THE CONDITION OF ABUTMENT TEETH PRIOR TO PROSTHODONTIC TREATMENT
DOI:
https://doi.org/10.11603/2311-9624.2025.2.15540Keywords:
endodontically treated teeth, tooth stump, post-and-core restoration, fiber posts, prosthodontic treatment.Abstract
Objective. To study the techniques for preparing the tooth stump of endodontically treated teeth for prosthodontic treatment and assess their influence on periapical tissues and periodontal health. Materials and methods. The study involved 101 patients examined at the Department of Postgraduate Dentistry of IFNMU and the University Dental Clinic in 2023–2024. Clinical and radiographic assessments were performed along with OHI-S, PMA, and SBI indices. Results. The most commonly used restorations were cast post-and-core restorations (41.6%), fiber posts (13.9%), anchor posts (11.9%), and non-post techniques (32.7%). Metal-ceramic crowns were placed in 73.3% of cases. Over 40% of patients had pathological pockets up to 3 mm. A relationship was found between the type of prosthodontic restoration, oral hygiene status, and periapical tissue condition. Conclusions. The choice of tooth stump restoration method plays a key role in the success of prosthodontic treatment. Cast post-and-core restorations and fiber posts demonstrate good outcomes when applied with appropriate clinical evaluation.
References
Bjørndal L., Reit C., Mjör I. A. Clinical and radiographic evaluation of root canal treatment and restorations in a general practice setting. International Endodontic Journal. 2001. Vol. 34, № 4. P. 263–272.
Müller M., Walter C. Influence of post systems on periapical and periodontal health: a review of the literature. Journal of Endodontics. 2016. Vol. 42, № 8. P. 1136–1141.
Maitra S., Devaraj S. The role of endodontic posts in preventing root fractures in endodontically treated teeth: A review of the literature. Journal of Conservative Dentistry. 2017. Vol. 20, № 1. P. 2–7.
Liu Y., Feng S. A review of root canal filling techniques and the materials used in endodontic therapy. International Journal of Dentistry. 2015. Article ID 987531.
Hajializadeh S., Rezaei K. The impact of post and core restorations on the periapical and periodontal tissues. Journal of Clinical and Experimental Dentistry. 2020. Vol. 12, № 2. P. e134–e141.
Pawar M., Saini R. A comprehensive review on different types of posts and their impact on tooth longevity and periodontal health. Journal of Prosthetic Dentistry. 2019. Vol. 15, № 4. P. 225–231.
Francesco A., De Angelis F. Long-term survival of endodontically treated teeth with post and core restoration: A systematic review. Dental Materials.2018. Vol. 34, № 6. P. 859–868.
Lo C. L., Teoh S. H. Materials used for posts and cores in endodontic therapy: A review. Journal of Prosthetic Dentistry. 2015. Vol. 14, № 2. P. 85–93.
Kumar M. A., Goel P. Biocompatibility and mechanical properties of materials used for root canal posts: A review. Journal of Endodontics. 2019. Vol. 45, № 2. P. 13–21.
Buchanan L. S. Endodontic treatment and its impact on periodontal tissues. Endodontic Topics. 2003. Vol. 6, № 1. P. 24–38.
Tay F. R., Pashley D. H. Endodontic post systems: Material properties and clinical implications. Dental Clinics of North America. 2004. Vol. 48, № 3. P. 663–680.
Kishen A. Biomaterials and nanotechnology in endodontics: A review. Journal of Endodontics. 2007. Vol. 33, № 3. P. 281–288.
