Resistência à fratura de dentes com raízes fragilizadas restaurados com diferentes retentores intrarradiculares

• Ano de defesa: 2012
• Autor(a) principal: Broch, Juliana
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Santa Maria; BR; Odontologia; UFSM; Programa de Pós-Graduação em Ciências Odontológicas
• Palavras-chave em Português: Dente não vital; Técnica para retentor intra-radicular; Resistência de materiais; Força compressiva; Fadiga; Nonvital tooth; Post and core technique; Material resistance; Compressive strength; Fatigue; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: http://repositorio.ufsm.br/handle/1/6082

Taking into account the importance of developing techniques to restore teeth with excessively flared root canals, this study aimed to evaluate the effect of mechanical cycling on the fracture resistance of teeth with weakened roots, restored with different techniques, as well as to analyze the failure modes after fracture testing. Eighty (N=80) bovine lower incisors were selected and the coronal and cervical portions were sectioned to standardize the specimens length at 15 mm. The roots were endodontically treated and prepared to 10 mm in intracanal length. The cervical portion of the root inner surface (5 mm) was enlarged (removing the intracanal dentin) using a diamond drill (KG Sorensen #4138) to produce a radicular wall with 1 mm in thickness. The specimens were embedded with acrylic resin and the periodontal ligament was simulated with a polyether material. Afterwards, the specimens were randomly allocated in 4 intracanal restoring strategies: cast post and core; double-tapered glass fiber post with cervical emerging diameter of 1.8 mm; double-tapered glass fiber post with cervical emerging diameter of 2.2 mm; anatomic posts (fiber posts relined with composite resin). Each restoring method was assessed without or with mechanical cycling, applying the protocol as followed: angle of 45º, 37ºC temperature, load of 88N, frequency of 2.2 Hz, 1.000.000 load-pulses. All of the restored teeth received metal full crown (Ni-Cr). All the specimens were submitted to fracture resistance at 45º and at a cross-head speed of 0.5 mm/min. Two-way ANOVA and Tukey showed that the root post system (p < 0.0004), the mechanical cycling (p < 0.003) and the interaction between the factors (p < 0.02) were statistically significant. The restoring methods with fiber posts did not change after mechanical cycling. Its fracture strength values were similar to that from cast post and core. The anatomic post suffered degradation with the mechanical cycling (the values reduced after aging). Concerning the mode of failure, the most failure from groups restored with cast post and core were catastrophic while the others groups showed a predominance of repairable failures.