Escolar Documentos
Profissional Documentos
Cultura Documentos
clinical
Fibreglass-reinforced
composite endodontic posts
By Prof. Dr Jrgen Manhart
Category
clinical
Fibre-reinforced composite
endodontic posts
Fibre-reinforced composite posts consist
of a resin matrix, in which structural
reinforcing carbon fibres or quartz/glass
fibres are embedded. Black carbonfibrereinforced composite posts are, on the one
hand, poorly suited for combination with
translucent full ceramic restorations due to
their unfavourable optical properties. On
the other hand, carbon fibre posts also have
unfavourable biomechanical properties
(significantly higher E modulus, ca. 120
GPa) in comparison to the nearly toothcoloured quartz fibre and glass fibre posts.
The
quality
of
fibre-reinforced
composite posts, which are now offered
by a large number of manufacturers,
varies great. The manufacturing process
determines the quality. The highest quality
provides the most even distribution of the
fibre in the organic matrix possible with the
packing of the fibres as dense as possible, a
good combination of fibres with the matrix,
a high degree of polymerisation of the
Clinical case
Category
clinical
56 Australasian Dentist
Category
clinical
Summary
Endodontic posts do not increase the
stability of the remaining tooth substance
in endodontically treated teeth. On the
contrary, they rather weaken them as a
result of the additional substance loss due
to the post bed drilling. In many cases with
a high degree of damage to the clinical
crown, the additional loss of this tooth
substance is necessary for the long-term
retention of the buildup. A system should
thus be chosen that minimizes the risk
of root fracture, based on biomimetric
properties. Adhesively luted endodontic
posts reinforced with glass- or quartzfibre lead to better homogeneous tension
distribution when loaded than metal
or zirconium oxide ceramic posts and
contemporaneously possess advantageous
optical properties. To date, however, there
are only relatively few clinical studies on
Literature
1. Edelhoff D, Spiekermann H. Alles ber
moderne Stiftsysteme. Zahnrztl Mitt 2003;
93: 60-66
2. Grandini S, Balleri P, Ferrari M. Scanning
electron microscopic investigation of the
surface of fiber posts after cutting. J Endodont
2002; 28: 610-612
3. Grandini S, Goracci C, Monticelli F, Tay F R,
Ferrari M. Fatigue resistance and structural
characteristics of fiber posts: three-point
bending test and SEM evaluation. Dent Mater
2004; accepted for publication
4. Kurtz J S, Perdigao J, Geraldeli S, Hodges J S,
Bowles W R. Bond strengths of tooth-colored
posts. Effect of sealer, dentin adhesive, and
root region. Am J Dent 2003; 16:31A-36A
5. Lewinstein I, Grajower R. Root dentin
hardness of endodontically treated teeth. J
Endodont 1981; 7: 421-422
6. Linn J, Messer H. Effect of restorative
procedures on the strength of endodontically
treated molars. J Endodont 1994; 20: 479-485
7. Mannocci F, Ferrari M, Watson T F.
Intermittent loading of teeth restored
using quartz fiber, carbon-quartz fiber, and
zirconium dioxide ceramic root canal posts. J
Adhes Dent 1999; 1: 153-158
8. Mjr I A, Smith M R, Ferrari M, Manocci F.
The structure of dentine in the apical region
of human teeth. Int Endod J 2001; 34: 346-353
9. Monticelli F, Goracci C, Ferrari M.
Micromorphology of the fiber post resin
core unit: a scanning electron microscopy
evaluation. Dent Mater 2004; 20: 176-183
10. Nergiz I, Schmage P. Wurzelstifte im Wandel
der Zeit. Endodontie Journal 2004; 10-17
11. Pfeiffer P, Nergiz I, Platzer U. Yield strength
of zirconia and glass fiber-reinforced posts. J
Dent Res 2002; 81: 428
12. Reeh E S, Messer H H, Douglas W H.
Reduction in tooth stiffness as a result of
endodontic and restorative procedures. J
Endodont 1989; 15: 512-516
Smith C T, Schumann N. Restoration of
endodontically treated teeth: A guide for the
restorative dentist. Quintessence Int 1997;
28: 457-462
58 Australasian Dentist