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Randomized Controlled Trial
. 2022 Jan-Mar;22(1):38-47.
doi: 10.4103/jips.jips_134_21.

A randomized controlled twelve month clinical study on the evaluation of success rate of endodontically treated teeth restored with metal poly-fiber posts and dentin posts

Sarvesh Shrikantbhai Patel  1 , Rajesh Sethuraman  1
Affiliations
Randomized Controlled Trial

A randomized controlled twelve month clinical study on the evaluation of success rate of endodontically treated teeth restored with metal poly-fiber posts and dentin posts

Sarvesh Shrikantbhai Patel et al. J Indian Prosthodont Soc. 2022 Jan-Mar.

Abstract

Settings and design: Department of Prosthodontics, KMSDCH, SVDU, Randomised Controlled study.

Materials and methods: Thirty-six teeth that satisfied selection criteria were randomly allocated and treated in the two intervention groups - metal fiber post with composite core and dentin post with composite core. Patient characteristics with respect to gender, tooth guidance, type of tooth, and mobility amount of tooth structure left were recorded. The primary outcome of tooth loss and the secondary outcomes of recurrent caries detected at the crown margin, de-cementation of crown, and fracture of the core, post, and root were recorded at baseline, 3, 6, and 12 month follow up.

Statistical analysis used: Chi Square test.

Results: Thirty-six teeth in 17 patients (10 males and 7 females) were treated using metal fiber post (18 teeth) and dentin post (18 teeth). No loss of tooth was seen at the end of 3, 6, and 12 months. The secondary outcomes also showed no recurrent caries at margin and no fracture of core, post, and root in both the groups at the end of 3, 6, and 12 months. One case of de-cementation was observed in both the groups at the 12-month period. Periodontal and periapical conditions showed no clinical and radiographic signs at any of the follow-up periods in both the groups.

Conclusion: This twelve month randomized controlled clinical study concluded a similar success rate for endodontically treated teeth restored with crowns on both metal fiber post with composite core and dentin post with composite core.

Keywords: Crown de-cementation; dentin post; endodontically treated teeth; loss of tooth; metal polyfiber post; randomized control trial; root fracture.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
CONSORT flow diagram of the study design and flow of participants in various phases of the study
Figure 2
Figure 2
Sectioning of tooth
Figure 3
Figure 3
Shaving of dentin to prepare post
Figure 4
Figure 4
Plexiglass with different post spaces prepared
Figure 5
Figure 5
Dentin posts made of different sized custom fit to the plexiglass post spaces
Figure 6
Figure 6
Post space preparation
Figure 7
Figure 7
Cemented metal polyfiber post
Figure 8
Figure 8
Cemented dentin post
Figure 9
Figure 9
Composite core buildup
Figure 10
Figure 10
Baseline radiograph
Figure 11
Figure 11
Luted metal-ceramic crowns
Figure 12
Figure 12
Three-month observation
Figure 13
Figure 13
Six-month observation
Figure 14
Figure 14
Twelve-month observation
See this image and copyright information in PMC

References

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