The Success of Post-Endodontic Restorations Using Different Restorative Materials in a Two Years of Follow-up
Abstract
Introduction: Coronal restoration following endodontic therapy is critical for success. Restorations after endodontic treatment should minimize fractures of residual hard tissues, and leaks, and maintain dental function. The aim of this study was to evaluate the success of post-endodontic restorations using various restorative materials over a two-year period. Methods: The study involved 60 individuals aged 18 to 40. The patients were randomly divided into three groups. Conventional composite restorations were used to restore the first group. The second group was treated with a fiber-reinforced composite covered in composite resin. The third group was reconstructed using endocrowns. The restorations were prospectively investigated for two years. Results: In the composite restoration group, two restorations and one tooth were fractured, with two polishable surfaces found on one restoration surface. In the fiber-reinforced resin-supported composite restoration group, one restoration fragmented and one polishable surface was found. In the endocrown restoration group, 2 endocrowns had decementation. No significant difference was observed in periodontal examination including gingival pocket depth, plaque index and bleeding index assessment (p> 0.05). There were no marginal discrepancies and no caries in any of the restorations. At the last appointment, patient satisfaction was evaluated aesthetically and functionally using a visual analog scale. Conclusion: All groups had a 100% survival rate over the two-year follow-up period. According to the patients, there was no functional difference between the restoration groups (p> 0.05); however, aesthetically, restorations with endocrowns were more successful (p <0.05).
Keywords
endocrown fiber-reinforced composite composite canal treatment post-endodontic restoration cusp coverage
Ethical Statement
The Scientific Studies Review and Ethics Board of the Gaziantep University approved this study at its meeting on November 27, 2017, with decision number 2017/389.
References
- 1. Landys Borén D, Jonasson P, Kvist T. Long-term survival of endodontically treated teeth at a public dental specialist clinic. J Endod. 2015;41(2).
- 2. Sjögren U, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16(10).
- 3. Tang W, Wu Y, Smales RJ. Identifying and Reducing Risks for Potential Fractures in Endodontically Treated Teeth. Vol. 36, Journal of Endodontics. 2010.
- 4. Gulec L, Ulusoy N. Effect of Endocrown Restorations with Different CAD/CAM Materials: 3D Finite Element and Weibull Analyses. Biomed Res Int. 2017;2017.
- 5. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Int. 2008;39(2).
- 6. Zheng Z, He Y, Ruan W, Ling Z, Zheng C, Gai Y, et al. Biomechanical behavior of endocrown restorations with different CAD-CAM materials: A 3D finite element and in vitro analysis. Journal of Prosthetic Dentistry. 2021;125(6).
- 7. Khan SI, Anupama R, Deepalakshmi M, Kumar KS. Effect of two different types of fibers on the fracture resistance of endodontically treated molars restored with composite resin. J Adhes Dent. 2013;15(2).
- 8. Setzer FC, Boyer KR, Jeppson JR, Karabucak B, Kim S. Long-term prognosis of endodontically treated teeth: A retrospective analysis of preoperative factors in molars. J Endod. 2011;37(1).
- 9. Assif D, Gorfil C. Biomechanical considerations in restoring endodontically treated teeth. J Prosthet Dent. 1994;71(6).
- 10. Costa LCS, Pegoraro LF, Bonfante G. Influence of different metal restorations bonded with resin on fracture resistance of endodontically treated maxillary premolars. Journal of Prosthetic Dentistry. 1997;77(4).
- 11. Al-Dabbagh RA. Survival and success of endocrowns: A systematic review and meta-analysis. Vol. 125, Journal of Prosthetic Dentistry. 2021.
- 12. Van Dijken JWV, Hasselrot L, Örmin A, Olofsson AL. Restorations with extensive dentin/enamel-bonded ceramic coverage. A 5-year follow-up. Eur J Oral Sci. 2001;109(4).
- 13. Murgueitio R, Bernal G. Three-Year Clinical Follow-Up of Posterior Teeth Restored with Leucite-Reinforced IPS Empress Onlays and Partial Veneer Crowns. Journal of Prosthodontics. 2012;21(5).
- 14. Opdam NJM, Bronkhorst EM, Loomans BAC, Huysmans MCDNJM. 12-year survival of composite vs. amalgam restorations. J Dent Res. 2010;89(10).
- 15. Soares CJ, Da Silva NR, Fonseca RB. Influence of the feldspathic ceramic thickness and shade on the microhardness of dual resin cement. Oper Dent. 2006;31(3).
- 16. Govare N, Contrepois M. Endocrowns: A systematic review. Vol. 123, Journal of Prosthetic Dentistry. 2020.
- 17. Decerle N, Bessadet M, Munoz-Sanchez ML, Eschevins C, Veyrune J, Nicolas E. Evaluation of Cerec endocrowns: a preliminary cohort study. Eur J Prosthodont Restor Dent. 2014;22(2).
- 18. Otto T. Computer-Aided Direct All-Ceramic Crowns: Preliminary 1-Year Results of a Prospective Clinical Study. Int J Periodontics Restorative Dent. 2004;24(5).
- 19. Sedrez-Porto JA, Rosa WL de O da, da Silva AF, Münchow EA, Pereira-Cenci T. Endocrown restorations: A systematic review and meta-analysis. Vol. 52, Journal of Dentistry. 2016.
- 20. de Kuijper MCFM, Cune MS, Özcan M, Gresnigt MMM. Clinical performance of direct composite resin versus indirect restorations on endodontically treated posterior teeth: A systematic review and meta-analysis. Vol. 130, Journal of Prosthetic Dentistry. 2023.
- 21. Chung K hung. Effects of finishing and polishing procedures on the surface texture of resin composites. Dental Materials. 1994;10(5).
- 22. Luthria A, Srirekha A, Hegde J, Karale R, Tyagi S, Bhaskaran S. The reinforcement effect of polyethylene fibre and composite impregnated glass fibre on fracture resistance of endodontically treated teeth: An in vitro study. Journal of Conservative Dentistry. 2012;15(4).
- 23. Garoushi S, Vallittu PK, Lassila L V. Fracture toughness, compressive strength and load-bearing capacity of short glass fibre-reinforced composite resin. Chin J Dent Res. 2011;14(1).
- 24. Kamonwanon P, Hirose N, Yamaguchi S, Sasaki JI, Kitagawa H, Kitagawa R, et al. Sio2-nanocomposite film coating of cad/cam composite resin blocks improves surface hardness and reduces susceptibility to bacterial adhesion. Dent Mater J. 2017;36(1).
- 25. Robbins JW. Restoration of the endodontically treated tooth. Dent Clin North Am. 2002;46(2).
Farklı Restoratif Materyaller Kullanılarak Yapılan Endodontik Tedavi Sonrası Restorasyonların İki Yıllık Takibi
Abstract
Amaç: Endodontik tedaviden sonra yapılan koronal restorasyon başarı için kritik öneme sahiptir. Endodontik tedaviden sonra yapılan restorasyonlar, kalan sert dokuların kırılmasını ve sızıntıları en aza indirmeli ve diş fonksiyonunu korumalıdır. Bu çalışmanın amacı, iki yıllık bir süre boyunca çeşitli restoratif materyaller kullanılarak yapılan endodontik tedavi sonrası yapılan restorasyonların başarısını değerlendirmektir.
Materyal ve Yöntem: Çalışmaya 18 ila 40 yaşları arasındaki 60 kişi dahil edildi. Hastalar rastgele üç gruba ayrıldı. İlk grubu restore etmek için geleneksel kompozit restorasyonlar kullanıldı. İkinci grup, fiber takviyeli kompozit üzerine kompozit rezin kaplanması ile tedavi edildi. Üçüncü grup, endokronlar kullanılarak restore edildi. Restorasyonlar iki yıl boyunca prospektif olarak incelendi.
Bulgular: Kompozit restorasyon grubunda, iki restorasyon ve bir diş kırıldı ve bir restorasyon yüzeyinde iki cilalanabilir yüzey tespit edildi. Fiber takviyeli rezin destekli kompozit restorasyon grubunda, bir restorasyon kırığı ve bir cilalanabilir yüzey tespit edildi. Endokron restorasyon grubunda 2 endokronda desementasyon vardı. Dişeti cebi derinliği, plak indeksi ve kanama indeksi değerlendirmesi dahil periodontal muayenede anlamlı bir fark gözlenmedi (p> 0,05). Restorasyonların hiçbirinde marjinal uyumsuzluk ve çürük yoktu. Son randevuda, hasta memnuniyeti görsel analog skala kullanılarak estetik ve işlevsel olarak değerlendirildi.
Sonuç: Tüm gruplarda iki yıllık takip süresi boyunca %100 sağkalım oranı vardı. Hastalara göre, restorasyon grupları arasında işlevsel bir fark yoktu (p> 0.05); ancak estetik olarak, endokronlu restorasyonlar daha başarılıydı (p <0.05).
Keywords
endokron fiberle güçlendirilmiş kompozit kompozit kanal tedavisi endodontik sonrası restorasyon
References
- 1. Landys Borén D, Jonasson P, Kvist T. Long-term survival of endodontically treated teeth at a public dental specialist clinic. J Endod. 2015;41(2).
- 2. Sjögren U, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16(10).
- 3. Tang W, Wu Y, Smales RJ. Identifying and Reducing Risks for Potential Fractures in Endodontically Treated Teeth. Vol. 36, Journal of Endodontics. 2010.
- 4. Gulec L, Ulusoy N. Effect of Endocrown Restorations with Different CAD/CAM Materials: 3D Finite Element and Weibull Analyses. Biomed Res Int. 2017;2017.
- 5. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Int. 2008;39(2).
- 6. Zheng Z, He Y, Ruan W, Ling Z, Zheng C, Gai Y, et al. Biomechanical behavior of endocrown restorations with different CAD-CAM materials: A 3D finite element and in vitro analysis. Journal of Prosthetic Dentistry. 2021;125(6).
- 7. Khan SI, Anupama R, Deepalakshmi M, Kumar KS. Effect of two different types of fibers on the fracture resistance of endodontically treated molars restored with composite resin. J Adhes Dent. 2013;15(2).
- 8. Setzer FC, Boyer KR, Jeppson JR, Karabucak B, Kim S. Long-term prognosis of endodontically treated teeth: A retrospective analysis of preoperative factors in molars. J Endod. 2011;37(1).
- 9. Assif D, Gorfil C. Biomechanical considerations in restoring endodontically treated teeth. J Prosthet Dent. 1994;71(6).
- 10. Costa LCS, Pegoraro LF, Bonfante G. Influence of different metal restorations bonded with resin on fracture resistance of endodontically treated maxillary premolars. Journal of Prosthetic Dentistry. 1997;77(4).
- 11. Al-Dabbagh RA. Survival and success of endocrowns: A systematic review and meta-analysis. Vol. 125, Journal of Prosthetic Dentistry. 2021.
- 12. Van Dijken JWV, Hasselrot L, Örmin A, Olofsson AL. Restorations with extensive dentin/enamel-bonded ceramic coverage. A 5-year follow-up. Eur J Oral Sci. 2001;109(4).
- 13. Murgueitio R, Bernal G. Three-Year Clinical Follow-Up of Posterior Teeth Restored with Leucite-Reinforced IPS Empress Onlays and Partial Veneer Crowns. Journal of Prosthodontics. 2012;21(5).
- 14. Opdam NJM, Bronkhorst EM, Loomans BAC, Huysmans MCDNJM. 12-year survival of composite vs. amalgam restorations. J Dent Res. 2010;89(10).
- 15. Soares CJ, Da Silva NR, Fonseca RB. Influence of the feldspathic ceramic thickness and shade on the microhardness of dual resin cement. Oper Dent. 2006;31(3).
- 16. Govare N, Contrepois M. Endocrowns: A systematic review. Vol. 123, Journal of Prosthetic Dentistry. 2020.
- 17. Decerle N, Bessadet M, Munoz-Sanchez ML, Eschevins C, Veyrune J, Nicolas E. Evaluation of Cerec endocrowns: a preliminary cohort study. Eur J Prosthodont Restor Dent. 2014;22(2).
- 18. Otto T. Computer-Aided Direct All-Ceramic Crowns: Preliminary 1-Year Results of a Prospective Clinical Study. Int J Periodontics Restorative Dent. 2004;24(5).
- 19. Sedrez-Porto JA, Rosa WL de O da, da Silva AF, Münchow EA, Pereira-Cenci T. Endocrown restorations: A systematic review and meta-analysis. Vol. 52, Journal of Dentistry. 2016.
- 20. de Kuijper MCFM, Cune MS, Özcan M, Gresnigt MMM. Clinical performance of direct composite resin versus indirect restorations on endodontically treated posterior teeth: A systematic review and meta-analysis. Vol. 130, Journal of Prosthetic Dentistry. 2023.
- 21. Chung K hung. Effects of finishing and polishing procedures on the surface texture of resin composites. Dental Materials. 1994;10(5).
- 22. Luthria A, Srirekha A, Hegde J, Karale R, Tyagi S, Bhaskaran S. The reinforcement effect of polyethylene fibre and composite impregnated glass fibre on fracture resistance of endodontically treated teeth: An in vitro study. Journal of Conservative Dentistry. 2012;15(4).
- 23. Garoushi S, Vallittu PK, Lassila L V. Fracture toughness, compressive strength and load-bearing capacity of short glass fibre-reinforced composite resin. Chin J Dent Res. 2011;14(1).
- 24. Kamonwanon P, Hirose N, Yamaguchi S, Sasaki JI, Kitagawa H, Kitagawa R, et al. Sio2-nanocomposite film coating of cad/cam composite resin blocks improves surface hardness and reduces susceptibility to bacterial adhesion. Dent Mater J. 2017;36(1).
- 25. Robbins JW. Restoration of the endodontically treated tooth. Dent Clin North Am. 2002;46(2).
Details
| Primary Language | English |
|---|---|
| Subjects | Dentistry (Other) |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | June 22, 2025 |
| Publication Date | June 23, 2025 |
| Submission Date | September 10, 2024 |
| Acceptance Date | June 3, 2025 |
| Published in Issue | Year 2025 Volume: 26 Issue: 2 |
