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Clinical evaluation of corono-radicular restorative design with fibre post restoration for fractured endodontically treated maxillary incisors: A randomised control trial

Aim: The primary aim was to evaluate and compare the survivability of corono-radicular direct composite (CRDC) restoration and fiber-reinforced composite post (FRC) followed by coronal restoration for fractured root canal-treated maxillary incisors with a tooth structure loss of 50%–70%. Methods: A...

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Published in:Endodontology : journal of Indian Endodontic Society 2023-10, Vol.35 (4), p.352-359
Main Authors: Pradeepa, M, Sherwood, I, Amaechi, Bennett, Priyadharshini, S, Abirami, A
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container_title Endodontology : journal of Indian Endodontic Society
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creator Pradeepa, M
Sherwood, I
Amaechi, Bennett
Priyadharshini, S
Abirami, A
description Aim: The primary aim was to evaluate and compare the survivability of corono-radicular direct composite (CRDC) restoration and fiber-reinforced composite post (FRC) followed by coronal restoration for fractured root canal-treated maxillary incisors with a tooth structure loss of 50%–70%. Methods: A total of 56 teeth from 49 patients with fractured maxillary central and/or lateral incisors due to trauma were recruited for the study. The teeth were randomly allocated to two groups randomly by lot method. The two treatment groups were as follows: Group I – CRDC and Group II – FRC followed by coronal restoration. The postoperative review was performed at 3-, 12-, 18-, and 24-month period using intraoral periapical radiographs and clinical photographs. The Patient Satisfaction Questionnaire was administered during 24-month review visit. Kaplan–Meier survival analysis was used to assess the longevity of the restorations. Results: There was no significant difference (P > 0.05) in the survivability of the restorations among the two treatment groups. The mean survival period for CRDC was 24 months and FRC followed by coronal restoration was 23.74 months. The patient's satisfaction assessed using the questionnaire was higher in CRDC (100%) than FRC followed by coronal restoration (81.5%). Conclusion: Within the limit of the present study, both CRDC and FRC followed by coronal restoration were equally effective in the management of fractured maxillary incisors with 50%–70% tooth structure loss.
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Methods: A total of 56 teeth from 49 patients with fractured maxillary central and/or lateral incisors due to trauma were recruited for the study. The teeth were randomly allocated to two groups randomly by lot method. The two treatment groups were as follows: Group I – CRDC and Group II – FRC followed by coronal restoration. The postoperative review was performed at 3-, 12-, 18-, and 24-month period using intraoral periapical radiographs and clinical photographs. The Patient Satisfaction Questionnaire was administered during 24-month review visit. Kaplan–Meier survival analysis was used to assess the longevity of the restorations. Results: There was no significant difference (P &gt; 0.05) in the survivability of the restorations among the two treatment groups. The mean survival period for CRDC was 24 months and FRC followed by coronal restoration was 23.74 months. The patient's satisfaction assessed using the questionnaire was higher in CRDC (100%) than FRC followed by coronal restoration (81.5%). Conclusion: Within the limit of the present study, both CRDC and FRC followed by coronal restoration were equally effective in the management of fractured maxillary incisors with 50%–70% tooth structure loss.</description><identifier>ISSN: 0970-7212</identifier><identifier>EISSN: 2543-0831</identifier><identifier>DOI: 10.4103/endo.endo_50_23</identifier><language>eng</language><publisher>Medknow Publications and Media Pvt. 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Methods: A total of 56 teeth from 49 patients with fractured maxillary central and/or lateral incisors due to trauma were recruited for the study. The teeth were randomly allocated to two groups randomly by lot method. The two treatment groups were as follows: Group I – CRDC and Group II – FRC followed by coronal restoration. The postoperative review was performed at 3-, 12-, 18-, and 24-month period using intraoral periapical radiographs and clinical photographs. The Patient Satisfaction Questionnaire was administered during 24-month review visit. Kaplan–Meier survival analysis was used to assess the longevity of the restorations. Results: There was no significant difference (P &gt; 0.05) in the survivability of the restorations among the two treatment groups. The mean survival period for CRDC was 24 months and FRC followed by coronal restoration was 23.74 months. 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subjects corono-radicular direct composite restoration
Ethylenediaminetetraacetic acid
fiber-reinforced composite post
fractured maxillary incisors
post endodontic restoration
Root canal therapy
survivability
tooth structure loss
trauma
title Clinical evaluation of corono-radicular restorative design with fibre post restoration for fractured endodontically treated maxillary incisors: A randomised control trial
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