Effects of auxiliary fiber posts on endodontically treated teeth with flared canals

This study investigated the fracture resistance and retention of endodontically treated roots with over-flared canals restored with different post systems, including one cast metal post and four fiber posts with/without auxiliary fiber posts.

One hundred endodontically treated incisor roots were experimentally flared using a tapered diamond bur. The roots were restored using one of the five post systems: Ni-Cr cast metal post (CM), D.T. Light-Post quartz glass fiber post (RTD, St Egreve, France) (DT), Macro-Lock glass fiber post (ML), ML+2 Fibercone auxiliary fiber posts (2FC), and ML+5 Fibercone auxiliary fiber posts (5FC). After fabrication of the crowns, half of the specimens (n=50) were subjected to a fracture failure test-loading with an incremental static force at an angle of 45 degrees to the long axis of the root. The other 50 samples underwent a pull-out test. Fracture failure strength and pull-out strength were measured and analyzed using one-way analysis of variance (ANOVA) followed by Tukey's post hoc test (α=0.05).

After the tests were completed, all specimens displayed oblique root fractures or cracks, initiating from the palatal cervical margin and propagating in a labial-apical direction. The order of the fracture failure strength was as follows: 5FC=CM=2FC>ML>DT. Cast metal posts demonstrated the highest pull-out strength (p<0.05). No significant differences in pull-out strength were found in the ML, 2FC, and 5FC groups.

Conclusion

Within the limitations of this study, it was concluded that the application of an auxiliary fiber post could significantly increase the fracture resistance of over-flared roots; however, no beneficial effects in enhancing retention were observed.