Clinical evaluation of the fiber post and direct composite resin restoration for fixed single crowns on endodontically treated teeth

Abstract

Fiber posts are the best alternative for restoration of fractured endodontically treated teeth. Fiber posts and direct composite resin core materials are strongly recommended for restoration of endodontically treated mutilated teeth among the dental establishments of Armed Forces.

Retrospective clinical and radiographic evaluation of restored endodontically treated teeth

“…Although several types of post-and-core systems exist, no standard clinical or scientific consensus exists on the best material to be used for the reconstruction of ETT [ 6 7 ]. The selection of materials that offer mechanical, clinical, and esthetic advantages—and, consequently, better clinical outcomes—has been discussed in the literature [ 8 9 10 ]. However, regardless of the type of material used for restoration, root canal filling removal, root canal preparation, cementation of the post-and-cores, and cementation of the restoration should be performed in order to avoid root canal contamination and disruption of the chain of asepsis established at the end of endodontic treatment [ 1 ].…”

Fiber-Reinforced Composites for Dental Applications

“…FRCs have been intensively investigated with a particular emphasis on mechanical properties such as fracture toughness, compressive strength, load-bearing capacity [ 4 ], flexural strength [ 5 ], fatigue resistance [ 6 ], fracture strength [ 7 ] or on the effect of layer thickness [ 8 ], bacterial adhesion [ 9 ], adhesion of fibers for various dental applications, such as long fibers [ 10 ], nets [ 11 ], and posts [ 12 ]. From clinical perspective, FRCs have been investigated for different clinical applications in prosthodontics, such as replacement of missing teeth by resin-bonded adhesive fixed dental prostheses of various kinds [ 13 ], reinforcement elements of dentures or pontics [ 14 ], and direct construction of posts and cores [ 15 ]. In other disciplines of dentistry, such as orthodontics FRCs have been suggested as active and passive orthodontic applications (i.e., anchorage or en-masse movement units) and postorthodontic tooth retention [ 16 ] and in periodontology for splinting mobile teeth in an attempt to prolong tooth extraction [ 17 ].…”

Comparison of the clinical efficacy of two different types of post systems which were restored with composite restorations

“…Teeth restored with tooth-coloured posts have produced aesthetic outcomes superior to those of traditional post-core crown systems. Tooth-coloured posts are particularly important to achieve an optimal aesthetic appearance for incisors[ 1 ]. This consideration, and other positive findings for non-metal post systems, have led to increased patient acceptance of this restoration type.…”

“…The aesthetic demands of patients have made the use of tooth-coloured post systems compulsory for metal-free aesthetic restorations. Ceramic, polyethylene, quartz, and glass-fibre posts are the most popular systems[ 1 - 6 ].…”