Authors :
Dr. Aishwarya Sankaranarayanan; Dr. Manu Bansal; Dr. Shrishti Jindal; Dr. Yogini Shekhawat; Dr. Harshita Shekhawat
Volume/Issue :
Volume 10 - 2025, Issue 9 - September
Google Scholar :
https://tinyurl.com/bd8rzdyd
Scribd :
https://tinyurl.com/3bn47ay5
DOI :
https://doi.org/10.38124/ijisrt/25sep090
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Abstract :
Tooth fractures are a common complication after endodontic therapy, often surpassing reinfection in frequency.
Complete coverage restorations remain the standard for reinforcement; however, their delay, especially in remote areas,
increases fracture risk. Recent in vitro studies and case reports suggest that horizontally placed bucco-lingual glass fiber
posts, significantly enhance fracture resistance. This technique is clinically feasible, cost-effective, and eliminates dependence
on laboratory support. The present case report describes the application of this method, highlighting its potential as a gold
standard interim approach. Prospective clinical trials are required to validate long-term outcomes. This method aims to
improve the structural integrity of restored teeth, providing long-term durability and support to the coronal portion, which
is often weakened post-treatment.
Keywords :
Fracture Resistance, Horizontal Post, Rib Bond, Reinforcement.
References :
- Fennis WM, Kuijs RH, Kreulen CM, et al. A survey of cusp fractures in a population of general dental practices. Int J Prosthodont 2002; 15:559–63.
- Mannocci F, Qualtrough AJ, Worthington HV, et al. Randomized clinical comparison of endodontically treated teeth restored with amalgam or with fiber posts and resin composite: five-year results. Oper Dent 2005; 30:9–15
- Butz F, Lennon AM, Heydecke G, et al. Survival rate and fracture strength of endodontically treated maxillary incisors with moderate defects restored with different post-and-core systems: an in vitro study. Int J Prosthodont 2001;14: 58–64.
- Mangold JT, Kern M. Influence of glass-fiber posts on the fracture resistance and failure pattern of endodontically treated premolars with varying substance loss: an in vitro study. J Prosthet Dent 2011; 105:387–93.
- Hemmings KW, King PA, Setchell DJ. Resistance to torsional forces of various post and core designs. J Prosthet Dent 1991; 66:325–9.
- Stavropoulou AF, Koidis PT. A systematic review of single crowns on endodontically treated teeth. J Dent 2007; 35:761–7.
- Shafiei F, Tavangar MS, Ghahramani Y, Fattah Z. Fracture resistance of endodontically treated maxillary premolars restored by siloranebased composite with or without fiber or nano-ionomer. J Adv Prosthodont. 2014;6(3):200–6.
- Pereira J, Mcdonald A, Petrie A, Knowles JC. Effect of cavity design on tooth surface strain. J Prosthet Dent. 13;110(5):369–75. doi: 10.1016/j.prosdent.2013.08.004.
- Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod. 1989;15(11):512–6.
- Mangoush, E., Saker, S., Deeb, J. G., Salami, A., & Sadr, A. (2019). Cuspal deflection in root canal treated teeth: A systematic review. International Endodontic Journal, 52(12), 1680-1695.
- Zhi-Yue L, Yu-Xing Z. Effects of post-core design and ferrule on fracture resistance of endodontically treated maxillary central incisors. The Journal of Prosthetic Dentistry. 2003 Apr;89(4):368–73.
- Bell J.G, Smith M.C, de Pont J.J. Cuspal failures of MOD restored frteeth . Aust Dent J 27(5):283-287, 1982
- Grandini S, Goracci C, Tay FR, Grandini R, Ferrari M Clinical evaluation of the use of fiber posts and direct resin restorations for endodontically treated teeth. Int J Prosthodont. 2005;18(5):399-404.
- Karzoun W, Abdulkarim A, Samran A, Kern M. Fracture Strength of Endodontically Treated Maxillary Premolars Supported by a Horizontal Glass Fiber Post: An In Vitro Study. American association of Endodontics. 2015.
- Bromberg CR, Alves CB, Stona D. Fracture resistance of endodontically treated molars restored with horizontal fiberglass posts or indirect techniques. J Am Dent Assoc 147:952–8; 2016.
- Albuquerque Rde C, Polleto LT, Fontana RH, Cimini CA. Stress analysis of an upper central incisor restored with different posts. J Oral Rehabil 2003;30:936-43.
- Beltrao MC, Spohr AM, Oshima HM, et al. Fracture strength of endodontically treated molars transfixed horizontally by a fiber glass post. Am J Dent 2009; 22:9–13.
- Favero FJ, De Melo TA, Stona D, et al. Strengthening effect of horizontally placed fiberglass posts in endodontically-treated teeth restored with direct resin composite. Am J Dent 2015; 28:143–9.
- Mergulhão V, de Mendonça L, de Albuquerque M, Braz R. Fracture Resistance of Endodontically Treated Maxillary Premolars Restored with Different Methods. Operative Dentistry. 2019 Jan 1;44(1): E1–11.
20. Freilich MA, Meiers JC, Duncan JP, Eckrote KA, Goldberg AJ. Clinical evaluation of fiber-reinforced fixed bridges. J Am Dent Assoc 2002; 133:1524-34; quiz 40-1.
Tooth fractures are a common complication after endodontic therapy, often surpassing reinfection in frequency.
Complete coverage restorations remain the standard for reinforcement; however, their delay, especially in remote areas,
increases fracture risk. Recent in vitro studies and case reports suggest that horizontally placed bucco-lingual glass fiber
posts, significantly enhance fracture resistance. This technique is clinically feasible, cost-effective, and eliminates dependence
on laboratory support. The present case report describes the application of this method, highlighting its potential as a gold
standard interim approach. Prospective clinical trials are required to validate long-term outcomes. This method aims to
improve the structural integrity of restored teeth, providing long-term durability and support to the coronal portion, which
is often weakened post-treatment.
Keywords :
Fracture Resistance, Horizontal Post, Rib Bond, Reinforcement.