Assessment of Fracture Resistance Capacity of Different Core Materials with Porcelain Fused to Metal Crown: An in vitro Study

JOURNAL TITLE: The Journal of Contemporary Dental Practice

Author
1. Vishwanath Gurumurthy
2. Shashit Shetty
3. Rajesh Vyas
4. Prafulla T Gaikwad
5. SR Suchitra
ISSN
DOI
10.5005/jp-journals-10024-2271
Volume
19
Issue
4
Publishing Year
2018
Pages
4
Author Affiliations
    1. Department of Conservative Dentistry and Endodontics, Kanti Devi Dental College, Mathura, Uttar Pradesh, India
    1. Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
    1. Department of Prosthodontics, Bangalore Institute of Dental Sciences, Bengaluru, Karnataka, India
    1. Department of Oral and Maxillofacial Surgery, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
    1. Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
  • Article keywords
    Core buildup, Crowns, Endodontically treated teeth, Fracture resistance

    Abstract

    Aim: The aim of the study was to evaluate the capacity to resist fracture in different core buildup materials with porcelain fused to metal (PFM) crown. Materials and methods: Totally, 45 mandibular single rooted first premolars were collected, which were sound along with similar shape and size. The teeth were sectioned at 15 mm above the root apex sparing the sound tooth structure. The teeth were endodontically treated with the crown-down technique using nickel–titanium (NiTi) instrumentation. The specimens were randomized into three groups as per the core materials used and were labeled accordingly. Group I consisted of dualcured composite resin, group II consisted of glass ionomer reinforced with resin, and group III consisted of Miracle mix. Universal loading machine is used for measuring the compressive load applied to fracture the tooth. Results: The mean value of compressive strength was maximum in the dual cured composite resin (598.42 ± 22.64) followed by glass ionomer reinforced with resin (478.88 ± 26.74) and Miracle mix (442.16 ± 30.10). The results showed a significant difference statistically within the core materials used with p < 0.05. The results from the Tukey's post hoc test of multiple comparisons between dual-cured composite resin vs glass ionomer reinforced with resin, dual-cured composite resin vs Miracle mix, and glass ionomer reinforced with resin vs Miracle mix showed a highly statistical difference with p < 0.05, which is significant. Conclusion: This in vitro study showed that the dual-cured composite resin had maximum resistance to fracture compared with other core buildup materials on teeth which were endodontically treated. Clinical significance: Restoration of a tooth which is structurally compromised is a tricky job for all the dentists. Restoring it with a proper core buildup material with adequate fracture resistance makes the tooth structure stable. The core material should be able to resist all types of occlusal forces and to distribute it equally within the tooth structure.

    © 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved