5^th American Dental Congress

Biography

Biography: Talat Mohamed Beltagy

Abstract

Despite the technological advances in dentistry in recent years, there still exist major challenges for restoring endodontically treated teeth in special cases where the root is weakened. The objective of this study was to evaluate clinically and radiographically fiber posts with and without accessories associated with a self-adhesive resin-modified glass-ionomer. in restoring structurally compromised upper permanent central incisors in children. Thirty patients (10 -15 years) had a structurally compromised upper permanent central incisor with different degrees of flaring and indicated for rehabilitation. The patients divided into 3 groups, 10 specimens each. Group I: patients with over-flared canal were restored with only master fiber posts. Group II: patients with over-flared canal were restored with master posts and one accessory fiber post. Group III: patients with over-flared canal were restored with master posts and two accessories. All 3 groups used a self adhesive resin-modified glass ionomer (GC Equia) as root reinforcing material and core build-up. Another ten patients were used as control group (normal canals) using only master posts. The data were collected and analyzed using one-way analysis of variance (ANOVA). Results: Clinical evaluation, showed no displacement of reinforcing system or displacement of any fiber posts. There was no fracture in the core or the reinforcing material in any of studied groups. Radiographic evaluation showed that no evidence of root fracture, external root resorption and no periapical or periodontal pathology requiring crown removal for clinical interference. The clinical findings showed 100% early success rate of reinforcing system in the studied technique for root rehabilitation. It is concluded that the use of accessory fiber posts associated with self-adhesive RM-GIC is an effective promising method and a better alternative to single post in clinical practice.