Impact of Access Cavity Design and Root Canal Taper on Fracture Resistance of Endodontically Treated Teeth: An Ex Vivo Investigation

By Sabeti M, Kazem M, Dianat O, Bahrololumi N, Beglou A, Rahimipour K, and Dehnavi F.

Date: 01/2018
Journal: JOE

Summary:

Purpose: to evaluate and compare the effect of access cavity preparation and 3 different root taper preparations on endodontically treated teeth (ETT) fracture resistance of maxillary molars 

•Materials/Methods: 

•2 samples 

•n: 30 maxillary first and second molar                  3 groups  for (04, .06, or .08) taper

•Teeth were cleaned and shaped using twisted files rotary system  

 Inclusion criteria;  exclusion criteria; were stated  •n: 48                                                                     3 groups: intact teeth, no treatment; traditional access   cavity (TAC); and conservative access cavity (CAC)

Highlights:

•04 taper showed the highest and the .08 taper showed the lowest fracture resistance values Fig.1,2

•No significant difference between CAC and TAC but significant difference with intact teeth were noted

Conclusion:

1. Increasing the tapering of root canal preparation can detrimentally affect tooth fracture resistance

2. Conservative endodontic access in maxillary molars was not shown to significantly increase fracture resistance over traditional access