{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:45:49Z","timestamp":1790725549362,"version":"4.1.0"},"reference-count":73,"publisher":"Operative Dentistry","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,1,1]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this in vitro study was to evaluate the resistance and patterns of fracture of endodontically treated maxillary premolars (ETPs) restored with different methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials:<\/jats:title>\n                    <jats:p>Mesio-occluso-distal cavities were prepared in 50 extracted caries-free human maxillary premolars after endodontic treatment. The teeth were divided into five groups (n=10), according to the restorative method. G1: intact teeth (control group); G2: conventional composite resin; G3: conventional composite resin with a horizontal glass fiber post inserted between buccal and palatal walls; G4: bulk-fill flowable and bulk-fill restorative composites; and G5: ceramic inlay. For direct restorations, Filtek Z350 XT, Filtek Bulk Fill Flowable Restorative, and Filtek Bulk Fill Posterior Restorative were used. Indirect restorations were fabricated from a pressable lithium disilicate glass-ceramic (IPS e-max Press) and adhesively cemented (RelyX Ultimate). All specimens were subjected to thermocycling (5\u00b0C to 55\u00b0C\/5000 cycles) and additionally submitted to cyclic loading 50,000 times in an Electro-Mechanical Fatigue Machine. Next, the specimens were subjected to a compressive load at a crosshead speed of 1 mm\/min until fracture. The fractured specimens were analyzed to determine the fracture pattern using a stereomicroscope, and then representative specimens were carbon coated to allow for the studying of the fracture surface under scanning electron microscopy. One-way analysis of variance (ANOVA) was used to compare fracture resistance of the groups. The results of fracture patterns were submitted to the Fisher exact test (\u03b1=0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All specimens survived fatigue. Mean (standard deviation) failure loads (N) for groups were as follows: G1: 949.6 (331.5); G2: 999.6 (352.5); G3: 934.5 (233.6); G4: 771.0 (147.4); and G5: 856.7 (237.5). The lowest fracture resistance was recorded for G4, and the highest ones were recorded for G2, followed by that of G1 and G3. One-way ANOVA did not reveal significant differences between groups (p&amp;gt;0.05). The highest repairable fracture rates were observed in G1 (100%) and G3 (80%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>ETPs restored with conventional composite resin with or without horizontal fiber post, bulk-fill composite, and ceramic inlay showed fracture resistance similar to that of sound teeth. Conventional composite resin restorations exhibited the highest prevalence of unrepairable fractures, and the insertion of a horizontal fiber post decreased this prevalence. Intact teeth showed 100% of repairable fractures. It is difficult to extrapolate the results directly to a clinical situation due to the limitations of this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2341\/17-262-l","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T14:32:03Z","timestamp":1546957923000},"page":"E1-E11","source":"Crossref","is-referenced-by-count":55,"title":["Fracture Resistance of Endodontically Treated Maxillary Premolars Restored With Different Methods"],"prefix":"10.2341","volume":"44","author":[{"given":"VA","family":"Mergulh\u00e3o","sequence":"first","affiliation":[{"name":"Viviane A Mergulh\u00e3o, PhD, Department of Restorative Dentistry, University of Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LS","family":"de Mendon\u00e7a","sequence":"first","affiliation":[{"name":"Luciana S de Mendon\u00e7a, PhD student, University of Pernambuco, Camaragibe, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MS","family":"de Albuquerque","sequence":"first","affiliation":[{"name":"M\u00f4nica S de Albuquerque, PhD student, Department of Restorative Dentistry, University of Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Braz","sequence":"first","affiliation":[{"name":"Rodivan Braz, PhD, DDS, professor, Department of Restorative Dentistry, University of Pernambuco, Camaragibe, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1188","reference":[{"issue":"3","key":"2020060500294160000_i1559-2863-44-1-E1-b01","doi-asserted-by":"crossref","first-page":"200","DOI":"10.4047\/jap.2014.6.3.200","article-title":"Fracture resistance of endodontically treated maxillary premolars restored by silorane-based composite with or without fiber or nano-ionomer","volume":"6","author":"Shafiei","year":"2014","journal-title":"Journal of Advanced 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