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Journal of Advances in Medicine and Medical Research, ISSN: 2456-8899, ISSN: 2231-0614 (Past),Vol.: 24, Issue.: 1

Original-research-article

Clinical and Radiographical Performance of Different Types of Posts

 

Mohammed M. Al Moaleem1,2*, Muneera R. Gohal3, Abdulrahman A. Mobaraky3, Amna M. MobarakI3, Fahad M. Kariri3, Hassan A. Madkhali3, Mosaab M. Qohal3, Saleh M. Alhuraysi3, Ali E. Shutayfi3, Saeed A. Al Amri3 and Nabiel Al Ghazali4

1Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

2Department of Dentistry, Faculty of Medical and Health Sciences, Taiz University, Republic of Yemen.

3College of Dentistry, Jazan University, Jazan, Saudi Arabia.

4Department of Prosthodontics, College of Dentistry, Aleppo University, Aleppo, Syria.

Article Information

Editor(s):

(1) Rodrigo Crespo Mosca, Department of Biotechnology, Institute of Energetic and Nuclear Research (IPEN-CNEN), University of Sao Paulo (USP), Brazil.

(2) Joao Paulo Schwartz, Department of Orthodontics, Universidade Estadual Paulista (UNESP-FOAr), Brazil.

(3) Salomone Di Saverio, Emergency Surgery Unit, Department of General and Transplant Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy.

Reviewers:

(1) Rafael Menezes Silva, University of São Paulo-USP, Brazil.

(2) Goo Chui Ling, National University of Malaysia, Malaysia.

(3) Anonymous, Federal University of Pelotas, Brazil.

(4) Denzil Valerian Albuquerque, Dr. Mohamed Al-Said Specialized Dental Center, Qatar.

(5) Hacer Deniz Arisu, Gazi University, Turkey.

(6) Mona Ionas, University Lucian Blaga of sibiu, Romania.

Complete Peer review History: http://www.sciencedomain.org/review-history/21251

Abstracts

Background: A post is an important part of restoring a tooth that has lost a coronal portion and is implicated in the type of core materials or post systems used in tooth restoration.

Objectives: To evaluate and compare the radiographic and clinical performance of three different types of posts, namely, glass fiber post (GFP), custom-made cast post (CMP), and prefabricated metal post (MP).

Materials and Methods: Eighty-eight posts were selected, and roots were restored using one of the posts after endodontically treated teeth (ETT). The ETT were fabricated by final year undergraduate dental students. Composite resin cores were placed before cementation of individual porcelain fused to metal crowns. Clinical and radiographic assessments were performed to determine recurrent caries, periapical lesions, post fractures, crown or post mobility under figure pressure, loss of post retention, and damage to biological width. The survival rates were recorded at 3, 9, and 18 months of follow-up intervals from the final cementation of crowns. Data were analyzed in SPSS by identifying the frequency and percentages and by conducting Kaplan–Meyer analysis. Categorical values were evaluated through chi-square test and descriptive statistical analysis was carried out through log-rank test.

Results: The 88 posts evaluated in this study yielded nearly equal percentages of anterior (45; 51.1%) and posterior (43; 48.9%) teeth. The majority of posts were GFP (51; 58%), and the remaining posts were MP (16; 18.2%). The major cases of recurrent caries and periapical lesions were found in CMP during the 18-month follow-up. By comparison, the mobility of crowns under figure pressure was associated with CMP during the 9- and 18-month assessment. Loss of post retention was detected in MP during the 3- and 18-month follow-up. Among the three posts, CMP yielded the highest degree of damage to the biological width during the 3-month follow-up.

Conclusion: GFP achieved a success rate of approximately 100% ETT restoration. By contrast, custom-made cases showed a higher degree of failure than MP did during the 18-month follow-up by the 6th year undergraduate students.

Keywords :

Custom-made post; endodontically treated teeth; survival rate; glass fiber post; stainless steel post.

Full Article - PDF    Page 1-9

DOI : 10.9734/JAMMR/2017/35778

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