Zirconium Oxide as a Novel Material for Post-Endodontically Treated Teeth: Comparative Fracture Behavior of 3D-Printed Cobalt-Chromium, Milled Zirconium Oxide, and Quartz Fiber Posts.

This study evaluates the mechanical properties of materials used in the post-endodontic restoration of root-treated teeth and examines their performance under stress to provide insights for material selection in clinical applications. Particular attention is given to zirconium oxide, which demonstrates promising characteristics due to its esthetic color and favorable material properties, positioning it as a potential material for future use in post-endodontic treatments. Three materials-prefabricated quartz fiber-reinforced composite, milled zirconium oxide, and additively manufactured cobalt-chromium-were evaluated using compressive-deflection tests. The specimens were subjected to a 45° compressive load extending 5 mm from a metal core. Their mechanical properties were analyzed using one-way ANOVA and Tukey's post hoc test. Significant differences were observed among the materials. Quartz fiber posts, with the lowest force resistance, buckled at lower loads (143.3 ± 9.9 N), while zirconia posts failed in a brittle manner at higher forces (246.1 ± 97.2 N). Cobalt-chromium posts demonstrated the highest maximal force (323.2 ± 10.5 N, p < 0.001) and, unlike the other materials, bent rather than fractured. The failure patterns of the tested materials underscore the importance of careful material selection when restoring root-treated teeth. Despite displaying distinct fracture characteristics, zirconium oxide, due to its color, rigidity, and hardness, stands out as a promising material for future dental applications. Further research through randomized clinical trials is recommended to refine treatment approaches and optimize clinical outcomes.