Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow
Objectives: Since one-third of persons suffer a dental trauma, treatment of anterior teeth using post and core (PC) is becoming important. In teeth with extensive destruction, cast PC (CPC) remain the “gold standard”, even though they lead to aesthetic impairment and have a mismatching elastic modul...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023062564 |
| _version_ | 1797732928630816768 |
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| author | Jonas Adrian Helmut Vogler Louise Billen Kay-Arne Walther Bernd Wöstmann |
| author_facet | Jonas Adrian Helmut Vogler Louise Billen Kay-Arne Walther Bernd Wöstmann |
| author_sort | Jonas Adrian Helmut Vogler |
| collection | DOAJ |
| description | Objectives: Since one-third of persons suffer a dental trauma, treatment of anterior teeth using post and core (PC) is becoming important. In teeth with extensive destruction, cast PC (CPC) remain the “gold standard”, even though they lead to aesthetic impairment and have a mismatching elastic modulus to that of dentin. Prefabricated fibre-reinforced posts have elastic modulus similar to that of dentin but the accuracy of fit and mechanical stability are worse. This study was aimed to evaluate the deviation and mechanical performance of fibre-reinforced CAD/CAM PC (FRPC) fabricated in a fully digital chairside workflow, compared to those of CPC. Methods: On 30 teeth, a PC preparation was conducted, and a conventional and digital post impression were taken with an intraoral scanner. Fifteen teeth each were treated with CPC and FRPC, respectively. The deviation was evaluated by superimposing the datasets of the digitalised stone models and digital post impressions. Decementation and root fracture during chewing simulation were analysed by microscopy and X-ray. Statistical analysis was performed by pairwise comparison and Kaplan-Meier analysis. Results: The median deviation for the “coronal”, “middle” and “apical” were 14.5, 18.0 and 113.7 μm, respectively. The pairwise comparison for “coronal”/“middle” showed no significance (p = 0.465), whereas that for “coronal”/“apical” and “middle”/“apical” showed highly significant differences (p < 0.001). After chewing simulation, five decementations and two root fractures were detected for CPC. For FRPC, neither decementation nor root fracture were documented. Significance: Within the limitations of this study, FRPC performed significantly better than CPC. |
| first_indexed | 2024-03-12T12:20:33Z |
| format | Article |
| id | doaj.art-59c72d8c4492447484ed619d8bb1dd4a |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-12T12:20:33Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-59c72d8c4492447484ed619d8bb1dd4a2023-08-30T05:53:33ZengElsevierHeliyon2405-84402023-08-0198e19048Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflowJonas Adrian Helmut Vogler0Louise Billen1Kay-Arne Walther2Bernd Wöstmann3Corresponding author.; Justus Liebig University, Dental Clinic - Department of Prosthodontics, Schlangenzahl 14, 35392, Giessen, GermanyJustus Liebig University, Dental Clinic - Department of Prosthodontics, Schlangenzahl 14, 35392, Giessen, GermanyJustus Liebig University, Dental Clinic - Department of Prosthodontics, Schlangenzahl 14, 35392, Giessen, GermanyJustus Liebig University, Dental Clinic - Department of Prosthodontics, Schlangenzahl 14, 35392, Giessen, GermanyObjectives: Since one-third of persons suffer a dental trauma, treatment of anterior teeth using post and core (PC) is becoming important. In teeth with extensive destruction, cast PC (CPC) remain the “gold standard”, even though they lead to aesthetic impairment and have a mismatching elastic modulus to that of dentin. Prefabricated fibre-reinforced posts have elastic modulus similar to that of dentin but the accuracy of fit and mechanical stability are worse. This study was aimed to evaluate the deviation and mechanical performance of fibre-reinforced CAD/CAM PC (FRPC) fabricated in a fully digital chairside workflow, compared to those of CPC. Methods: On 30 teeth, a PC preparation was conducted, and a conventional and digital post impression were taken with an intraoral scanner. Fifteen teeth each were treated with CPC and FRPC, respectively. The deviation was evaluated by superimposing the datasets of the digitalised stone models and digital post impressions. Decementation and root fracture during chewing simulation were analysed by microscopy and X-ray. Statistical analysis was performed by pairwise comparison and Kaplan-Meier analysis. Results: The median deviation for the “coronal”, “middle” and “apical” were 14.5, 18.0 and 113.7 μm, respectively. The pairwise comparison for “coronal”/“middle” showed no significance (p = 0.465), whereas that for “coronal”/“apical” and “middle”/“apical” showed highly significant differences (p < 0.001). After chewing simulation, five decementations and two root fractures were detected for CPC. For FRPC, neither decementation nor root fracture were documented. Significance: Within the limitations of this study, FRPC performed significantly better than CPC.http://www.sciencedirect.com/science/article/pii/S2405844023062564CAD/CAMPost and coreIntraoral scannerFibre-reinforced compositeChewing simulation |
| spellingShingle | Jonas Adrian Helmut Vogler Louise Billen Kay-Arne Walther Bernd Wöstmann Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow Heliyon CAD/CAM Post and core Intraoral scanner Fibre-reinforced composite Chewing simulation |
| title | Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow |
| title_full | Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow |
| title_fullStr | Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow |
| title_full_unstemmed | Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow |
| title_short | Fibre-reinforced Cad/CAM post and cores: The new “gold standard” for anterior teeth with extensive coronal destruction?–A fully digital chairside workflow |
| title_sort | fibre reinforced cad cam post and cores the new gold standard for anterior teeth with extensive coronal destruction a fully digital chairside workflow |
| topic | CAD/CAM Post and core Intraoral scanner Fibre-reinforced composite Chewing simulation |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023062564 |
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