THE EFFECT OF SURFACE TREATMENT ON FIBER REINFORCED POSTS

Presented by – Dr. Amit PG 1st year

The prognosis of endodontically treated teeth depends not only on the success of the endodontic treatment but also on the type of reconstruction

INTRODUCTION .

Therefore . Require the placement of a post to ensure adequate retention core . excessive wear.Endodontically treated teeth may be damaged by    decay. previous restorations. LEADS TO lack of coronal tooth structure.

CAST METAL POSTS VS FIBER REINFORCED POST .

dentin interface as a result of bond deficiencies.Why do we need various surface treatments?? Fogel via fluid filtration microleakage test evaluated found that none of the post systems tested were capable of consistently achieving a fluid-tight seal. . In vitro and in vivo studies indicate that failure of glass fiber reinforced post-and-core restorations often occurs because of debonding at the post-resin interface and/or resin. Similar results were reported by Tjan et al. who used second generation dental adhesives and found that all teeth showed leakage.

What can we do about the failures?? Authors have investigated different procedures for improving the interfacial bond strength between posts and resin-based materials .  Pretreatment procedures Treatments Acid etching.that combine both and/or particle micromechan abrasion. component  These procedures may be divided into 3 categories: . and adhesive ical and a silica application chemical coating. Silanization airborne.

PRETREATMENT PROCEDURES .

Silanization and/or adhesive application SILANE – INCREASES SURFACE WETTABILITY BOND FORMATION WITH OH – CONTAINING GROUPS AS GLASS OR QUARTZ FIBERS ENHANCING ADHESION OF FIBRE POST TO COMPOSITE RESIN INCREASED BOND STRENGH .

Solvent evaporation plays an important role since an incomplete removal may compromise coupling To optimize the chemical interaction between silane and inorganic surfaces. Bond strength between the epoxy resin-based fiber posts and the methacrylate based resin are not fully enhanced by silanization . the reaction may be catalyzed by acid treatment or heating. The chemical bond may be achieved only between the composite resin and the exposed glass fibers of the post.

ACID ETCHING . post/composite interfaces MICROCRACKS. SANDBLASTING AND SILICA COATING CERAMIC ETCHING WITH HF Nontreated fiber posts have a relatively smooth surface which CREATES ROUGH SURFACE limits mechanical interlocking with resin cements and purely MICROMECHANICAL INTERLOCKING adhesive WITH RESINOUS CEMENTfailure modes are commonly recorded at the DAMAGES GLASS FIBERS. CORROSIVE EFFECTS .

  RELIES ON USE OF ALUMINIUM OXIDE PARTICLES MODIFIED BY SILICA. COMBINING CHEMICAL AND MICROMECHANICAL RETENTION. SILICATE LAYER WELDED ON TO THE TREATED SURFACE BY HIGH SPOT HEAT PRODUCED BY BLASTING PRESSURE IN A PROCESS CALLED TRIBOCHEMICAL COATING. FOLLOWED BY SILANIZATION OF PRETREATED LAYER. BLASTING – REMOVES SUPERFICIAL LAYER OF RESINOUS MATRIX CREATING MICRORETENTIVE SPACES ON POST SURFACE    .

2. AT 30MM DISTANCE .5 SEC. CREATES A SILICA LAYER ON THE POST SURFACE.5 BAR AREA AND MECHANICAL INTERLOCKING WITH THE RESIN PRESSURE. BUT MAY MODIFY THEIR SHAPE AND FIT INTO ROOT CANALS BALBOSH AND ASUMUSSEN ET AL – REGIMEN THIS REGIMEN DID NOT PRODUCE VISIBLE CHANGES OF THE EPOXY BASED FIBRE POSTS SHAPE OF THE POST AND RESULTED IN INCREASED SURFACE ABRADED WITH 50 MICRONS ALUMINA PARTICLES.AIR ABRASION    USING SILICA COATED ALUMINIUM OXIDE PARTICLES. PENETRATES 15 MICRONS EFFICIENT WHEN COMPARED TO ACID ETCHING.

SURFACE LAYER – MORE SPACES FOR SILANIZATION.MAIN PROBLEM WITH CONDITIONING TECHNIQUES ---LACK OF SENSITIVITY BOTH THE MATRIX AS WELL AS THE FIBERS OF THE POST AFFECTED BY TREATMENT – RESULTING IN DAMAGE OF THE POST’S INNER STRUCTURE. FOR METAL PLATING.  REMOVING . NEUTRALIZING  FIBER POSTS – IMMERSED INTO SOLUTION(H2O2) – 10-15 MIN. ALTERNATIVE ETCHING TECHNIQUES : SWELLING  CONDITIONING OF EPOXY RESINSETCHING WITH KMNO4 – DESMEARING.

REVIEW OF LITERATURE .

CHIEFFI N. COMBINATION OF SANDBLASTING AND SILANIZATION ON THE BOND STRENGTH BETWEEN FIBER POST AND RESIN CEMENT. Both sandblasting and silanization can improve the bonding of fiber posts to resin cement. FERRARI M INTERNATIONAL DENTISTRY SA VOL. The effect of sandblasting is predominant. CHEN JH. Main aim of the study was to evaluate the effects of sandblasting combined with silanization as a surface treatment on the bond strength between fiber posts and resin cement. 6 . NO. 8. WANG YJ. ZHANG L.This study suggested that fiber posts should be pretreated with sandblasting or combined with silanization before clinical use.

Noetzel J.38:121-128 .Investigated the effects of pretreatment (silanization) on bond strengths between three different types of fibre posts and 4 resin cements. whereas the effects of silanization appeared to be clinically negligible EFFECTS OF SILANIZATION ON BOND STRENGTHS OF FIBRE POSTS TO VARIOUS RESIN CEMENTS. Keilbassa AM . Bitter K.Concluded that fibre post revealed a significant influence on the bond strengths. Neumann K. Quintessence Int 2007.

Evaluated the effect of post-silanization heat treatment of a silane agent and rinsing with hot water of silanized CAD/CAM feldspathic ceramic surfaces on the microtensile bond strength between resin cement and the ceramic.2013 . They concluded that oven drying at 77°C improved the bond strength between the resin cement and feldspathic ceramic. before and after mechanical cycling. Corazza. Cavalcanti PH. Effect of Post-silanization Heat Treatments of Silanized Feldspathic Ceramic on Adhesion to Resin Cement. but hot water rinsing reduced the bond strength and should not be recommended. Queiroz SCM J Adhes Dent .

Post silanization improves bond strength of translucent posts to flowable composite resins. Osorio R et al. The application of a silane coupling agent increased MTBS of flowable composite resins to translucent posts. Journal of Biomedical Materials Research Part B Applied Biomaterials 2007.Evaluated the effect of post silanization on the microtensile bond strength (MTBS) of translucent fiber posts to seven flowable composite resins used as core material. Albaladejo A. . 82(2):320-4. The different resin composite materials and the post silanization procedures had a significant effect on MTBS.

Arcangelo C. Retentive post bond strengths were significantly enhanced with any tested post surface pretreatment.5%.This study evaluated the effect of three post surface treatments on quartz-fiber post (a) retention and (b) morphology. Significant changes of post surfaces were SEM observed after different conditioning treatments. The increase in retentive strength was more remarkable in sandblasted and etched posts. 2007 . Effect of Surface Treatments on Tensile Bond Strength and on Morphology of Quartz-fiber Posts. Different treatments were performed for the other posts: silanization. sandblasting with 50 μm Al2O3. etching by hydrofluoric acid 9. Amario M et al.

Wrbas KT. . Journal of Endodontics 2007. Altenburger MJ et al.33(7):840-843. Silanization of fiber post surfaces seemed to have no clinical relevance. Effect of Adhesive Resin Cements and Post Surface Silanization on the Bond Strengths of Adhesively Inserted Fiber Posts. Tensile bond strengths were significantly influenced by the type of resin cement. Concluded that Silanization had no significant effect.Evaluated the tensile bond strengths and the effect of silanization of fiber posts inserted with different adhesive systems.

Bitter K.The type of fiber post revealed a significant influence on bond strengths. Quintessence Int 2007 Feb. Bond strengths were significantly affected by the resin cement. whereas the effects of silanization appeared to be clinically negligible. respectively. and the type of post.Main aim was to investigate the effects of pretreatment (silanization) on bond strengths between 3 different types of fiber posts and 4 resin cements. but not by thermocycling. The IPN post demonstrated significantly higher bond strengths compared to the other posts. Silanization significantly increased bond strengths compared to those of the control groups.38(2):121-8. the pretreatment . Noetzel J et al. . Effect of silanization on bond strengths of fiber posts to various resin cements.

Effect of silica coating and silanization on flexural and composite-resin bond strengths of zirconia posts: An in vitro study Xible AA. It is also not clear whether any alteration of the post surface to provide additional mechanical or chemical retention would compromise flexural strength of the posts. 2007 .CONCLUDED .The use of a tribochemical silica coating process and silanization on zirconia-based ceramic posts increased both the bond strength to composite resin as well as the fracture strength of posts. Tavarez RRJ et al.The bond strength of composite resin cores to the smooth surface of prefabricated zirconia-based ceramic posts is problematic because it might not be sufficient to ensure stability of the post-and-core system.

Osorio R et al. Surface Treatments for Improving Bond Strength to Prefabricated Fiber Posts: A Literature Review. Long-term clinical studies are needed prior to making a general recommendation for their use. According to the in vitro results. and the bond strength of pre-treated fiber posts to restorative materials is satisfactory. Monticelli F .Several surface treatments have been proposed for improving the bonding of resin cements or core materials to FRC (fiber-reinforced composite) posts.This literature review summarizes the research on fiber post surface treatments and provides information related to their benefit in enhancing bond strength to composites. based on the results of original scientific full papers from peer-reviewed journals listed in Pub Med. The possibility of combining chemical and micromechanical retention on post surface provides the most promising adhesion mechanism. surface conditioning improves fiber post bonding properties. 2008 .

Ghazal M. Airborne-particle abrasion of the surface of the post significantly improved post retention Effects of endodontic post surface treatment.Several post surface treatments with or without the application of a bonding agent have been recommended to improve the bond strength of resin cements to posts.The purpose of this study was to evaluate the influence of post surface conditioning methods and artificial aging on the retention and microleakage of adhesively luted glass fiber-reinforced composite resin posts. dentin conditioning. and artificial aging on the retention of glass fiber-reinforced composite resin posts. A regimen that produces the maximum bond strength of glass fiber-reinforced composite resin posts has not been verified. January 2010. The Journal of Prosthetic Dentistry Volume 103. Albashaireh ZS. Pages 31–39 . Kern M. Treating the surface of the posts with phosphoric acid for 15 seconds before cementation produced no significant improvement in post retention. Issue 1.

There was no significant difference between the S and M groups. hydrogen peroxide and methylene chloride. (J Prosthet Dent 2008. The SEM observations demonstrated that the fiber post surfaces were modified after chemical surface treatment techniques.The purpose of this study was to evaluate the effect of 2 chemical solvents.99:38-45) . on the shear bond strength of quartz and glass fiber posts to a composite resin. The surface treatment of quartz and glass fiber posts with hydrogen peroxide significantly enhanced the shear bond strength of the composite resin tested due to its ability to dissolve the epoxy resin matrix used in each post Effects of chemical surface treatments of quartz and glass fıber posts on the retention of a composite resin Yenisey M and Kulunk S . There were significant differences between the shear bond strength for LP and CB.

CONCLUSION .

 Long . Advances in the surface treatments of the fibre posts representing on of the most important factor which has improved the success of the esthetic post systems over the last two decades. term clinical studies supporting the benefits of one technique over the other in the future is requested.