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  1. Article ; Online: Restoration of endodontically treated teeth review and treatment recommendations.

    Slutzky-Goldberg, Iris / Slutzky, Hagay / Gorfil, Colin / Smidt, Ami

    International journal of dentistry

    2010  Volume 2009, Page(s) 150251

    Abstract: Coronal restorations and posts can positively influence the long-term prognosis of teeth following ... fluids and bacteria into the periradicular area and is recommended as soon as possible after completion ... to the finish line of the crown significantly improves the fracture resistance of the tooth and is more ...

    Abstract Coronal restorations and posts can positively influence the long-term prognosis of teeth following root canal therapy. Final sealing the canal by placing an appropriate post and core will minimize leakage of oral fluids and bacteria into the periradicular area and is recommended as soon as possible after completion of root canal filling. Glass ionomer or MTA placed over the residual root canal filling after post space preparation may be effective to prevent bacterial leakage. A ferrule of 1-2 mm of tooth tissue coronal to the finish line of the crown significantly improves the fracture resistance of the tooth and is more important than the type of the material the core and post are made of.
    Language English
    Publishing date 2010-01-26
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 2546524-7
    ISSN 1687-8736 ; 1687-8736
    ISSN (online) 1687-8736
    ISSN 1687-8736
    DOI 10.1155/2009/150251
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  2. Article ; Online: Restoration of Endodontically Treated Teeth Review and Treatment Recommendations

    Iris Slutzky-Goldberg / Hagay Slutzky / Colin Gorfil / Ami Smidt

    International Journal of Dentistry, Vol

    2009  Volume 2009

    Keywords Dentistry ; RK1-715 ; Medicine ; R
    Language English
    Publishing date 2009-01-01T00:00:00Z
    Publisher Hindawi Publishing Corporation
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Restoration of Endodontically Treated Teeth Review and Treatment Recommendations

    Iris Slutzky-Goldberg / Hagay Slutzky / Colin Gorfil / Ami Smidt

    International Journal of Dentistry, Vol

    2009  Volume 2009

    Abstract: Coronal restorations and posts can positively influence the long-term prognosis of teeth following ... fluids and bacteria into the periradicular area and is recommended as soon as possible after completion ... to the finish line of the crown significantly improves the fracture resistance of the tooth and is more ...

    Abstract Coronal restorations and posts can positively influence the long-term prognosis of teeth following root canal therapy. Final sealing the canal by placing an appropriate post and core will minimize leakage of oral fluids and bacteria into the periradicular area and is recommended as soon as possible after completion of root canal filling. Glass ionomer or MTA placed over the residual root canal filling after post space preparation may be effective to prevent bacterial leakage. A ferrule of 1-2 mm of tooth tissue coronal to the finish line of the crown significantly improves the fracture resistance of the tooth and is more important than the type of the material the core and post are made of.
    Keywords Dentistry ; RK1-715 ; Medicine ; R ; DOAJ:Dentistry ; DOAJ:Health Sciences
    Language English
    Publishing date 2009-01-01T00:00:00Z
    Publisher Hindawi Publishing Corporation
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Comparative effectiveness of fiber and metal posts in the restoration of endodontically treated teeth: A systematic review with network meta-analysis.

    Giok, Koay Chun / Veettil, Sajesh K / Menon, Rohit Kunnath

    The Journal of prosthetic dentistry

    2023  

    Abstract: ... the comparative efficacy of fiber and metal posts used for the restoration of endodontically treated teeth ... of fiber posts and metal posts for the restoration of endodontically treated teeth. Subgroup analyses were ... for the restoration of endodontically treated teeth with insufficient sound tooth structure. Evidence ...

    Abstract Statement of problem: Different varieties of fiber and metal intraradicular posts have been used for the restoration of endodontically treated teeth with insufficient sound tooth structure. Evidence on the comparative efficacy of posts in a clinical setting is insufficient to provide clear clinical guidelines and recommendations.
    Purpose: The purpose of this systematic review with network meta-analysis was to assess the comparative efficacy of fiber and metal posts used for the restoration of endodontically treated teeth.
    Material and methods: A search was conducted for trials published in Medline, Scopus, PubMed, and Cochrane Central Register of Controlled Trials from inception until November 2022. The study was registered with the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022384340). A network meta-analysis was performed on data from randomized controlled trials that assessed the comparative efficacy of fiber posts and metal posts for the restoration of endodontically treated teeth. Subgroup analyses were performed to compare all the varieties of fiber and metal posts. The types of posts were ranked according to their efficacy using the Surface Under the Cumulative Ranking (SUCRA) system. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach was used to assess the level of certainty of evidence.
    Results: Twenty-five articles were included in the quantitative analysis. Fiber posts (RR=0.15 [95% CI: 0.06, 0.33]) significantly prevented tooth fracture as compared with no posts. Prefabricated carbon fiber posts (RR=0.06 [95% CI: 0, 0.54]) ranked highest followed by custom glass fiber posts (RR=0.15 [95% CI: 0.04, 0.52]) and prefabricated glass fiber posts (RR=0.22 [95% CI: 0.07, 0.62]) in the outcome of tooth fracture. Metal posts (RR=0.24 [95% CI: 0.12, 0.46]) ranked higher than fiber posts (RR=0.39 [95% CI: 0.27, 0.56]) in the outcome of debonding. Custom gold alloy posts (RR=0.12 [95% CI: 0.03, 0.48]), prefabricated gold alloy posts (RR=0.04 [95% CI: 0.00, 0.87]), and prefabricated titanium posts (RR=0.21 [95% CI: 0.10, 0.45]) had higher rankings in the outcome of debonding or loss of retention of a post followed by custom glass fiber posts (RR=0.37 [95% CI: 0.21, 0.63]) and prefabricated glass fiber posts (RR=0.38 [95%CI: 0.25, 0.58]). Prefabricated glass fiber posts (RR=0.40 [95% CI: 0.20, 0.81]) had statistically significant differences in the outcome of secondary caries. The GRADE approach determined a moderate level of certainty of evidence.
    Conclusions: The use of a fiber post when indicated results in reduced risk of tooth fracture as compared with no post. Prefabricated carbon fiber posts, prefabricated glass fiber posts, and custom glass fiber posts reveal a lower risk of tooth fracture. Overall, the use of prefabricated glass fiber posts had a lower risk of tooth fracture, debonding, and secondary caries. However, more trials with longer follow-up periods are recommended to enhance the certainty of evidence.
    Language English
    Publishing date 2023-10-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/j.prosdent.2023.08.022
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  5. Article ; Online: European Society of Endodontology position statement: The restoration of root filled teeth.

    Mannocci, Francesco / Bhuva, Bhavin / Roig, Miguel / Zarow, Maciej / Bitter, Kerstin

    International endodontic journal

    2021  Volume 54, Issue 11, Page(s) 1974–1981

    Abstract: ... topics regarding post-endodontic restoration, a series of clinical recommendations are made ... of restoration following the completion of root canal treatment. By discussing the evidence in relation to key ... The scientific basis of the recommendations made in this paper can be found in a recently published review ...

    Abstract This position statement on the restoration of root filled teeth represents the consensus of an expert committee, convened by the European Society of Endodontology (ESE). Current clinical and scientific evidence, as well as the expertise of the committee, have been used to develop this statement. The aim is to provide clinicians with evidence-based principles for decision-making on the choice of restoration following the completion of root canal treatment. By discussing the evidence in relation to key topics regarding post-endodontic restoration, a series of clinical recommendations are made. The scientific basis of the recommendations made in this paper can be found in a recently published review article (Bhuva et al. 2021, International Endodontic Journal, https://doi.org/10.1111/iej.13438). It is the intention of the committee to update this statement as further evidence emerges.
    MeSH term(s) Endodontics ; Root Canal Obturation ; Root Canal Therapy ; Tooth ; Tooth Root
    Language English
    Publishing date 2021-09-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 603734-3
    ISSN 1365-2591 ; 0143-2885
    ISSN (online) 1365-2591
    ISSN 0143-2885
    DOI 10.1111/iej.13607
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  6. Article ; Online: Factors influencing the clinical performance of the restoration of endodontically treated teeth: An assessment of systematic reviews of clinical studies.

    Dotto, Lara / Girotto, Luiza Paloma S / Correa Silva Sousa, Yara Teresinha / Pereira, Gabriel Kalil Rocha / Bacchi, Ataís / Sarkis-Onofre, Rafael

    The Journal of prosthetic dentistry

    2022  

    Abstract: ... endodontically treated teeth.: Material and methods: PubMed, Scopus, and Web of Science were searched from inception ... Statement of problem: How best to restore endodontically treated teeth is still unclear ... endodontically treated teeth. However, conclusive evidence to suggest how different materials or techniques for restoring ...

    Abstract Statement of problem: How best to restore endodontically treated teeth is still unclear because many types of material and techniques are involved.
    Purpose: The purpose of this overview of systematic reviews of clinical studies was to assess the available evidence-based literature on the influence of associated clinical factors on the clinical performance (survival, failure rate, or success) of restored endodontically treated teeth.
    Material and methods: PubMed, Scopus, and Web of Science were searched from inception until September 27, 2021, to identify systematic reviews. Two reviewers independently screened titles, abstracts, and full-text articles, and each reviewer extracted the data of half of the included studies. A single reviewer with an independent verifier completed the quality appraisal. A descriptive analysis of the collected data was made.
    Results: A total of 36 systematic reviews fulfilled the inclusion criteria. The factors most assessed were the type of coronal restorative technique (n=22) and type of post (n=22). The results indicated that metal and fiber posts seem to present similar clinical performance, endocrowns could be a suitable restorative option, there is no evidence to confirm whether single crowns are better or worse than direct restoration, the maintenance of the coronal structure is a fundamental factor, and the ferrule effect is still a controversial topic. Most of the studies (n=30, 81%) presented a final Grading of Recommendations, Assessment, Development and Evaluations (GRADE) rating of "critically low."
    Conclusions: The post type does not appear to influence the clinical performance of restored endodontically treated teeth. However, conclusive evidence to suggest how different materials or techniques for restoring coronal tooth structure affect the clinical performance of such restorations, as well as the impact of the ferrule effect, is still lacking.
    Language English
    Publishing date 2022-05-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/j.prosdent.2022.03.030
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  7. Article ; Online: Metal vs fibre posts - which is clinically superior for the restoration of endodontically treated teeth?

    Davies, H / Ahmed, S H / Edwards, D

    Evidence-based dentistry

    2021  Volume 22, Issue 4, Page(s) 162–163

    Abstract: ... RCTs and four PCTs. A total of 844 endodontically treated teeth (ETT) were restored with intra ... patients and endodontically treated permanent teeth that had received either single crowns or ... The quality of responses was assessed using the Grading of Recommendations Assessment, Development And ...

    Abstract Data sources Medline/PubMed, Web of Science, Scopus and Cochrane Library databases. Grey literature searches (OpenGrey, ProQuest databases), hand searches in the reference list of eligible studies and relevant journals.Study selection Randomised controlled trials (RCTs) and prospective clinical trials (PCTs) with direct comparisons between metal posts (MPs) and fibre posts (FPs). Trials contained a minimum of ten patients and endodontically treated permanent teeth that had received either single crowns or fixed partial dentures (bridges) and followed up for a minimum of one year. The primary outcome compared the difference in failure rates between FPs and MPs, with subgroup analysis comparing location (anterior/posterior), type of MP (cast post core/preformed MP) and most frequent modes of failure (debond/root fracture).Data extraction and synthesis Study selection, data collection and risk of bias assessments were completed independently by two reviewers. Disagreements were discussed with a third reviewer to reach a consensus. The risk of bias was evaluated using the Cochrane risk of bias tool (RCTs) or the ROBINS-I tool (PCTs). The quality of responses was assessed using the Grading of Recommendations Assessment, Development And Evaluation (GRADE) approach. The meta-analysis (MA) was performed using the Mantel-Haenszel method. Trial heterogeneity was assessed using random- and fixed-effects models. Inter-examiner agreement during the database search and study selection process was checked using the kappa statistic.Results After duplicates were removed, 1,026 articles were assessed and screened by title and abstract. Of these, 21 articles underwent full-text evaluation, with ten articles meeting the eligibility criteria. Eligible studies included six RCTs and four PCTs. A total of 844 endodontically treated teeth (ETT) were restored with intra-radicular posts in 704 participants. Four hundred and fifty-three ETT were restored with FPs and 391 with MPs. The mean age of participants was 42.7 (33.95-55.45) years, with a mean follow-up period of 50.95 (12-154) months. Most studies reported failures during the follow-up period, but the MA revealed no significant difference between FPs and MPs in terms of failure rates (P = 0.39; RR: 0.82 mm; CI: 0.52-1.29). Sub-analysis showed no difference in failure rates between anterior and posterior regions and no difference when comparing FPs to cast post and core vs prefabricated MPs. Root fractures and post debondings were the most common modes of failure, but within these failures, no difference was observed between FPs and MPs.Conclusions No evidence was identified for a difference in failure rates between FPs and MPs. This was independent of the type of MP and position within the arch. Reporting of RCTs and PCTs was variable and further high-quality studies are needed.
    MeSH term(s) Adult ; Crowns ; Humans ; Metals ; Middle Aged ; Post and Core Technique ; Prospective Studies ; Tooth, Nonvital
    Chemical Substances Metals
    Language English
    Publishing date 2021-12-16
    Publishing country England
    Document type Journal Article ; Review ; Comment
    ZDB-ID 1457588-7
    ISSN 1476-5446 ; 1462-0049
    ISSN (online) 1476-5446
    ISSN 1462-0049
    DOI 10.1038/s41432-021-0222-y
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    Zs.A 4972: Show issues Location:
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  8. Article ; Online: Evidence-based treatment planning for the restoration of endodontically treated single teeth: importance of coronal seal, post vs no post, and indirect vs direct restoration.

    Atlas, Alan / Grandini, Simone / Martignoni, Marco

    Quintessence international (Berlin, Germany : 1985)

    2019  Volume 50, Issue 10, Page(s) 772–781

    Abstract: ... crowning can be recommended for the restoration of endodontically treated teeth or not are inconclusive ... trends for coronal restoration of single endodontically treated teeth with a focus on clinical ... The specific type of treatment used in individual cases greatly depends on the amount and configuration ...

    Abstract Every orthograde endodontic procedure requires restoration of the coronal (access) cavity. The specific type of treatment used in individual cases greatly depends on the amount and configuration of the residual coronal tooth structure. In practice there are Class I access cavities as well as coronally severely damaged, even decapitated, teeth and all conceivable manifestations in between. The latest attempts to review results from clinical trials to answer the question of whether post placement or crowning can be recommended for the restoration of endodontically treated teeth or not are inconclusive. For dental practitioners, this is not a satisfactory result. This appraisal evaluates available evidence and trends for coronal restoration of single endodontically treated teeth with a focus on clinical investigations, where available. It provides specific recommendations for their coronal restoration to assist clinicians in their decision making and treatment planning.
    MeSH term(s) Dental Caries ; Dental Restoration, Permanent ; Humans ; Post and Core Technique ; Tooth ; Tooth, Nonvital
    Language English
    Publishing date 2019-09-23
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 7436-6
    ISSN 1936-7163 ; 0033-6572
    ISSN (online) 1936-7163
    ISSN 0033-6572
    DOI 10.3290/j.qi.a43235
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  9. Article: Restoration of the endodontically treated tooth.

    Robbins, J William

    Dental clinics of North America

    2002  Volume 46, Issue 2, Page(s) 367–384

    Abstract: ... of endodontically treated teeth. Treatment recommendations have been made in the areas of post design, placement technique ... cements, core materials, and definitive restorations, based on a review of the clinical and laboratory ... It has been the purpose of this article to provide a rationale for the restoration ...

    Abstract It has been the purpose of this article to provide a rationale for the restoration of endodontically treated teeth. Treatment recommendations have been made in the areas of post design, placement technique, cements, core materials, and definitive restorations, based on a review of the clinical and laboratory data.
    MeSH term(s) Dental Prosthesis Retention ; Humans ; Post and Core Technique ; Root Canal Preparation ; Tooth, Nonvital
    Language English
    Publishing date 2002-05-13
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 392075-6
    ISSN 1558-0512 ; 0011-8532
    ISSN (online) 1558-0512
    ISSN 0011-8532
    DOI 10.1016/s0011-8532(01)00006-4
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  10. Article: Interim and temporary restoration of teeth during endodontic treatment.

    Jensen, A L / Abbott, P V / Castro Salgado, J

    Australian dental journal

    2007  Volume 52, Issue 1 Suppl, Page(s) S83–99

    Abstract: ... will always be a need for interim and temporary restoration of teeth undergoing endodontic treatment ... temporary restorations, and to provide recommendations regarding such restorations for clinicians to follow ... These aims are usually achieved by various means and stages throughout the treatment process. Endodontic ...

    Abstract One of the main aims of endodontic treatment is to eliminate micro-organisms from within the root canal system. A further aim is to prevent the ingress of any further bacteria during and after treatment. These aims are usually achieved by various means and stages throughout the treatment process. Endodontic treatment is usually performed on teeth that have lost the integrity of the external coronal tooth structure which has allowed bacteria to enter the tooth and ultimately reach the pulp space. Further opening of the tooth occurs when an endodontic access cavity is made to allow treatment to be performed. Hence, there will always be a need for interim and temporary restoration of teeth undergoing endodontic treatment. Many different materials and techniques have been proposed, and these proposals have been based on many research reports. The purposes of this article are to review the literature regarding the use of interim and temporary restorations, and to provide recommendations regarding such restorations for clinicians to follow when providing endodontic treatment.
    MeSH term(s) Dental Leakage/microbiology ; Dental Pulp Cavity/microbiology ; Dental Restoration, Temporary/methods ; Humans ; Practice Guidelines as Topic ; Root Canal Therapy/methods ; Weight-Bearing
    Language English
    Publishing date 2007-05-01
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 603965-0
    ISSN 1834-7819 ; 0045-0421
    ISSN (online) 1834-7819
    ISSN 0045-0421
    DOI 10.1111/j.1834-7819.2007.tb00528.x
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