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J Dent ; 38(11): 916-20, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20713117

RESUMEN

OBJECTIVE: The aim of this retrospective study was to compare the cumulative survival rate of teeth restored with prefabricated posts and with cobalt-chrome cast post-cores. METHODS: 112 endodontically treated teeth restored with prefabricated post and cobalt-chrome cast post-and-cores were evaluated. Teeth were considered as failures when were objective or radiologic sign of endodontic failure, post or root fracture, or when they had been extracted at the moment of the evaluation. Kaplan-Meier's method was used to reconstruct the survival curves of the restorations and to test the variable type of post-and-core restoration. RESULTS: 93 of the posts were still in function without clinical or radiographic signs of failure at the time of the examination resulting in a survival rate of 83.03% after a mean follow-up period of 10.08 years. When comparing the two techniques, prefabricated posts showed a slightly higher survival rate: 84.6% versus 82.6%.Focusing on tooth-type, maxillary premolars (n=30) had the highest failure rate (30%) and also the lowest mean lifetime, with 6-and-a-half years. Maxillary incisors (n=20) showed the highest success rate (5%) with only one case of failure. CONCLUSIONS: The results showed no significant difference between both groups after a 10-year average follow-up.


Asunto(s)
Aleaciones de Cromo , Técnica de Perno Muñón/instrumentación , Adulto , Diente Premolar/patología , Aleaciones de Cromo/química , Coronas , Diente Canino/patología , Pilares Dentales , Caries Dental/etiología , Diseño de Prótesis Dental , Fracaso de la Restauración Dental , Femenino , Estudios de Seguimiento , Cementos de Ionómero Vítreo/química , Humanos , Incisivo/patología , Masculino , Aleaciones de Cerámica y Metal , Persona de Mediana Edad , Estudios Retrospectivos , Tratamiento del Conducto Radicular/efectos adversos , Factores Sexuales , Análisis de Supervivencia , Extracción Dental , Fracturas de los Dientes/etiología , Raíz del Diente/lesiones , Diente no Vital/terapia , Resultado del Tratamiento , Cemento de Fosfato de Zinc/química
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