title: Longevity of class 2 direct restorations in root-filled teeth: A retrospective clinical study.
abstract: OBJECTIVE
  To evaluate retrospectively the longevity of endodontically treated teeth restored with direct resin composite without cusp coverage, with or without the insertion of fibre posts. The null hypothesis was that direct restorations with fibre posts perform better than those without fibre posts.
  
  
  METHODS
  Patients recruited for this study were treated in the Department of Cariology and Operative Dentistry, University of Turin, between 2008 and 2011. In total, 247 patients with 376 root treated posterior teeth, restored with direct resin composite, were recalled for a control visit. Only second-class cavities were considered. Two groups were defined based on the absence (Group A) or presence (Group B) of fibre post. Failures and complications, such as periodontal failure, endodontic failure, tooth extraction, root fracture, post fracture, post debonding, replacement of restoration, crown displacement, and coronal-tooth fracture, were noted. Functional restoration quality was evaluated following the modified USPHS criteria. Data were evaluated statistically with ANOVA.
  
  
  RESULTS
  Group A consisted of 128 patients with 178 restorations (88 premolars, 90 molars) with a median follow-up of 34.44 months. Group B consisted of 119 patients with 198 teeth (92 premolars, 106 molars) with a median follow-up of 35.37 months. Direct restorations with fibre posts were statistically significantly more functional (95.12% success) than those without fibre posts (80% success) because of less marginal discolouration, better marginal integrity, and higher restoration integrity.
  
  
  CONCLUSIONS
  The null hypothesis was accepted because direct post-endodontic restorations with fibre posts performed better than restorations without posts after 3 years of masticatory function.
  
  
  CONCLUSIONS
  An evaluation of the longevity of post endodontic direct restoration would seem to enhance the fiber post insertion within a composite restoration to reduce clinical failures.
authors.affiliation: University of Turin Dental School, Department of Surgical Sciences, via Nizza 230, 10126 Turin, Italy. Electronic address: nscotti@unito.it.
authors.forename: N
authors.initials: N
authors.lastname: Scotti
authors.affiliation: University of Turin Dental School, Department of Surgical Sciences, via Nizza 230, 10126 Turin, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Eruli
authors.affiliation: University of Turin Dental School, Department of Surgical Sciences, via Nizza 230, 10126 Turin, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Comba
authors.affiliation: Department of Mechanics, Politecnico di Torino, Turin, Italy.
authors.forename: D S
authors.initials: DS
authors.lastname: Paolino
authors.affiliation: University of Turin Dental School, Department of Surgical Sciences, via Nizza 230, 10126 Turin, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Alovisi
authors.affiliation: University of Turin Dental School, Department of Surgical Sciences, via Nizza 230, 10126 Turin, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Pasqualini
authors.affiliation: University of Turin Dental School, Department of Surgical Sciences, via Nizza 230, 10126 Turin, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Berutti
mesh_terms: D001641:Bicuspid / Q000503:physiopathology; D003188:Composite Resins; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011176:Post and Core Technique; D012189:Retrospective Studies; D012389:Root Canal Obturation; D014081:Tooth Extraction; D014092:Tooth Root; D019553:Tooth, Nonvital / Q000628:therapy*
chemical_list: D003188:Composite Resins
keywords: Direct restoration; Fibre post; Longevity; Post-endodontic restoration; Posterior teeth