Retrospective clinical and radiographic evaluation of restored endodontically treated teeth

ObjectivesThe aim of this study was to perform a clinical and radiographic analysis of endodontically treated teeth (ETT) restored with cast metal posts (CMPs) or prefabricated glass fiber posts (GFPs) and crowns.Materials and MethodsFifty ETT were restored with 25 CMPs and 25 GFPs at a private dent...

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Main Authors: Paula Pontes Garcia, Aline Cappoani, Ricardo Susin Schelbauer, Gisele Maria Correr, Carla Castiglia Gonzaga
Format: Article
Language:English
Published: Korean Academy of Conservative Dentistry 2020-11-01
Series:Restorative Dentistry & Endodontics
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Online Access:http://rde.ac/upload/pdf/rde-45-e49.pdf
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Summary:ObjectivesThe aim of this study was to perform a clinical and radiographic analysis of endodontically treated teeth (ETT) restored with cast metal posts (CMPs) or prefabricated glass fiber posts (GFPs) and crowns.Materials and MethodsFifty ETT were restored with 25 CMPs and 25 GFPs at a private dental clinic between 2001 and 2016. The restorations consisted of 12 all-ceramic crowns, 31 metal-ceramic crowns, and 7 composite resin crowns. Demographic data, type of teeth, type of post-and-core system, time of placement, crown restorations, the number of proximal contacts, the type of antagonist, and reports of any complications after post-and-core placement were recorded for each patient. Assessments were performed at baseline (radiographic) and follow-up (radiographic and clinical). Data were analyzed by the McNemar test, the Pearson χ2 test, and Kaplan-Meier survival curves (α = 0.05). The mean follow-up was 67.6 months.ResultsNo significant difference was observed for any of the radiographic parameters when the baseline and final radiographs were compared. In the clinical evaluation, anatomical form (p = 0.009) and occlusion (p = 0.001) showed significant differences according to the type of crown restoration; specifically, metal-ceramic and all-ceramic crowns outperformed composite resin crowns.ConclusionsCMPs and GFPs showed favorable results for restoring ETT after 6 years of follow-up. All-ceramic and metal-ceramic crowns showed higher survival rates and better clinical outcomes.
ISSN:2234-7658
2234-7666