Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study

Objective: The question of whether classic cast post-and-core (CPC) or fiber-reinforced composite resin posts (FRCP) are the best clinical decision has still not been fully solved. Materials and Methods: One hundred and sixty-two teeth were restored with FRCP, and 162 CPC restored teeth were include...

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Main Authors: Oskar Bunz, Darja Iwantschenko, Sabrina Tulka, Claudia Barthel-Zimmer, Andree Piwowarczyk
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Oral
Subjects:
Online Access:https://www.mdpi.com/2673-6373/1/4/34
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author Oskar Bunz
Darja Iwantschenko
Sabrina Tulka
Claudia Barthel-Zimmer
Andree Piwowarczyk
author_facet Oskar Bunz
Darja Iwantschenko
Sabrina Tulka
Claudia Barthel-Zimmer
Andree Piwowarczyk
author_sort Oskar Bunz
collection DOAJ
description Objective: The question of whether classic cast post-and-core (CPC) or fiber-reinforced composite resin posts (FRCP) are the best clinical decision has still not been fully solved. Materials and Methods: One hundred and sixty-two teeth were restored with FRCP, and 162 CPC restored teeth were included in this study with a matched-pair design. In a primary analysis, the survival rates after one year (primary endpoint) were compared. The additional analysis included an evaluation of tooth- and construction-specific variables and an illustration of the survival up to 60 months via Kaplan-Meier curves. Results: FRCP showed lower failure risk considering the definitive prosthetic restoration and tooth type compared to CPC restored teeth. In total, 17 failures were observed in the FRCP group and 35 failures in the CPC group. A 60-month survival rate of 79.3% for FRCP and 64.5% for CPC was observed. Teeth serving as abutments for telescopic dentures were more likely to be affected by failure compared to teeth restored with single crowns. Conclusion: Within the limitations of this study, the FRCP showed a lower failure risk compared to the CPC, considering the definitive prosthetic restoration and tooth type within the observation period.
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spelling doaj.art-1f46d486b5d74de98bf63fc1825ae84f2023-11-23T09:59:55ZengMDPI AGOral2673-63732021-12-011434034910.3390/oral1040034Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical StudyOskar Bunz0Darja Iwantschenko1Sabrina Tulka2Claudia Barthel-Zimmer3Andree Piwowarczyk4Department of Prosthodontics, School of Dentistry, Faculty of Health, Witten/Herdecke University, 58455 Witten, GermanyPrivate Practice of Orthodontics, 12437 Berlin, GermanyChair for Medical Biometry and Epidemiology, Faculty of Health, Witten/Herdecke University, 58455 Witten, GermanyDepartment of Operative and Preventive Dentistry, School of Dentistry, Faculty of Health, Witten/Herdecke University, 58455 Witten, GermanyDepartment of Prosthodontics, School of Dentistry, Faculty of Health, Witten/Herdecke University, 58455 Witten, GermanyObjective: The question of whether classic cast post-and-core (CPC) or fiber-reinforced composite resin posts (FRCP) are the best clinical decision has still not been fully solved. Materials and Methods: One hundred and sixty-two teeth were restored with FRCP, and 162 CPC restored teeth were included in this study with a matched-pair design. In a primary analysis, the survival rates after one year (primary endpoint) were compared. The additional analysis included an evaluation of tooth- and construction-specific variables and an illustration of the survival up to 60 months via Kaplan-Meier curves. Results: FRCP showed lower failure risk considering the definitive prosthetic restoration and tooth type compared to CPC restored teeth. In total, 17 failures were observed in the FRCP group and 35 failures in the CPC group. A 60-month survival rate of 79.3% for FRCP and 64.5% for CPC was observed. Teeth serving as abutments for telescopic dentures were more likely to be affected by failure compared to teeth restored with single crowns. Conclusion: Within the limitations of this study, the FRCP showed a lower failure risk compared to the CPC, considering the definitive prosthetic restoration and tooth type within the observation period.https://www.mdpi.com/2673-6373/1/4/34cast post-and-corefiber-reinforced composite resin postpostendodontic reconstructionretrospective survival rate
spellingShingle Oskar Bunz
Darja Iwantschenko
Sabrina Tulka
Claudia Barthel-Zimmer
Andree Piwowarczyk
Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study
Oral
cast post-and-core
fiber-reinforced composite resin post
postendodontic reconstruction
retrospective survival rate
title Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study
title_full Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study
title_fullStr Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study
title_full_unstemmed Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study
title_short Survival of Fiber-Reinforced Composite Resin Post-Restored vs. Cast Post-and-Core-Restored Teeth: A Retrospective Clinical Study
title_sort survival of fiber reinforced composite resin post restored vs cast post and core restored teeth a retrospective clinical study
topic cast post-and-core
fiber-reinforced composite resin post
postendodontic reconstruction
retrospective survival rate
url https://www.mdpi.com/2673-6373/1/4/34
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