Clinical Evaluation of Posterior Composite Restorations in Endodontically Treated Teeth

E, Can Say; Kayahan, Baybora; Özel, Emre; Gökçe, Kağan; Soyman, Mübin; Bayırlı, Gündüz

doi:10.5005/jcdp-7-2-17

Cited by 4 publications

(3 citation statements)

References 31 publications

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“…[27] In contrast, in a 2-year assessment by Can Say et al, a statistically significant disparity was noted in this respect. [28] There are two points worthy of note here. First, our follow-up was relatively short; it was likely that longer assessment would reveal otherwise.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of fiber-reinforced composite crowns in pulp-treated primary molars: 12-month results

et al. 2016

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Objective:The aim of this study was to evaluate the clinical performance of tooth-colored fiber-reinforced composite (FRC) crowns in pulp-treated second primary mandibular teeth.Materials and Methods:This split-mouth randomized, clinical trial performed on 67 children between 3 and 6 years with two primary mandibular second molars requiring pulp treatment. After pulp therapy, the teeth were randomly assigned to stainless steel crown (SSC) or FRC crown groups. Modified United States Public Health Service criteria were used to evaluate marginal integrity, marginal discoloration, and secondary caries in FRC crowns at intervals of 3, 6, and 12 months. Retention rate and gingival health were also compared between the two groups. The data were analyzed using Friedman, Cochran, and McNemar's tests at a significance level of 0.05.Results:Intact marginal integrity in FRC crowns at 3, 6, and 12 months were 93.2%, 94.8%, and 94.2%, respectively. Marginal discoloration and secondary caries were not found at any of the FRC crowns. The retention rates of the FRC crowns were 100%, 98.3%, and 89.7% at 3, 6 and 12 months, respectively, whereas all the SSCs were found to be present and intact after 12 months (P = 0.016). There was no statistically significant difference between the two groups in gingival health.Conclusion:According to the results of this study, it seems that when esthetics is a concern, in cooperative patients with good oral hygiene, FRC crowns can be considered as a valuable procedure.

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Section: Discussionmentioning

confidence: 99%

Clinical evaluation of fiber-reinforced composite crowns in pulp-treated primary molars: 12-month results

et al. 2016

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“…3,[23][24][25] In the case of small to medium cavities, direct composite resins and indirect inlay/onlay restorations have almost replaced metallic restorations. [26][27][28][29] In the case of large cavities, or whenever a cuspal coverage is needed, bonded endocrowns made of ceramic or composite currently represent a valid alternative to classical full crowns to restore the esthetics and function of ETT. 4,8,10-12,15…”

Section: Discussionmentioning

confidence: 99%

Fiber-reinforced Resin Coating for Endocrown Preparations: A Technical Report

Rocca¹,

Rizcalla²,

Krejci³

2013

Operative Dentistry

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Coronal rehabilitation of endodontically treated posterior teeth is still a controversial issue. Although the use of classical crowns supported by radicular metal posts remains widespread in dentistry, their invasiveness has been largely criticized. New materials and therapeutic options based entirely on adhesion are available nowadays, from direct composite resins to indirect endocrowns. They allow for a more conservative, faster, and less expensive dental treatment. However, the absence of a metal or high-strength ceramic substructure as in full-crown restorations can expose this kind of restoration to a higher risk of irreversible fracture in case of crack propagation. The aim of this case report is to present a technique to reinforce the cavity of an endodontically treated tooth by incorporating a fiber-reinforced composite (FRC) layer into the resin coating of the tooth preparation, before the final impressions of the cavity. This technique allows the use of FRCs in combination with any kind of restorative material for an adhesive overlay/endocrown.

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“…These results are similar to those of E. Can Say et al, with a similar number of observation units -39. 23 The number of restorations that scored Bravo for 'appropriate colour' is signifi cantly increased after 1 year. The reasons behind this observation can be the dietary habits of the patients (intake of dark-coloured beverages, smoking), as well as the qualities of the composite material used.…”

Section: Discussionmentioning

confidence: 99%

Clinical Assessment of Endodontically Treated Teeth, Restored with or without Radicular Posts

et al. 2018

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Background: The reduced fracture resistance in endodontically treated teeth requires the use of radicular posts, with their advantages and disadvantages. Aim: To evaluate the clinical performance of teeth restored with or without radicular posts at 6 and 12 months. Materials and methods: The study included 22 patients who received endodontic therapy on premolars with a loss of one or two proximal walls. The premolars were divided into groups according to the restoration method: metal post group (MP), fiber post group (FP), and no post group (NP). For the NP group, a dentinal core of fiber-reinforced composite was used. The McNemar test, marginal homogeneity test and Kruskal-Wallis test were used in the statistical analysis. At the 6 and 12 month recall, both the direct composite restorations and the integrity of the post systems were assessed. Results: At 6-month recall assessment, there was no statistically significant difference in the categories of ‘appropriate colour’, ‘secondary caries’ and ‘obturation integrity’. That was not the case with ‘marginal discoloration’, ‘marginal adaptation’, ‘proximal contact’ and ‘surface smoothness’. The recall at 12 months showed a continuation of this tendency, with significant decrease in the category of ‘adequate colour’. Assessment of post longevity at the two recalls did not show any significant changes. The teeth restored without a post showed survival rates comparable to that of teeth restored with a post for the 12-month period of observation. Conclusions: There were no failures of the different posts used. The observed changes were attributed to the progressive deterioration of the composite restorations.

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Clinical Evaluation of Posterior Composite Restorations in Endodontically Treated Teeth

Cited by 4 publications

References 31 publications

Clinical evaluation of fiber-reinforced composite crowns in pulp-treated primary molars: 12-month results

Clinical evaluation of fiber-reinforced composite crowns in pulp-treated primary molars: 12-month results

Fiber-reinforced Resin Coating for Endocrown Preparations: A Technical Report

Clinical Assessment of Endodontically Treated Teeth, Restored with or without Radicular Posts

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