Abstract
ABSTRACTAim: The aim of this study was to compare the survival of composite resin restorations retained by glass fiber posts or reversed-orientated (upside-down) metal posts in severely decayed primary anterior teeth after 6, 12, and 18 months.Materials and methods: A total of forty-four 3- to 5-year-old children with bilateral severely decayed primary maxillary canines were included. Patients were treated under general anesthesia. After pulpectomy, an intracanal post was seated in the primary maxillary canine on each side: either a glass fiber post or a metallic post in reversed orientation and teeth restored with light-cured composite. Survival rate of each technique was evaluated at predetermined follow-ups and data were analyzed with McNemar’s test (α = 0.05).Results: The difference in survival of restorations retained by two types of posts was not statistically significant in clinical and radiographical evaluations after 6, 12, and 18 months. The survival rate of reversed-orientated metal and glass fiber posts after 18 months was 81.1 and 67.6% respectively (p = 0.14).Conclusion: Reversed-orientated metal post did not show lower clinical survival compared with glass fiber posts in 18-month follow-up. Hence, reversed-orientated metal post can be considered as a potential method to obtain retention for composite restorations in severely decayed primary anterior teeth.How to cite this article: Vafaei A, Ranjkesh B, L0vschall H, Erfanparast L, Jafarabadi MA, Oskouei SG, Isidor F. Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversed-orientated Metal Posts. Int J Clin Pediatr Dent 2016;9(2):109-113.
Highlights
Restoration of primary anterior teeth with extensive caries in children with low cooperation is determined as a challenging treatment for a dentist.[1]
Reversed-orientated metal post did not show lower clinical survival compared with glass fiber posts in 18-month follow-up
Survival of Composite Resin Restorations of severely Decayed Primary Anterior Teeth retained by Glass Fiber Posts or Reversedorientated Metal Posts
Summary
Restoration of primary anterior teeth with extensive caries in children with low cooperation is determined as a challenging treatment for a dentist.[1] Children’s esthetic, masticatory function efficacy, phonetics, space maintenance, and prevention of malocclusion until physiologic exfoliation of primary teeth increase the restoring tendency of severely decayed primary anterior teeth.[2,3] insufficient coronal tooth structure of severely decayed primary teeth endangers the retention and endurance of the restorations. The use of different postplacement techniques to obtain retention in pulpectomized teeth can increase the survival of the restoration. The coronal third of the canal is commonly used for retention acquisition in such circumstances.[1,4,5]
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