Endodontic Management of a  Mandibular First Molar with Radix  Entomolaris and Conservative Post- endodontic Restoration with CAD/CAM  Onlay: A Novel Clinical Technique

Yadav, Kanika; Ataide, Ida de Noronha de; Fernandes, Marina; Lambor, Rajan; Alreja, Dalip

doi:10.7860/jcdr/2016/22048.8828

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…Confirming the previously‐mentioned laboratory data, many authors have demonstrated in their clinical reports that using SFRC as a bulk base or core under direct composite restorations for posterior teeth can be considered an economical and practical measure that could obviate the use of extensive prosthetic treatment …”

Section: Resultsmentioning

confidence: 52%

Short fiber‐reinforced composite restorations: A review of the current literature

Garoushi

Gargoum

Vallittu

et al. 2018

J of Invest & Clin Dent

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A newly-recommended method for restoring large cavities is the biomimetic approach of using short fiber-reinforced composite (SFRC) as dentine-replacing material. The aim of the current review was to present an overview of SFRC and to give the clinician a detailed understanding of this new material and treatment strategy based on available-literature review. A thorough literature search was done up to December 2017. The range of relevant publications was surveyed using PubMed and Google Scholar. From the search results, articles related to our search terms were only considered. The search terms used were "short fiber-reinforced composite", "everX posterior", and "fiber-reinforced composite restorations". Of the assessed articles selected (N = 70), most were laboratory-based research with various test specimen designs prepared according to the ISO standard or with extracted teeth; only four articles were clinical reports. A common finding was that by combining the SFRC as a bulk base with conventional composite, the load-bearing capacity and failure mode of the material combination were improved, as compared to plain conventional composite restoration. In the reviewed studies, the biomimetic restoration technique of using SFRC showed promising characteristics, and therefore, might be recommended as an alternative treatment option for large cavities.

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Section: Resultsmentioning

confidence: 52%

Short fiber‐reinforced composite restorations: A review of the current literature

Garoushi

Gargoum

Vallittu

et al. 2018

J of Invest & Clin Dent

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“…Correspondingly, Yadav et al . [25] reported clinical cases in which isolation was not considered during the cementation phase, which may favor recontamination of the treated root canals.…”

Section: Discussionmentioning

confidence: 99%

A CAD/CAM-based strategy for concurrent endodontic and restorative treatment

et al. 2019

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This case report describes a technique in which endodontic treatment and permanent indirect restoration were completed in the same clinical appointment with the aid of a computer-aided design/computer-aided manufacturing (CAD/CAM) system. Two patients were diagnosed with irreversible pulpitis of the mandibular first molar. After access preparation, root canals were located, irrigation was performed until bleeding ceased, and the coronal tooth structure was prepared for indirect restoration. Then, utilizing an interim 3-mm build-up of the endodontic access cavity, a hemi-arch digital scan was performed with an intraoral scanner. Subsequent to digital scanning, restoration design was performed simultaneously with the endodontic procedure. The root canals were shaped using the Race system under irrigation with 2.5% sodium hypochlorite followed by root canal filling. The pulp chamber was subsequently filled with a 3-mm-thick composite resin restoration mimicking the interim build-up previously utilized to facilitate block milling in the CAD/CAM system. Clinical try-in of the permanent onlay restoration was followed by acid etching, application of a 5th generation adhesive, and cementation of the indirect restoration. Once the restoration was cemented, rubber dam isolation was removed, followed by occlusal adjustment and polishing. After 2 years of follow-up, the restorations were esthetically and functionally satisfactory, without complications.

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“…A bulk‐fill material EverX Posterior (by GC Europe) 13 has been one of the most popular 14 GFRC brands in recent years. It is designed as a substructure material containing 25% short fibre by weight, developed to mimic the stress‐absorption property of natural dentin tissue in large and deep cavities 15 …”

Section: Introductionmentioning

confidence: 99%

“…It is designed as a substructure material containing 25% short fibre by weight, developed to mimic the stress-absorption property of natural dentin tissue in large and deep cavities. 15 In routine applications, conventional composite resin is placed over EverX, as the latter adheres well to cavity walls and overlapping composites and also transmits occlusal loads homogeneously to the tooth. 10,11,16 Placing a composite on EverX after its curing is an example of bilayer curing.…”

Section: Introductionmentioning

confidence: 99%

A comparison of the effects of incremental and snowplow techniques on the mechanical properties of composite restorations

Ölçer Us,

Aydınoğlu,

Erşahan

et al. 2023

Australian Dental Journal

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BackgroundGlass fibre‐reinforced composite (GFRC) has the potential to enhance the mechanical properties of resin‐based restorations. Nevertheless, the application technique can influence the cervical margin porosity, potentially reducing the mechanical strength of restorations.MethodsIn an in vitro setup, mould specimens underwent six different treatments to assess the effects of snowplow and incremental curing techniques on the properties of GFRC (EverX) and universal resin composite (Filtek). Mechanical properties, namely flexural strength (FS), compressive strength (CS) and Vickers hardness (VH), were evaluated following ISO 4049 standards. Data interpretation utilized the Kruskal–Wallis tests.ResultsNo significant difference emerged across groups for FS. CS in the snowplow method with lesser EverX thickness (SnPl_1) was comparable with only EverX and Filtek (P > 0.05). The CS was reduced in the snowplow technique with greater EverX thickness (SnPl_2) (P < 0.05) and further decreased with the incremental method (P < 0.001). VH results showed that EverX Posterior was consistently softer than Filtek, with specific patterns of hardness variations among different application methods.ConclusionsApplying EverX and Filtek using the snowplow technique delivers superior CS and VH for restorations in contrast to the incremental method. Utilizing the snowplow approach in high‐stress areas can make restorations more fracture‐resistant.

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Endodontic Management of a Mandibular First Molar with Radix Entomolaris and Conservative Post- endodontic Restoration with CAD/CAM Onlay: A Novel Clinical Technique

Cited by 4 publications

References 8 publications

Short fiber‐reinforced composite restorations: A review of the current literature

Short fiber‐reinforced composite restorations: A review of the current literature

A CAD/CAM-based strategy for concurrent endodontic and restorative treatment

A comparison of the effects of incremental and snowplow techniques on the mechanical properties of composite restorations

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