Publications by authors named "W A Fokkinga"

Article Synopsis
  • The study systematically reviewed literature to evaluate how managing tooth wear affects the Oral Health Related Quality of Life (OHRQoL) in adults.
  • Researchers followed established guidelines to select relevant studies and assess the quality of evidence, focusing on adult patients with moderate to severe tooth wear who received restorative treatments or counseling.
  • Results showed that restorative treatment generally improves OHRQoL, while counseling had little to no impact; however, there were concerns about study biases, especially in non-randomized trials.
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The purpose of root canal posts is to obtain additional retention for build-up restorations of endodontically treated teeth so they can be functionally reconstructed. Due to developments in adhesive dentistry and a lack of clinical evidence, root canal posts are used less and less. Currently, the advice of the European Society of Endodontology is to use a root canal post only in front teeth and premolars in the absence of remaining coronal dentine walls.

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Objectives: This study aimed to compare the success and survival rates of metal-ceramic crowns and composite resin restorations applied in root filled teeth that received a glass fiber post.

Methods: A prospective, randomized controlled trial, with equivalent parallel groups was designed. Eighty-two teeth were randomly allocated to the metal-ceramic or composite resin groups.

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Article Synopsis
  • The study investigates how the stiffness and presence of a composite core affect the fracture strength and failure modes of endodontically treated molars restored with ceramic or composite materials.
  • Sixty depulped molars were tested using different restoration designs, including monolithic endocrowns and crowns with separate cores, to see how they hold up under simulated chewing conditions.
  • Overall, no significant differences in fracture loads were found among the different restoration types, but the type of restoration and material did influence how they failed when subjected to stress.
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Objective: To compare the biomechanical properties of different endocrown designs on endodontically treated teeth with an extensive defect in the mesial wall using a three-dimensional finite element method (3D FEM).

Methods: Four finite element analysis models were designed and built up based on different endocrown configurations in a mandibular molar. One model was designed as a butt joint preparation with 2 mm occlusal thickness(control), the other three models were butt joint designs with different distances between the bottom of the mesial wall preparation and the cemento-enamel junction (CEJ): 2 mm, 1 mm and 0 mm respectively.

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