A clinical study of endodontically treated and prosthodontically restored teeth

Abstract

The aim of this study was to assess the prevalence and type of prosthetic restoration of endodontically treated teeth, with or without reinforcement with fiber posts, in a descriptive observational study. Also, to consider different selection criteria regarding the choice of material used for the restorations and types of failures. Material and method. 196 patients were included in the study, with a total of 566 endodontically treated teeth. The teeth were endodontically treated and prosthodontically restored, in a private dental clinic in Cluj-Napoca, during November 2015-November 2016. The data for the study was collected from the patients charts, using Microsoft Office Excel. Results. Most of the endodontically treated teeth are observed in the posterior area (73%), both on the upper and lower arches. 51% of the restorations are porcelain fused to metal, followed by 34% all ceramic, 15% composite. Restorations made with acrylate are below 1%. From 566 endodontically treated teeth and prosthodontically restored, only 21 showed a type of event, which was either fracture of the restoration (2 of the cases), or debonding (19 of cases). 38 % of these events were found in composite bridges, 24% in composite crowns, 19% indirect temporary bridges, 14% in porcelain fused to metal crowns and only 5% in all ceramic crowns. Conclusion. The frequency of the type of endodontic treatment is influenced by the type of tooth, and it’s location. The decision of choosing between one or another type of restoration, considering the clinical situation, influences the success rate of the restoration.

Keywords

• endodontic treatment
• fiber post
• prosthodontic restoration
• porcelain fused to metal
• all ceramic
• composite resins