MedPath

Comparison of different techniques for primary anterior teeth reconstructio

Not Applicable
Conditions
dental caries.
Dental caries
Registration Number
IRCT201102105801N1
Lead Sponsor
Dental school, Isfahan University of Medical Sciences
Brief Summary

Purpose: This study compared the clinical success rates of a new reversed metal post technique and 2 conventional methods for restoration of maxillary primary incisors with extensive carious lesions.<br /> <br /> Methods: A total of 161 pulpectomized, severely decayed maxillary primary teeth, in 54 2- to 4-year-old patients presenting with early childhood caries, were randomly treated with 3 different restorative techniques: 53 composite post restorations, 54 fiber post restorations, and 54 reversed post restorations. Single-blind evaluations were made, according to the World Dental Federation criteria, at 3-, 6-, 9-, and 12-month intervals. Data were analyzed with Kruskal-Wallis and Mann-Whitney tests (a=0.05).<br /> <br /> Results: There were significant differences among the study groups at the 12-month follow-up in relation to material fracture and retention (P=.005). The differences were significant between the fiber post and composite post groups (P=.004) and between the fiber post and reversed post groups (P.64). According to the evaluation criteria, 98% of composite post, 84% of fiber post, and 90% reversed post restorations were acceptable, at the 12-month<br /> follow-up.<br /> <br /> Conclusions: The metal post technique is acceptable for the restoration of severely damaged primary anterior teeth.<br /> <br /> Keywords: composite resins, dental caries/therapy, post-and-core<br /> technique, primary teeth

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
161
Inclusion Criteria

1- Child with no medical or mental disorder.
2- Primary anterior teeth with early childhood caries (ECC) or fracture due to trauma involving 3/4 of the crown.
3- Sound root structure and no caries of the root dentin, with sufficient amount of root structure present (1/3 external root resorption maximally).
4- No mobility.
5- No gingival recession/ gingivitis/ sinus tract
6- No trauma from occlusion as in crossbite, deepbite, etc.
7- No hypoplasia of teeth.
8- No deleterious oral habits.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Restoration fracture. Timepoint: 3 months after intervention up to one year. Method of measurement: FDI criteria.;Tooth fracture. Timepoint: 3 months after intervention up to one year. Method of measurement: FDI criteria.;Marginal discoloration. Timepoint: 3 months after intervention up to one year. Method of measurement: FDI criteria.;Restoration retention. Timepoint: 3 months after intervention up to one year. Method of measurement: FDI criteria.;Color match. Timepoint: 3 months after intervention up to one year. Method of measurement: FDI criteria.
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath