Influence of Adaptation and Adhesion on the Retention of Computer-aided Design/Computer-aided Manufacturing Glass Fiber Posts to Root Canal.

AIM:The study aimed to assess the effect of friction and adhesion on the pushout bond strength of CAD/CAM fiber-reinforced composite (FRC) post and cores in comparison to prefabricated fiber posts. MATERIALS AND METHODS:Thirty extracted single-rooted premolars were divided into three groups (N = 10): CP: CAD/CAM FRC posts (Trilor, Bioloren) cemented with self-adhesive resin cement (Rely X U200, 3M) as control group. CPL: CAD/CAM FRC composite posts cemented with the same self-adhesive resin cement after lubricating the root canal with petroleum jelly (Vaseline, Unilever) to prevent adhesion. RXP: prefabricated posts cemented with self-adhesive resin cement. Specimens were subjected to thermal cycling and then to pushout tests. The mode of failure was observed using a stereomicroscope. Results were analyzed by two-way ANOVA followed by a Tukey's post hoc test for comparison, p = 0.05. RESULTS:Push-out bond strength was significantly lower in the RXP group (8.54 ± 3.35 MPa) in comparison to CP (12.10 ± 1.38 MPa), while no significant differences were concluded between the other groups. Failure was mostly adhesive for CPL and RXP and adhesive and mixed for CP. CONCLUSION:Custom made CAD/CAM posts have a positive effect on the retention of FRC posts to root canal walls while adhesion between self-adhesive cement and root dentin did not influence significantly the pushout bond strength of CAD/CAM posts to root canal. CLINICAL SIGNIFICANCE:The friction of well-adapted CAD/CAM fiber post and cores plays a predominant role in the success of post restorations of endodontically treated teeth.