CC BY 4.0 · European Dental Research and Biomaterials Journal 2022; 03(01/02): 003-016
DOI: 10.1055/s-0043-1775967
Review Article

Restorative Modalities for Structurally Compromised Teeth with Thin-walled Roots: A Literature Review

1   Research Committee, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran
,
2   School of Dentistry, International Campus, Tehran University of Medical Sciences, Tehran, Iran
,
Mohammad Mahdi Khanmohammadi
1   Research Committee, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran
,
3   Department of Prosthodontics, Tehran University of Medical Sciences, Tehran, Iran
› Institutsangaben

Abstract

Proper restoration and maintenance of endodontically treated teeth with thin-walled roots and immature apices is of a great concern due to the high prevalence of such cases. The aim of this study was to review the efficiency of different materials used for post–core systems in order to restore endodontically treated teeth. A literature review was conducted using electronic databases including PubMed, Scopus, Web of Science, and Google Scholar to find relevant articles. Randomized controlled trials that were related to different post–core techniques for restoring endodontically treated teeth and were in the English language were included from 2000 until 2022. Most articles concluded that cast posts have higher fracture resistance than fiber posts. All articles comparing stainless steel posts with other materials found that it had higher fracture strength. No particular difference between various types of fiber posts was identified, and all can reinforce the immature roots with thin dentinal walls.

Author's Contribution

R.G. contributed in study design, data analysis/interpretation, writing of the manuscript. N. A. contributed in study design, collection of data, data analysis/interpretation, writing of the manuscript. N.A. contributed in collection of data, data analysis/interpretation, writing of the manuscript and M.M.K. contributed in collection of data, data analysis/interpretation, writing of the manuscript.




Publikationsverlauf

Artikel online veröffentlicht:
26. Dezember 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Balkaya MC, Birdal IS. Effect of resin-based materials on fracture resistance of endodontically treated thin-walled teeth. J Prosthet Dent 2013; 109 (05) 296-303
  • 2 Solomon CS, Osman YI. In vitro comparison of endodontic posts in structurally compromised roots of maxillary incisors. SADJ 2011; 66 (05) 220-223
  • 3 Bolhari B, Mojazi Amiri E, Kermanshah H, Ghabraei S, Jamei A. Fracture resistance of simulated immature teeth obturated with gutta-percha or Resilon and reinforced by composite or post. J Dent (Tehran) 2015; 12 (02) 125-133
  • 4 Seraj B, Ghadimi S, Estaki Z, Fatemi M. Fracture resistance of three different posts in restoration of severely damaged primary anterior teeth: an in vitro study. Dent Res J (Isfahan) 2015; 12 (04) 372-378
  • 5 Khadar S, Sapkale K, Patil PG, Abrar S, Ramugade M, Huda F. Fracture resistance and stress distribution pattern of different posts-core systems in immature teeth: an in vitro study and 3D finite element analysis. Int J Dent 2022; 2022: 2610812
  • 6 Iemsaengchairat R, Aksornmuang J. Fracture resistance of thin wall endodontically treated teeth without ferrules restored with various techniques. J Esthet Restor Dent 2022; 34 (04) 670-679
  • 7 Wang X, Shu X, Zhang Y, Yang B, Jian Y, Zhao K. Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth: a systematic review and meta-analysis. Quintessence Int 2019; 50 (01) 8-20
  • 8 Newman MP, Yaman P, Dennison J, Rafter M, Billy E. Fracture resistance of endodontically treated teeth restored with composite posts. J Prosthet Dent 2003; 89 (04) 360-367
  • 9 Veeraganta SK, Samran A, Wille S, Kern M. Influence of post material, post diameter, and substance loss on the fracture resistance of endodontically treated teeth: a laboratory study. J Prosthet Dent 2020; 124 (06) 739.e1-739.e7
  • 10 Alhajj MN, Qi CH, Sayed ME, Johari Y, Ariffin Z. Fracture resistance of titanium and fiber dental posts: a systematic review and meta-analysis. J Prosthodont 2022; 31 (05) 374-384
  • 11 Kivanç BH, Alaçam T, Ulusoy OI, Genç O, Görgül G. Fracture resistance of thin-walled roots restored with different post systems. Int Endod J 2009; 42 (11) 997-1003
  • 12 Maccari PC, Cosme DC, Oshima HM, Burnett Jr LH, Shinkai RS. Fracture strength of endodontically treated teeth with flared root canals and restored with different post systems. J Esthet Restor Dent 2007; 19 (01) 30-36 , discussion 37
  • 13 Marchi GM, Mitsui FH, Cavalcanti AN. Effect of remaining dentine structure and thermal-mechanical aging on the fracture resistance of bovine roots with different post and core systems. Int Endod J 2008; 41 (11) 969-976
  • 14 Goncalves LA, Vansan LP, Paulino SM, Sousa Neto MD. Fracture resistance of weakened roots restored with a transilluminating post and adhesive restorative materials. J Prosthet Dent 2006; 96 (05) 339-344
  • 15 Li Q, Yan P, Chen Z. Fracture resistance and failure patterns of open apex root teeth with different posts after endodontic treatment. J Huazhong Univ Sci Technolog Med Sci 2011; 31 (02) 271
  • 16 Vidya V, Deepa CS. A comparative evaluation of the fracture resistance of endodontically treated teeth with compromised intra radicular tooth structure using three different post system. J Adv Prosthodont 2011; 3 (02) 90-95
  • 17 Ayad MF, Bahannan SA, Rosenstiel SF. Morphological characteristics of the interface between resin composite and glass-ionomer cement to thin-walled roots: a microscopic investigation. Am J Dent 2010; 23 (02) 103-107
  • 18 Akkayan B, Gülmez T. Resistance to fracture of endodontically treated teeth restored with different post systems. J Prosthet Dent 2002; 87 (04) 431-437
  • 19 Sharafeddin F, Alavi AA, Zare S. Fracture resistance of structurally compromised premolar roots restored with single and accessory glass or quartz fiber posts. Dent Res J (Isfahan) 2014; 11 (02) 264-271
  • 20 Dikbas I, Tanalp J, Koksal T, Yalnız A, Güngör T. Investigation of the effect of different prefabricated intracanal posts on fracture resistance of simulated immature teeth. Dent Traumatol 2014; 30 (01) 49-54
  • 21 Fráter M, Sáry T, Braunitzer G. et al. Fatigue failure of anterior teeth without ferrule restored with individualized fiber-reinforced post-core foundations. J Mech Behav Biomed Mater 2021; 118: 104440
  • 22 Makade CS, Meshram GK, Warhadpande M, Patil PG. A comparative evaluation of fracture resistance of endodontically treated teeth restored with different post core systems - an in-vitro study. J Adv Prosthodont 2011; 3 (02) 90-95
  • 23 Amarnath GS, Swetha MU, Muddugangadhar BC, Sonika R, Garg A, Rao TR. Effect of post material and length on fracture resistance of endodontically treated premolars: an in-vitro study. J Int Oral Health 2015; 7 (07) 22-28
  • 24 Zogheib LV, Saavedra GdeS, Cardoso PE, Valera MC, Araújo MA. Resistance to compression of weakened roots subjected to different root reconstruction protocols. J Appl Oral Sci 2011; 19 (06) 648-654
  • 25 Liang BM, Chen Y-M, Wu X, Yip KH, Smales RJ. Fracture resistance of roots with thin walls restored using an intermediate resin composite layer placed between the dentine and a cast metal post. Eur J Prosthodont Restor Dent 2007; 15 (01) 19-22
  • 26 Wu X, Chan AT, Chen Y-M, Yip KH-K, Smales RJ. Effectiveness and dentin bond strengths of two materials for reinforcing thin-walled roots. Dent Mater 2007; 23 (04) 479-485
  • 27 Lassila L, Oksanen V, Fráter M, Vallittu PK, Garoushi S. The influence of resin composite with high fiber aspect ratio on fracture resistance of severely damaged bovine incisors. Dent Mater J 2020; 39 (03) 381-388
  • 28 Zogheib LV, Pereira JR, do Valle AL, de Oliveira JA, Pegoraro LF. Fracture resistance of weakened roots restored with composite resin and glass fiber post. Braz Dent J 2008; 19 (04) 329-333
  • 29 Manicardi CA, Versiani MA, Saquy PC, Pécora JD, de Sousa-Neto MD. Influence of filling materials on the bonding interface of thin-walled roots reinforced with resin and quartz fiber posts. J Endod 2011; 37 (04) 531-537
  • 30 da Rosa RA, Barreto MS, da Rosa TA, Reis KR, Kaizer OB. Fracture resistance of weakened teeth restored using accessory glass fiber posts. Gen Dent 2013; 61 (02) 45-49
  • 31 Junqueira RB, de Carvalho RF, Marinho CC, Valera MC, Carvalho CAT. Influence of glass fibre post length and remaining dentine thickness on the fracture resistance of root filled teeth. Int Endod J 2017; 50 (06) 569-577
  • 32 Seto B, Chung KH, Johnson J, Paranjpe A. Fracture resistance of simulated immature maxillary anterior teeth restored with fiber posts and composite to varying depths. Dent Traumatol 2013; 29 (05) 394-398
  • 33 Linsuwanont P, Kulvitit S, Santiwong B. Reinforcement of simulated immature permanent teeth after mineral trioxide aggregate apexification. J Endod 2018; 44 (01) 163-167
  • 34 Tickotsky N, Petel R, Haim Y, Ghrayeb M, Moskovitz M. Post-and-core restoration of severely damaged permanent posterior teeth in young adolescents. Int J Prosthodont 2017; 30 (05) 458-460
  • 35 Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007; 33 (04) 391-398
  • 36 Mortazavi V, Fathi M, Katiraei N, Shahnaseri S, Badrian H, Khalighinejad N. Fracture resistance of structurally compromised and normal endodontically treated teeth restored with different post systems: an in vitro study. Dent Res J (Isfahan) 2012; 9 (02) 185-191
  • 37 Bateman G, Ricketts DN, Saunders WP. Fibre-based post systems: a review. Br Dent J 2003; 195 (01) 43-48 , discussion 37
  • 38 Goracci C, Ferrari M. Current perspectives on post systems: a literature review. Aust Dent J 2011; 56 (Suppl. 01) 77-83
  • 39 Sarkis-Onofre R, Jacinto RC, Boscato N, Cenci MS, Pereira-Cenci T. Cast metal vs. glass fibre posts: a randomized controlled trial with up to 3 years of follow up. J Dent 2014; 42 (05) 582-587
  • 40 Theodosopoulou JN, Chochlidakis KM. A systematic review of dowel (post) and core materials and systems. J Prosthodont 2009; 18 (06) 464-472
  • 41 Fernandes AS, Shetty S, Coutinho I. Factors determining post selection: a literature review. J Prosthet Dent 2003; 90 (06) 556-562
  • 42 Souza J, Fernandes V, Correia A. et al. Surface modification of glass fiber-reinforced composite posts to enhance their bond strength to resin-matrix cements: an integrative review. Clin Oral Investig 2022; 26 (01) 95-107
  • 43 Schmitter M, Rammelsberg P, Gabbert O, Ohlmann B, Ohlmann B. Influence of clinical baseline findings on the survival of 2 post systems: a randomized clinical trial. Int J Prosthodont 2007; 20 (02) 173-178
  • 44 Kemaloglu H, Emin Kaval M, Turkun M, Micoogullari Kurt S. Effect of novel restoration techniques on the fracture resistance of teeth treated endodontically: An in vitro study. Dent Mater J 2015; 34 (05) 618-622
  • 45 Erkut S, Gulsahi K, Caglar A, Imirzalioglu P, Karbhari VM, Ozmen I. Microleakage in overflared root canals restored with different fiber reinforced dowels. Oper Dent 2008; 33 (01) 96-105
  • 46 Belli S.. and G. Eskitascioglu. Biomechanical properties and clinical use of a polyethylene fiber post-core material. Int Dentistry South Afr 2006; 8 (03) 20-26
  • 47 Lui JL. Composite resin reinforcement of flared canals using light-transmitting plastic posts. Quintessence Int 1994; 25 (05) 313-319
  • 48 Franco ÉB, Lins do Valle A, Pompéia Fraga de Almeida AL, Rubo JH, Pereira JR. Fracture resistance of endodontically treated teeth restored with glass fiber posts of different lengths. J Prosthet Dent 2014; 111 (01) 30-34
  • 49 Naumann M, Preuss A, Frankenberger R. Load capability of excessively flared teeth restored with fiber-reinforced composite posts and all-ceramic crowns. Oper Dent 2006; 31 (06) 699-704
  • 50 Martins MD, Junqueira RB, de Carvalho RF, Lacerda MFLS, Faé DS, Lemos CAA. Is a fiber post better than a metal post for the restoration of endodontically treated teeth? A systematic review and meta-analysis. J Dent 2021; 112: 103750
  • 51 Tan PL, Aquilino SA, Gratton DG. et al. In vitro fracture resistance of endodontically treated central incisors with varying ferrule heights and configurations. J Prosthet Dent 2005; 93 (04) 331-336
  • 52 Stankiewicz NR, Wilson PR. The ferrule effect: a literature review. Int Endod J 2002; 35 (07) 575-581
  • 53 Batista VES, Bitencourt SB, Bastos NA, Pellizzer EP, Goiato MC, Dos Santos DM. Influence of the ferrule effect on the failure of fiber-reinforced composite post-and-core restorations: a systematic review and meta-analysis. J Prosthet Dent 2020; 123 (02) 239-245
  • 54 Meng Q, Ma Q, Wang T, Chen Y. An in vitro study evaluating the effect of ferrule design on the fracture resistance of endodontically treated mandibular premolars after simulated crown lengthening or forced eruption methods. BMC Oral Health 2018; 18 (01) 83
  • 55 Amin RA, Mandour MH, Abd El-Ghany OS. Fracture strength and nanoleakage of weakened roots reconstructed using relined glass fiber-reinforced dowels combined with a novel prefabricated core system. J Prosthodont 2014; 23 (06) 484-494
  • 56 Santos TDSA, Abu Hasna A, Abreu RT. et al. Fracture resistance and stress distribution of weakened teeth reinforced with a bundled glass fiber-reinforced resin post. Clin Oral Investig 2022; 26 (02) 1725-1735
  • 57 Fráter M, Lassila L, Braunitzer G, Vallittu PK, Garoushi S. Fracture resistance and marginal gap formation of post-core restorations: influence of different fiber-reinforced composites. Clin Oral Investig 2020; 24 (01) 265-276
  • 58 Josic U, Radovic I, Juloski J. et al. Can fiber-post placement reinforce structurally compromised roots?. J Adhes Dent 2020; 22 (04) 409-414
  • 59 Öztürk C, Polat S, Tunçdemir M, Gönüldaş F, Şeker E. Evaluation of the fracture resistance of root filled thin walled teeth restored with different post systems. Biomed J 2019; 42 (01) 53-58
  • 60 Cauwels RGEC, Lassila LVJ, Martens LC, Vallittu PK, Verbeeck RMH. Fracture resistance of endodontically restored, weakened incisors. Dent Traumatol 2014; 30 (05) 348-355
  • 61 Wandscher VF, Bergoli CD, Limberger IF, Ardenghi TM, Valandro LF. Preliminary results of the survival and fracture load of roots restored with intracanal posts: weakened vs nonweakened roots. Oper Dent 2014; 39 (05) 541-555
  • 62 Pinho LGND, Vinholi GH, Coelho TK, Neto DJR, Kopplin DC, Silva AL. Evaluation of the fracture resistance of remaining thin-walled roots restored with different post systems. J Res Dent 2013; 1 (03) 184-191
  • 63 Kivanç BH, Alaçam T, Görgül G. Fracture resistance of premolars with one remaining cavity wall restored using different techniques. Dent Mater J 2010; 29 (03) 262-267