Prefabricated Endodontic Posts: Glass Fiber Versus Titanium - A Randomized Controlled Pilot- Trial

NCT ID: NCT01520766

Last Updated: 2012-01-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2011-08-31

Brief Summary

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A randomized parallel-group clinical pilot study was designed to evaluate the impact of glass fiber reinforced composite posts compared to prefabricated titanium posts on long term survival of adhesively restored endodontically treated abutment teeth.

Detailed Description

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Compared to vital teeth the complication rate of restorations fixed on endodontically treated abutment teeth is higher. Endodontically treated teeth are more prone to fracture due to the higher amount of calcified tooth structure loss. To level the biological short coming the choice of the mechanically appropriate post material is still a major concern. There a two major approaches. One is to use a rigid material to stiffen the post-endodontic complex and the other is to use a material which shows dentin-like material properties to allow the post-endodontic complex to flex under load. It was aim of the presented randomised controlled trial to compare the survival rates of abutment teeth self-adhesively restored with either prefabricated glass-fiber reinforced composite posts or titanium posts.

The null-hypothesis was that there is no difference regarding survival rate between glass-fiber and titanium post restored endodontically treated abutment teeth with two or less remaining cavity walls.

Conditions

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Endodontically Treated Teeth Tooth Fractures

Keywords

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glass fiber posts titanium posts postendodontic restoration self-adhesive resin cement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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glass fiber

Group Type EXPERIMENTAL

prefabricated glass fiber reinforced composite post

Intervention Type DEVICE

posts: diameter of 1.4 mm; length of 13 mm adhesively luted within the root canal using self-adhesive resin cement and direct composite cores using an etch-and-rinse adhesive were built up crown preparation was performed, while the finishing line for the final restoration was set at least 2 mm apical the composite build-up in dentin to ensure a proper dentin ferrule design

titanium

Group Type EXPERIMENTAL

prefabricated titanium post

Intervention Type DEVICE

posts: diameter of 1.4 mm; length of 13 mm adhesively luted within the root canal using self-adhesive resin cement and direct composite cores using an etch-and-rinse adhesive were built up crown preparation was performed, while the finishing line for the final restoration was set at least 2 mm apical the composite build-up in dentin to ensure a proper dentin ferrule design

Interventions

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prefabricated titanium post

posts: diameter of 1.4 mm; length of 13 mm adhesively luted within the root canal using self-adhesive resin cement and direct composite cores using an etch-and-rinse adhesive were built up crown preparation was performed, while the finishing line for the final restoration was set at least 2 mm apical the composite build-up in dentin to ensure a proper dentin ferrule design

Intervention Type DEVICE

prefabricated glass fiber reinforced composite post

posts: diameter of 1.4 mm; length of 13 mm adhesively luted within the root canal using self-adhesive resin cement and direct composite cores using an etch-and-rinse adhesive were built up crown preparation was performed, while the finishing line for the final restoration was set at least 2 mm apical the composite build-up in dentin to ensure a proper dentin ferrule design

Intervention Type DEVICE

Other Intervention Names

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Fiberpoints Root Pins Titanium, Schuetz Dental Group Fiberpoints Roots Pins Glass, Schuetz Dental Group

Eligibility Criteria

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Inclusion Criteria

* two or less cavity walls of the crown remaining,
* residual root canal thickness at the orifice of more than 1 mm,
* symptom free tooth with a root canal filling without radiologically visible periapical lesion,
* minimum of radiologic root-to-alveolar bone ratio of 2 after prospective crown lengthening,
* no or treated periodontitis with maximum probing depth of 4 mm and no bleeding on probing,
* tooth mobility not more than score II,
* willingness to return for follow-up examination for at least 5 years

Exclusion Criteria

* tooth was aimed to serve as telescopic crown abutment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charite University, Berlin, Germany

OTHER

Sponsor Role lead

Responsible Party

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Guido Sterzenbach

Principal Investigator, Dr. med. dent., Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Charité - Universitätsmedizin Berlin, CC3, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Germany

Berlin, State of Berlin, Germany

Site Status

Countries

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Germany

References

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Naumann M, Sterzenbac G, Alexandra F, Dietrich T. Randomized controlled clinical pilot trial of titanium vs. glass fiber prefabricated posts: preliminary results after up to 3 years. Int J Prosthodont. 2007 Sep-Oct;20(5):499-503.

Reference Type RESULT
PMID: 17944340 (View on PubMed)

Other Identifiers

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CC3-7.103

Identifier Type: -

Identifier Source: org_study_id