system: an in vitro study. J Endod. 39:96-100. https://doi.org/10.1016/j.joen.2012.07.003

Kurthukoti AJ, Paul J, Gandhi K, Rao DB (2015) Fracture resistance of endodontically treated permanent anterior teeth restored with three different esthetic post systems: An in vitro study. J Indian Soc Pedod Prev Dent. 33:296-301. https://doi.org/10.4103/0970-4388.165675

Kathuria A, Kavitha M, Khetarpal S (2011) Ex vivo fracture resistance of endodontically treated maxillary central incisors restored with fiber-reinforced composite posts and experimental dentin posts. J Conserv Dent. 14:401-405. https://doi.org/10.4103/0972-0707.87211

Kinney JH, Marshall SJ, Marshall GW (2003) The mechanical properties of human dentin: a critical review and re-evaluation of the dental literature. Crit Rev Oral Biol Med. 14:13-29. https://doi.org/10.1177/154411130301400103

Tammineedi S, Kakollu S, Thota MM, Basam RC, Basam LC, Vemuri S (2020) Comparison of stress distribution in teeth restored with fiber post and dentin post by applying orthotropic properties: a three-dimensional finite element analysis. J Conserv Dent Endod. 23:589-592. https://doi.org/10.4103/JCD.JCD_551_20

Falakaloğlu S, Adıgüzel Ö, Özdemir G (2019) Root canal reconstruction using biological dentin posts: A 3D finite element analysis. J Dent Res Dent Clin Dent Prospects. 13:274. https://doi.org/10.15171/joddd.2019.042

Tiwari S, Adarsha M, Santosh A, Murthy CS (2020) Biological posts and crown: An esthetic recovery of smile. Dent Res J. 17:404-408.

Kale YJ, Gidhwani SJ, Dadpe MV, Dahake PT, Kendre SB (2023) Influence of Biological Dentin Post on Fracture Resistance of Endodontically Treated Anterior Teeth: A Systematic Review. J Clin Diag Res. 17. https://doi.org/10.7860/JCDR/2023/64117.18283

Oblak C, Jevnikar P, Kosmac T, Funduk N, Marion L (2004) Fracture resistance and reliability of new zirconia posts. J Prosth Dent. 91:342-348. https://doi.org/10.1016/j.prosdent.2004.01.009

Akkayan B, Gülmez T (2002) Resistance to fracture of endodontically treated teeth restored with different post systems. J Prosth Dent. 87:431-437. https://doi.org/10.1067/mpr.2002.123227

Tavano KTA, Botelho AM, Motta TP, Paes TMO (2009) ‘Biological restoration’: total crown anterior. Dent Traumatol. 25:535-540. https://doi.org/10.1111/j.1600-9657.2009.00766.x

Newman MP, Yaman P, Dennison J, Rafter M, Billy E (2003) Fracture resistance of endodontically treated teeth restored with composite posts. J Prosthet Dent 89:360-367. https://doi.org/10.1067/mpr.2003.75

Tay FR, Pashley DH (2007) Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 33:391-398. https://doi.org/10.1016/j.joen.2006.10.009

Martelli R (2000) Fourth-generation intraradicular posts for the aesthetic restoration of anterior teeth. Pract Periodontics Aesthet Dent. 12:579-584; quiz 586-578.

Galindo V, Nogueira J, Yamasaki E, Kós Miranda D (2000) Biological posts and natural crowns bonding-alternatives for anterior primary teeth restoration. J bras odontoped odontol bebe 16:513-520.

Schwartz RS, Robbins JW (2004) Post placement and restoration of endodontically treated teeth: a literature review. J Endod 30:289-301. https://doi.org/10.1097/00004770-200405000-00001

Dilmener FT, Sipahi C, Dalkiz M (2006) Resistance of three new esthetic post-and-core systems to compressive loading. J Prosthet Dent 95:130-136. https://doi.org/10.1016/j.prosdent.2005.11.013

Bertassoni LE, Orgel JP, Antipova O, Swain MV (2012) The dentin organic matrix–limitations of restorative dentistry hidden on the nanometer scale. Acta Biomater 8:2419-2433. https://doi.org/10.1016/j.actbio.2012.02.022

Christie B, Musri N, Djustiana N, Takarini V, Tuygunov N, Zakaria M, Cahyanto A (2023) Advances and challenges in regenerative dentistry: a systematic review of calcium phosphate and silicate-based materials on human dental pulp stem cells. Materials Today Bio 23:100815. https://doi.org/10.1016/j.mtbio.2023.100815

Figure 2. Post-core restored and acrylic embedded sample.

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Published

2025-06-27

How to Cite

Balkanlıoğlu, E., Öğüt, S., & Sarı, F. (2025). Comparative Evaluation of Fracture Resistance of Teeth Restored with Biological Dentin Post to that of Glass Fiber and Composite Posts. European Journal of Therapeutics, 31(4), 199–206. https://doi.org/10.58600/eurjther2643

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