Low-quality evidence shows similar survival rates for fractures in posterior endodontically treated teeth restored with crowns compared with resin composite restorations

2018 ◽  
Vol 149 (1) ◽  
pp. e13
Author(s):  
Tahira Devji
Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 524-536 ◽  
Author(s):  
F J Trevor Burke ◽  
Louis Mackenzie ◽  
Adrian CC Shortall

The use of resin composite for routine restoration of cavities in posterior teeth is now commonplace, and will increase further following the Minamata Agreement and patient requests for tooth-coloured restorations in their posterior teeth. It is therefore relevant to evaluate the published survival rates of such restorations. A Medline search identified 144 possible studies, this being reduced to 24 when inclusion criteria were introduced. Of these, ten directly compared amalgam and composite, eight were cohort studies, and six were systematic reviews. It was concluded that posterior composites may provide restorations of satisfactory longevity and with survival rates generally similar to those published on amalgam restorations. However, the ability of the operator in placing the restoration may have a profound effect. CPD/Clinical Relevance: With the increasing use of composite for restorations in posterior teeth, it is relevant to note that these may provide good rates for survival.


Folia Medica ◽  
2018 ◽  
Vol 60 (2) ◽  
pp. 291-299 ◽  
Author(s):  
Ekaterina G. Karteva ◽  
Neshka A. Manchorova ◽  
Stoyan B. Vladimirov ◽  
Donka A. Keskinova

Abstract 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.


2004 ◽  
Vol 5 (3) ◽  
pp. 51-58 ◽  
Author(s):  
A.R. Daneshkazemi

Abstract The aim of this in vitro study was performed to evaluate the effect of dentin bonding agents and glass ionomer cement beneath composite restorations and its resistance to fracture of endodontically treated teeth. Fifty sound extracted maxillary teeth were selected; ten of them for controls and the remainder were modified with root canal treatment and a mesial occlusal distal (MOD) cavity preparation. The modified teeth were then divided into five groups: Sound teeth Prepared without restorations for control Prepared and restored with Vitrebond (3M, USA), Singlebond (3M, USA), and Z100 (3M, USA) resin composite Prepared and restored with Concise enamel bonding agent (3M, USA) and Z100 resin composite Prepared and restored using Singlebond and Z100 composite resin The modified specimens were subjected to compressive load by an Instron machine until fracture occurred. Group 1 showed the highest resistance to compressive force followed by Groups 5, 3, 4, and 2, respectively. Statistical analysis using analysis of variance (ANOVA) and a t-test indicated significant difference between all groups. Use of a dentin bonding agent and composite resin increased the resistance of endodontically treated teeth to fracture. Citation Daneshkazemi AR. Resistance of Bonded Composite Restorations to Fracture of Endodontically Treated Teeth. J Contemp Dent Pract 2004 August;(5)3:051-058.


ORL ro ◽  
2018 ◽  
Vol 4 (41) ◽  
pp. 45
Author(s):  
Irina-Maria Gheorghiu ◽  
Loredana Mitran ◽  
Mihai Mitran ◽  
Anca-Nicoleta Temelcea ◽  
Sânziana Scărlătescu ◽  
...  

Author(s):  
Ayse Ruya Yazici ◽  
Zeynep Bilge Kutuk ◽  
Esra Ergin ◽  
Sevilay Karahan ◽  
Sibel A. Antonson

2000 ◽  
Vol 78 (11) ◽  
pp. 1420-1429 ◽  
Author(s):  
Theresa M Culley

Few studies of inbreeding depression have focused on species producing both showy, chasmogamous (CH) flowers and self-pollinated, cleistogamous (CL) flowers. The goals of this investigation were to measure the level of inbreeding depression in the North American violet, Viola canadensis L., and to determine if any fitness differences were linked to floral type (CH versus CL) rather than to cross type (self versus outcross). Hand pollinations were carried out to produce self- and outcross-pollinated CH progeny, and CL seeds were also collected. In a greenhouse, selfed and outcrossed CH flowers produced similar numbers of seeds, and both types of progeny had similar survival rates and comparable numbers of CH flowers, although outcrossed CH progeny had 14% greater vegetative biomass than selfed CH progeny. The level of inbreeding depression in V. canadensis was low, indicating that there may be few drawbacks to selfing in this species. A comparison of CL and self-pollinated CH progeny showed that, although there were differences in CH flower number, overall fitness differences were minimal. The similar performance of selfed (CL and CH) and outcrossed progeny in early life-history stages of V. canadensis suggests a history of inbreeding in the population.Key words: cleistogamy, inbreeding depression, outcrossing, selfing, Viola canadensis.


2006 ◽  
Vol 31 (6) ◽  
pp. 688-693 ◽  
Author(s):  
B. A. C. Loomans ◽  
N. J. M. Opdam ◽  
F. J. M. Roeters ◽  
E. M. Bronkhorst ◽  
R. C. W. Burgersdijk

Clinical Relevance When placing a Class II resin composite restoration, the use of sectional matrix systems and separation rings to obtain tight proximal contacts is recommended.


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