Are posts necessary for the restoration of root filled teeth with limited tissue loss? A structured review of laboratory and clinical studies

International Endodontic Journal
I L AurélioL F Valandro

Abstract

Guidelines for post placement are lacking in respect of the amount of tooth structure, particularly in cases in which ≥50% of coronal structure is preserved. The aim of this review was to provide evidence-based principles for the use of posts in the restoration of root filled teeth with limited tissue loss. A literature search of laboratory and clinical studies published between 2000 and 2014 was conducted in PubMed. Included studies contained at least one study group with root filled teeth restored without a post, presented at least one group with root filled teeth with limited tissue loss, and, in the case of laboratory studies, performed mechanical cycling prior to a fracture resistance test. Based on the evidence from laboratory studies, root filled premolars and molars with limited tissue loss can be restored without posts, particularly when total coverage is planned. However, when no cusp protection is provided, post placement appears to be beneficial in premolars. Evidence regarding the best restoration option for root filled incisors with limited tissue loss remains controversial. When total coverage is intended, reconstruction seems to be successfully performed by restoration with composite. However, some reports consi...Continue Reading

References

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Citations

Nov 2, 2013·The Journal of Prosthetic Dentistry·Mayra Fidelis Zamboni QuiteroMaria Aparecida Alves de Cerqueira Luz
Mar 18, 2020·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Howard RobertsJohn Brewster
Oct 3, 2020·Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.]·AnaLuiza Barbosa JuremaTaciana Marco Ferraz Caneppele
Aug 31, 2017·International Endodontic Journal·M ZarowM Roig
Jul 6, 2017·Brazilian Oral Research·Ana Maria Estivalete MarchionattiLuiz Felipe Valandro
Nov 1, 2020·International Endodontic Journal·B BhuvaF Mannocci
Dec 24, 2020·Dental Materials : Official Publication of the Academy of Dental Materials·Márk FráterSufyan Garoushi
Sep 10, 2021·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Mohammed Nasser AlhajjZaihan Ariffin

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