PubMed · 8360338
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J H Hickham. 1993. Predictable indirect bonding.. https://pubmed.ncbi.nlm.nih.gov/8360338/
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This study tested the hypothesis that there is no difference in the amount of strain measured in the root of an extracted tooth at the apical end of a prefabricated post, whether a composite resin core completely covers the head of the post or the post is exposed at the occlusal surface of the core. Twenty extracted teeth were measured (1) after endodontic treatment (baseline), (2) after a composite resin core was fabricated over a prefabricated post, and (3) after a cast crown was cemented. The teeth were randomly divided into two groups after baseline testing. In group 1, the post was buried within the core, and in group 2, the head of the post was exposed on the occlusal surface of the core. Analysis of results indicated a statistically significant decrease in strain from the baseline to the crown when 1 mm of composite resin covered the head of the post. However, based on the small strain values measured, the difference may not be clinically significant.
Retention of a prefabricated post and composite resin core system was compared with that of a cast post and core restoration in anterior maxillary teeth on which root canal preparations, enlarged in the coronal part, were performed. The effect of cyclic loading on restoration retention was also investigated. Retention of restorations not subjected to cyclic loading was not influenced by post type, but loaded prefabricated post restorations showed lower retention than both loaded cast post and core restorations and nonloaded prefabricated post restorations. After dislodgement, the failure mode was also determined. The results of this study suggest that if a canal requires extensive preparation, a well-adapted cast post and core restoration may be more retentive than a prefabricated post restoration that does not match the canal shape.
Shear bond strength and failure location were used to evaluate the effectiveness of plastic bracket primers for bonding diacrylate adhesives on a new fibre-reinforced polycarbonate bracket. Maxillary incisor polycarbonate and mesh-based brackets as control were bonded to human incisors with 14 different adhesives (four filled diacrylate two-paste, six diacrylate one-step and four power-liquid acrylic adhesives), and after thermo-cycling for 2000 cycles between 5 degrees and 55 degrees C, tested in shear. A non-parametric test (Mann-Whitney U test) was used to compare the shear bond strength of the polycarbonate brackets with the mesh based brackets and a One-way test (according to Scheffe) to compare the shear bond strength of different adhesives. The following conclusions can be made: 1. Seven of the 14 adhesives used in this study with both types of brackets demonstrated adequate shear bond strength values for the clinical application. The exceptions were: Achieve Mix, No-Mix:30 Silkon, Lee Insta-Bond, Ortho-Loc and Bond-Eze, all with too low a shear bond strength for one or both types of brackets, and finally Quasar, which used with the plastic brackets sometimes caused enamel fractures, due to high bond strength. 2. The adhesives with their own plastic primer demonstrated higher blood strength values than those without plastic primer, and two-paste adhesives used with plastic primer displayed a higher bond strength than the other adhesives. 3. Generally, the shear bond strength values of the one-step adhesives were lower compared with the two-paste adhesives. 4. The liquid-powder adhesives demonstrated very different values for bond strength.