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Type: Journal article
Title: Fracture resistance and pattern of the upper premolars with obturated canals and restored endodontic occlusal access cavities
Author: Wu, Y.
Cathro, P.
Marino, V.
Citation: Journal of Biomedical Research, 2010; 24(6):474-478
Publisher: Nanjing Yike Daxue
Issue Date: 2010
ISSN: 1674-8301
Statement of
Younong Wu, Peter Cathro and Victor Marino
Abstract: We studied whether obturing canals and restoring endodontic occlusal access cavities on upper premolars could provide acceptable resistance and pattern to fracture. Eighteen upper premolars were divided equally into 3 groups. Group 1 consisted of intact controls; group 2 had access cavities and root canal preparations; group 3 as in group 2 but obturated with gutta-percha and AH26, and the access cavity restored with glass ionomer and composite. Specimens were submitted to compressive strength testing using the Hounsfield Universal H50KM testing machine with a load cell of 2000 Newtons and a crosshead speed set at 1.0 mm/min until fracture. The results from the compressive strength tests showed that intact controls (1105.83±90.93 MPa) and restored premolars (936.67±44.67 MPa) were significantly different from premolars with unrestored access cavities 568.33±105.49 MPa. There was no significant difference between intact controls and restored premolars. The predominant fracture pattern for intact teeth was an oblique fracture. For premolars that had endodontic access cavities, restored or unrestored, the most common fracture pattern was a vertical fracture. The restoration of occlusal access cavities with glass ionomer and composite provided fracture resistance close to that of intact controls, but when restored teeth fractured, they were predominantly non-restorable.
Keywords: root canal preparation; premolar; fracture
Rights: Copyright © 2010 The Editorial Board of Journal of Biomedical Research Published by Elsevier (Singapore) Pte Ltd.
RMID: 0020102868
DOI: 10.1016/S1674-8301(10)60063-2
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