Static Loading of Different Intraradicular Preparation Depths of Trinia Endocrowns in Maxillary Canines.

Abstract

Aim: The aim of this study is to compare the fracture resistance of canine teeth restored using TRINIA Endocrowns with three different types of preparations (2, 3, and 4 intracanal preparations).

Materials and methods: Thirty maxillary-extracted canines were collected. All teeth were fixed in orthodontic acrylic resin and decapitated at the level of the proximal cemento-enamel junction (CEJ). After being endodontically treated, specimens were distributed equally between 3 groups (n = 10) with different preparation depths (GT: 2 mm Intraradicular Preparation, GH: 3 mm Intraradicular Preparation, GF: 4 mm Intraradicular Preparation). Thirty TRINIA endocrowns were dry milled. After surface treatment, all endocrowns were bonded to their corresponding roots using Permaflo a dual-cure resin cement. Each specimen was then fixed in the lower part of a universal testing machine with a load cell of 5 KN, at an angle of 45 degrees to the tooth long-axis at 0.5 mm/min crosshead speed. Failure loads were recorded in Newton's. Data were recorded, organized, and statistically investigated.

Results: Shapiro-Wilk tests revealed that the data were not normally distributed. Descriptive statistics revealed a high mean fracture resistance of GH (647 N), then GT (475.6 N), and finally GF (353.9 N). The Kruskal-Wallis test revealed a significant difference that existed between the groups being studied (p = 0.036).

Conclusion: TRINIA endocrowns with intracanal preparations of 2 and 3 mm provide more promising fracture resistance than those with intracanal preparations of 4 mm as a way of treating of root-canal-treated maxillary canines. TRINIA endocrowns (2 and 3 mm intracanal preparations) are as promising as fiber posts and all ceramic crowns in terms of fracture resistance. TRINIA endocrowns with 2 mm intracanal preparations are mostly reparable after failure, but those of 3 and 4 mm are mostly irreparable after failure.

Clinical significance: Modifying endocrowns to have intraradicular projections, simulating Nayyar core, may improve the success and longevity of endocrowns in anterior teeth. How to cite this article: Alahmad AM, Alenezi AY, Rayyan M, et al. Static Loading of Different Intraradicular Preparation Depths of Trinia Endocrowns in Maxillary Canines. J Contemp Dent Pract 2024;25(6):575-580.