ArticleBMC oral health2024
Unveiling the mechanical performance of partially replaced coronal restorations in root canal-treated teeth: an in-vitro study.
Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Influence of repeated cycles of full-strength sodium hypochlorite activation on the mechanical behavior of root canal-treated teeth: a laboratory study.BMC oral health · 2026Article
- The influence of cavity design on the mechanical behavior of endo-crown restorations: an ex-vivo study.BMC oral health · 2025Article
- The impact of passive ultrasonic irrigation on the bond strength of two different self-etch adhesives to human pulp chamber dentine: a laboratory investigation.BMC oral health · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare the mechanical performance of partially replaced (repaired) intra-coronal restorations to totally replaced ones in root canal-treated teeth.
methodsThirty maxillary second premolars were selected according to strict criteria, mounted on moulds, and had mesio-occluso-distal (MOD) cavities prepared. Resin composite restorative material was used to perform the initial restoration, followed by aging procedures using thermo-mechanical cycling fatigue to replicate six months of intraoral aging. The specimens were then randomly divided into two groups: a totally replaced restoration (TR) group (n = 15), which involved the preparation of a traditional endodontic access cavity after the complete removal of the pre-existing coronal filling; and a partially replaced restoration (PR) group (n = 15), which involved accessing the tooth through the pre-existing restoration without completely removing it. Root canal preparation and filling procedures were conducted, and the access cavity was sealed with a new resin composite restoration, followed by a new thermo-mechanical cycling aging procedure. Finally, the specimens were submitted to a static fracture test to measure specimen fracture strength and determine the failure mode pattern (repairable fracture or irreparable fracture). Chi-square and t-tests were used for statistical analysis.
resultsSignificant differences between the groups regarding their mechanical resistance were found. The average failure load of the TR group was 1115.13 N and 1330.23 N in the PR group (p = 0.002). Regarding the failure modes, the TR group exhibited eight irreparable fractures, while the PR group had four (p = 0.136).
conclusionsPartially replaced restorations presented higher fracture strength and led to fewer irreparable fractures when compared to totally replaced restorations in root canal-treated teeth.
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