Objectives <p>Post-removal can be challenging and may increase the risk of iatrogenic damage during endodontic retreatment. This study evaluated the efficacy and efficiency of removing a novel fiber-colored post specifically designed to facilitate retrieval.</p> Materials and methods <p>Twenty mandibular premolars were instrumented with an R50 file and irrigated using 2.5% NaOCl and 17% EDTA under ultrasonic agitation. The roots were filled with AH Plus, and post spaces were prepared. Micro-CT scans were performed before post-cementation and after post-removal. Specimens were divided into two groups: Control – Exacto post (Angelus) and Experimental – fiber-colored post (patent granted). Post-removal was performed under magnification with ultrasonic tips activated for 20-second intervals, with pauses for tip cooling, canal irrigation and drying. Outcomes included working time, dentin loss, residual material, canal deviation, and procedural quality. Data were analyzed using the T-test and Mann-Whitney at 5%.</p> Results <p>The fiber-colored post showed a significantly shorter removal time (<i>p</i> = 0.023), with less dentin loss and residual material (<i>p</i> &lt; 0.0001). The control group exhibited severe deviations from the root axis and a 30% perforation rate, whereas fiber-colored posts had no perforations and most samples without deviation (<i>p</i> &lt; 0.0001).</p> Conclusions <p>The experimental fiber-colored posts enhanced removal efficiency, safety, and predictability.</p> Clinical relevance <p>Fiber-colored posts represent a promising restorative alternative that can facilitate post-removal during reintervention, helping to prevent iatrogenic damage and preserve tooth structure.</p>

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Enhanced and safe removal of a novel experimental fiber-colored post: an in vitro micro-CT study

  • Laís Lima Pelozo,
  • Camila Tirapelli,
  • Jardel Francisco Mazzi-Chaves,
  • Manoel Damião Sousa-Neto,
  • Aline Evangelista Souza-Gabriel

摘要

Objectives

Post-removal can be challenging and may increase the risk of iatrogenic damage during endodontic retreatment. This study evaluated the efficacy and efficiency of removing a novel fiber-colored post specifically designed to facilitate retrieval.

Materials and methods

Twenty mandibular premolars were instrumented with an R50 file and irrigated using 2.5% NaOCl and 17% EDTA under ultrasonic agitation. The roots were filled with AH Plus, and post spaces were prepared. Micro-CT scans were performed before post-cementation and after post-removal. Specimens were divided into two groups: Control – Exacto post (Angelus) and Experimental – fiber-colored post (patent granted). Post-removal was performed under magnification with ultrasonic tips activated for 20-second intervals, with pauses for tip cooling, canal irrigation and drying. Outcomes included working time, dentin loss, residual material, canal deviation, and procedural quality. Data were analyzed using the T-test and Mann-Whitney at 5%.

Results

The fiber-colored post showed a significantly shorter removal time (p = 0.023), with less dentin loss and residual material (p < 0.0001). The control group exhibited severe deviations from the root axis and a 30% perforation rate, whereas fiber-colored posts had no perforations and most samples without deviation (p < 0.0001).

Conclusions

The experimental fiber-colored posts enhanced removal efficiency, safety, and predictability.

Clinical relevance

Fiber-colored posts represent a promising restorative alternative that can facilitate post-removal during reintervention, helping to prevent iatrogenic damage and preserve tooth structure.