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Q U I N T E S S E N C E I N T E R N AT I O N A L
Clinical failures involving endodontically serious type of failure.1,2 It has been suggest-
treated teeth reconstructed with posts are ed that the rigidity of a root canal post should
mainly attributed to cementation flaws of be equal or close to that of dentin to distrib-
posts or root fractures, which are the most ute occlusal forces along the length of the
root to prevent root fractures.3 Fiber-rein-
forced composite (FRC) posts were intro-
1
Lecturer and postdoctorate student, Department of Operative
Dentistry and Periodontology, University School of Dental
duced in 1990 and have demonstrated favor-
Medicine, Campus Benjamin Franklin, Charité–Universitäts- able physical properties, eg, a modulus of
medizin Berlin, Berlin, Germany.
elasticity close to that of dentin.4
2
Postdoctorate student, Department of Operative Dentistry and Commonly used prefabricated FRC posts
Periodontology, University School of Dental Medicine, Campus
exhibit a highly cross-linked polymer matrix
Benjamin Franklin, Charité–Universitätsmedizin Berlin, Berlin,
Germany. between the fibers, and because of the high
3
Department of Medical Informatics, Biometry, and conversion rate they should be more or less
Epidemiology, Campus Mitte, Charité–Universitätsmedizin nonreactive; therefore, bonding between pre-
Berlin, Berlin, Germany.
fabricated FRC posts and adhesive luting
4
Chairman, Department of Operative Dentistry and Periodont-
agents can be hampered.5 A recently devel-
ology, University School of Dental Medicine, Campus Benjamin
Franklin, Charité–Universitätsmedizin Berlin, Berlin, Germany.
oped FRC material consists of continuous
unidirectional glass fibers and a multiphase
Reprint requests: Dr Kerstin Bitter, Department of Operative
Dentistry and Periodontology, University School of Dental polymer matrix. This polymer matrix reveals a
Medicine, Campus Benjamin Franklin, Charité–Universi- semi-interpenetrating polymer network (IPN)
tätsmedizin Berlin, Assmannshauser Strasse 4–6, D-14197 Berlin,
with both linear polymer phases, polymethyl-
Germany. Fax: +49-30-8445-6204. E-mail: kerstin.bitter@
charite.de methacrylate (PMMA), and cross-linked poly-
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
Composition
Bonding Silane of resin Composition Effective Solution Light
Luting agent agent solution Manufacturer composites of primers silane of silane curing
RelyX Unicem Espe Sil 3M Espe, Silica, glass, No primer available Amino-silane Ethanol > 90% 40 s
Seefeld, calcium
Germany hydroxide,
methacrylated
phosphoric ester,
dimethacrylate,
acetate
(10-MDP) 10-methacryloyloxydecyl dihydrogen phosphate; (HEMA) hydroxyethyl methacrylate; (MPS) methoxysilylpropylmethacrylate; (bis-GMA) bisphenol
glycidyl methacrylate.
§§
Data not provided by manufacturer
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
Post
Push-out Load
Plastic mold
Fig 2 Longitudinal section through the plastic mold, revealing an Fig 3 For push-out testing a supporting table with an
inserted post, layer of resin cement, and composite disk. opening of 2.5 mm was selected. After sample insertion, the
load of the push-out pin (diameter 1.2 mm) was applied at
a crosshead speed of 0.5 mm/min until fracture.
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
40 Control
Bond strengths (MPa) Silane
30
20
10
FRC Unicore IPN FRC Unicore IPN FRC Unicore IPN FRC Unicore IPN
Postec Postec Postec Postec
Panavia F Variolink PermaFlo DC RelyX Unicem
Fig 4 Box-and-whisker plot demonstrating the bond strengths of 3 types of fiber posts and 4 resin cements
with and without silanization.
Failure modes
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER
Q U I N T E S S E N C E I N T E R N AT I O N A L
Bitter et al
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PK. An introduction to silanes and their clinical Dentin bond strength and marginal adaptation:
applications in dentistry. Int J Prosthodont 2004;17: Direct composite resins vs ceramic inlays. Oper
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Microtensile bond strength of a dual-cure resin PE. A novel method to obtain microtensile speci-
core material to glass and quartz fibre posts. J Dent mens minimizing cut flaws. J Biomed Mater Res B
2004;32:443–450. Appl Biomater 2005;16:7–14.
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Kielbassa AM. Bond strengths of various resin Adhesive post-endodontic restoration with fiber
cements to fiber-reinforced composite posts. Am J posts: Push-out tests and SEM observations. Dent
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Ferrari M. The adhesion between prefabricated FRC Retention and failure morphology of prefabricated
posts and composite resin cores: Microtensile bond posts. Int J Prosthodont 2004;17:307–312.
strength with and without post-silanization. Dent 21. Kato H, Matsumura H, Ide T, Atsuta M. Improved
Mater 2005;21:437–444. bonding of adhesive resin to sintered porcelain
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the bond strengths of fiber posts. Dent Mater uid silane conditioner. J Oral Rehabil 2001;28:
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14. Sahafi A, Peutzfeldt A, Asmussen E, Gotfredsen K. 22. Monticelli F, Toledano M, Tay FR, Sadek FT, Goracci C,
Bond strength of resin cement to dentin and to sur- Ferrari M. A simple etching technique for improving
face-treated posts of titanium alloy, glass fiber, and the retention of fiber posts to resin composites. J
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and dentin: Current status and future challenges. facial adhesion in post/core restorations. Dent
Oper Dent 2003;28:215–235. Mater 2006;22:602–609.
COPYRIGHT © 2007 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY. NO PART OF THIS
ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER