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Effect of Preparation Designs on Marginal Adaptation and Fracture Resistance of Endodontically Treated Teeth Restored With Different Composite Materials

Year: 2025
Type: article
Abstract: The objective was to evaluate the marginal adaptation and fracture resistance of endodontically treated teeth (ETT) restored using various preparation designs and materials. Except for the positive control group (n = 15), 135 teeth with ETT were divided into three main groups (n = 45): MOD (Mesio-occlusal-distal), retention slots and cuspal coverage. Each main group was further subdivided into three sub-groups (n = 15): nano-hybrid composite resin, short fibre-reinforced composite resin (SFRC) and a CAD/CAM nano-ceramic composite block. After chewing simulation, the specimens were examined using SEM; a quantitative marginal adaptation analysis and fracture resistance test were performed. MOD preparations exhibited the highest marginal deterioration (p < 0.001). Gingival marginal deterioration in nano-hybrid composite restorations was significantly higher than in CAD/CAM restorations (p = 0.023), though the difference between nano-hybrid and SFRC restorations was not significant (p = 0.447). The MOD cavity showed significantly lower fracture resistance compared to retention slots and cuspal coverage groups (p < 0.001). SFRC demonstrated the highest fracture resistance (p < 0.001).
Language: English
Subfield: Orthodontics
Field: Dentistry
Open Access status: green
OpenAlex ID: W4410105988
FWCI: 1.931
Cites: 36
Cited by: 2
Related to: 10