2012 Chieruzzi

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 11

journal of dentistry 40 (2012) 968–978

Available online at www.sciencedirect.com

journal homepage: www.intl.elsevierhealth.com/journals/jden

Compressive and flexural behaviour of fibre reinforced


endodontic posts

Manila Chieruzzi a,*, Stefano Pagano b, Manuela Pennacchi a, Guido Lombardo b,


Potito D’Errico b, Josè M. Kenny a
a
Civil and Environmental Engineering Department, University of Perugia, Strada di Pentima, 4, 05100 Terni, Italy
b
Faculty of Medicine and Surgery, Clinical Odontostomatology, University of Perugia, S. Andrea delle Fratte, 06156 Perugia, Italy

article info abstract

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

FRC samples. The analysis of compressive behaviour in


vertical direction is also very important in dental applications
because teeth are often subjected to compression loads during
mastication. Moreover it is known that fibre composite
materials usually fail under compression loading parallel to
the fibre direction at lower stress than in tension loading. It is
still not clear how the different properties of FRC posts
influence their compressive strengths and moduli since the
literature is sparse with information on vertical compressive
behaviour. Scanning electron microscopy can also be useful to
evaluate the morphologic characteristics of single compo-
nents of endodontic reconstruction, the interfaces between
post and core unit and the presence of voids inside the
materials.40,42–44
Fig. 1 – Type of posts tested in this study: A-Evolution fibre
In this work endodontic posts produced with different
post, B-Anatomical post, C-Relyx fibre post, D-Lightpost,
materials (brass, carbon fibres, glass fibres and quartz fibres
E-Millenium, F-Dentatus.
reinforced composites) were studied. The aim of the work was
to assess their mechanical behaviour not only in bending but
also in compression and to analyse their microscopic
morphology and physical characteristics. By microscopic 2.1. Mechanical testing
analysis, the mechanical properties of FRC posts were
correlated to the quality of fibre–polymer matrix interface, Five samples of each type of post were tested in compression
the distribution, the fibre diameter and the quantity of fibres using a material testing machine (LR30K, Lloyd Instruments
present, along with the fracture type in each post. Ltd., Fareham, UK) at room temperature (25 8C) with a loading
The null hypotheses tested were: (1) there is no difference cell of 30 kN. All posts were cut with a diamond blade in order
in the structural characteristics and in the percentage of voids to obtain one dimension (the height) twice the other one (the
in the posts, (2) there is no difference in compressive and diameter). In this way every possible buckling phenomenon
flexural resistances among the different fibre posts, (3) the was avoided. The samples obtained were then slightly glued
presence of voids in posts does not affect the mechanical with an ethylene vinyl-acetate based hot melt adhesive
behaviour of the different fibre posts. (Mastikol S.r.l., Torino, Italy) over the apparatus to keep the
posts in a vertical position during the test. The type of
glue used was not applied on the lower surface of the samples
2. Materials and methods but only on the lateral surfaces. In this way the test is still
correct because no artificial interface was created by the glue
Six posts of different brands were selected for this study: a itself (Fig. 2).
metallic type made of brass and five FRC posts with different The samples were subjected to a compression force (F)
diameters, and continuous unidirectional fibres (Fig. 1). perpendicular to the top surface at a constant crosshead speed
Table 1 shows the product name, the abbreviation used in of 2 mm/min until failure occurs.4,8,13 The load was applied on
this article, the type of fibres and matrix and the mean post the original surface and not on the cut one in order to avoid
diameter for each post. The medium size was selected for premature failure and splitting of the specimen. The load–
the posts tested. A greater number of glass fibre posts were deflection curves were recorded with PC-software (Nexygen,
analysed because glass fibres are the most widely used in Lloyd Instruments Ltd., Fareham, UK). The ultimate compres-
this application for their better aesthetic performances. FRC sive strength for all specimens (sc) was calculated by dividing
posts are made of (1) spatially oriented reinforcement of the maximum force by the area of the specimen10:
continuous elongated fibres, (2) a matrix of a proprietary
4Fmax
epoxy resin and (3) an interface: a bonding system between sc ¼ (1)
pd2
the matrix and the fibre. The matrix of FRC posts is typically
an epoxy resin based on diglycidyl ether of bisphenol A where Fmax is the applied load at the maximum of the curve (N)
(DGEBA). and d is the specimen diameter (mm). The diameter of each

Table 1 – Post systems tested.


Product name Abbreviation Matrix Fibre Mean post diameter (mm)
Evolution fibre post A Epoxy Glass 2.12
Anatomical post B Epoxy Glass 1.12
Relyx Fibre post C Epoxy Glass 1.35
Lightpost D Epoxy Quartz 1.50
Millenium E Epoxy Carbon 0.84
Dentatus F Brass – 1.28
journal of dentistry 40 (2012) 968–978 971

The significant differences between groups and the multiple


comparisons were obtained with Tukey test.

2.2. SEM analysis

After flexural tests, the broken posts were fixed on metallic


stabs and covered with a thin film (15 nm, 99.99% of gold,
2  106 Torr) by thermal evaporation (Sistec thin film equip-
ment by Kenosistec Angelantoni Group, Massa Martana (PG),
Italy). The transverse sections were examined with a FE-SEM
(Field Emission Scanning Electron Microscopy, model SU-
PRA25, ZEISS, Oberkochen, Germany) in order to estimate the
Fig. 2 – Post sample for compression test: sketch. fracture mechanism. For each type an image was taken for a
general examination of the post. The exact fibre diameter and
the percentage of fibre present in each post were calculated
with micrographs taken on other samples that were cut
sample was measured with a digital calliper (Mitutoyo, Tokyo, horizontally with a slow-speed diamond saw under water
Japan) before the test with 0.01 mm accuracy. The elastic spray to produce a regular transverse section. The fibre
modulus from the compression test (Ec) was calculated using distribution was evaluated in an area of 101 mm  160 mm for
the following equation: all posts but the E post (in this case the area was
48 mm  76 mm). The percentage of fibres was calculated
Sl
Ec ¼ (2) as the ratio between the area occupied by fibres (number of
A
fibres multiplied the area of each fibre) and the surface area
where l is the specimen length (mm), A is the area of the post analysed.
and S is the compression stiffness.
The theoretical compressive strengths (sct) were also 2.3. Burn-off test
evaluated with the Rosen model41:
The posts were also subjected to high temperature to calculate
Gm
s ct ¼ (3) the fibre content in each kind of post here studied according to
1vf
ASTM D2584. Five samples for each post were considered and
where Gm is the matrix shear modulus and vf is the fibre the average of the results obtained is reported. Samples were
volume fraction. weighted and placed into a porcelain crucible of a known
The posts were also subjected to three-point bending tests weight. Each crucible was then introduced into a muffle
and one of these was accurately chosen for the SEM evaluation furnace in air atmosphere at temperatures above 600 8C for at
after the fracture event. The three-point bending test was least one hour in order to eliminate the resin present in the
performed according to the ISO 10477 standard (span 8 mm, posts. The crucibles were then weighted after cooling to room
crosshead speed 0.5 mm/min, cross-sectional diameter of temperature. In this way the percentage of fibres present in
loading tip 2 mm). The diameter of each sample was measured the posts was calculated as the ratio between the residue
with the digital calliper as before in the midst of the two weight after burning and the initial FRC weight. These
supports. The material testing machine was the same used for percentages were then reported as fibre volume fraction in
compression tests and the same loading cell of 30 kN was order to be compared with those obtained by analysing SEM
used. Even after this test the load–deflection curves were images. In order to do this operation the volume and the
recorded. Flexural strength (sf), and modulus (Ef) of post density of each post should be known.
specimens were calculated with the following equations:
2.4. Density measurement and voids content
8Fmax L
sf ¼ 3
(4)
pd
The fibre volume fraction of FRC posts is the ratio between the
volume of fibre and the total volume of the post. The volume of
4SL3
Ef ¼ (5) fibre could in turn be calculated from the ratio of the mass
3pd4
(calculated using the burn-off test) and the density of the fibre.
where Fmax is the applied load at the maximum of load– Since the volume of FRC posts was irregular and their densities
deflection curve (N), L is the span length (mm), d is the speci- unknown, it was necessary to calculate the densities of all
men diameter (mm), S is the stiffness (as F/D where D is the posts. For this purpose the Archimedes’ Principle was used.
deflection corresponding to load F at a point in the straight- The density measurements were done at an analytical balance
line portion of the trace, N/m). The fracture load was also (Mettler Toledo, type AB104-S; Greifensee, Switzerland) with
recorded during the tests. the help of a density kit as per ASTM D 792-66 test method. The
Both flexural and compressive data were subjected to one- kit consisted of a glass beaker 250 ml with distilled water with
way ANOVA (SPSS10 Inc., Chicago, IL, USA) to determine the a density of 1 g/cm3 (Sigma–Aldrich Co., St. Louis, USA) placed
statistical significance of the results obtained: the values on a bridge across weighing pan. A gem holder was hooked on
differed from one another with a significance level of p < 0.05. the bridge and partially immersed in water. Each specimen
972 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.

Table 2 – Compression results of the post systems tested.


Post type Compressive modulus Compressive strength Maximum load
(GPa, mean (SD)) (MPa, mean (SD)) (N, mean (SD))
A 3.06 (1.19) 149.65 (8.92) 228.5 (26.49)
B 4.92 (1.01) 437.5 (114.42) 644.01 (238.25)
C 3.09 (1.39) 274.09 (48.38) 521.31 (87.68)
D 4.69 (0.62) 552.74 (103.82) 1729.73 (498.56)
E 3.88 (0.29) 173.15 (29.18) 288.24 (44.78)

Table 3 – Flexural results of the post systems tested.


Post type Flexural modulus (GPa, mean (SD)) Flexural strength (MPa, mean (SD)) Fracture load (N, mean (SD))
A 2.28 (0.44) 455.8 (38.6) 213.1 (18.1)
B 30.30 (0.92) 975.3 (134.2) 67.2 (9.2)
C 19.40 (0.54) 1223.6 (29.8) 147.7 (3.6)
D 8.80 (0.95) 1121.3 (92.5) 185.7 (15.3)
E 101.88 (3.19) 2078.2 (208.4) 60.4 (6.1)
F 15.12 (3.35) 959.9 (84.7) 131.7 (11.6)
journal of dentistry 40 (2012) 968–978 973

Fig. 4 – Flexural stress–strain curves for all posts.


Fig. 3 – Parabolic curve of the bending fracture load vs post
section of FRC posts.

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

The mechanical characterization of dental posts especially in


compression and bending can provide useful information
about the future behaviour of posts in dental implants. The
mechanical properties in compression of each post resulted
lower than the same bending properties. In fact the posts are
made of unidirectional fibres embedded in epoxy matrix.
These materials show high properties in bending and in
tensile but in compression they are less efficient.
In particular, the compressive strength is affected most
because the fibres have less side support by the resin and
tend to fail at lower applied loads.46 The measured
longitudinal compressive strengths were much lower than
the theoretical values based on Rosen model. In this model
the strength is controlled by the matrix shear modulus and
fibre volume fraction. This means that the model predicts no Fig. 7 – Compressive stress–strain curves for FRC posts.
difference in compressive strength between composites
made with different fibres. But this work and others47
showed that the type of fibre plays an important role. In
order to improve the longitudinal compressive strength of In the present study the results indicate that while the
unidirectional composites it is possible to increase the increasing section clearly produces the expected increase in
values of the matrix shear modulus, fibre diameter, matrix flexural loading resistance, the parabolic form indicates a
ultimate strain, and fibre–matrix interfacial strength.45 A lower efficiency of the thicker post (Fig. 3). The highest flexural
factor that can be responsible of the reduction of longitudi- strain showed by brass post (Fig. 4) can be explained knowing
nal compressive strength is the fibre misalignment. It is also that brass is a more ductile material than fibre reinforced
possible to suppose that the difference between the composite while the FRC post curves confirm the moduli listed
experimental compression resistances with respect to in Table 3. In fact stress–strain curve of post E has a higher
the theoretical compressive strengths was due even to the slope (which is proportional to Young’s modulus).
presence of voids. In fact, the voids inside the posts act like The analysis of SEM images (Fig. 5) shows that the five posts
stress concentrators. At these sites failure can initiate and appeared quiet different especially with regard to the fibre
then propagate. The pores inside the material may have a diameter. Post E in fact got clearly thinner fibres respect to the
significant effect in reducing the compressive strengths of other posts. Mechanical and microscopy results showed that
unidirectional fibre composites.48 In fact, considerable shear even if posts A, B and C contain the same type of fibre (glass
stresses along the fibres arise near the pores and high axial fibres) in a similar percentage (63.7–64.5–66% respectively)
stresses are observed adjacent to the holes. The volume they show a different bending behaviour. The comparison of
fractions of voids obtained for all posts were not very high as flexural strengths of these posts showed a lower value
we could expect. The reason may be found in the fact that obtained for post A and higher value for post C. In particular,
the density of the matrix considered in the rule of mixtures if we consider the span/diameter ratio L/d of every post, the
(Eq. (8)) was the same in the FRC posts as it is in the bulk post B (with the higher L/d ratio among the glass posts)
state.46 This fact may lead to lower voids content since the showed, as expected, a higher flexural modulus but also a
real matrix density obtained with the production of lower maximum load fracture. This can be attributed to an
composite posts is higher than the bulk density. increased shear stress developed in the sample.38 It can be also
Table 2 and Fig. 7 confirm also that the post with the lower related to a lower strength of the resin matrix used in post B.
compressive modulus (post A) shows the higher deformation. These results show that the difference in fibre diameter, fibre
Even post E with carbon fibres presents low compressive content and type of fibre, contribute coherently to the overall
strength due to the fact they are very brittle fibres and they mechanical characteristics of FRC posts.22
break more easily than other fibres. SEM micrographs of the fractured samples showed that in
The flexural strengths of the posts here evaluated were all posts fibre pull-out from surrounding matrix occurred. In
similar to other results obtained previously7,23 while they were fact, when the load increases the opening of the matrix crack
higher respect to other results reported in the scientific may cause broken fibres to pull-out from the matrix (Fig. 6).
literature.28,29 An explanation of this result is that the The chemical bond of the fibres with the surrounding matrix is
manufacturing process acts a main role in the mechanical an important factor that can explain the difference in
performance of composites posts. In fact, during the process of mechanical properties showed by the posts. Since FRC posts
pultrusion (used to realize FRC posts) the introduction of are made of two components (fibres and matrix) the overall
imperfections inside the composite and the imperfect align- mechanical properties of posts are also influenced by the
ment of fibres can reduce the flexural strength by acting both strength of the bond at the interface between them.49 The
on the initiation and propagation stages of failure (as it interface is then the critical region (even in the case of
happens to compressive properties). compressive loading).32,50 If the interfacial shear stresses are
976 journal of dentistry 40 (2012) 968–978

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
Another study reported that not only immersion in 1. Lassila LV, Tanner J, Le Bell AM, Narva K, Vallittu PK.
hydrofluoric acid gel followed by silanization may influence Flexural properties of fibre reinforced root canal posts.
the surface of fibre posts but also sandblasting with alumini- Dental Materials 2004;20:29–36.
um oxide particles followed by the application of a silane 2. Ferrari M, Cagidiaco MC, Grandini S, De Sanctis M, Goracci C.
Post placement affects survival of endodontically treated
coupling agent may affect the bonding capacity of resin–core
premolars. Journal of Dental Research 2007;86:729–34.
systems to the fibre posts.67 3. Cagidiaco MC, Garcı́a-Godoy F, Vichi A, Grandini S, Goracci C,
The retentive bond strengths can differ with respect to the Ferrari M. Placement of fiber prefabricated or custom made
surface treatment and conditioning method as well as with posts affects the 3-year survival of endodontically treated
composite resin. Tribochemical treatments may be useful for premolars. American Journal of Dentistry 2008;21:179–84.
improving the bond strength with composite resin cores and 4. Manning KE, Yu DC, Yu HC, Kwan EW. Factors to consider
for predictable post and core build-ups of endodontically
enhancing post-and-core stability without compromising the
treated teeth. Part 1. Basic theoretical concepts. Journal of the
flexural strength of the posts.68,69
Canadian Dental Association 1995;61:685–95.
The results of this study require rejection of the three null 5. Asmussen E, Peutzfeldt A, Heitmann T. Stiffness elastic
hypotheses. In fact, the study showed that differences exist limit, and strength of newer types of endodontic posts.
among different fibre posts analysed respect to their structural Journal of Dentistry 1999;27:275–8.
characteristics and presence of voids (first hypothesis). 6. Gómez-Polo M, Llidó B, Rivero A, Del Rı́o J, Celemı́n A. A 10-
Different posts showed different compressive and flexural year retrospective study of the survival rate of teeth
restored with metal prefabricated posts versus cast metal
strengths (second hypothesis) and the voids may affect the
posts and cores. Journal of Dentistry 2010;38:916–20.
mechanical strengths of fibre posts (both in compression and
7. Mannocci F, Sherriff M, Watson TF. Three-point bending
in bending: third hypothesis). test of fibre posts. Journal of Endodontics 2001;27:758–61.
8. Lewis R, Smith BGN. A clinical survey of failed post retained
crowns. British Dental Journal 1988;165:95–7.
5. Conclusions 9. Ferrari M, Vichi A, Garcia-Godoy F. Clinical evaluation of
fibre-reinforced epoxy resin posts and cast post and cores.
American Journal of Dentistry 2000;13:8B–15B.
Under the limitations of the study the following conclusions
10. Malferrari S, Monaco C, Scotti R. Clinical evaluation of teeth
can be drawn: restored with quartz fibre-reinforced epoxy resin post. The
International Journal of Prosthodontics 2003;16:39–44.
- the highest compressive modulus is obtained with post B 11. Morfis AS. Vertical root fracture. Oral Surgery Oral Medicine
(4.92 GPa) while post A shows the lower one; Oral Pathology 1990;69:631–5.
journal of dentistry 40 (2012) 968–978 977

12. Fernandes AS, Shetty S, Coutinho I. Factors determining three-point bending test and SEM evaluation. Dental
post selection: a literature review. Journal of Prosthetic Materials 2005;21:75–82.
Dentistry 2003;90:556–62. 33. Hatta M, Shinya A, Vallittu PK, Shinya A, Lassila LVJ. High
13. Manning KE, Yu DC, Yu HC, Kwan EW. Factor to consider for volume individual fibre post versus low volume fibre post:
predictable post and core build-ups of endodontically the fracture load of the restored tooth. Journal of Dentistry
treated teeth. Part 2. Clinical application of basic concepts. 2011;39:65–71.
Journal of the Canadian Dental Association 1995;61:697–707. 34. Ho YC, Lai YL, Chou IC, Yang SF, Lee SY. Effects of light
14. Plotino G, Grande NM, Bedini R, Pameijer GH, Somma F. attenuation by fibre posts on polymerization of a dual-cured
Resistance to fracture and structural characteristics of resin cement and microleakage of post-restored teeth.
different fibre reinforced post systems. Dental Materials Journal of Dentistry 2011;39:309–15.
2007;23:265–71. 35. Lindblad RM, Lassila VJL, Salo V, Vallittu PK, Tjäderhane L.
15. Morgano SM, Milot P. Clinical success of cast metal posts Effect of chlorhexidine on initial adhesion of fiber-
and cores. Journal of Prosthetic Dentistry 1993;69:11–6. reinforced post to root canal. Journal of Dentistry 2010;38:
16. Mentink AG, Meeuwissen R, Kayser AF, Mulder J. Survival 796–801.
rate and failure characteristics of the all-metal post and 36. Aksornmuang J, Nakajima M, Senawongse P, Tagami J.
core resoration. Journal of Oral Rehabilitation 1993;20: Effects of C-factor and resin volume on the bonding to root
455–61. canal with and without fibre post insertion. Journal of
17. Torbjorner A, Karlsonn S, Syverud M, Hensten-Pettersen. A Dentistry 2011;39:422–9.
carbon fibre reinforced root canal posts. Mechanical and 37. Monticelli F, Osorio R, Toledano M, Ferrari M, Pashley DH,
cytotoxic properties. European Journal of Oral Sciences Tay FR. Sealing properties of one-step root-filling fibre post-
1996;104:605–11. obturators vs. two-step delayed fibre post-placement.
18. Purton D, Payne J. Comparison of carbon fibre and stainless Journal of Dentistry 2010;38:547–52.
steel root canal posts. Quintessence International 1996;27:93–7. 38. Grande NM, Plotino G, Ioppolo P, Bedini R, Pameijer CH,
19. Sorensen J, Engelman M. Effect of post adaptation on Somma F. The effect of custom adaptation and span–
fracture resistance of endodontically treated teeth. Journal of diameter ratio on the flexural properties of fibre-reinforced
Prosthetic Dentistry 1990;64:419–24. composite posts. Journal of Dentistry 2009;37:383–9.
20. Duret B, Duret F, Reynaud M. Long-life physical property 39. Alander P, Lassila LVJ, Vallittu PK. The span length and
preservation and postendodontic rehabilitation with the cross-sectional design affect values of strength. Dental
composipost. Compendium of Continuing Education in Dentistry Materials 2005;21:347–53.
1996;20:S50–6. 40. Monticelli F, Goracci C, Ferrari M. Micromorphology of the
21. Sidoli G, King P, Setchell D. An in vitro evaluation of a fiber post-resin core unit: a scanning electron microscopy
carbon fibre-based post and core system. Journal of Prosthetic evaluation. Dental Materials 2004;20:176–83.
Dentistry 1997;78:5–9. 41. Rosen BW. Fibre composite materials. Ohio: American
22. Drummond JL, Bapna MS. Static and cyclic loading of fibre- Society of Metals; 1965.
reinforced dental resin. Dental Materials 2003;19:226–31. 42. Zhang AY, Li DH, Zhang DX, Lu HB, Xiao HY, Jia J. Qualitative
23. Plotino G, Grande NM, Bedini R, Pameijer CH, Somma F. separation of the effect of voids on the static mechanical
Flexural properties of endodontic posts and human root properties of hygrothermally conditioned carbon/epoxy
dentin. Dental Materials 2007;23:1129–35. composites. Express Polymer Letters 2011;5:708–16.
24. Cagidiaco MC, Goracci C, Garcia-Godoy F, Ferrari M. Clinical 43. Chambers AR, Earl JS, Squires CA, Suhot MA. The effect of
studies of fiber posts: a literature review. International Journal voids on the flexural fatigue performance of unidirectional
of Prosthodontics 2008;21:328–36. carbon fibre composites developed for wind turbine
25. Cagidiaco MC, Radovic I, Simonetti M, Tay F, Ferrari M. applications. International Journal of Fatigue 2006;28:1389–98.
Clinical performance of fiber post restorations in 44. Hagstrand PO, Bonjour F, Manson JAE. The influence of void
endodontically treated teeth: 2-year results. International content on the structural flexural performance of
Journal of Prosthodontics 2007;20:293–8. unidirectional glass fibre reinforced polypropylene
26. Ferrari M, Cagidiaco MC, Goracci C, Vichy A, Mason PN, composites. Composites Part A Applied Science and
Radovic I, Tay F. Long-term retrospective study of the Manufacturing 2005;36:705–14.
clinical performance of fiber posts. American Journal of 45. Mallick PK. Fiber reinforced composites materials.
Dentistry 2007;20:287–91. Manufacturing
. and design. New York: Marcel Dekker Inc.; 2007
27. Terry DA, Triolo PT, Swift EJ. Fabrication of direct fibre- 46. Soutis C. Compression testing of pultruded carbon fibre–
reinforced posts: a structural design concept. Journal of epoxy cylindrical rods. Journal of Materials Science
Esthetic and Restorative Dentistry 2001;13:228–40. 2000;35:3441–6.
28. Seefeld F, Wenz HJ, Ludwig K, Kern M. Resistance to fracture 47. Piggott MR, Harris B. Compression strength of carbon, glass
and structural characteristics of different fibre reinforced and Kevlar-49 fibre reinforced polyester resins. Journal of
post systems. Dental Materials 2007;23:265–71. Materials Science 1980;15:2523–38.
29. Galhano GA, Valandro LF, Marques de Melo R, Sotti R, 48. Creighton CJ, Clyne TW. The compressive strength of
Bottino MA. Evaluation of the flexural strength of carbon highly-aligned carbon-fibre/epoxy composites produced by
fibre-, quartz fibre-, and glass fibre-based posts. Journal of pultrusion. Composites Science and Technology 2000;60:
Endodontics 2005;31:209–11. 525–33.
30. Fredriksson M, Astbäck J, Pamenius M, Arvidson K. A 49. Lambrechts P, Braem M, Van Herle G. Evaluation of clinical
retrospective study of 236 patients with teeth restored by performance for posterior composite resins and dentin
carbon fibre-reinforced epoxy resin posts. Journal of Prosthetic adhesives. Operative Dentistry 1987;12:53–8.
Dentistry 1998;80:151–7. 50. Hancox NL. The compression strength of unidirectional
31. Larson WR, Dixon DL, Aquilino SA, Clancy JM. The effect of carbon fibre reinforced plastic. Journal of Materials Science
carbon graphite fibre reinforcement on the strength of 1975;10:234–42.
provisional crown and fixed partial denture resins. Journal of 51. Goracci C, Fabianelli A, Sadek FT, Papacchini F, Tay FR,
Prosthetic Dentistry 1991;66:816–20. Ferrari M. The contribution of friction to the dislocation
32. Grandini S, Goracci C, Monticelli F, Tay FR, Ferrari M. Fatigue resistance of bonded fibre posts. Journal of Endodontics
resistance and structural characteristics of fibre posts: 2005;31:608–12.
978 journal of dentistry 40 (2012) 968–978

52. Pirani C, Chersoni S, Foschi F, Piana G, Loushine RJ, Tay FR, 61. Bell AM, Lassila LV, Kangasniemi I, Vallittu PK. Bonding of
et al. Does the hybridization of intraradicular dentin really fibre-reinforced composite post to root canal dentin. Journal
improve fibre post retention in endodontically treated of Dentistry 2005;33:533–9.
teeth? Journal of Endodontics 2005;31:891–4. 62. Monticelli F, Toledano M, Tay FR, Sadek FT, Goracci C, Ferrari M.
53. Ferrari M, Vichi A, Mannocci F, Mason PM. Retrospective A simple etching technique for improving the retention of fibre
study of the clinical performance of fibre posts. American posts to resin composites. Journal of Endodontics 2006;32:44–7.
Journal of Dentistry 2000;13:9b–13b. 63. Yenisey M, Kulunk S. Effects of chemical surface treatments
54. Vallittu PK, Ruyter IE, Ekstrand K. Effect of water storage on of quartz and glass fibre posts on the retention of a
the flexural properties of E-glass and silica fibre acrylic resin composite resin. Journal of Prosthetic Dentistry 2008;99:38–45.
composite. The International Journal of Prosthodontics 64. Monticelli F, Ferrari M, Toledano M. Cement system and
1998;11:340–50. surface treatment selection for fibre post luting. Medicina
55. Vallittu PK. Ultra-high-modulus polyethylene ribbon as oral patologı́a oral y cirugı́a bucal 2008;13:E214–21.
reinforcement for denture polymethyl methacrylate: short 65. Balbosh A, Ludwig K, Kern M. Comparison of titanium dowel
communication. Dental Materials 1997;13:381–2. retention using four different luting agents. Journal of
56. Kremeier K, Fasen L, Klaiber B, Hofmann N. Influence of Prosthetic Dentistry 2005;94:227–33.
endodontic post type (glass fibre, quartz fibre or gold) and 66. Vano M, Goracci C, Monticelli F, Tognini F, Gabriele M, Tay
luting material on push-out bond strength to dentin in vitro. FR, Ferrari M. The adhesion between fibre posts and
Dental Materials 2008;24:660–6. composite resin cores: the evaluation of microtensile bond
57. Albashaireh ZS, Ghazal M, Kern M. Effect of dentin strength following various surface chemical treatments to
conditioning on retention of airborne-particle-abraded, posts. International Endodontic Journal 2006;39:31–9.
adhesively luted glass fibre-reinforced resin posts. Journal of 67. Cekic-Nagas I, Sukuroglu E, Canay S. Does the surface
Prosthetic Dentistry 2008;100:367–73. treatment affect the bond strength of various fibre-post
58. Balbosh A, Kern M. Effect of surface treatment on retention systems to resin-core materials? Journal of Dentistry
of glass–fibre endodontic posts. Journal of Prosthetic Dentistry 2011;39:171–9.
2006;95:218–23. 68. Schmage P, Cakir FY, Nergiz I, Pfeiffer P. Effect of surface
59. Sahafi A, Peutzfeld A, Asmussen E, Gotfredsen K. Effect of conditioning on the retentive bond strengths of fibre-
surface treatment of prefabricated posts on bonding of resin reinforced composite posts. Journal of Prosthetic Dentistry
cement. Operative Dentistry 2004;29:60–8. 2009;102:368–77.
60. Sahafi A, Peutzfeldt A, Asmussen E, Gotfredsen K. Bond 69. Xible AA, de Jesus Tavarez RR, de Araujo C, dos Reis Pereira.
strength of resin cement to dentin and to surface-treated Bonachela WC. Effect of silica coating and silanization on
posts of titanium alloy, glass fibre, and zirconia. The Journal flexural and composite-resin bond strengths of zirconia posts:
of Adhesive Dentistry 2003;5:153–62. an in vitro study. Journal of Prosthetic Dentistry 2006;95:224–9.

You might also like