Evaluating the prospective crown-root ratio after extrusion and crown lengthening procedures in vitro.

For restoration of extensively damaged teeth preprosthetic treatment measures are necessary. Crown lengthening and extrusion affect the prospective crown-root ratio (CRR). The subject of this in vitro study was to compute CRRs for both treatment approaches.

Monolithic hybrid abutment crowns (screw-retained) versus monolithic hybrid abutments with adhesively cemented monolithic crowns.

Objectives: The objective of this study is to compare monolithic hybrid abutment crowns (screw-retained) versus monolithic hybrid abutments with adhesively cemented monolithic single-tooth crowns.

Materials And Methods: Twenty subjects in need of an implant-borne restoration were randomly assigned to receive either a cement-retained (CRR) or a screw-retained (SRR) implant-supported monolithic lithium disilicate (LS ) reconstruction. Each patient received a titanium implant with in internal conic connection.

Survival and success of veneered zirconia crowns.

Aim: The aim of the present study was to evaluate the long-term clinical survival and success rate of veneered zirconia crowns with a modified anatomical framework design after 10 years in function.

Materials And Methods: In total, 36 zirconia crowns were fabricated for 28 patients. An anatomically modified framework design was developed.

Digital versus conventional complete dentures: A randomized, controlled, double-blinded crossover trial.

Statement Of Problem: The Baltic Denture System provides a digital way to fabricate complete dentures in 2 visits. Conventional dentures using injection or compression molding require additional visits and complex laboratory procedures. However, how the fabrication method affects clinical outcomes is unclear.

Long-term Survival of Adhesively Luted Post-endodontic Restorations.

Introduction: The objective of this prospective clinical study was to investigate survival for endodontically treated teeth restored with adhesively luted prefabricated dentinlike or rigid posts.

Methods: Data were recorded for glass-fiber posts (GFPs) and compared with historical controls evaluating glass-fiber (GFP I) and titanium posts (TPs) for 128 patients. Three groups were defined based on the type of post system used: group 1, GFP I (n = 41); group 2, GFP II (n = 41); and group 3, TP (n = 46).

Digital versus conventional complete dentures: A randomized, controlled, blinded study.

Statement Of Problem: Several manufacturers have developed a digital workflow for removable prosthodontics. The Baltic Denture System is a 2-visit procedure for the digital production of complete dentures, but clinical studies comparing the system with conventional methods are lacking.

Purpose: The purpose of this randomized, controlled, blinded crossover trial was to evaluate the impact of the digital versus conventional production of complete dentures on oral health-related quality of life (OHRQoL) measures.

Interface analysis after fatigue loading of adhesively luted bundled fiber posts to human root canal dentin.

Objectives: The aim of this study was to assess the fatigue loading behavior and fracture resistance of endodontically treated teeth restored with adhesively luted bundled fiber posts in comparison to solid fiber posts. Image analysis (2D and 3D) was applied to evaluate modes of failure and to characterize susceptible parts of the post-and-core interface.

Method: Crowns of 72 human similar-sized central upper incisors were removed and roots received a conventional root canal filling prior to establishing 4 groups of core build-up: No Post group (nP) received a 4 mm deep filling made of composite inside the canal with no dental post, fiber post group (FP) received a conventional solid post, and two experimental groups received bundles of 6 (FB6) or 12 (FB12) 0.

Bond strength of conventional, subtractive, and additive manufactured denture bases to soft and hard relining materials.

Objective: To investigate the tensile and flexural strength of poured, subtractive, and additive manufactured denture base methacrylates bonded to soft and hard relining materials after hydrothermal cycling and microwave irradiation.

Methods: This study included a conventional (CB), subtractive (SB), and additive (AB) base material as well as a soft (SCR) and hard (HCR) chairside and one hard laboratory-side (HLR) relining material. Reference bodies of the base materials and bonded specimens to the relining materials were produced with a rectangular cross-section.

Polymers for conventional, subtractive, and additive manufacturing of occlusal devices differ in hardness and flexural properties but not in wear resistance.

Objectives: To investigate the wear resistance of polymers for injection molding, subtractive and additive manufacturing of occlusal devices in comparison with enamel antagonist wear and material properties (i.e., hardness, flexural strength, and flexural modulus).

Effect of Application Mode on Bond Strength of Adhesively Luted Glass-fiber Bundles Inside the Root Canal.

Purpose: The aim of the present study was to measure the bond strength of adhesively luted glass-fiber bundles inside the root canal with respect to the application procedure in comparison to conventional solid glass-fiber posts.

Materials And Methods: 104 human anterior teeth were endodontically treated, root filled and divided into 8 groups (n = 13). After post space preparation, fiber bundles consisting of 6 and 12 glass fibers, respectively, were luted adhesively with a multi-mode adhesive (Futurabond U; Voco, Cuxhaven, Germany) and a dual-curing composite (Rebilda DC, Voco) with the following application modes into the root canal: (1) direct application with tweezers, (2) distribution of the fibers using a spreader, (3) application of ultrasound after insertion of fibers.

Direct or Indirect Restoration of Endodontically Treated Maxillary Central Incisors with Class III Defects? Composite vs Veneer or Crown Restoration.

Purpose: The aim of this ex-vivo study was to evaluate the load capacity of direct or indirect endodontically restored maxillary central incisors with Class III defects, with or without glass-fiber posts.

Materials And Methods: Seventy-two extracted human maxillary central incisors were endodontically treated and bi-proximal Class III cavities were prepared. Specimens were randomly allocated to six groups (n = 12): direct restoration with composite (C); direct restoration with composite and additional glass-fiber post (CP); ceramic veneer restoration (V), ceramic veneer restoration and additional glass-fiber post (VP), ceramic crown restoration (Cr), ceramic crown restoration and additional glass-fiber post (CrP).

Impact of endodontic post material on longitudinal changes in interproximal bone level: a randomized controlled pilot trial.

Objectives: Aim was to evaluate the impact of glass fiber versus titanium endodontic posts on the interproximal bone level around severely damaged endodontically treated teeth.

Materials And Methods: Thirty-eight participants of a randomized controlled trial on glass fiber (n = 18) and titanium post-endodontic restorations (n = 20) received radiographs at two different times after post placement (T0 = <12 months and T1 = 36-72 months after post placement). A total of 76 radiographs were analyzed with an image-editing software.

Failure loads of all-ceramic cantilever fixed dental prostheses on post-restored abutment teeth: influence of the post presence and post position.

The influence of a fiber post-restored abutment tooth on the load capability of a three-unit zirconia framework cantilever fixed dental prosthesis (cFDP) was evaluated after simulated clinical function. Human lower sound premolars (n = 64) were distributed, in equal numbers, to four experimental groups: two vital abutment teeth (group I; control); mesial abutment tooth post-restored (group II); distal abutment tooth post-restored (group III); and mesial and distal abutment teeth post-restored (group IV). All specimens received an adhesively luted three-unit cFDP of veneered zirconia.

Patients' self-report on post-retained restoration is more valuable than expected! Explorative analysis of an 11-year follow-up.

Assessment of long-term clinical data regarding post-endodontic restorations is essential for the evaluation of different post-and-core concepts. The aim of the present study was to assess the diagnostic accuracy of patient self-reporting on post-endodontic restorations after 11 years of clinical service. Twenty-nine patients (61 ± 15 years old) with endodontic glass-fibre and titanium post-endodontic restorations were examined within the 11-year follow-up of a randomized controlled trial.

Dentin-like versus Rigid Endodontic Post: 11-year Randomized Controlled Pilot Trial on No-wall to 2-wall Defects.

Introduction: This is the first long-term randomized controlled trial to evaluate dentin-like glass fiber posts (GFPs) compared with rather rigid titanium posts (TPs) for post-endodontic restoration of severely damaged endodontically treated teeth with 2 or fewer remaining cavity walls.

Methods: Ninety-one subjects in need of post-endodontic restorations were randomly assigned to receive either a tapered GFP (n = 45) or TP (n = 46). Posts were adhesively luted by using self-adhesive resin cement, followed by composite core build-up and preparation of 2-mm ferrule design.

Does a face-bow lead to better occlusion in complete dentures? A randomized controlled trial: part I.

Objectives: In a double-blinded randomized controlled clinical trial, the impact of face-bow registration for remounting complete dentures (CDs) on the occlusal parameters (part I) was evaluated.

Materials And Methods: New CDs of 32 patients were duplicated and mounted after intraoral pin registration according to mean settings (group 1) and (group 2) using a face-bow (arbitrary hinge axis). The vertical dimension was reduced to the first occlusal contact point, and a bite record was fabricated in the articulator.

Effect of Final Irrigation Protocol and Etching Mode on Bond Strength of a Multimode Adhesive in the Root Canal.

Purpose: To analyze the effects of ethanol for final post space irrigation and etching mode on the bond strength of fiber posts luted with a mild multimode adhesive (pH 2.3) as compared with a reference group using a self-adhesive resin cement (SAR).

Materials And Methods: Human anterior teeth were endodontically treated.

Influence of a face-bow on oral health-related quality of life after changing the vertical dimension in the articulator: a randomized controlled trial. Part II.

Objectives: In a double-blind randomized controlled clinical trial, the impact of face-bow registration for remounting complete dentures (CDs) on oral health-related quality of life (OHRQoL) was evaluated.

Materials And Methods: New CDs of 32 subjects were clinically remounted using intraoral pin registration. CDs were transferred into a semi-adjustable articulator corresponding to group #1: mean settings with Bonwill triangle and Balkwill angle, and group #2: arbitrary hinge axis with a face-bow registration.

Are self-adhesive resin cements suitable as core build-up materials? Analyses of maximum load capability, margin integrity, and physical properties.

Objectives: The aim of the present study was to test a self-adhesive resin cement used as core build-up material in comparison to two commercially available core build-up materials.

Materials And Methods: Forty human anterior teeth were endodontically treated and fiber post insertion (RelyX Fiber posts) and core build-ups were performed using two core build-up materials applied with an etch-and-rinse adhesive approach (Luxacore Dual-LC and Clearfil Core-CC) and an experimental self-adhesive resin cement (SAR) in two application modes (SAR Handmix and SAR Automix). Samples were subjected to thermo-mechanical loading.

Composite filling or single crown? The clinical dilemma of how to restore endodontically treated teeth.

The restoration of endodontically treated teeth involves a difficult decision-making process, especially when it comes to more complex prosthetic rehabilitations. Regarding singletooth restoration, there are high-level requirements for the restorative components and the application of all necessary treatment steps to achieve the final restoration. So when is there a need for a single-crown restoration or when might a composite resin restoration also be sufficient? For the assessment of endodontically treated teeth as abutment teeth for prosthetic restorations, there are no clear guidelines beyond single-tooth restorations.

Increased tooth mobility because of loss of alveolar bone support: a hazard for zirconia two-unit cantilever resin-bonded FDPs in vitro?

This study evaluates in vitro the impact of increased abutment tooth mobility on survival of zirconia-based two-unit cantilever resin-bonded fixed dental prosthesis (RB-FDP) by long-term dynamic loading in a chewing simulator. Human maxillary central incisors (n = 32) were endodontically treated and alveolar bone loss was simulated: 0% (group B), 25% (group C), and 50% (group D). RB-FDPs were adhesively luted.

Do chlorhexidine and ethanol improve bond strength and durability of adhesion of fiber posts inside the root canal?

Objectives: The aim was to investigate the effects of chlorhexidine and ethanol pretreatment of the root canal on push-out bond strengths and durability of adhesion of fiber posts luted with two different adhesive strategies.

Materials And Methods: One hundred twenty human anterior teeth were endodontically treated. After post space preparation, the root canals were irrigated using 1 % sodium hypochlorite (NaOCl) applied with passive ultrasonic irrigation followed by distilled water (control).

Various irrigation protocols for final rinse to improve bond strengths of fiber posts inside the root canal.

Irrigation after post space preparation and its effects on the bond strength of different adhesive strategies are still an issue of interest. The aim of the present study was to investigate the effects of various irrigation protocols (IPs) on the push-out bond strengths of fiber posts. One-hundred and fifty extracted human anterior teeth were divided into three groups (n = 50 each) and endodontically treated.

Rigid versus flexible dentine-like endodontic posts--clinical testing of a biomechanical concept: seven-year results of a randomized controlled clinical pilot trial on endodontically treated abutment teeth with severe hard tissue loss.

Introduction: This is the first clinical long-term pilot study that tested the biomimetic concept of using more flexible, dentine-like (low Young modulus) glass fiber-reinforced epoxy resin posts (GFREPs) compared with rather rigid, stiff (higher Young modulus) titanium posts (TPs) in order to improve the survival rate of severely damaged endodontically treated teeth.

Methods: Ninety-one subjects in need of postendodontic restorations in teeth with 2 or less remaining cavity walls were randomly assigned to receive either a tapered TP (n = 46) or a tapered GFREP (n = 45). The posts were adhesively luted using self-adhesive resin cement.