In vitro assessment of retention and resistance failure loads of complete coverage restorations made for anterior maxillary teeth restored with two different cast post and core designs

BACKGROUND: The purpose of this in vitrostudy was to evaluate the retention and resistance form of complete coverage restorations supported by two different cast post and core designs. MATERIAL AND METHODS: Forty extracted maxillary central incisors were randomly divided into four groups of 10 specimens each (namely A, B, C and D). All specimens were endodontically treated and a uniform post space of 9mm was created. All prepared teeth had a 360o chamfer ferrule of 2mm in axial height measured 0.5mm coronally from the cementoenamel junction (CEJ) and an axial wall thickness of 1.5 mm. Specimens in groups A and C received cast post and cores with the standardized core design, where the core ended at the coronal part of the ferrule, while specimens in groups B and D received cores that were encircling the ferrule. Cemented complete coverage restorations in groups A and B underwent tensile load stress, while the restorations in groups C and D underwent compressive load stress until failure. RESULTS: Teeth in group A exhibited a mean failure load of 326.14±83.67 N under tension, while teeth in group B exhibited a mean failure load of 332.79±80.38 N (p=0.858). Teeth in group C recorded a mean failure load of 1042.81±205.07 N, and in group D a mean failure load of 875.15±167.64 N (p=0.061) under compression was registered. CONCLUSIONS: The standard cast post and core design with a 2 mm of ferrule height offers superior resistance, although not statistically significant (p=0.061), when compared to the core design encircling the axial wall ferrule. Both cast post and core designs offer equal retention. However, different failure modes of decementation were noted. Key words:Endodontically treated teeth, Post-and-core technique, Endodontic-post, Decementation, Root fracture, Ferrule effect.