Patterns of Post-Endodontic Restoration: A Nationwide Survey of Dentists in Turkey.

Sıla Nur Usta,Derya Deniz-Sungur,Ayhan Eymirli,Eda Karaismailoğlu,Begüm Cömert-Pak

doi:10.3390/ijerph19031794

Abstract

Developments in materials and techniques, geographical locations, age, specialty, and affiliations of dental practitioners affect the preference of post-endodontic restoration. Thus, this survey aimed to evaluate the trends of dentists in Turkey in terms of post-endodontic restorations. An anonymous survey containing 10 questions regarding demographics, post-endodontic restoration patterns, and factors affecting restoration selection was electronically delivered to the dentists registered in the database of the Turkish Dental Association. The data were analyzed using by a chi-square test and ordinal logistic regression analysis. A total of 1093 surveys from 20,564 participants were collected with a response rate of 5.3%. Half of the participants (52%) preferred composite resins for post-endodontic restorations. Usage of posts was less prevalent amongst prosthodontists and dentists with clinical experience of more than 20 years compared to endodontists (p < 0.001) and dentists with clinical experience of less than 5 years (p = 0.004). More than half of the participants (56%) utilized fiber posts. Composite resins and fiber posts were the most common preferences in post-endodontic restoration. Endodontists had a higher tendency to use posts than prosthodontists and general dental practitioners.

Highlights

Treated teeth (ETT) are prone to root fractures due to substance loss [1].the placement of proper coronal restoration after endodontic treatment is an essential parameter for the tooth’s survival
Different restoration patterns have been used after endodontic treatments, such as partial- or full-coverage crowns [5], direct resin composites or amalgam fillings [6], and posts and cores [7]
A modified version of the questionnaire used by Morgano et al [18] was re-designed by two researchers (SNU and DDS) who have experience in post-endodontic restorations, reducing the number of questions to 10 and updating some of them to account for the new materials introduced in recent years

Summary

Introduction

The placement of proper coronal restoration after endodontic treatment is an essential parameter for the tooth’s survival. Studies have tried to find which material or technique is suitable for ETT rehabilitation [4]. Different restoration patterns have been used after endodontic treatments, such as partial- or full-coverage crowns [5], direct resin composites or amalgam fillings [6], and posts and cores [7]. The availability of adhesive techniques has expanded the restoration options for the clinician [8]. Contemporary approaches such as endocrowns [9], computer-assisted designing and computer-assisted milling (CAD/CAM)

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Discussion

Conclusion