Clinical Comparison of Endodontically Treated Teeth Restored With Fiber Posts or Cast Metal Posts

Federal University of Pelotas

Status and phase: Unknown; Phase 3

Conditions: Post and Core Failure

Treatments: Procedure: fiber post and resin core - self-adhesive cement; Procedure: fiber post luted with conventional resin cement; Procedure: cast post and core

Study type: Interventional

Funder types: Other

Identifiers

NCT01461239

UFPEL-PPGO0010

Details and patient eligibility

About

There are few randomized controlled trials comparing intraradicular posts used to restore endodontically treated teeth, especially considering cast posts and glass fiber posts. The investigators study will evaluate the clinical success rates of endodontically treated teeth restored with glass fiber posts or cast posts and metal ceramic crown. Individuals included in this study should present any tooth with endodontic treatment and need of intraradicular retention (post) on maxilla or mandible according to inclusion and exclusion criteria. Individuals will be randomly allocated into two groups: (1) endodontically treated teeth restored with fiber post and composite resin core and metal ceramic crown or (2) endodontically treated teeth restored with cast post and core and metal ceramic crown. A sample size calculation will be performed to establish the number of posts needed for comparison. All crowns and posts will be cemented with self-adhesive cement. Individuals will be examined by calibrated examiners, in years 1 to 3. The reason of failure will be categorized as root fracture, fracture of the post, post debonding, clinical and/or radiographical evidence of a gap between restoration and tooth or endodontic failure, tooth extraction, secondary caries, or marginal defects. The confidence level will be set in 95%.

Enrollment: 200 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• adult patients with normal occlusion with at least one teeth endodontically treated needing restoration

Exclusion criteria

• patients with malocclusion,
• orthodontic devices,
• temporomandibular disorders

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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200 participants in 3 patient groups

cast post and core

Active Comparator group

Treatment:

Procedure: cast post and core

fiber post - self-adhesive cement

Experimental group

Treatment:

Procedure: fiber post and resin core - self-adhesive cement

fiber post - conventional cement

Experimental group

Treatment:

Procedure: fiber post luted with conventional resin cement