Resistência à fratura de dentes tratados endodonticamente após a cimentação de retentores intrarradiculares

Abstract

This study evaluated the fracture resistance of endodontically treated teeth with a simulated fragility in the canal and restored with the cementation of intracanal retainers. Sixty canines human with similar dimensions were used. The coronal portion of each tooth was sectioned at the line cement-enamel junction, standardizing the roots 17 mm. The root canal of each tooth was instrumented using nickel titanium rotary instruments, obturated with gutta-percha and epoxy resin root canal sealer AH Plus using thermoplastic gutta-percha technique, roots were embedded vertically in the centers of auto polymerizing acrylic resin blocks. The roots were randomly divided into three groups (n=20), according to the material used in restoration, as follows: Group 1: Fiber glass post and core with composite resin Z350; Group 2: Prefabricated steel post and core with composite resin Z350; Group 3: Cast Ni-Cr alloy post. All the roots were restored with metal copings and subjected loading at to mechanical compression test at 45 degrees in a universal testing machine, until a force of 500 N and speed of 0.5 mm/min. The value of fracture resistance was analyzed with one-way ANOVA and Tukey’s test, with a significance level of 5%. Chi-squared test was conducted for evaluation of the fracture modes. No significant difference was detected between the values of fracture resistance among group G1, G2 e G3 (p=0.193). According to the fracture mode, the G1 showed 55% and 45% of the G2 type I fracture, considered repairable or favorable fractures, since the G3 showed 50% type V, considered irreparable or unfavorable. It was conclude that the fiberglass and prefabricated steel posts, along with auto polymerized resin cement Multilink can be used in the restoration of endodontically treated teeth, it had fractures involving the core that facilitating repair.