Search

Statement of Problem: A fiber post is indicated when there is a significant loss of tooth structure and additional support for the restoration is needed. However, whether the use of a glass fiber post affects the fracture susceptibility of the restored anterior teeth is unknown., Purpose: The purpose of this systematic review and meta-analysis was to evaluate the fracture resistance of endodontically treated and restored anterior teeth and to answer the research question, "Does the use of a fiber post influence the fracture resistance of endodontically treated and restored anterior teeth compared with alternative restorative treatments?", Material and Methods: A search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library, and Embase databases without date and/or language restrictions (updated in July, 2020). In vitro studies comparing the fracture strength of endodontically treated and restored anterior teeth with and without fiber posts were included. The risk of bias was evaluated by using the previous meta-analyses of in vitro studies. The results were presented as standardized mean difference with a 95% confidence interval. Statistical heterogeneity of treatment effects between studies was assessed using the Cochran Q test and the I2 inconsistency test, and values greater than 50% were considered indicative of substantial heterogeneity., Results: After the removal of duplicates and title and abstract screening, 31 studies remained. Seventeen were considered low risk of bias, 10 were medium risk of bias, and 4 were high risk of bias. Meta-analysis comparing control and experimental groups favored the use of a fiber post in endodontically treated teeth with some types of restoration to improve fracture resistance (standardized mean difference= 0.5 [0.08; 0.92]); a glass fiber post was also favored (standardized mean difference=0.92 [0.43; 1.42]); for veneer preparations and teeth with cervical cavities, a fiber post increases the fracture strength (standardized mean difference= 0.74 [0.01; 1.47]; 1.18 [0.35; 2.02], respectively)., Conclusions: The use of glass fiber posts increases the fracture resistance of endodontically treated and restored teeth., (Copyright © 2020 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Statement of Problem: Chairside computer-aided design and computer-aided manufacturing (CAD-CAM) materials that do not require any firing steps are a promising option to expedite restoration production; however, little information is available to determine the most suitable material for each clinical situation., Purpose: The purpose of this in vitro study was to evaluate the effect of simulated toothbrushing on surface gloss, roughness, and wear of chairside CAD-CAM materials., Material and Methods: Disk-shaped specimens (n=15) were prepared of the following materials: ENA-VITA Enamic; LAV-Lava Ultimate; EMP-IPS Empress CAD; CER-Cerasmart; GRA-Grandio blocs. Gloss (Gloss Unit-GU) and surface roughness (Ra-μm) were evaluated before and after simulated toothbrushing (100 000 strokes). Wear (μm) was assessed by contact profilometry. Additional analyses of microhardness by scanning electron microscopy were also performed. Data were analyzed with 2-way repeated measures ANOVA test for roughness and gloss, and 1-way ANOVA for wear (α=.05). To estimate the correlation between Ra and GU, the Pearson correlation was calculated., Results: Before brushing, CER showed the lowest Ra (P<.001), and GRA the lowest GU values. After brushing, the feldspathic ceramic-based materials (ENA and EMP) presented the highest gloss, whereas the ceramic group (EMP) showed the lowest Ra. Before and after brushing, GRA showed the lowest GU values. Higher wear values were found for the composite resin groups (CER>GRA), with the exception of LAVA, which was similar to ENA, and EMP showing improved wear resistance. A strong negative correlation (-0.925) between GU and Ra values was detected (P<.001)., Conclusions: The materials containing a glass phase (ENA and EMP) presented higher wear resistance, higher gloss, and lower roughness after brushing than the other materials tested. The correlation test showed that the higher the surface roughness, the lower the gloss., (Copyright © 2020 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

The presence of a retained primary canine in an adult, although not frequent, affects esthetics. Choosing the optimal restorative treatment is a challenge. The present clinical report describes a treatment for tooth reshaping with a semidirect composite resin technique, achieving an excellent esthetic result. The treatment was successful at the 18-month follow-up., (Copyright © 2019 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Statement of Problem: Nonthermal plasma treatment could increase the bond strength of resin cements to zirconia, but studies are lacking., Purpose: The purpose of this in vitro study was to evaluate zirconia bond strength, surface roughness, and contact angle and to measure the infrared spectrum after different surface treatments., Material and Methods: Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP; n=9) blocks were sectioned into 36 slices (12×11×3 mm) and divided (n=4) into surface treatment groups as follows: 2 control groups, consisting of airborne-particle abrasion plus primer (APP) and 10% hydrofluoric acid etching plus primer (HFP), and 3 experimental groups consisting of a nonthermal plasma (NP) application; a nonthermal plasma plus primer application (NPP); and a 10% hydrofluoric acid etching plus nonthermal plasma plus primer (HFNPP) application. Each zirconia disk was cemented to a prepolymerized resin block. After cementation, the specimens were sectioned for microtensile strength testing and for surface roughness analysis and contact angle analysis. Results were submitted to analysis of variance and Tukey tests (α=.05)., Results: Results showed no statistically significant differences between the APP and HFNPP groups, but these 2 groups showed statistically better bonding than those of HFP, NP, and NPP., Conclusions: Airborne-particle abrasion resulted in a significant increase in surface roughness compared with the other groups. After nonthermal plasma treatment, the contact angle of the zirconia surface decreased within 48 hours. Nonthermal plasma application for surface treatment of zirconia showed no significant difference in bond strength when compared with airborne-particle abrasion., (Copyright © 2018 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)