Background: This study aimed to compare the efficacy of resin composite for establishing a proper proximal contact in comparison to digital work flow Zirconia for restoration of endodontically treated teeth (ETT).

Material And Methods: Forty patients with posterior root canal treated teeth considering the inclusion and exclusion criteria were divided into two groups: half were restored by resin composite while the other received zirconia crown. Then, the proximal contact tightness (PCT) was measured via two methods: 1: VAS: the magnitude of felt PCT was recorded as a number between 0 to 10 (Visual Analogue Scale (VAS)). VAS direct and indirect as VAS-D, and VAS-I respectively. 2: Quantitative: using a custom-made force gage device to record the amount of force needed to pass a mounted dental floss through the proximal contact (Quantitative direct and indirect as Qn-D, and Qn-I respectively) those were compared with the PCT of natural teeth (NT). Data was compared with each other using Chi-square, Shapiro-Wilk, One Way ANOVA, Tukey Post Hoc, Linear regression, and Pearson tests (α= 0.05 in all tests).

Results: There were no significant difference between direct and in-direct groups regarding either sex of the patients (= 0.10), type of teeth (= 0.32), or jaw side (= 0.36). The VAS-D and VAS-I showed similar results in pairwise comparison (= 0.21). Moreover, both the Qn-D and Qn-I showed significantly higher PCT comparing to NT (= 0.45 and 0.0.0001 respectively) while the Qn-D and Qn-I were not distinguishable statistically (= 0.23). Furthermore, significant correlation was observed between VAS and quantitative methods for evaluation of PCT (Pearson value= 0.005).

Conclusions: Both the direct and in-direct restorations lead to clinically acceptable PCT, whilst indirect restorations showed slightly better results which was not statistically noticeable. Composite resins, Zirconium oxide, Digital Technology.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392449PMC
http://dx.doi.org/10.4317/jced.61558DOI Listing

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