Clinical evaluation of the use of fiber posts and direct resin restorations for endodontically treated teeth.
OBJECTIVE
Restoration of root-treated teeth is routinely performed in clinical practice with a choice of therapeutic options, considering many factors to provide optimal mechanical properties, esthetics, and longevity. The aim of the present work was to present a preliminary clinical report on the use of fiber posts and direct resin composites for restoring root-treated teeth.


METHODS
Thirty-eight anterior and 62 posterior endodontically treated teeth were selected from 3 private prosthodontic offices. The protocol used included endodontic treatment, with translucent fiber posts (DT post) bonded to the post-space using a '1-bottle' adhesive (One-Step, Bisco) and a dual-cure resin cement (DuoLink, Bisco). Direct resin restorations were performed using a micro-hybrid resin composite (Gradia Direct, GC) and a layering technique. Both opaque dentin and enamel and translucent enamel shades were used.


RESULTS
Patients were recalled after 6, 12, 24, and 30 months, and the restorations assessed according to predetermined clinical and radiographic criteria. These clinician-mediated evaluation methods confirmed the good clinical performance of the restorations.


CONCLUSIONS
Restoration of endodontically treated teeth with fiber posts and direct resin composites is a treatment option, that in the short term conserves remaining tooth structure and results in good patient compliance.
Grandini
Simone
S
Chair of Endodontics, University of Siena, Italy.
Goracci
Cecilia
C
Tay
Franklin R
FR
Grandini
Romano
R
Ferrari
Marco
M
D000293:Adolescent; D000328:Adult; D003188:Composite Resins; D001840:Dental Bonding; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D017220:Dentin-Bonding Agents; D005260:Female; D005898:Glass; D006801:Humans; D008297:Male; D008689:Methacrylates; D008875:Middle Aged; D011176:Post and Core Technique; D019279:Resin Cements; D016037:Single-Blind Method; D019553:Tooth, Nonvital
C103506:Bis-GMA, BPDM, HEMA dental-bonding resin; D003188:Composite Resins; D017220:Dentin-Bonding Agents; C431350:Duo-Link; C470230:Gradia; D008689:Methacrylates; D019279:Resin Cements; C009753:fiberglass