Effect of Different Surface Treatments on Bond Strength of Resin Cement to a CAD/CAM Restorative Material.

PURPOSE: To investigate the effects of various surface treatment methods on the shear bond strength of self-adhesive resin cement to a novel CAD/CAM hybrid ceramic material. MATERIALS AND METHODS: A novel hybrid ceramic restorative material (Vita Enamic) was used in this study. Sixty resin block specimens were prepared and separated into six groups for each surface treatment method (n = 10); group 1: control group, no treatment applied; group 2: sandblasted by 30 µm silicate-coated alumina particles (CoJet Sandblasting); group 3: 50 µm Al2 O3 sandblasting; group 4: 10% hydrofluoric acid; group 5: no surface treatment + universal adhesive (3M Single Bond Universal); group 6: 200 mJ, 10 Hz 2W Er,Cr:YSGG laser treatment. For each specimen, surface roughness measurements in noncontact mode were taken after the surface treatments using a portable surface texture-measuring machine. A self-adhesive resin cement (3M U200) was applied on every surface treated with the help of a cylindrical mold (2 × 4 mm) and was filled gradually. Shear bond strength was measured using a universal test machine, and one-way ANOVA and a Duncan test (p = 0.05) were used to analyze the data. RESULTS: Mean values of the shear bond strength varied between 7.75 and 10.73 MPa. Bond strength values were enhanced by all surface treatment methods compared to the control group. The difference between group 5 and the control group (p < 0.05) was statistically significant, whereas there were no considerable differences between other treatment methods. CONCLUSION: Surface treatments of hybrid ceramic resin blocks could enhance the bond strength to resin cement; however, using Single Bond Universal without surface treatment showed a higher bond strength value.

Assessing staining resistance of a CAD/CAM interpenetrating network composite material.

BACKGROUND: Color change of dental materials over time because of staining agents has important effects on the long-term prognosis of dental esthetic treatments. In the present study, staining resistance of an interpenetrating network composite material with different translucency levels (translucent and high translucent) and various surface procedures for finishing were investigated. METHODS: Same shade CAD/CAM interpenetrating network composite specimens having two different translucency levels were prepared using by a water cooling cutting saw. Specimens were grouped and different finishing procedures were performed. Then, specimens were kept in distilled water, red wine and coffee for different periods. Color was evaluated before and after exposure to staining liquids using a clinical spectrophotometer. RESULTS: In the 7 days Glaze group (ΔE00 > 2.2), color difference was only perceivable in the specimens kept in red wine. In the 28 days red wine high translucent groups, only the high translucent Clinical group showed a clinically acceptable (ΔE00 < 2.2) color change. In the translucent groups kept in red wine, only the translucent Glaze group showed a clinically perceivable color change (ΔE00 > 2.2). In the 28 day measurements, all the translucent groups showed a clinically perceivable color change (ΔE00 > 2.2). Of the translucent groups kept in coffee for 28 days, it was observed that only the translucent Clinical group demonstrated a clinically non-perceivable color change (ΔE00 < 2.2). CONCLUSIONS: All the translucent groups kept in red wine showed a clinically perceivable color change after 28 days. Only the high translucent Clinical Kit group showed a clinically acceptable color change. Among high translucent and translucent specimens kept in coffee only the translucent Clinical group showed a clinically acceptable color change after 28 days.

Assessment the Bond Strength of Ceramic Brackets to CAD/CAM Nanoceramic Composite and Interpenetrating Network Composite after Different Surface Treatments.

Adult orthodontics may confront problems related to the bonding performance of orthodontic brackets to new generation restorative materials used for crown or laminate restorations. The aim of the present study was to investigate the shear bond strength of ceramic brackets to two new generation CAD/CAM interpenetrating network composite and nanoceramic composite after different surface treatments. Er,Cr:YSGG Laser, hydrofluoric acid (9%), sandblasting (50 µm Al2O3), and silane were applied to the surfaces of 120 CAD/CAM specimens with 2 mm thickness and then ceramic brackets were bonded to the treated surfaces of the specimens. Bond strength was evaluated using the shear bond strength test. According to the results, CAD/CAM block types and surface treatment methods have significant effects on shear bond strength. The lowest bond strength values were found in the specimens treated with silane (3.35 ± 2.09 MPa) and highest values were found in the specimens treated with sandblast (8.92 ± 2.77 MPa). Sandblasting and hydrofluoric acid surface treatment led to the most durable bonds for the two types of CAD/CAM blocks in the present study. In conclusion, different surface treatments affect the shear bond strength of ceramic brackets to CAD/CAM interpenetrating network composite and nanoceramic composite. Among the evaluated treatments, sandblasting and hydrofluoric acid application resulted in sufficient bonding strength to ceramic brackets for both of the CAD/CAM materials.

Color of bulk-fill composite resin restorative materials.

OBJECTIVE: To evaluate the color stability of novel bulk-fill composite resins. MATERIALS AND METHODS: Color measurements of a nanohybrid composite resin (Z550) and 3 bulk-fill composite resins (BLK, AFX, XTF; n = 45) were performed before polymerization. After polymerization, color measurements were repeated and specimens were immersed in distilled water or red wine, or coffee. Color change [CIEDE2000 (ΔE00 )] was calculated after 24 h, 1 and 3 weeks. Data were analyzed with Kruskal-Wallis, Mann-Whitney U and Wilcoxon tests (α = 0.05). RESULTS: Color changes observed after polymerization were significant for all groups. Color changes observed in distilled water for Z550 and AFX were significant. Color changes after stored in red wine and coffee were significant for all groups. Bulk-fill composite resin color change increased over time for all groups in red wine and coffee (P < .05). CONCLUSION: Polymerization significantly changed the color of nanohybrid composite resin and bulk-fill composite resins. AFX had the highest color change in distilled water. The color of tested bulk-fill composite resins significantly changed after immersion in beverages and over time. Color change observed with the nanohybrid composite resin after 1 week was stable. CLINICAL SIGNIFICANCE: Clinicians should keep in mind that tested composite resins may change color when exposed to water and significantly change color immediately after they are polymerized. In addition, the color change continues over time should the patient is a coffee and/or red wine consumer.

Effects of staining liquids and finishing methods on translucency of a hybrid ceramic material having two different translucency levels.

PURPOSE: Beverages may affect the translucency of esthetic dental restorative materials. The aim of the present study was to investigate the effects of coffee and red wine on the translucency of a PICN material with two translucency levels, and finished with different methods. MATERIALS AND METHODS: 2M2 high translucent and translucent VITA Enamic hybrid ceramic blocks were investigated. Rectangular specimens with the dimensions of 12 mm × 14 mm × 2 mm were prepared. The specimens were finished and polished with different methods as suggested by the manufacturer. The translucency parameters of the specimens were evaluated before and after 24 hours, 7 days, and 28 days immersion in distilled water, coffee and red wine. Translucency parameters were measured using a portable spectrophotometer. RESULTS: At the end of 28 days, there was no statistically significant difference between the groups of specimens kept in coffee (P>.05). In the red wine groups, there was a statistically significant difference between the control group and all other groups (P<.05) at the end of 28 days. CONCLUSION: The translucency of hybrid ceramic for a restoration may not be important regarding the effects of coffee on translucency change because the specimens with different translucencies and finishing methods that were immersed to coffee had similar translucency parameters at the end of 28 days. The translucency of hybrid ceramic may be important in the case of red wine, however, since the results showed that highly translucent specimens exposed to red wine demonstrated better translucency parameters than specimens made from translucent blocks at the end of 28 days.

Effects of different surface finishing procedures on the change in surface roughness and color of a polymer infiltrated ceramic network material.

PURPOSE: Polymer infiltrated ceramic network (PICN) materials, also called hybrid ceramics, are new materials in dental market. The manufacturer of the PICN material VITA Enamic suggests 3 different finishing procedures for this new material. In the present study, surface roughness and color differences caused from different finishing procedures of VITA Enamic were investigated. MATERIALS AND METHODS: 120 specimens were prepared in dimensions 2 × 10 × 12 mm from VITA Enamic hybrid ceramic blocks with 'high translucency' and 'translucency 2M2' shades. The specimens were divided into 8 groups. For each group, different finishing procedures suggested by the manufacturer were performed. Surface roughness values were determined by a tactile portable profilometer. Color changes were evaluated using a clinical spectrophotometer. The data were analyzed using one-way ANOVA and Tukey's post-hoc comparison. The significance level was set at α=0.05. RESULTS: The roughest surfaces were observed in Glaze Groups. Their surface roughness values were similar to that of the control group. Clinical Kit and Technical Kit groups did not show a statistically significant difference regarding surface roughness (P>.05). The largest color difference regarding ΔE00 was observed in Clinical Kit finishing groups. There were also statistically significant color changes between the groups (P<.05). However, all the groups showed clinically acceptable color change (ΔE00<2.25) except Clinical Kit Groups (ΔE00>2.25). CONCLUSION: Within the limitations of the present study, it may be suggested that finishing the VITA Enamic restorations by Technical Kit instead of Glaze and Clinical Kit gives better clinical performance in regard to surface roughness and shade matching.

Effect of the lasers used in periodontal therapy on the surfaces of restorative materials.

The present study aimed to reveal potential damage of the lasers, which are used as an alternative to manual instruments in periodontal therapy, might cause to the surface of restorative materials. Four different restorative materials were used: a glass-ionomer cement (GIC), a flowable composite (FC), a universal composite (UC) and an amalgam. Ten cylindrical samples (8 mm × 2 mm) were prepared for each restorative material. Two laser systems were used in subgingival curettage mode; an 940 nm diode laser (Epic Biolase, Irvine, CA) and an Er,Cr:YSGG laser (Waterlase iPlus, Biolase, Irvine, CA). After laser irradiation, roughness of the sample surfaces was measured using a profilometer. Additionally, atomic force microscopy (AFM) and scanning electron microscopy (SEM) analyses were performed to evaluate the morphology and surface deformations of the restorative materials and surfaces. The laser irradiation did not affect the surface roughness of any restorative materials relative to that of the control group (p > 0.05) except for the Er,Cr:YSGG treatment on GIC (p < 0.05). SEM and AFM images verified the results of the surface roughness tests. Within the limitations of the present study, it was demonstrated that Er,Cr:YSGG and diode lasers, aside from the Er;Cr:YSGG treatment on GIC, caused no harmful surface effects on adjacent restorative materials. SCANNING 38:227-233, 2016. © 2015 Wiley Periodicals, Inc.

Repair bond strength of composite resin to sandblasted and laser irradiated Y-TZP ceramic surfaces.

This study investigated the effects of different surface treatments on the repair bond strength of yttrium-stabilized tetragonal zirconia polycrystalline ceramic (Y-TZP) zirconia to a composite resin. Sixty Y-TZP zirconia specimens were prepared and randomly divided into six groups (n = 10) as follows: Group 1, surface grinding with Cimara grinding bur (control); Group 2, sandblasted with 30 µm silica-coated alumina particles; Group 3, Nd:YAG laser irradiation; Group 4, Er,Cr:YSGG laser irradiation; Group 5, sandblasted + Nd:YAG laser irradiation; and Group 6, sandblasted + Er,Cr:YSGG laser irradiation. After surface treatments, the Cimara(®) System was selected for the repair method and applied to all specimens. A composite resin was built-up on each zirconia surface using a cylindrical mold (5 × 3 mm) and incrementally filled. The repair bond strength was measured with a universal test machine. Data were analyzed using a one-way ANOVA and a Tukey HSD test (p = 0.05). Surface topography after treatments were evaluated by a scanning electron microscope (SEM). Shear bond strength mean values ranged from 15.896 to 18.875 MPa. There was a statistically significant difference between group 3 and the control group (p < 0.05). Also, a significant increase in bond strength values was noted in group 6 (p < 0.05). All surface treatment methods enhanced the repair bond strength of the composite to zirconia; however, there were no significant differences between treatment methods. The results revealed that Nd:YAG laser irradiation along with the combination of sandblasting and Er,Cr:YSGG laser irradiation provided a significant increase in bond strength between the zirconia and composite resin.

Efficacy of different treatments of root canal walls on the pull-out bond strength of the fiber posts.

The aim of this study was to evaluate the efficacy of different irrigation protocols, including laser, on the retention of the fiber-reinforced composite posts to root canal dentinal walls using pull-out tests. Root canals of 60 single-rooted human teeth were filled and post spaces were prepared. Finally, specimens were divided randomly into five groups, each consisting of 12 specimens as follows: 5% NaOCl (control group), 17% EDTA, ultrasonic with 17% EDTA, single 1.5-W Er:YAG laser application, and the combined use of Er:YAG laser and 17% EDTA. After the root canal procedures, fiber posts were cemented to the root canal. Pull-out tests were performed using a universal testing machine at a crosshead speed of 2 mm/min. The data were analyzed using a one-way ANOVA and Bonferroni post hoc test (p = 0.05). Irradiation by the Er:YAG laser with/without EDTA positively affected the pull-out bond strength (p < 0.001). The pull-out strength was significantly higher in the ultrasonic group than that of the single irrigation with NaOCl or EDTA (p < 0.001). Er:YAG laser irradiation with/without EDTA enhanced the bond strength of fiber posts to root canal dentin walls. Additionally, ultrasonic-EDTA combination increased the bond strength.

Color recovery effect of commercial mouth rinses on a discolored composite.

STATEMENT OF THE PROBLEM: Several mouth rinses promising whiter smiles are on the market today. PURPOSE: The aim of this study was to investigate the in vitro color recovery effects of six commercial mouth rinses on a stained universal composite resin. MATERIALS AND METHODS: Sixty composite resin specimens were prepared with a universal composite resin (Filtek Z250), and baseline Commission Internationale de l'Eclairage L*a*b* color coordinates were measured by spectrophotometry. Specimens were subjected to two cycles of staining with coffee and cherry juice for 2 weeks, followed by immersion into mouth rinses (Listerine Whitening Vibrant, Scope White, Crest 3D White, Signal White Now, Oral-B 3D White, and Colgate Optic White). Changes in color coordinates were measured after staining and after 24- and 72-hour immersion periods. Color alterations were calculated both by CIEDE2000 and CIELAB formulas. Data were submitted to analysis of variance for repeated measures and Tukey's multiple comparison test. (α = 0.05). RESULTS: Immersion in colorant beverages caused perceptible discolorations on composite resin samples (ΔE00 > 2.25 and ΔEab * > 3.46). Immersion period and mouth rinses were significant factors for the color recovery procedure (p < 0.001). The interaction between immersion time and WMR was also significant (p < 0.001). CONCLUSIONS: The color recovery of composite resin was affected by the brand of mouth rinse and the period of immersion. CLINICAL SIGNIFICANCE: This in vitro study revealed that tested mouth rinses are capable of recovering discolored composite resin colors after a prolonged exposure period.

Effect of citric acid irrigation on the fracture resistance of endodontically treated roots.

OBJECTIVE: The aim of this study was to evaluate the effect of citric acid irrigation on root fracture in different concentrations and at various time exposures on root fracture. MATERIALS AND METHODS: Forty-eight human mandibular incisors with similar dimensions were selected. The specimens were decoronated, then divided into 6 groups as follows: A group without instrumentation and filling (G1) and the 5 other groups with canal preparation and irrigation of distilled water (G2), 10% citric acid for 1 min (G3), 50% citric acid for 1 min (G4), 10% citric acid for 10 min (G5), and 50% citric acid for 10 min (G6). In the experimental groups, the canals were obturated and subjected to the strength test. Statistical analysis was performed using Kruskal-Wallis test (P = 0.05). RESULTS: G6 showed the highest fracture resistance (629.97 N), and G3 showed the lowest fracture resistance (507.76 N). However, there was no statistically significant difference among the groups. CONCLUSIONS: The results of this study suggest that use of citric acid is safe in terms of fracture resistance.

Effects of post surface treatments including Er:YAG laser with different parameters on the pull-out bond strength of the fiber posts.

This study aims to evaluate the effects of Er:YAG laser irradiation under different power settings on the pull-out bond strengths of fiber-reinforced composite posts. The crowns of single-rooted 60 teeth were removed by separation and the root canals were cleaned and shaped. Root canals were filled and post spaces were prepared. Sixty fiber posts were divided into five groups according to surface treatment methods as follows: an untreated control group, a sandblasting-coated group, and three groups undergoing surface preparation with Er:YAG laser under three different power settings (150, 300, and 450 mJ at 10 Hz for 60 s at 100-µs pulse duration). After root canal procedures, fiber posts were cemented to the root canal. After all of the specimens were set, pull-out tests were performed using a universal testing machine at a crosshead speed of 2 mm/min. The data were analyzed using one-way ANOVA and Tukey post-hoc test (p < 0.05). The pull-out strength values ranged between 5.26 and 6.76 Mpa. The lowest values were observed in the groups without surface treatment. Surface treatment applied by 4.5-W Er:YAG laser increased the pull-out bond strength compared to the control group (p < 0.05). 4.5-W Er:YAG laser irradiation increased the pull-out bond strength of fiber posts to resin cement.

Push-out bond strength between composite core buildup and fiber-reinforced posts after different surface treatments.

OBJECTIVE: The aim of this study was to evaluate the effects of different surface treatments on the pushout bond strength of fiber-reinforced posts to composite resin cores. MATERIALS AND METHODS: Twenty-five translucent glass fiber posts were divided into five groups according to surface treatment methods as follows: an untreated control group, a group coated with silicated alumina particles (Co-Jet system, 3M ESPE, St. Paul, MN), and three groups undergoing surface preparation with erbium:yttrium-aluminum-garnet (Er:YAG) laser under three different power settings (150, 300, and 450 mJ at 10 Hz for 60 sec at 100 µs duration). After surface treatment, fiber posts were built up to a dual cure composite resin core. All of the specimens were set and sectioned perpendicularly along the long axis of the post using a saw. Two discs (thickness of 2 mm) were obtained from each post-core sample; finally, each group consisted of 10 samples. For artificial aging, the specimens were stored in water (37°C) for 24 h and subjected to thermal cycling (5000 cycles, 5-55°C, and 30 sec dwell time). Pushout tests were performed using a universal testing machine at a crosshead speed of 0.5 mm/min. The pushout pressure values were measured in MPa and analyzed using one way analysis of variance (ANOVA) and Tukey's honestly significant difference (HSD) post-hoc test (p<0.05). Fiber post surface images were obtained using a scanning electron microscope (SEM). RESULTS: The bond strength values ranged between 14,949 and 23,879 MPa. The lowest values were observed in the groups treated with the Er:YAG laser at 150 mJ. Irradiation by the Er:YAG laser at 450 mJ affected the bond strength significantly (p<0.05). After Co-Jet sandblasting, the bond strength increased relatively (19,184 MPa). CONCLUSIONS: Er:YAG laser irradiation enhanced the bond strength of fiber-reinforced posts to composite resin cores depending upon the power applied; Co-Jet sandblasting also increased the bond strength.

Effect of water storage and additional polymerization on the color parameters of flowable resin composites.

AIMS: Tooth colored dental restorative materials should maintain their chromatic properties throughout their service period. The aim of this study was to examine the possible color changes of flowable resin composite filling materials following water storage. The effect of additional light curing on color stability of restorative materials was also investigated. MATERIALS AND METHODS: Six brands of light-cured flowable resin composites of the same shade (A3) were prepared from two groups generated by curing for 20 or 60 seconds. The initial color parameters of the flowable composite samples were measured with a dental colorimeter according to the CIELAB color scale, and the samples were stored in distilled water at 37°C. Following 2 weeks' water storage, the measurements were repeated. The color differences (ΔE*(ab)) were calculated according to the CIELAB formula. Statistical differences between the measurements were analyzed by ANOVA and Duncan's tests. RESULTS: No initial color variation between the samples cured for 20 seconds and 60 seconds was perceptible (ΔE*(ab)<3.3). However, after 2 weeks' water storage, a noticeable color change, ΔE*(ab)>3.3, was detected in Eco-flow, Filtek Supreme and Grandio samples in both polymerization groups. CONCLUSION: Flowable resin composites may exhibit a significant color change as a result of water storage. Sixty seconds exposure period does not influence the final color. CLINICAL SIGNIFICANCE: Clinicians should be aware of color shifts in flowable resins.

Effect of the smear layer in the removal of calcium hydroxide from root canal walls.

BACKGROUND: The aim of this study was to investigate whether the smear layer influences the removal of calcium hydroxide from the root canal with manual or rotary instruments. MATERIALS AND METHODS: The root canals of 48 freshly extracted single-rooted maxillary incisors were prepared to apical size 40 (n=40) and finally irrigated with sodium hypochlorite (group A), or ethylene diamine tetra acetic acid (EDTA) followed by sodium hypo chlorite (group B). 20 teeth were assigned to each group, while the remaining eight teeth served as positive and negative controls. Each group was divided into two subgroups of 10 teeth (subgroup I - calcium hydroxide was removed with master apical file; subgroup II - with profile file); and, in all removal procedures, citric acid was used for irrigation. The percentage of calcium hydroxide- [Ca(OH)(2)] coated surface area was calculated by image processing analysis. RESULTS: Considering the root canal as a whole, the removal of Ca(OH)(2) from the dentinal walls in group B showed significantly better results (P<0.05) as compared to group A. CONCLUSIONS: Under the conditions of this study, it can be concluded that the smear layer is important in the removal of calcium hydroxide.

Intrinsic and extrinsic discoloration of dimethacrylate and silorane based composites.

OBJECTIVE: The purpose of this study was to evaluate the intrinsic and extrinsic color change of dimethacrylate and silorane-based composites. MATERIALS AND METHODS: Five contemporary composites were included within the study (Filtek LS Low Shrink Posterior Restorative [SIL], Filtek SupremeXT [SPR], Filtek Z250 [Z25], Filtek P60 [P60], and Admira [ADM]). Twenty-five specimens (8-mm diameter, 1.5-mm thickness) were prepared for each composite. After baseline color measurements were taken, specimens were immersed in 4 staining solutions (red wine, coffee, cola, and tea) or distilled water (n=5). After a 24-h and 1-month immersion, the color values of each specimen were remeasured and the color change values (ΔE(ab)(*)) were calculated. Statistical analyses were evaluated by one-way ANOVA and Tukey HSD test. RESULTS: Amongst the solutions, red wine had the highest ΔE(ab)(*) value in all the composite restoratives. After the final measurement, ADM exhibited the lowest discoloration, whereas SPR exhibited the highest color change. Additionally, the color change for SIL after 1 month in distilled water was higher than the clinically accepted cut-off of 3.3. This change was correlated with an increasing L value according to the multiple regression analysis. CONCLUSION: All of the restorative materials used in this study were susceptible to staining by commonly consumed beverages drinks, especially red wine and coffee; however, in water, only SIL became whiter with time.

The color differences of direct esthetic restorative materials after setting and compared with a shade guide.

BACKGROUND: The authors conducted a study to evaluate esthetic restorative materials' color differences after setting and color matching between set materials and a shade guide. MATERIALS AND METHODS: The authors evaluated 13 resin-based composites, one silorane-based composite, two polyacid-modified resin composites and one conventional glass ionomer cement. They measured the color parameters of the samples, which were 8 millimeters in diameter and 1.5 mm in thickness, before and after they were set according to the Commission International de l'Eclairage (CIE) L*a*b* color scale relative to standard illumination against a white background by means of a dental colorimeter. They also compared the final colors of the restorative materials with a shade guide. RESULTS: Color difference values for each restorative material ranged from 3.25 to 14.04. With the exception of Fuji IX (GC, Tokyo), Filtek P60 (3M ESPE) and Te-Econom (Ivoclar Vivadent), the restorative materials exhibited a perceptible color change after setting. Color difference values between the set materials and the shade guide tabs ranged from 1.86 to 11.83. With the exception of Filtek Supreme XT (3M ESPE) and Fuji IX, the materials exhibited a perceptible difference. CONCLUSION: Most of the materials tested exhibited a significant color change after polymerization and did not match the shade guide tab after undergoing light curing.

Management of fractured permanent incisors: 1 year follow-up.

UNLABELLED: This clinical report describes the treatment of a left maxillary permanent incisor that had a complicated crown-root fracture with multiple fragments and a right maxillary permanent incisor which had an uncomplicated crown fracture. The 17-year-old female patient was presented to Ataturk University's Dentistry Faculty with posttraumatic injuries. The treatment plan included fracture segment reattachment, composite laminate veneer of the left maxillary incisor and composite restoration of the right maxillary incisor. The restorations were successful after 1-year follow-up according to the modified USPHS criteria. CLINICAL SIGNIFICANCE: The treatment of anterior region's traumas in a single appointment would provide patient's expectation as well as preventive of remaining dental hard tissues.

Restoration of crown fractures with a fiber post, polyethylene fiber and composite resin / Restauração de fraturas coronárias com pinos de fibra, de polietileno e de resina composta: técnica restauradora combinada com dois relatos de caso

OBJECTIVE: To describe the treatment of two patients who had horizontal crown fractured maxillary incisors a few years after endodontic treatment. METHOD: The 23 and 19-year-old male patients presented to Atatürk University Dentistry Faculty with complex crown fractures. The treatment includeda glass fiber reinforced root canal post, a fiber ribbon core and restoration with a universal resin composite. RESULTS AND CONCLUSION: The one-year follow-up examinations showed thatthe restorations were still in place and successful.

OBJETIVO: Descrever o tratamento de dois pacientes com fraturas horizontais de coroas de incisivos superiores, alguns anos após tratamento endodôntico. MÉTODO: Os pacientes, ambos do sexo masculino, com 23 e 19 anos de idade, apresentaram-se na Faculdade de Odontologia da Universidade Ataturk com fraturas coronárias complexas de incisivos superiores. O tratamento consistiu de utilização de pinos intracanais reforçados com fibra de vidro, tiras de fibra de vidro e restauração com uma resina composta universal. RESULTADOS E CONCLUSÃO: Oacompanhamento do paciente por um ano mostrou o sucesso do tratamento.