Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (16): 2500-2504.doi: 10.3969/j.issn.2095-4344.2015.16.008

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Fiber posts with different designs in the repair of molar residual roots and crowns: comparison of post fracture and retention

Du Jin-ying1, Mu Jin-quan1, Li Jian2, Xu Xiang-qin1, Wu Hua-ying1   

  1. 1Department of Stomatology, Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, Jiangsu Province, China; 2Department of Special Treatment, Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
  • Received:2015-02-28 Online:2015-04-16 Published:2015-04-16
  • Contact: Mu Jin-quan, Associate chief physician, Department of Stomatology, Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, Jiangsu Province, China
  • About author:Du Jin-ying, Master, Attending physician, Department of Stomatology, Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, Jiangsu Province, China
  • Supported by:

    the Science and Technology Development Project of Nanjing Medical University, No. 2014NJMU095

Abstract:

BACKGROUND: Molars are characterized by multi-root, multi-root canal, multi-directional, different geometric shape and distribution. Single-root canal teeth post-core theory was used to guide molar repair in the clinic. It is easy to cause root canal perforation or vertical fracture due to excessive post preparation. Therefore, it is necessary to make further study and investigation in the design of fiber post-resin core for repairing molars.
OBJECTIVE: To evaluate the clinical therapeutic effects of fiber post-resin core with different numbers of posts in the repair of molar residual roots and crowns. 
METHODS: A total of 54 human molar residual roots and crowns with sound root canal filling in 48 patients were selected and restored with fiber post of different numbers and resin core as well as complete coronal restoration.  
There were 17 cases (20 samples) restored with single fiber post core, 16 cases (18 samples) restored with double fiber post cores, and 15 cases (16 samples) restored with three fiber post cores. They were followed up for 24 months and the repair results were compared.
RESULTS AND CONCLUSION: After 24 months of follow-up, the success rates were 85%, 94% and 94% in the single fiber post, double fiber post and three fiber post groups, respectively, and no significant difference was detected among the three groups. Five failures were observed among 54 teeth: three cases of fiber post shedding in the single fiber post group, one case of fiber post shedding in the double fiber post group, and one case of fiber post shedding in the three fiber post group, and no root fracture occurred. Three kinds of fiber post-resin cores for repairing molar residual roots and crowns can get a better short-term clinical result. The repair effects were not different because of the different numbers of fiber posts.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: Post and Core Technique, Molar, Tooth Preparation, Prosthodontic

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