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Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study

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2017
2206.pdf (476.8Kb)
Authors
Ferrari, Marco
Sorrentino, Roberto
Juloski, Jelena
Grandini, Simone
Carrabba, Michele
Discepoli, N.
Ferrari Cagidiaco, E.
Article (Published version)
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Abstract
Biomechanical integrity of endodontically treated teeth (ETT) is often compromised. Degree of hard tissue loss and type of final prosthetic restoration should be carefully considered when making a treatment plan. The objective of this prospective clinical trial was to assess the influence of the type of prosthetic restoration as well as the degree of hard tissue loss on 7-y clinical performance of ETT restored with fiber posts. Two groups (n = 60) were defined depending on the type of prosthetic restoration needed: 1) single unit porcelain-fused-to-metal (PFM) crowns (SCs) and 2) 3- to 4-unit PFM fixed dental prostheses (FDPs), with 1 healthy and 1 endodontically treated and fiber post-restored abutment. Within each group, samples were divided into 2 subgroups (n = 30) according to the amount of residual coronal tissues after abutment buildup and final preparation: A) >50% of coronal residual structure or B) equal to or lt 50% of coronal residual structure. The clinical outcome was as...sessed based on clinical and intraoral radiographic examinations at the recalls after 6, 12, 24, 36, 48, and 84 mo. Data were analyzed by Kaplan-Meier log-rank test and Cox regression analysis (P lt 0.05). The overall 7-y survival rate of ETT restored with fiber post and either SCs or FDPs was 69.2%. The highest 84-mo survival rate was recorded in group 1A (90%), whereas teeth in group 2B exhibited the lowest performance (56.7% survival rate). The log-rank test detected statistically significant differences in survival rates among the groups (P = 0.048). Cox regression analysis revealed that the amount of residual coronal structure (P = 0.041; hazard ratio [HR], 2.026; 95% confidence interval [CI] for HR, 1.031-3.982) and the interaction between the type of prosthetic restoration and the amount of residual coronal structure (P = 0.024; HR, 1.372; 95% CI for HR, 1.042-1.806) were statistically significant factors for survival.

Keywords:
endodontics / prosthetic dentistry/prosthodontics / clinical trial / dental restoration failure / dental prosthesis / dental bonding
Source:
Journal of Dental Research, 2017, 96, 13, 1490-1497
Publisher:
  • Sage Publications Inc, Thousand Oaks

DOI: 10.1177/0022034517724146

ISSN: 0022-0345

PubMed: 28771388

WoS: 000415925000004

Scopus: 2-s2.0-85034762666
[ Google Scholar ]
26
20
URI
https://smile.stomf.bg.ac.rs/handle/123456789/2211
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  • Radovi istraživača
Institution/Community
Stomatološki fakultet
TY  - JOUR
AU  - Ferrari, Marco
AU  - Sorrentino, Roberto
AU  - Juloski, Jelena
AU  - Grandini, Simone
AU  - Carrabba, Michele
AU  - Discepoli, N.
AU  - Ferrari Cagidiaco, E.
PY  - 2017
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2211
AB  - Biomechanical integrity of endodontically treated teeth (ETT) is often compromised. Degree of hard tissue loss and type of final prosthetic restoration should be carefully considered when making a treatment plan. The objective of this prospective clinical trial was to assess the influence of the type of prosthetic restoration as well as the degree of hard tissue loss on 7-y clinical performance of ETT restored with fiber posts. Two groups (n = 60) were defined depending on the type of prosthetic restoration needed: 1) single unit porcelain-fused-to-metal (PFM) crowns (SCs) and 2) 3- to 4-unit PFM fixed dental prostheses (FDPs), with 1 healthy and 1 endodontically treated and fiber post-restored abutment. Within each group, samples were divided into 2 subgroups (n = 30) according to the amount of residual coronal tissues after abutment buildup and final preparation: A) >50% of coronal residual structure or B) equal to or  lt 50% of coronal residual structure. The clinical outcome was assessed based on clinical and intraoral radiographic examinations at the recalls after 6, 12, 24, 36, 48, and 84 mo. Data were analyzed by Kaplan-Meier log-rank test and Cox regression analysis (P  lt  0.05). The overall 7-y survival rate of ETT restored with fiber post and either SCs or FDPs was 69.2%. The highest 84-mo survival rate was recorded in group 1A (90%), whereas teeth in group 2B exhibited the lowest performance (56.7% survival rate). The log-rank test detected statistically significant differences in survival rates among the groups (P = 0.048). Cox regression analysis revealed that the amount of residual coronal structure (P = 0.041; hazard ratio [HR], 2.026; 95% confidence interval [CI] for HR, 1.031-3.982) and the interaction between the type of prosthetic restoration and the amount of residual coronal structure (P = 0.024; HR, 1.372; 95% CI for HR, 1.042-1.806) were statistically significant factors for survival.
PB  - Sage Publications Inc, Thousand Oaks
T2  - Journal of Dental Research
T1  - Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study
VL  - 96
IS  - 13
SP  - 1490
EP  - 1497
DO  - 10.1177/0022034517724146
ER  - 
@article{
author = "Ferrari, Marco and Sorrentino, Roberto and Juloski, Jelena and Grandini, Simone and Carrabba, Michele and Discepoli, N. and Ferrari Cagidiaco, E.",
year = "2017",
abstract = "Biomechanical integrity of endodontically treated teeth (ETT) is often compromised. Degree of hard tissue loss and type of final prosthetic restoration should be carefully considered when making a treatment plan. The objective of this prospective clinical trial was to assess the influence of the type of prosthetic restoration as well as the degree of hard tissue loss on 7-y clinical performance of ETT restored with fiber posts. Two groups (n = 60) were defined depending on the type of prosthetic restoration needed: 1) single unit porcelain-fused-to-metal (PFM) crowns (SCs) and 2) 3- to 4-unit PFM fixed dental prostheses (FDPs), with 1 healthy and 1 endodontically treated and fiber post-restored abutment. Within each group, samples were divided into 2 subgroups (n = 30) according to the amount of residual coronal tissues after abutment buildup and final preparation: A) >50% of coronal residual structure or B) equal to or  lt 50% of coronal residual structure. The clinical outcome was assessed based on clinical and intraoral radiographic examinations at the recalls after 6, 12, 24, 36, 48, and 84 mo. Data were analyzed by Kaplan-Meier log-rank test and Cox regression analysis (P  lt  0.05). The overall 7-y survival rate of ETT restored with fiber post and either SCs or FDPs was 69.2%. The highest 84-mo survival rate was recorded in group 1A (90%), whereas teeth in group 2B exhibited the lowest performance (56.7% survival rate). The log-rank test detected statistically significant differences in survival rates among the groups (P = 0.048). Cox regression analysis revealed that the amount of residual coronal structure (P = 0.041; hazard ratio [HR], 2.026; 95% confidence interval [CI] for HR, 1.031-3.982) and the interaction between the type of prosthetic restoration and the amount of residual coronal structure (P = 0.024; HR, 1.372; 95% CI for HR, 1.042-1.806) were statistically significant factors for survival.",
publisher = "Sage Publications Inc, Thousand Oaks",
journal = "Journal of Dental Research",
title = "Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study",
volume = "96",
number = "13",
pages = "1490-1497",
doi = "10.1177/0022034517724146"
}
Ferrari, M., Sorrentino, R., Juloski, J., Grandini, S., Carrabba, M., Discepoli, N.,& Ferrari Cagidiaco, E.. (2017). Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study. in Journal of Dental Research
Sage Publications Inc, Thousand Oaks., 96(13), 1490-1497.
https://doi.org/10.1177/0022034517724146
Ferrari M, Sorrentino R, Juloski J, Grandini S, Carrabba M, Discepoli N, Ferrari Cagidiaco E. Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study. in Journal of Dental Research. 2017;96(13):1490-1497.
doi:10.1177/0022034517724146 .
Ferrari, Marco, Sorrentino, Roberto, Juloski, Jelena, Grandini, Simone, Carrabba, Michele, Discepoli, N., Ferrari Cagidiaco, E., "Post-Retained Single Crowns versus Fixed Dental Prostheses: A 7-Year Prospective Clinical Study" in Journal of Dental Research, 96, no. 13 (2017):1490-1497,
https://doi.org/10.1177/0022034517724146 . .

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