Effect of reduced post length on the resistance to fracture of crowned, endodontically treated teeth

Objective: To examine the influence of a reduced post length sealed with a titanium-reinforced composite luting agent on the fracture resistance of crowned endodontically treated teeth with a 2-mm ferrule on healthy tooth structure. Method and Materials: The study consisted of 60 intact single-rooted premolars with similar root diameters and lengths. Teeth were endodontically treated and randomly divided into 6 experimental groups (n = 10) with various post lengths (5, 8, and 10 mm) and types (ParaPost and Dentatus) of equal diameter. Posts were luted with a titanium-reinforced composite resin luting agent. Titanium-reinforced composite resin cores were constructed, and cast crowns with a 2-mm ferrule on healthy tooth structure were cemented. Specimens were mounted in a jig that allowed loading of the buccal cusp in the axio-occlusal line at a 30-degree angle to the long tooth axis. A continuous compressive force at a crosshead speed of 2 mm/min was applied by an Instron testing machine. Forces at fracture (in newtons) and mode of failure were recorded. One-way analysis of variance (ANOVA) and the Scheffé test were used to statistically compare the differences among groups at a significance of 5%. Results: ANOVA showed no statistically significant differences among the mean failure forces for the tested groups in their resistance to fracture under load. The Scheffé contrast test showed no statistically significant differences among all combinations of the 6 tested groups (F [5.59] = 0.032; P > .05). Conclusion: Within the limitations of this study, post length did not influence the fracture resistance of crowned endodontically treated teeth with a 2-mm ferrule on healthy tooth structure. For tooth resistance, prosthesis design is more important than post characteristics. Keywords: post length, resistance to fracture