Evaluación no lineal de dos postes diferentes / Nonlinear evaluation of two different posts

Introducción: los dientes tratados endodóncicamente que van a ser rehabilitados con coronas y que han perdido parte de su estructura dental, necesitan de un poste prefabricado o colado para que ayude a la retención de la restauración final y así el diente puedarecuperar la funcionalidad y la estética. La literatura reporta cuándo utilizar un poste colado o prefabricado, pero no es contundente cuál distribuye mejor los esfuerzos, cuál material o forma de poste es mejor y si el módulo de elasticidad tiene o no relación con la distribución de las cargas a lo largo del eje axial del diente. Métodos: se hicieron dos modelos en SolidWorks de un incisivo central superior con todassus estructuras de soporte, uno con un poste colado y otro con un poste prefabricado, además de una corona completamente cerámica. Mediante un análisis de elementos finitos se cargaron dichos dientes a 200, 400, 600 y 800 N para llevarlos hasta la plasticidad. Resultados: 200 y 400 N ambos postes mostraron diferente distribución de esfuerzos sin afectar la restauración o la raíz dental. Conclusiones: a cargas masticatorias normales, ambos postes son predecibles para rehabilitar un diente que necesita de la incorporación de un poste.

Introduction: endodontically treated teeth that will be restored with crowns and which have lost part of their dental structure need a cast post or a prefabricated post to improve final restoration retention and therefore to be able to regain their functionality andaesthetics. The literature suggests when to use a cast or prefabricated post, but it is not conclusive in terms of which one has a better stress distribution, which post material or shape is better, or whether their modulus of elasticity is related to load distribution along thetooth’s axis. Methods: by using Solid Works, two models of a maxillary central incisor with all its supporting structures were made, one with a cast post and another one with a prefabricated post plus an all-ceramic crown. By means of finite element analysis both teeth were subjected to loads of 200, 400, 600 and 800 N up to reaching their plasticity. Results: at 200 and 400 N, both posts showed different stress distribution patterns without altering the restoration or the tooth’s root. Conclusions: at normal masticatory loads, both posts are likely to restore a tooth that needs addition of a post.

A STUDY ON THE FRACTURE STRENGTH OF TEETH RESTORED WITH A CARBON FIBER POST UNDER CYCLIC LOADING / 대한치과보철학회지

In the restoration of endodontically treated teeth, carbon fiber post was recently introduced. The purpose of this in vitro study was to investigate the fracture strength of teeth restored with a preFabricated carbon fiber post in comparison with teeth restored with a prefabricated titanium post & custom cast gold post after cyclic loading in the different environment. A total of 30 recently extracted human central incisors of similar dimension with crowns removed were used. All teeth were placed into acrylic blocks and every steps for post and core fabrication were made according to manufacture s instruction. The post length and core dimensions were standardizd. All teeth were divided into 6 groups 1) carbon fiber post / atmosphere, 2) titanium post / atmosphere, 3) gold post / atmosphere, 4) carbon fiber post / wet, 5) titanium post / wet, 6) gold post / wet. Carbon fiber post and titanium post were cemented in place using resin cementt and cores were fabricated with Ti-Core. Custom cast gold post was made from Dur clay pattern resin and cemented using resin cement, too. All specimens were thermocycled 10,000 times. After 50,000 cyclic loading, failure strength was measured using Instron testing machine. KruskalWallis test followed by Mann-Whitney test was used to compare the mean fracture strength. Results were as follows 1. All specimens showed lower fracture strength in wet environment after cyclic loading than in atmosphere condition, but did not reveal a significant difference. 2. There was no significant difference between carbon fiber post specimen and titanium post spec imen in the same environment. 3. Gold cast post specimen showed significant different greater fracture strength than those of others in the same environment. 4. Carbon fiber post specimen showed no root fracture.