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Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies)

Publié dansQuintessence international, vol. 39, no. 2, p. 117-129
Date de publication2008
Résumé

OBJECTIVE: The restoration of endodontically treated teeth has long been guided by empirical rather than biomechanical concepts. Part I of this literature review presented up-to-date knowledge about changes in tissue structure and properties following endodontic therapy, as well as the behavior of restored teeth in monotonic mechanical tests or finite element analysis. The aim of the second part is to review current knowledge about the various interfaces of restored, nonvital teeth and their behavior in fatigue and clinical studies. REVIEW METHOD: The basic search process included a systematic review of articles contained in the PubMed/Medline database, dating between 1990 and 2005, using single or combined key words to obtain the most comprehensive list of references; a perusal of the references of the references completed the review. RELEVANT INFORMATION AND CONCLUSIONS: Nonvital teeth restored with composite resin or composite resin combined with fiber posts resisted fatigue tests and currently represent the best treatment option. In comparison to rigid metal and/or ceramic posts, when composite resin or composite resin/fiber posts fail, the occurrence of interfacial defects or severe tooth breakdown is less likely. Adhesion into the root, however, remains a challenge because of the unfavorable ovoid canal configuration, as well as critical dentin microstructure in the deepest parts of the canal. Thus, specific combinations of adhesives and cements are recommended. The clinical performance of post-and-core restorations proved satisfactory overall, in particular with a contemporary restorative approach using composite resin and fiber posts. However, the clinical literature does not clearly isolate or identify exact parameters critical to success. This, in turn, emphasizes the importance and relevance of in vitro studies to further improve the quality and long-term stability of prosthetic foundations.

Mots-clés
  • Biomechanics
  • Composite Resins/chemistry
  • Dental Bonding
  • Dental Materials/chemistry
  • Dental Restoration, Permanent/methods
  • Humans
  • Post and Core Technique
  • Stress, Mechanical
  • Surface Properties
  • Tooth, Nonvital/therapy
Citation (format ISO)
DIETSCHI, Didier et al. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). In: Quintessence international, 2008, vol. 39, n° 2, p. 117–129.
Fichiers principaux (1)
Article (Accepted version)
accessLevelRestricted
Identifiants
ISSN du journal0033-6572
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Informations techniques

Création02/04/2009 10:12:00
Première validation02/04/2009 10:12:00
Heure de mise à jour14/03/2023 15:04:00
Changement de statut14/03/2023 15:04:00
Dernière indexation15/01/2024 18:20:54
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