All about Dowels - A Review Part I. Considerations before Cementation

The optimal way of restoring a non vital tooth with dowel-core technique has long been a controversial matter. The purpose of this review was to assess the factors that may influence the successful restoration of root filled teeth with root canal dowels. The first part of the review discusses indi...

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Main Authors: Zishan Dangra, Mahesh Gandhewar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/10518/26472_CE(RA1)_F(SS)PF1_(SY_MJ_PY)_PFA(SY_GG).pdf
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author Zishan Dangra
Mahesh Gandhewar
author_facet Zishan Dangra
Mahesh Gandhewar
author_sort Zishan Dangra
collection DOAJ
description The optimal way of restoring a non vital tooth with dowel-core technique has long been a controversial matter. The purpose of this review was to assess the factors that may influence the successful restoration of root filled teeth with root canal dowels. The first part of the review discusses indications and physical parameters of dowel. Searches were performed in PubMed/Medline database using single or combined key words to obtain the most relevant list of references. Articles selected in the search process were obtained from the journals and reviewed with every aspect of dowel system for reconstruction of endodontically treated teeth. Medline search showed 228 articles for dowels but after applying exclusion criteria, only 51 articles remained to be included in Part I of this review. Out of which, 49 were in vitro studies and two were clinical studies. Reviewing the literature revealed that clinical data is still missing. Literature emphasizes that dowels should only be used for the retention of core material and not in view of reinforcing the remaining tooth structure. The dowel length is limited by the apical seal of four mm to six mm. Dowel width should be as small as possible. Canal configuration determines the selection between prefabricated and custom cast dowel. Fiber based dowel may be clinically appropriate for restoration of endodontically treated anterior tooth, although clinical studies are lacking.
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spelling doaj.art-200708eedb764490b14337a2384fe1812022-12-21T22:44:30ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-08-01118ZG06ZG1110.7860/JCDR/2017/26472.10518All about Dowels - A Review Part I. Considerations before CementationZishan Dangra0Mahesh Gandhewar1Private Practitioner, Mumbai, Maharashtra, India.Professor and Head, Department of Prosthodontics and Implantology, ACPM Dental College, Dhule, Maharashtra, India.The optimal way of restoring a non vital tooth with dowel-core technique has long been a controversial matter. The purpose of this review was to assess the factors that may influence the successful restoration of root filled teeth with root canal dowels. The first part of the review discusses indications and physical parameters of dowel. Searches were performed in PubMed/Medline database using single or combined key words to obtain the most relevant list of references. Articles selected in the search process were obtained from the journals and reviewed with every aspect of dowel system for reconstruction of endodontically treated teeth. Medline search showed 228 articles for dowels but after applying exclusion criteria, only 51 articles remained to be included in Part I of this review. Out of which, 49 were in vitro studies and two were clinical studies. Reviewing the literature revealed that clinical data is still missing. Literature emphasizes that dowels should only be used for the retention of core material and not in view of reinforcing the remaining tooth structure. The dowel length is limited by the apical seal of four mm to six mm. Dowel width should be as small as possible. Canal configuration determines the selection between prefabricated and custom cast dowel. Fiber based dowel may be clinically appropriate for restoration of endodontically treated anterior tooth, although clinical studies are lacking.https://jcdr.net/articles/PDF/10518/26472_CE(RA1)_F(SS)PF1_(SY_MJ_PY)_PFA(SY_GG).pdfdowel designfiber dowelprefabricated dowelpulpless coronal tooth anatomy
spellingShingle Zishan Dangra
Mahesh Gandhewar
All about Dowels - A Review Part I. Considerations before Cementation
Journal of Clinical and Diagnostic Research
dowel design
fiber dowel
prefabricated dowel
pulpless coronal tooth anatomy
title All about Dowels - A Review Part I. Considerations before Cementation
title_full All about Dowels - A Review Part I. Considerations before Cementation
title_fullStr All about Dowels - A Review Part I. Considerations before Cementation
title_full_unstemmed All about Dowels - A Review Part I. Considerations before Cementation
title_short All about Dowels - A Review Part I. Considerations before Cementation
title_sort all about dowels a review part i considerations before cementation
topic dowel design
fiber dowel
prefabricated dowel
pulpless coronal tooth anatomy
url https://jcdr.net/articles/PDF/10518/26472_CE(RA1)_F(SS)PF1_(SY_MJ_PY)_PFA(SY_GG).pdf
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