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J Dent ; 38(11): 916-20, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20713117

RESUMO

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.


Assuntos
Ligas de Cromo , Técnica para Retentor Intrarradicular/instrumentação , Adulto , Dente Pré-Molar/patologia , Ligas de Cromo/química , Coroas , Dente Canino/patologia , Dente Suporte , Cárie Dentária/etiologia , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Feminino , Seguimentos , Cimentos de Ionômeros de Vidro/química , Humanos , Incisivo/patologia , Masculino , Ligas Metalo-Cerâmicas , Pessoa de Meia-Idade , Estudos Retrospectivos , Tratamento do Canal Radicular/efeitos adversos , Fatores Sexuais , Análise de Sobrevida , Extração Dentária , Fraturas dos Dentes/etiologia , Raiz Dentária/lesões , Dente não Vital/terapia , Resultado do Tratamento , Cimento de Fosfato de Zinco/química
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