The+biomechanical+role+of+periodontal+ligament+in+bonded+and+replanted+vertically+fractured+teeth+under+cyclic+biting+forces.pdf
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The+biomechanical+role+of+periodontal+ligament+in+bonded+and+replanted+vertically+fractured+teeth+under+cyclic+biting+forces.pdf
International Journal of Oral Science (2015) 7, 125–130
OPEN 2015 WCSS. All rights reserved 1674-2818/15
/ijos
ORIGINAL ARTICLE
The biomechanical role of periodontal ligament in bonded
and replanted vertically fractured teeth under cyclic
biting forces
1,* 1,* 2 3 4 5 6
Ya-Nan Zhu , Wei-Dong Yang , Paul V Abbott , Nicolas Martin , Wen-Jia Wei , Jing-Jing Li , Zhi Chen
and Wen-Mei Wang5
After teeth are replanted, there are two possible healing responses: periodontal ligament healing or ankylosis with subsequent
replacement resorption. The purpose of this study was to compare the fatigue resistance of vertically fractured teeth after bonding the
fragments under conditions simulating both healing modes. Thirty-two human premolars were vertically fractured and the fragments
were bonded together with Super-Bond CB. They were then randomly distributed into four groups (BP, CP, CA, BA). The BP and CP
groups were used to investigate the periodontal ligament healing mode whilst the BA and CA groups simulated ankylosis. All teeth had
root canal treatment performed. Metal crowns were constructed for the CP and CA groups. The BP and BA groups only had composite
resin restorations in the access cavities. All specimens were subjected to a 260 N load at 4 Hz until failure of the bond or until 2 3106
cycles had been reached if no fracture occurred. Cracks were detected by stereomicroscope imaging and also assessed via dye
penetration tests. Finally, interfaces of the resin luting agent were examined by scanning electron microscope. The results confirmed
that the fatigue resistance was higher in the groups with simulated periodontal ligament hea
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