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2012 Chieruzzi
2012 Chieruzzi
2012 Chieruzzi
Article history: Objectives: The aim of this study was to investigate the mechanical properties of five types of
Received 31 January 2012 fibre-reinforced composite (FRC) posts and compare them with traditional metal post.
Received in revised form Methods: Five FRC posts and a metallic post having different geometry and type of fibre
31 July 2012 (glass, carbon or quartz fibre) were loaded to failure in compression and bending. The
Accepted 4 August 2012 transverse sections of FRC posts were observed using SEM to evaluate the fracture mode and
the percentage of fibres (compared with burn-off test). Densities and voids content were also
evaluated.
Keywords: Results: Mechanical results were subjected to a one-way ANOVA and Tukey test ( p < 0.05).
FRC posts In compression, quartz fibre posts exhibited the greater maximum load and ultimate
Endodontic posts strength, carbon fibre posts showed a poor compressive behaviour. All posts had similar
Compressive strength compressive moduli.
Flexural strength Carbon posts showed the highest flexural properties ( p < 0.0001) while glass posts the
Three-point bending test greater maximum load. The fracture load values correlated to the diameters of posts showed
Debonding a parabolic behaviour. The flexural strengths of all posts were four and seven times higher
than dentine.
The elastic moduli of almost all posts were similar to dentine. The compressive strengths
were lower than flexural strengths. The fibre diameters ranged from 5.2 to 26 mm, the
volume percentage of fibres was about 64%. The content of voids of some posts lower their
mechanical behaviour.
Conclusions: Compressive properties of FRC posts were lower than in bending. The flexural
properties of FRC posts were higher than the metal post and similar to dentine. The
mechanical behaviour is influenced by voids.
# 2012 Elsevier Ltd. All rights reserved.
post may be individually cast together with the core, or the post
1. Introduction may be prefabricated, in which case amalgam, resin composite,
or glass ionomeric cement is used as core material.4–6
Crown restoration of an endodontically treated tooth often The amount of residual coronal dentine together with the
requires additional support by means of a root canal prepara- post placement can improve the failure resistance of end-
tion and the fabrication of a post and core restoration.1–3 This odontically treated teeth.2 The advent of advanced composites
* Corresponding author. Tel.: +39 0744 492946; fax: +39 0744 492950.
E-mail address: manilac@unipg.it (M. Chieruzzi).
Abbreviations: SEM, scanning electron microscope; FRC, fibre-reinforced composite.
0300-5712/$ – see front matter # 2012 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.jdent.2012.08.003
journal of dentistry 40 (2012) 968–978 969
and ceramic materials has led to the development of a wide glass type in which the amorphous phase is a mixture of SiO2,
variety of non-metal posts, including fibre-reinforced posts. CaO, B2O3 and some other oxides of alkali metals. High
One of the major reasons that motivated researchers to find strength glass (S-glass) is also amorphous but differs in
alternative solutions to metal posts was to prevent root composition. Additionally, glass fibre posts can also be made
fracture, which was the main cause of failure with this type of of quartz-fibres. Quartz is pure silica in crystallized form, and
restoration. It has been reported that the rigidity of metal it is an inert material with a low coefficient of thermal
prefabricated posts may pose a risk and cause root fracture7–12 expansion (CTE).32
suggesting that the rigidity of the post should be equal or close The mechanical properties strongly depend on the load
to that of the tooth to distribute the occlusal forces evenly direction and on the structure of the materials. While metal
along the length of the root. The ideal post should provide posts have a homogenous (isotropic) structure, FRC posts are
retention to the core, support the core and keep good adhesion anisotropic. Consequently, the failure of composite materials
of the crown and transmit forces to the tooth avoiding root can be caused by different mechanism like matrix cracking,
fracture.13 In particular, to achieve optimum results, the fibre breakage, interface debonding and delamination.7
materials used to restore endodontically treated teeth should The thickness of FRC posts can also play a role in the
have mechanical properties that are similar to those of fracture strength of fibre post systems.33
dentine.12,14 The main causes of failure for these materials Other factors may influence a good reconstruction: the
are loss of retention of posts or crowns, secondary caries, and bonding at core-post interface, at dentine-post interface and
root fracture; less frequent causes of failure are post distortion the type of material used for the adhesion between post and
and post fracture.15,16 Posts made of different materials, root canal dentine. If the material used as cementation
technologies, processes and morphologies have been used material is a dual-cured resin, it is important to analyse the
during the past 20 years affecting the clinical performance. effects of the light on the polymerization. A recent study
The main kinds of posts are: metal posts and fibre reinforced showed that fibre posts allow more light transmission into the
composite posts (FRC). Prefabricated and cast metal posts root canals. These posts displayed a higher polymerization
were firstly used.1 The utilization of metal posts (with an rate of surrounding resin cement, and less microleakage
elastic modulus of 200 GPa) yields a root fracture index of respect to steel posts. However, the insufficient polymeriza-
approximately 2–4%.9,10 Many studies concerning the me- tion of a dual-cured resin cement surrounding the posts at
chanical properties of FRC posts have recently been pub- apical region might influence the microleakage of post-
lished.5,7,17–19 In particular, in vitro studies have shown that restored teeth.34
FRC posts possess better mechanical properties over metal Another recent study revealed that chlorhexidine (CHX)
posts due to their modulus of elasticity similar to that of (used as final irrigant before endodontic obturation) can also
dentine (18 GPa) leading to a better load transfer to the root improve the push-out bond strength to dentine when
structure.1,7,11,20–23 Recent studies on the clinical performance composite luting cements are used to bond the fibre posts
of fibre posts indicate that fibre post placement in the to root canal dentine. Moreover significant reduction of
restoration of endodontically treated teeth may protect adhesive failures towards dentine cohesive or mixed failures
against failure.3,24,25 While the use of metal posts leads more can be obtained.35 The C-factor (cavity configuration factor) is
frequently to root fracture, the most common type of failure also important. It represents the ratio between bonded and
when FRC posts are used is post debonding. Moreover, unbounded surfaces of the resin. The increase of this factor in
the analysis of long-term performance of these posts showed a fibre post-bonded root canal can induce a detrimental effect
that post debonding can be related to a small amount of on adhesion to root canal dentine.36
coronal dentine remained after endodontic treatment.26 The technique utilised for the fibre post placement can also
All the fibre reinforced composite (FRC) posts are made of affect the final behaviour of the system. Recently the sealing
two main components: the reinforcing fibres and the polymer properties of a one-step obturation post-placement technique
matrix. Matrix polymers are generally epoxy resins or other have been compared with a two-step technique (first step: root
thermosetting polymers with a high degree of conversion and filling with polymer-based thermoplastic material instead of
a highly cross-linked structure.17,27,28 Actually several types of gutta-percha, second step: fibre post-placement after 24 h).37
fibre posts are available. Other than an elasticity modulus The study showed that the seal of root canals achieved with
close to that of dentine a main clinical requirements of root the one-step obturator is less effective than the two-step
canal posts is a high flexural strength. When a fibre post is procedure. In fact, with the one-step procedure, gaps were
excessively flexible, the force applied on the interface between observed between the sealer and the intraradicular dentine.
post, resin and dentine may lead to restoration fracture.29 On the contrary with the two-step procedure less interfacial
The first FRC-posts were made of carbon/graphite fibres defects can be found.
due to their good mechanical properties. In fact teeth restored In order to understand the mechanical behaviour of FRC
with these posts are found to resist fracture propagation better posts several tests can be conducted. One of the most
than teeth restored with titanium or metal posts.1,30 However, important is the three-point bending test. In this case the
they are black in colour and thus lack cosmetic qualities.31 For ratio between the span length L (distance between supports)
this reason posts made of glass or silica fibres were introduced and the post diameter (d) affects the flexural behaviour of fibre
to compensate the aesthetical limitations. They are white or posts.1,23,38,39 In order to eliminate the shear effects during
translucent and can be used in situations of higher cosmetic three-point bending test is recommended, for high strength
demand. Glass fibre posts can be made of different types of engineering composites, a high L/d ratio (40:1 or 60:1). On the
glasses. Electrical glass (E-glass) is the most commonly used contrary, a lower L/d ratio produces shear deformation in the
970 journal of dentistry 40 (2012) 968–978
was weighed in the air to obtain its dry weight, and then in the from 3.06 GPa (post A) to 4.92 GPa (post B). Post D showed the
water to obtain its wet weight. In this way it was possible to greater maximum fracture load (1729.73 N) and the maximum
find the experimental density (rpe) of each sample (and ultimate compressive strength (552.74 MPa). Fig. 7 shows
consequently its volume) as follows: the compressive stress–strain curves of all FRC posts tested.
mp The post type A exhibited a higher compressive strain respect to
r pe ¼ r (6) the other post specimens while the greater ultimate compres-
m p ma w
sive strength was showed by post D (as observed previously).
where mp is the weight of the post in air (g), ma is the weight of Statistical analysis on compression results showed significant
the post when immersed in water (g) and rw is the density of differences between posts. The Tukey test showed the highest
water (g/cm3). compressive strength obtained with D post with quartz fibres
During the incorporation of fibres into the matrix air or was significantly different (with a probability level of p < 0.0001)
other volatiles may be trapped in the material. They are in the respect to posts A and C. It was about 3.69 times that of the
composite as microvoids which may affect the overall lowest one (exhibited by post A). In the case of compressive
mechanical properties especially when the volume fraction moduli, all groups exhibited similar values. The differences
of voids is high. The negative effect of voids on compressive obtained with Tukey test for fracture load showed a probability
and flexural properties of composites has been demonstrat- level of p < 0.0001 for post D compared to post A, C and E.
ed.42–44 The evaluation of the voids content is then important The mean and standard deviation values of flexural
because it can give an estimate of the quality of the composite. modulus, flexural strength and fracture load of the posts
The volume fraction of voids (vv) in the FRC posts was are listed in Table 3. Statistical analysis showed significant
estimated by comparing the theoretical density of the post (rpt) differences between posts. The multiple comparison test
with the density obtained from experimental tests45: (Tukey test) showed that the highest flexural strength was
r pe obtained for the E post with carbon fibres with a very wide
vv ¼ 1 (7) distribution of values for the different posts tested. The
r pt
highest value (post E) was significantly different (with a
The theoretical density of each post was evaluated with the probability level of p < 0.0001) and it was about 2.36 times that
rule of mixtures: of the lowest one (post A). The highest modulus was also
obtained for post E (101.88 GPa) and even in this case was
r pt ¼ r f v f þ rm ð1 v f Þ (8)
significantly different (with a probability level of p < 0.0001).
where rm and rf are the densities of the matrix and the fibre Post A showed the highest flexibility with the higher
respectively. The following values of density were considered maximum fracture load (213.1 N). The differences obtained
(expressed in g/cm3): 1.3 for epoxy matrix, 2.5 for glass fibres, with Tukey test for this property showed in almost all pairs a
1.81 for carbon fibres and 2.65 for quartz fibres. probability level of p < 0.0001. Only the differences with
respect to fracture load between C and F posts and between
B and E posts were not statistically significant.
3. Results The fracture load values correlated to the sections of the
posts are reported in Fig. 3. All FRC post specimens showed a
The mean and standard deviation values of compressive parabolic increasing resistance against loading force along
modulus, ultimate compressive strength and fracture load with an increase in diameter. Fig. 4 shows the flexural stress–
obtained with at least five samples for each type of post are strain curves of all posts analysed. The brass post showed a
listed in Table 2. The posts showed compressive moduli ranging higher flexural strain respect to the other post specimens.
Fig. 5 – SEM micrographs of cross sectional surfaces of cut posts: (a) type A-Evolution fibre post, (b) type B-Anatomical post,
(c) type C-Relyx fibre post, (d) type D-Lightpost, (e) type E-Millenium.
974 journal of dentistry 40 (2012) 968–978
Table 4 – Fibre diameters, densities and fibre contents of FRC posts tested.
Post type Mean fibre diameter Experimental density Fibre contents from Fibre contents from
(mm) (g/cm3, mean (SD)) burn-off (vol.%, mean (SD)) micrographs (vol.%)
A 26.0 2.07 (0.04) 63.7 (0.8) 63.6
B 14.9 2.03 (0.02) 64.5 (0.7) 56.6
C 19.0 2.12 (0.04) 66.0 (0.8) 69.9
D 21.0 2.14 (0.01) 63.3 (0.7) 68.3
E 5.2 1.57 (0.03) 65.2 (5.2) 66.4
Structural characteristics of the five FRC posts were SEM micrographs of the fractured samples highlighted the
obtained by SEM analysis of cut post cross sectional surfaces cohesive interface bonding between the fibres and the matrix
(Table 4). The distribution of fibres in the posts and fibre (Fig. 6). The ratios between the experimental and theoretical
diameter were evaluated from Fig. 5 as well as the fibre volume strengths in compression (Rosen model) were about: 13% for
fractions. In post E the carbon fibres resulted the smallest in post B, 8% for post D and 5% for post E. The densities of all posts
diameter (5.2 mm) while in post A the glass fibre diameter was obtained with Archimedes’ Principle (Table 4) were used along
the largest (26 mm). Furthermore, the fibre volume fractions with the theoretical densities (obtained with Eq. (8)) in Eq. (7) to
ranged from 56.6 (for post B) to 69.9 vol.% (for post C). In Table 4 calculate the presence of voids in the posts. In particular, it
the fibre volume fractions obtained with burn-off tests are also was found that posts B, D and E contained the following
reported. They show more comparable values between all FRC volume fraction of voids: 1.97%, 0.60% and 3.77% respectively.
posts with an average fibre content of 64.5%. The other posts did not show a particular content of voids.
Fig. 6 – SEM micrographs of cross sectional surfaces of fractured posts showing debonding and fibre pull-out: (a) type A-
Evolution fibre post, (b) type B-Anatomical post, (c) type C-Relyx fibre post, (d) type D-Lightpost, (e) type E-Millenium.
journal of dentistry 40 (2012) 968–978 975
4. Discussion
very high a partial or complete debonding of the broken fibre - post D shows the greater maximum compressive fracture
from the surrounding matrix can take place. The different load (1729.73 N) and the maximum ultimate compressive
elastic modulus of fibres and matrix causes high stresses at strength (552.74 MPa);
the interface between them and propagate along the surface of - post A with glass fibres and the lowest L/d shows the lowest
the fibres when the posts are loaded. This leads to the flexural strength with most favourable distribution, while
interfacial slip between the broken fibre and the matrix with a post E with carbon fibres shows the largest stress with
stress magnification in the adjacent fibres. The stress highest stress concentration;
components are capable of debonding the fibres from the - post E shows the highest flexural modulus (about 100 GPa);
surrounding matrix even before they fail. The adhesion and however, it should be noted that it offers a poor behaviour in
debonding behaviour at the fibre–matrix interface play an compression following the well-known limitations of carbon
important role on the fracture behaviour of the matrix during fibres under compressive load. Consequently, the maximum
fibre pull-out. When the interface bond failure is partially flexural load recorded is related to post A with the highest
cohesive, the matrix is severely fractured during fibre pullout; diameter and the lower to post E with carbon fibres;
when it is adhesive, there is minor matrix damage during fibre - the fibre diameters range from 5.2 to 26 mm. The volume
pullout. Moreover, the voids in the matrix (as mentioned percentage of fibres in the posts is close to 64.5%;
above) can represent a cause of debonding between fibres and - the content of voids present in some FRC posts may be the
matrix since they can promote water absorption in the resin responsible of lower mechanical properties;
and decrease the mechanical properties of the composite.9,51– - compressive properties are lower than flexural properties.
55
In addition, the post type seems to be the main factor for
bond strength so major attention must be paid on post type.56 The first two null hypotheses were rejected since the study
The post retention can be improved with chemical surface showed that differences exist among different fibre posts
treatments or mechanical treatments that lead to a better analysed respect to their structural characteristics, presence
adhesion between fibre posts and composite resin core of voids, mechanical resistance. Finally the third hypothesis
materials.57–63 There are different procedures like silanization was also rejected because this study showed that the voids
and adhesive application, acid etching, airborne-particle may affect the mechanical strengths of fibre posts both in
abrasion, and silica coating, or ageing procedures (thermal compression and in bending.
cycling, water storage)64,65 that can be applied with this
purpose. A recent study showed that hydrofluoric acid and
hydrogen peroxide can modify the surface morphology of fibre references
posts and combined with silane, they can enhance the
interfacial bond strength between posts and core materials.66
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