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CLINICAL AND RADIOGRAPHIC EVALUATION OF FIBER AND METAL POST-CORE SYSTEMS: 5 YEARS FOLLOW UP

Year 2018, Volume: 2 Issue: 2, 40 - 46, 30.12.2018

Erkut Kahramanoğlu Elcin Keskin Özyer , Coşkun Yıldız Yasemin Özkan

Abstract

Aim: The aim of the study is to evaluate single crown restorations with different post-core systems clinically and radiographically.

Material & Method: 145 patients treated in Marmara University Faculty of Dentistry was examined for this study. Fiber posts was applied 49 of these patients (60 teeth), while prefabricated metal posts were applied 96 of them (129 teeth). 

Results:A survey is applied to the patients to evaluate satisfaction, esthetic, phonetic, cleanability, retention and masticatory activity (0: bad 1: adequate 2: good 3: very good). General satisfaction is found 2.1 of 3 (%70) in prefabricated metal post patients. Some complications are seen in 29 of 129 of prefabricated metal posts. General satisfaction is found 2.3 of 3 (%76) in fiber post patients. Some complications are also seen in 13 of 60 of fiber posts. Using different type of adhesive cements do not affect the fracture resistance of the restorated teeth (p=0.209), and 10 mm post cavity depth showed greater fracture resistance than 5 mm cavity depth (p<0.001).

Conclusion:With all the limitations of this study, depth of the post cavity will increase the fracture resistance of restorated teeth regardless of the type of adhesive cements.

Keywords

Post-core fiber post retrospective

References

  • Abramovitz L, Lev R, Fuss Z, Metzger Z. The unpredictability of seal after post space preparation: a fluid transport study, J Endod. 2001; 27, 292-295.
  • Akan H, Kesim B. Üç farklı post-core sisteminin sıkışma kesme kuvvetlerine dayanımlarının in vitro olarak incelenmesi. Cumhuriyet Diş Hek Fak Derg. 2000;3(1):31.37.
  • Akkayan B, Caniklioğlu MB. Farklı post tiplerinin kök kırıklarına etkileri ve post seçim kriterleri, Hacettepe Ü Diş Hek Derg. 1997; 21, 75-84.
  • Akkayan B. An in vitro study evaluating the effect of ferrule length on fracture resistance of endodontically treated teeth restored with fiber- reinforced and zirconia dowel systems, J Prosthet Dent. 2004; 92:155-162.
  • Baba NZ, Goodacre CJ, Daher T. Restoration of endodontically treated teeth: the seven keys to success. Gen Dent. 2009;57(6):596-603.
  • Bavbek AB, Belli S, Eskitaşçıoğlu G. Esthetic restorations of endodontically treated teeth: post-cores. Turkiye Klinikleri J Dental Sci-Special Topics. 2011; 2(1):29-36.
  • Bedestenci B. Metal ve metal olmayan prefabrik post sistemlerinin diş ve alveol kemiğinde oluşturduğu streslerin üç boyutlu sonlu elemanlar stres analizi yöntemiyle değerlendirilmesi, Gazi Ü Sağlık Bilimleri Enstitüsü, Doktora Tezi, 200, Ankara (Danışman: Prof.Dr. Yavuz BURGAZ).
  • Cagidiaco MC, Goracci C, Garcia-Godoy F, Ferrari M. Clinical studies of fiber posts: a literature review. Int J Prosthodont. 2008; 21(4):328-36.
  • Cagidiaco MC, Radovic I, Simonetti M, Tay F, Ferrari M. Clinical performance of fiber post restorations in endodontically treated teeth: 2-year results. Int J Prosthodent. 2007;20(3):293-8.
  • Çalışkan MK. Root canal instrument and root canal preparation methods. In: Endodontide tanı ve tedaviler. İstanbul: Nobel Tıp Kitapevleri; 2006, p:273-313.
  • Fraga RC, Chaves GSB, Mello JF, Siqueira JR. Fracture resistance of endodontically treated roots after restoration, J Oral Rehabil. 1998; 25, 809–813.
  • Freedman GA. Esthetic post and core treatment. Dent Clin North Am. 2001 ;45(1):103-16. 32.
  • Goodacre CJ. Carbon fiber posts may have fewer failures than metal posts. J Evid Based Dent Pract. 2010;10(1):32-4.
  • Heydecke G, Budtz F, Strub JR. Fracture strength and survival rate of endodontically treated maxillary incisors with approximal cavities after restoration with different post and core systems: an in vitro study. J Dent. 2001;29(6):427-33. 27.
  • Morgano SM, Rodrigues AH, Sabrosa CE. Restoration of endodontically treated teeth. Dent Clin North Am. 2004;48(2):397-416.
  • Naumann M, Blankenstein F, Dietrich T. Survival of glass fibre reinforced composite post restorations after 2 years-an observational clinical study. J Dent. 2005; 33(4):305-12.
  • Peroz I, Blankenstein F, Lange KP, Naumann M. Restoring endodontically treated teeth with posts and cores-a review. Quintessence Int. 2005;36(9):737-46.
  • Robbins JW. Restoration of the endodontically treated tooth. Dent Clin North Am. 2002;46(2):367-84.
  • Sagsen B, Ertas H, Gürbulak AG, Er Ö, Yağcı F, Akdoğan G. Bağlama özelliği olan bir kanal dolgu materyali ile veya farklı fiber. J Dent Fac Ataturk Uni. 2012;46(3): 367-84.
  • Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review, J Endod. 2004; 30:290–301.
  • Shillingberg HT, Hobo S, Whitsett L, Jacobi R, Brackett SE. Preparation for extensively damaged teeth. In: Fundamentals of Fixed Prosthodontics. 3rd ed. Chicago: Quintessence Punlishing Inc; 1997, p:181-209.
  • Stockton LW. Factors affecting retention of post systems: A literature review, J Prosthet Dent. 1999; 81:380–385.
  • Torbjörner A, Karlsson S, Ödman PA. Survival rate and failure characteristic for two post designs, J Prosthet Dent. 1995; 73:439–444.
  • Yurdukoru B, Eskitaşçıoğlu G. Kıymetsiz bir metalin dual-cure kompozit rezinlerle bağlanma direnci. Ankara Ü Diş Hek Fak Derg. 1999; 23:53–55.

FİBER VE METAL DESTEKLİ POSTLARIN KLİNİK VE RADYOLOJİK OLARAK DEĞERLENDİRİLMESİ: 5 YILLIK TAKİP

Year 2018, Volume: 2 Issue: 2, 40 - 46, 30.12.2018

Erkut Kahramanoğlu Elcin Keskin Özyer , Coşkun Yıldız Yasemin Özkan

Abstract

Amaç: Bu çalışmanın amacı farklı post-kor sistemleri ile desteklenen kron restorasyonlarının klinik ve radyolojik olarak durumunu değerlendirmektir.


Materyal ve Metot: Bu araştırmada Marmara Üniversitesi Diş Hekimliği Fakültesi’nde tedavi edilen 145 hasta gözlemlenmiştir. Bu hastaların 49’una fiber destekli post (toplamda 60 adet diş), 96’sına prefabrike metal destekli post (toplamda129 adet diş) uygulanmıştır.  


Bulgular: Hastalardan memnuniyet, estetik, fonetik, temizlenebilirlik, retansiyon, çiğneme etkinliği hakkındaki değerlendirmelerini puanlandırılmaları istenmiştir (0: kötü, 1: yeterli, 2: iyi, 3:çok iyi). Prefabrike metal destekli post uygulanmış hastalarda genel memnuniyet oranı 3 üzerinden 2,1 (%70) olarak belirlenmiştir. Araştırmaya alınan 129 prefabrike metal destekli postun 29’unda komplikasyona rastlanmıştır. Fiber post uygulanan hastalarda genel memnuniyet oranı ise 3 üzerinden 2,3 (%76) olarak belirlenmiştir. Araştırmaya alınan 60 fiber destekli postun 13’ünde komplikasyona rastlanmıştır. Farklı tip siman kullanımı, restore edilmiş dişlerin kırılma dayanımını etkilemezken (p=0.209), 10mm derinlikte post yerleşimi 5mm derinlikte yerleşime göre daha yüksek kırılma dayanımı göstermiştir (p<0.001).


Sonuç: Çalışmanın limitasyonları dahilinde, hangi tip simanın kullanıldığına bakılmaksızın, post kavitesinin daha derin açılması post-kor destekli kron restorasyonlu dişlerin kırılma dayanımını artırmaktadır.

Keywords

Post-kor fiber post retrospektif

References

  • Abramovitz L, Lev R, Fuss Z, Metzger Z. The unpredictability of seal after post space preparation: a fluid transport study, J Endod. 2001; 27, 292-295.
  • Akan H, Kesim B. Üç farklı post-core sisteminin sıkışma kesme kuvvetlerine dayanımlarının in vitro olarak incelenmesi. Cumhuriyet Diş Hek Fak Derg. 2000;3(1):31.37.
  • Akkayan B, Caniklioğlu MB. Farklı post tiplerinin kök kırıklarına etkileri ve post seçim kriterleri, Hacettepe Ü Diş Hek Derg. 1997; 21, 75-84.
  • Akkayan B. An in vitro study evaluating the effect of ferrule length on fracture resistance of endodontically treated teeth restored with fiber- reinforced and zirconia dowel systems, J Prosthet Dent. 2004; 92:155-162.
  • Baba NZ, Goodacre CJ, Daher T. Restoration of endodontically treated teeth: the seven keys to success. Gen Dent. 2009;57(6):596-603.
  • Bavbek AB, Belli S, Eskitaşçıoğlu G. Esthetic restorations of endodontically treated teeth: post-cores. Turkiye Klinikleri J Dental Sci-Special Topics. 2011; 2(1):29-36.
  • Bedestenci B. Metal ve metal olmayan prefabrik post sistemlerinin diş ve alveol kemiğinde oluşturduğu streslerin üç boyutlu sonlu elemanlar stres analizi yöntemiyle değerlendirilmesi, Gazi Ü Sağlık Bilimleri Enstitüsü, Doktora Tezi, 200, Ankara (Danışman: Prof.Dr. Yavuz BURGAZ).
  • Cagidiaco MC, Goracci C, Garcia-Godoy F, Ferrari M. Clinical studies of fiber posts: a literature review. Int J Prosthodont. 2008; 21(4):328-36.
  • Cagidiaco MC, Radovic I, Simonetti M, Tay F, Ferrari M. Clinical performance of fiber post restorations in endodontically treated teeth: 2-year results. Int J Prosthodent. 2007;20(3):293-8.
  • Çalışkan MK. Root canal instrument and root canal preparation methods. In: Endodontide tanı ve tedaviler. İstanbul: Nobel Tıp Kitapevleri; 2006, p:273-313.
  • Fraga RC, Chaves GSB, Mello JF, Siqueira JR. Fracture resistance of endodontically treated roots after restoration, J Oral Rehabil. 1998; 25, 809–813.
  • Freedman GA. Esthetic post and core treatment. Dent Clin North Am. 2001 ;45(1):103-16. 32.
  • Goodacre CJ. Carbon fiber posts may have fewer failures than metal posts. J Evid Based Dent Pract. 2010;10(1):32-4.
  • Heydecke G, Budtz F, Strub JR. Fracture strength and survival rate of endodontically treated maxillary incisors with approximal cavities after restoration with different post and core systems: an in vitro study. J Dent. 2001;29(6):427-33. 27.
  • Morgano SM, Rodrigues AH, Sabrosa CE. Restoration of endodontically treated teeth. Dent Clin North Am. 2004;48(2):397-416.
  • Naumann M, Blankenstein F, Dietrich T. Survival of glass fibre reinforced composite post restorations after 2 years-an observational clinical study. J Dent. 2005; 33(4):305-12.
  • Peroz I, Blankenstein F, Lange KP, Naumann M. Restoring endodontically treated teeth with posts and cores-a review. Quintessence Int. 2005;36(9):737-46.
  • Robbins JW. Restoration of the endodontically treated tooth. Dent Clin North Am. 2002;46(2):367-84.
  • Sagsen B, Ertas H, Gürbulak AG, Er Ö, Yağcı F, Akdoğan G. Bağlama özelliği olan bir kanal dolgu materyali ile veya farklı fiber. J Dent Fac Ataturk Uni. 2012;46(3): 367-84.
  • Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review, J Endod. 2004; 30:290–301.
  • Shillingberg HT, Hobo S, Whitsett L, Jacobi R, Brackett SE. Preparation for extensively damaged teeth. In: Fundamentals of Fixed Prosthodontics. 3rd ed. Chicago: Quintessence Punlishing Inc; 1997, p:181-209.
  • Stockton LW. Factors affecting retention of post systems: A literature review, J Prosthet Dent. 1999; 81:380–385.
  • Torbjörner A, Karlsson S, Ödman PA. Survival rate and failure characteristic for two post designs, J Prosthet Dent. 1995; 73:439–444.
  • Yurdukoru B, Eskitaşçıoğlu G. Kıymetsiz bir metalin dual-cure kompozit rezinlerle bağlanma direnci. Ankara Ü Diş Hek Fak Derg. 1999; 23:53–55.
There are 24 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Articles
Authors

Erkut Kahramanoğlu This is me 0000-0002-2583-6627

Elcin Keskin Özyer 0000-0002-8826-024X

Coşkun Yıldız This is me 0000-0002-3812-8339

Yasemin Özkan This is me 0000-0002-4699-638X

Publication Date December 30, 2018
Published in Issue Year 2018 Volume: 2 Issue: 2

Cite

APA Kahramanoğlu, E., Keskin Özyer, E., Yıldız, C., Özkan, Y. (2018). CLINICAL AND RADIOGRAPHIC EVALUATION OF FIBER AND METAL POST-CORE SYSTEMS: 5 YEARS FOLLOW UP. European Journal of Research in Dentistry, 2(2), 40-46.