Advancements of Endodontically Treated Posterior Teeth Restored with Horizontal Glass Fiber Posts

doi:10.13701/j.cnki.kqyxyj.2025.04.003

Abstract

Abstract: Horizontal glass fiber post technology involves the horizontal placement of fiber posts through the buccal and lingual walls of posterior teeth with MOD cavities. This approach enhances the fracture resistance of teeth following root canal treatment by minimizing cusp deflection. Compared to traditional restoration methods, it is a more economical, rapid, effective, conservative, and minimally invasive technique, potentially serving as an alternative for indirect restoration of cusp coverage in the future. This article reviews the operational methods, advantages, disadvantages, and influencing factors of this technology, aiming to provide a reference for the minimally invasive repair of posterior teeth with MOD cavities after clinical root canal treatment.

Key words: MOD cavity, fracture resistance, horizontal glass fiber posts, root canal treatment

BAO Yanfang, CHEN Jianzhi. Advancements of Endodontically Treated Posterior Teeth Restored with Horizontal Glass Fiber Posts[J]. Journal of Oral Science Research, 2025, 41(4): 282-286.

References

[1] Selvaraj H, Krithikadatta J, Shrivastava D, et al. Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites-a systematic review [J]. BMC Oral Health, 2023, 23(1): 566.
[2] Mohammed YT, Al-Zaka IM. Fracture resistance of endodontically treated teeth obturated with different root canal sealers (A comparative study) [J]. J Contemp Dent Pract, 2020, 21(5): 490-493.
[3] Plotino G, Buono L, Grande NM, et al. Fracture resistance of endodontically treated molars restored with extensive composite resin restorations [J]. J Prosthet Dent, 2008, 99(3): 225-232.
[4] Suksaphar W, Banomyong D, Jirathanyanatt T, et al. Survival rates from fracture of endodontically treated premolars restored with full-coverage crowns or direct resin composite restorations: A retrospective study [J]. J Endod, 2018, 44(2): 233-238.
[5] Scotti N, Eruli C, Comba A, et al. Longevity of class 2 direct restorations in root-filled teeth: A retrospective clinical study [J]. J Dent, 2015, 43(5): 499-505.
[6] Fráter M, Sáry T, Jókai B, et al. Fatigue behavior of endodontically treated premolars restored with different fiber-reinforced designs [J]. Dent Mater, 2021, 37(3): 391-402.
[7] Fráter M, Sáry T, Molnár J, et al. Fatigue performance of endodontically treated premolars restored with direct and indirect cuspal coverage restorations utilizing fiber-reinforced cores [J]. Clin Oral Investig, 2022, 26(4): 3501-3513.
[8] Escobar LB, Pereira Da Silva L, Manarte-Monteiro P. Fracture resistance of fiber-reinforced composite restorations: A systematic review and meta-analysis [J]. Polymers (Basel), 2023, 15(18): 3802.
[9] Jakab A, Volom A, Sáry T, et al. Mechanical performance of direct restorative techniques utilizing long fibers for "horizontal splinting" to reinforce deep MOD cavities-An updated literature review [J]. Polymers (Basel), 2022, 14(7): 1438.
[10] Bromberg CR, Alves CB, Stona D, et al. Fracture resistance of endodontically treated molars restored with horizontal fiberglass posts or indirect techniques [J]. J Am Dent Assoc, 2016, 147(12): 952-958.
[11] Daher R, Feilzer AJ, Krejci I. Fracture strength of non-invasively reinforced MOD cavities on endodontically treated teeth [J]. Odontology, 2021, 109(2): 368-375.
[12] Mergulhāo V. Fracture resistance of endodontically treated maxillary premolars restored with different methods [J]. Oper Dent, 2019, 44(1): E1-E11.
[13] Volom A, Vincze-Bandi E, Sáry T, et al. Fatigue performance of endodontically treated molars reinforced with different fiber systems [J]. Clin Oral Investig, 2023, 27(6): 3211-3220.
[14] Kim SG, Kim SS, Levine JL, et al. A novel approach to fracture resistance using horizontal posts after endodontic therapy: A case report and review of literature [J]. J Endod, 2020, 46(4): 545-550.
[15] Sharma S, Ramesh S, Rayapudi J. Biomechanical performance of mandibular molars with deep mesio-occlusal-distal cavities rehabilitated with horizontal posts: A 3D finite element analysis [J]. Int J Dent, 2023: 3379373.
[16] Favero FJ, De Melo TAF, Stona D, et al. Strengthening effect of horizontally placed fiberglass posts in endodontically-treated teeth restored with direct resin composite [J]. Am J Dent, 2015, 28(3): 143-149.
[17] Karzoun W, Abdulkarim A, Samran A, et al. Fracture strength of endodontically treated maxillary premolars supported by a horizontal glass fiber post: An in vitro study [J]. J Endod, 2015, 41(6): 907-912.
[18] Kneib Ferri M, Bonato Luisi S, Burnett Junior LH, et al. Effect of horizontal position of fiber post placement on fracture resistance and location in endodontically treated premolars with a MOD preparation [J]. Giornale Italiano di Endodonzia, 2021, 35(2):32-37.
[19] Aslan T, Sagsen B, Er Ö, et al. Evaluation of fracture resistance in root canal-treated teeth restored using different techniques [J]. Niger J Clin Pract, 2018, 21(6): 795-800.
[20] Srinivasan A, Nadig R, Gananeela U, et al. Fracture resistance of endodontically treated teeth restored with direct resin restoration reinforced with fibre post and polyethylene fibre-an in vitro study [J]. Endod Pract Today (Lond Engl), 2013, 7(4): 305-310.
[21] Abdulrab S, Geerts G, Al-Maweri SA, et al. The influence of horizontal glass fiber posts on fracture strength and fracture pattern of endodontically treated teeth: A systematic review and meta-analysis of in vitro studies [J]. J Prosthodont, 2023, 32(6): 469-481.
[22] Borges ALS, Grangeiro MTV, de Andrade GS, et al. Stress concentration of endodontically treated molars restored with transfixed glass fiber post: 3D-finite element analysis [J]. Materials (Basel), 2021, 14(15): 4249.
[23] Deliperi S, Alleman D, Rudo D. Stress-reduced direct composites for the restoration of structurally compromised teeth: Fiber design according to the "wallpapering" technique [J]. Oper Dent, 2017, 42(3): 233-243.
[24] Forster A, Braunitzer G, Tóth M, et al. In vitro fracture resistance of adhesively restored molar teeth with different MOD cavity dimensions [J]. J Prosthodont, 2019, 28(1): e325-e331.
[25] Fráter M, Sáry T, Vincze-Bandi E, et al. Fracture behavior of short fiber-reinforced direct restorations in large MOD cavities [J]. Polymers (Basel), 2021, 13(13): 2040.
[26] Jurema ALB, Filgueiras AT, Santos KA, et al. Effect of intraradicular fiber post on the fracture resistance of endodontically treated and restored anterior teeth: A systematic review and meta-analysis [J]. J Prosthet Dent, 2022, 128(1): 13-24.
[27] Iaculli F, Rengo C, Lodato V, et al. Fracture resistance of endodontically-treated maxillary premolars restored with different type of posts and direct composite reconstructions: A systematic review and meta-analysis of in vitro studies [J]. Dent Mater, 2021, 37(9): e455-e484.
[28] Rakotoaridina K, Delrieu J, Pages P, et al. Evaluation of poly(etheretherketone) post's mechanical strength in comparison with three metal-free biomaterials: An in vitro study [J]. Polymers (Basel), 2023, 15(17): 3583.
[29] Mamoun J. Post and core build-ups in crown and bridge abutments: Bio-mechanical advantages and disadvantages [J]. J Adv Prosthodont, 2017, 9(3): 232-237.
[30] 赵灿灿, 胡伟平. 粘结系统对纤维桩核冠修复效果影响的研究进展[J].口腔医学, 2019, 39(1): 93-96.
[31] Göktürk H, Karaarslan EŞ, Tekin E, et al. The effect of the different restorations on fracture resistance of root-filled premolars [J]. BMC Oral Health, 2018, 18(1): 196.
[32] 陆俊卿,张修银. 陶瓷髓腔固位冠修复根管治疗后牙的研究进展[J].口腔医学研究,2018,34(5): 470-473.
[33] 粟猛,屈直.不同制备形态对短冠磨牙髓腔固位冠抗折性影响的研究[J].口腔医学研究,2021,37(2): 118-121.
[34] Sedrez-Porto JA, Rosa WL, da Silva AF, et al. Endocrown restorations: A systematic review and meta-analysis [J]. J Dent, 2016, 52: 8-14.
[35] Rao S, Nilker V, Telikapalli M, et al. Incidence of endodontic failure cases in the department of conservative dentistry and endodontics, DY Patil School of dentistry, Navi Mumbai [J]. Cureus, 2023, 15(5): :e38841.
[36] Wu Y, Cathro P, Marino V. Fracture resistance and pattern of the upper premolars with obturated canals and restored endodontic occlusal access cavities [J]. J Biomed Res, 2010, 24(6): 474-478.
[37] Linden J, Widström E, Sinkkonen J. Adults' dental treatment in 2001-2013 in finnish public dental service [J]. BMC Oral Health, 2020, 20(1): 121.
[38] Alsalleeh F, Albishry FY, Aleyiydi AS, et al. Outcomes of nonsurgical endodontic treatment under general anesthesia in special health care needs: An observational study [J]. BDJ Open, 2024, 10(1): 36.
[39] Scotti N, Forniglia A, Michelotto Tempesta R, et al. Effects of fiber-glass-reinforced composite restorations on fracture resistance and failure mode of endodontically treated molars [J]. J Dent, 2016, 53: 82-87.
[40] Bahari M, Mohammadi N, Kimyai S, et al. Effect of different fiber reinforcement strategies on the fracture strength of composite resin restored endodontically treated premolars [J]. Pesqui Bras Odontopediatria Clin Integr, 2019, 19(1): 1-10.
[41] Tentardini Bainy P, Melara R, Burnett Junior LH, et al. Effect of glass fiber on the restorative procedure in relation to fracture strength of endodontically treated molars [J]. Giornale Italiano di Endodonzia, 2021, 35(1): 178-186.
[42] Ludovichetti FS, Lucchi P, Zambon G, et al. Depth of cure, hardness, roughness and filler dimension of bulk-fill flowable, conventional flowable and high-strength universal injectable composites: An in vitro study [J]. Nanomaterials (Basel), 2022, 12(12): 1951.
[43] Abou-Elnaga MY, Alkhawas MAM, Kim HC, et al. Effect of truss access and artificial truss restoration on the fracture resistance of endodontically treated mandibular first molars [J]. J Endod, 2019, 45(6): 813-817.
[44] Venkataraman KJ, Venkatapathi A, Balasubramanian S, et al. Fracture resistance of endodontically treated mandibular permanent first molars reinforced with diagonal horizontal postdesign: A in vitro study [J]. J Pharm Bioallied Sci, 2021, 13(Suppl 2): S1597-S1602.